Permit CITY OF TIGARD
' l ;l\
DEVELOPMENT SERVICES ELECTRICAL PERMIT -
^ -�■ RESTRICTED ENERGY
PERMIT #: ELR98 -0106
DATE ISSUED: 04/15/98
PARCEL: ES1O1BC -02201
SITE ADDRESS...:O83O0 SW HUNZIKER ST
SUBDIVISION ZONING:I -P
BLOCK LOT..............: JURISDICTN: TIG
Pro.j ect Description : Installation of 2 HVAC systems.
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- L_ITE
OTHER: .. HVAC •X PROTECTIVE SIGNAL..:
INSTRUMENTATION.: OTHER..:
TOTAL # OF SYSTEMS:V
Owner: FEES
WESTERN PARTITIONS type amount by date recpt
8300 SW HUNZIKER PRMT $ 80.00 DEB 04/15/98 98- 304976
TIGARD OR 97223 5PCT $ 4.00 DEB 04/15/98 98- 304976
Phone #:
Contractor:
HUNTER- DAVISSON $ 84.00 TOTAL
3410 SE 20TH
REQUI RED INSPECTIONS
PORTLAND OR 97202 Ceiling Cover Low Voltage Insp
Phone #: 234 -0477 Wall Cover Elect'1 Final
Reg #..: 000161
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 1: days. ATTENTION: Oregon law requires you to follow rule adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952-801-0110 through OAR 952- 001 -0080. You may obtain copies of
these rules direc questions t4 OUNC at (503)246 -1987.
r
/''�� Permittee Signatur- . ��
Issued � I�.,.��,�._ir� - - -
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:
CONTRA TO INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC' N : DATE:
LICENSE NO:
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
.
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by: i2)
13125 SW HALL BLVD Date Rec'd: /rs/ici
TIGARD OR 97223 PRINT OR TYPE
V - 503 - 639 -4171 X304 Permit*: 6 - B /Q
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 $40.00
Pngl2A) e 6/- 71 -n 0-✓S (FOR ALL SYSTEMS)
JOB Street Address Ste #
ADDRESS ) ,s(..) f Ju -it k ct Check Type of Work Involved:
City /State Zi Phone # El Audio and Stereo Systems
rf 2 a oil 'O 3
Name ❑ Burglar Alarm
SAr‘nc" fr5 Ak;k-vil 0
OWNER Mailing Address Garage Door Opener*
City /State Zip Phone # ❑ Heating, Ventilation and Air Conditioning System*
Name ❑ Vacuum Systems*
,L rf e & OA u' ❑ Other
CONTRACTOR Mailing Address_
3L1 10 S. e- g(J`n'' TYPE OF WORK INVOLVED - COMMERCIAL
(Prior to issuance a City/State Zip_ Phone # Fee for each system $40.00
copy of all licenses A.444, 6‹ 0 A 9-o0) (SEE OAR 918 - 260 -260)
are required if Ore on Contr. Brd Lic. # Exp. Date
expired in C.O.T. 0/6/ a c--/_ `/`J Check Type of Work Involved:
data base). Electrical Contr. Lic. # Exp. Date
a6 -63 CLGr /0-14)/ ❑ Audio and Stereo Systems
C.O.T. or Metro Lic. # p. / DM ,
(� /� F, a /' y� ❑ Boiler Controls
Owner's Name
0 Clock Systems
OWNER - Mailing Address
APPLICANT 0 Data Telecommunication Installation
City /State Zip 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 ��1 HVAC
permit and to do the following:
0 Instrumentation
1. Only use electrical licensed persons to do installations where required.
Certain residential and other transactions are exempt from licensing. 0 Intercom and Paging Systems
These have asterisks( *). All others need licensing;
0 Landscape Irrigation Control*
2. Call for inspections when installation under this permit are ready for
inspection at 503 - 639 -4175; El Medical
3. Purchase separate permits for all installations that are not ready for an Nurse Calls
inspection when the inspector is out to inspect under this permit;
4. Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting*
inspector are done, and;
0 Protective Signaling
5. Assume responsibility for calling for a final inspection when all of the
corrections are completed. 0 Other
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 this permit must be the applicant or a person * No licenses are required. Licenses are required for all other installations
authorized to bind the applicant.
411, ' FEES: WO
Sign-Firm ENTER FEES $
Y
5% SURCHARGE (.05 X TOTAL ABOVE) $
Authority if other than Applicant TOTAL $ my
NrAii
i:\resele.doc 12/96 _
IF
•
Page No. .1 CASE HISTORY FOR CASE NO.: ELR9B -0106
WESTERN PARTITIONS
08300 SW HUNZIKER ST
12/08/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
ELRC001 Application Received / / / / 04/15/98 RECD DEB 04/15/98 DST
FLRC003 Permit Created / / / / 04/15/98 DONE DEB 04/15/98 DST
ELRC500 (F) Issue permit / / ./ / 04/15/98 DONE DEB 04/15/98 DST
ELRC725 Low Voltage Inspection / / / / 09/17/98 PASS CD 09/18/98 J *H
•ELRC799 Elect'l Final / / / / 09/17/98 PASS CD 09/17/98 CD
ELRC800 Case finaled / / / / 09/17/98 PASS CD 09/18/98 J *H