Permit CITYOFTIGARD
�' �'�V;f�llt DEVW L OPMEN � T SERI ELECTRICAL PERMIT —
RESTRICTED ENERGY
PERMIT #: ELR97 -0127
DATE ISSUED: 04/28/97
PARCEL: 2S113AD -01800
SITE ADDRESS...:1664O SW 72ND AVE #B -10
SUBDIVISION :ROSEWOOD ACRE TRACTS ZONING :I —L
BLOCK • LOT •11 JURISDICTN: TIG
Project Description: Installation of security card system with perimeter access
control.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING..:
BURGLAR ALARM • BOILER • LANDSCAPE/ IRRI GAT. .:
GARAGE OPENER • CLOCK • MEDICAL •
HVAC • DATA /TELE COMM...: NURSE CALLS •
VACUUM SYSTEM • FIRE ALARM • OUTDOOR LANDSC LITE:
OTHER: .. HVAC • PROTECTIVE SIGNAL..:X
INSTRUMENTATION.: OTHER..: ..
TOTAL # OF SYSTEMS: 1
Owner: FEES
PRECISION INTERCONNECT type amount by date recpt
16640 SW 72ND AVE PRMT $ 40.00 JMH 04/28/97 97- 293832
TIGARD OR 97224 5PCT $ 2.00 JMH 04/28/97 97 -29383
Phone #: 603 -4759
Contractor:
OMEGA CORP A CALIFORNIA CORP $ 42.00 TOTAL
488 N WIGET LN
REQUIRED INSPECTIONS
WALNUT CREEK CA 94598 Ceiling Cover Elect'l Service
Phone #: 526 -9595 Wall Cove- E1 :ct'l Final
Reg #..: 001088
This permit is issued subject to the regulations contained in the . _ ■010►
Tigard Municipal Code, State of Ore. Specialty Codes and all other e r m i t1 gnat u r e •
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started Air
within within 188 days of issuance, or if work is suspended for more /i I.
yew-
than 188 days. / sued By
OWNER INSTALLAT mN ONLY
The installation is being made on property I own which is not intended for
sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC' N : DATE:
LICENSE NO:
Call for inspection — 639 -4175
04.18/97 12:12 '8`503 684 7297 CITY OF TIGARD I LI
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by: J F
- SW HALL BLVD Date Recd: 4 -2 2 7
TIGARD OR 97223 PRINT OR TYPE
V- 503 -639-4171 X304 Permit #: E L g-9 7- 0 I 2_7
F - 503.684.7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:
WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL
Restricted Energy Fee 140.00
1 (Q - c Sint, 1+ttleVcomA FOR ALL SYSTEMS)
JOB Street Address Ste #
ADDRESS 16640 SW, 7 214d Check Type of Work Involved:
c ate [ A 'VIM I yis� ❑ Audio and Stereo Systems
Name 1 N GV ❑ Burglar Alarm
5k w► ❑ Garage Door Opener'
OWNER Mailing Address
City/State (Zip - phone p ❑ Heating, Ventilation and Air Conditioning System'
Name ( l El Vacuum Systems'
0t FcA Coi fpofaVe &2c.i4v44. ❑ other
CONTRACTOR Mailin Address
. 1VC1° SW � fk5 IQ(• TYPE OF WORK INVOLVED - COMMERCIAL
(prior to issuance a pity/State l Phone # Fee for each system 140.00
copy of all licenses ye,y col - .75-%S: (SEE OAR 918. 260.260)
are required if Oregon Contr. Brd Lic. # Exp. Date ..--)
expired in C.O.T. Cf O SP ( toll en Check Type of Work Involved:
data base). Electrical Contr. Lic. # Exp. bate
3c-1 _ L(q g e - L ❑ Audio and Stereo Systems
C.O.T. or Metro ic. !f Q f , p. Date
0 7 J to.-31- i 7 ❑ Boller Controls
Owner's Name
❑ Clock Systems
OWNER - Mailing Address
APPLICANT p Data Telecommunication Installation
City /State 1 Zip I Phone # ❑ Fire Alarm Installation
This permit is issued under OAE 918- 320.370. This applicant agrees to
make only restricted energy installations (100 volt amps or less) under this ❑ HVAC
permit and to do the following: ❑
Instrumentation
1. Only use electrical licensed persons to do Installations where required.
Certain residential and other transactions are exempt from licensing. ❑ Intercom and Paging Systems
These have asterisks('). All others need licensing: ■
El Landscape Irrigation Control'
2. Call for inspections when installation under this permit are ready for
1
inspection at 503 -639-4175; ❑ Medical
fill - / 3. Purchase separate permits for all installations that are not ready for an ❑ Nurse Calls I , /
Inspection when the inspector is out to inspect under this permit: / ' ' 1
4. Assume responsibility for assuring that all corrections required by the l 1 Outdoor Landscape Lighting' I% ' 1 '1 �,
inspector are done, and: •
❑ Protective Signaling , S 1 1 1 1
5. Assume responsibility for calling for a final inspection when all of the
corrections are completed. 1$ Other _ .. I,
Permits are non - transferable and non - refundable and expire If work is not
started within 180 days of issuance or if work is suspended for 180 days. / Number of Systems
The person signing for th' = it must be the applicant or a person • - no licenses are required. Licenses are required for all other installations
authorized to bind the
0 j CO
_ ENTER FEES 1
Signature Ai
_ _ _ ,, 5% SURCHARGE (.05 X TOTAL ABOVE) $ / •
Aw'ority if oth t an Applicant\ TOTAL S i / Z
8/26/99 Activities for Case #: ELR97 -00127
9:39:28 AM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELRC001 Application Received 4/28/97 JMH PASS DST 4/28/97
ELRC003 Permit Created 4/28/97 JMH PASS DST 4/28/97
ELRC700 Ceiling Cover DST 4/28/97
ELRC720 Wall Cover DST 4/28/97
ELRC731 Elect9 Service DST 4/28/97
ELRC799 Elect'I Final DST 4/28/97
ELRC500 (F) Issue permit 4/28/97 JMH PAID DST 4/28/97
ELRC799 Elect'I Final 5/2/97 MJR PASS MJR 5/2/97
ELRC800 Case finaled 5/2/97 MJR PASS MJR 5/2/97
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