Permit CITY OF TIGARD
::,
. ,, i mi Ni � , � � DEVELOPMENT R SERVICES I ELECTRICAL PERMIT -•
Tigard, 97223 ( ) 639-4171 RESTRICTED ENERGY
PERMIT #: ELR97 -0163
DATE ISSUED: 06/12/97
PARCEL: 251O1BC -00200
SITE ADDRESS...:O82O5 SW HUNZIKER ST
SUBDIVISION....: ZONING:I -L
BLOCK - LOT... ...... ....: JURISDICTN: TIG
Project Description: instl protective signaling
A. RESIDENTIAL-- B. COMMERCIAL -•
AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING..:
BURGLAR ALARM . BOILER LANDSCAPE /IRRIGAT..:
GARAGE OPENER..... CLOCK............ MEDICAL. ....... ....:
HVAC - DATA /TELE COMM..: NURSE CALLS .
VACUUM SYSTEM . FIRE ALARM OUTDOOR LANDSC LITE:
OTHER: :: HVAG ............: PROTECTIVE.ST.,GNAL..:X
INSTRUMENTATION.: OTHER..: ..
TOTAL # OF SYSTEMS: 1
Owner: FEES
POWER RENTS type amount by date recpt
8205 SW HUNZIKER PRMT $ 40.00 TAT 06/09/97 97- 295660
TIGARD OR 97224 5PCT $ 2.00 TAT 06/09/97 97- 295660
Phone #:
Contractor:
SONITROL PACIFIC $ 42.00 TOTAL
1974 SW 6TH AVE
REQUIRED INSPECTIONS
PORTLAND OR 97201 Ceiling Cover Elect' 1 Final
Phone #: 223 -5822 Wall Cover __
Reg #..: 000535
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180
days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rule adopted by the
Oregon Utility Notification. a ter. Those r are set forth in OAR 952- 001 -0010 through OAR 952 - 001 -0080. You may obtain copies of
these rules or direct est s to OUNC (50 246 -1987. .--
Issued by ,,,�t , /., , % /� Permittee Signature V ___,!d ,,,,/,
/ OWNER INSTALLATION ONLY --
The installation is being made on property I own which is not intended for
sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
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- -- - - - - -- CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO : _ _ ____ ______ ----,-
+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++-t-
Call 639 -4175 by 6:00 P.M. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + +- r- + + + + + + + + + + + + + ++
ia
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Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
,, ,
13125 SW Hall Blvd. /_
Tigard, OR 97223 PERMIT # it-
' / ()�l,(9 3
�4#1 I � Phone (503) 639-4171 �� ��� 7
q 4 n ^ ^ ^ 1 I FAX (503) 684 -7297 DATE ISSUED
-- TDD No. (503) 684 -2772
..1( CITY OF TIGARD Inspection (503) 639 -4175 ISSUED BY
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
&D,.5 5 WI aA
Address . � RESIDENTIAL — Restricted Energy Fee $40.00
q-
• (FOR ALL SYSTEMS)
City � State Zip Check Type of Work Involved:
PERMITS ARE NON - TRANSFERABLE AND NON - REFUNDABLE AND EXPIRE IF WORK . ❑ Audio and Stereo Systems*
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR y
180 DAYS. ❑ Burglar Alarm
❑ Garage Door Opener*
2. CONTRACTOR APPLICATION
'� t ❑ Heating, Ventilation and Air Conditioning System*
Contractor I l PA 11 LI MI ILIA. Cite /1 . 1 ❑ Vacuum Systems*
Address 1 ( 4 t 7 5 c v1� (j1 , P(rt 11,1 ' U,l f\--0 11 - 7r�,�1:' ❑ Other
Date I/ts1A1 q ) l "l 'I, 7 COMMERCIAL — Fee for each system $40.00
1 (SEE OAR 918 260 - 260)
Property Owner /I} 5 Check Type of Work Involved:
Contractor's Board Reg. No. k ( J ❑ Audio and Stereo Systems*
�
� � ��� � ❑ Boiler Controls
Phone# ;- ❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
❑ Fire Alarm Installation
❑ HVAC
Print Owner's Name Phone No
❑ Instrumentation
Address ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
City State Zip ❑ Medical
This permit is issued under OAR 918 320 - 370. This applicant agrees to make only ❑ Nurse Calls
restricted energy installations (100 volt amps or less) under this permit and to do the ❑ Outdoor Landscape Lighting*
following:
1. Only use electrical licensed persons to do installations where required. (Certain Protective Signaling
residential and other transactions are exempt from licensing. These have ❑ Other
asterisks( *). All others need licensing).
2. Call for an inspection when all of the installations under this permit are ready
for inspection at 503 639 - 4175. '� i�
3. Purchase separate permits for all installations that are not ready for inspection
`X II Number of Systems
when the inspector is out to inspect under this permit. * No licenses are required. Licenses are required for all other installations.
4. Assume responsibility for assuring that all corrections required by the inspector
are done, and
5. Assume responsibility for calling for a final inspection when all of the corrections 5. FEES .
are completed.
The person signing for this permit must be the applicant or a person a. Enter Fees $ HO
authorized to bind the appli ant.
4,1 b. 5% Surcharge (.05 x total above) $ a
Signature $ / -
TOTAL
Authority if other than applicant
ENERGAP.CHP
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7/18/99 Activities for Case #: ELR97 -00163
6:08:09 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELRC001 Application Received 6/9/97 6/9/97 TAT 6/9/97
ELRC003 Permit Created 6/9/97 6/9/97 TAT 6/9/97
ELRC700 Ceiling Cover 6/9/97 TAT 6/9/97
ELRC720 Wall Cover 6/9/97 . TAT 6/9/97
ELRC799 Elect'I Final 6/9/97 TAT 6/9/97
ELRA500 (F) Issue permit 6/12/97 TAT PASS TAT 6/12/97
ELRC725 Low Voltage Inspection 9/19/97 MJR PASS MJR 9/19/97
ELRC799 Elect'I Final 9/19/97 MJR PASS MJR 9/19/97
ELRC800 Case finaled 9/19/97 MJR PASS MJR 9/19/97
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