Permit CITY OF TIGARD
DEVELOPMENT �������o�����
�~~ ~ ~—��^ —'—'— ' SERVICES
'�-- BECTRICAL PERMIT -
11. 13125 SW Hall Bhvd., Tigard, QR9Z223(03)R39-4/77 RESTRICTED ENERGY
PERMIT #: ELR96-0401
DATE ISSUED: 12/31/96
PARCEL: 2S111BA-06900
SITE ADDRESS...: 09529 SW INEZ ST
SUBDIVISION.-.: BUTLER TERRACE ZONING:R-4. 5
BLOCK. . . . . . . . . . : LOT. . . . . . , . . . . . . :3
Project Descriotion: INSTL BURGLAR ALARM
. - ______
A. RESIDENTIAL , • B. COMMERCIAL � ----
AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING..:
BURGLAR ALARM.. � .:X' ^' "' �� �� BOILER, .�,~��.. .��: � -LANDSCAPE/IRRIGAT. . :
GARAGE OPENER....: CLOCK. .. .. . . . . . . : MEDICAL. . . .. . . . .. . . :
NURSE
VACUUM SYSTEM....: FIRE ALARM......: OUTDOOR LANDSC LITE:
• OTHER:`~ ~ , ' : : � ' HVAC.~. �,. .�. ..~" : ��� ' PROTECTIVE SIGNAL..-:
INSTRUMENTATION.: OTHER..: ::
• • _ � _ : . -TOTAL_ #" OF SYSTEMS: 0
Owner: - FEES
• DARWIN' WEBB �� `�' .�� � � '` ' • ^ �, � type amount. by`.. date recpt , .
9529 SW INEZ PRMT $ 40.00 TAT 12/31/96 96-288302
5PCT $'- �. . 2.00 TAT 12/31/96 96-288302
TIGARD OR 97224
Phone #: 620-2539 .
•
Contractor: - ----- -
CONTRACTOR NOT ON FILE $ 42.00 TOTAL
' ` REQUIRED INSPECTIONS
Ceiling Cover Elect'l Service
Phone #: .• Wall Cover . Elect'l Final
f�&
permit, is_ issued, subject to`tho regulations! contained in the
Tigard Nonicipal Code, State ofDne 'Speeialty,{odes' • `/ Perm e`/flignat ur .
applicable laws. All work will be done in accordance with
approved plans. This permit' will expire if'work/is not started
within 18N'days of' issuance, or-if work-is suspended 'for! more ' '
than 1aldlys. ' . ' . '' . ' ' Issued By .'
--------- OWNER INSTALLATION ONLY ° ----
The installation is .being' made' Vrl prope,rty� I_ own,which.'is pot intended for
sale, lease, or rent.
OWNER'S. SIGNATURE:, . . _� _ DATE. . . • - '
`
-- CONTRACTOR INSTALLATION ONLY
SIGNATURE OF,GUPFL ELEC"N; . - " ` DATE:
LICENSE NO:
. ^ ` ' Ca�lƒ,or �inspe!�tio7}^ 639-4175„'
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 PERMIT # 9,— 0/
//�i�n;Ni il ,\ Phone (503) 639 -4171 I /
FAX (503) 684 -7297 DATE ISSUED i
TDD No. (503) 684 -2772 /
CITY OF TIGARD Inspection (503) 639 -4175 ISSUED BY t. . yt
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
o g - ? .„j(4) . Addres RESIDENTIAL— Restricted Energy Fee $40.00
o ,/ Q 12-2Y (FOR ALL SYSTEMS)
City d "-. State r 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
2. CONTRACTOR APPLICATION Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
RINKS HOME SECURITY ALARM
Contracto ype ❑ Vacuum Systems*
Address 8059 S.14: 'CIRRUS DRIVE, BEAVERTON 97008 - - Other
Date 701—lot / i q 4' COMMERCIAL — Fee for each system $40.00
(SEE OAR 918- 260 -260)
Property Owner J 4 , Check Type of Work Involved:
Contractor's Board Reg. No. 04/1421 ❑ Audio and Stereo Systems
❑ Boiler Controls
Phone # (503) 641 -0574 ❑ 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:
0
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. ❑ Number of Systems
3. Purchase separate permits for all installations that are not ready for inspection
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 5. FEES
corrections are completed..
The person signing for this permit must be the applicant or a person a. Enter Fees $
authorized to bind the applicant.
b. 5% Surcharge (.05 x total above) $
Signature ,�-
,, .. TOTAL $
Authority i other than applican
ENERGAP.CHP
CITY OF TIGARD BUILDING INSPECTION NOT E '/
Inspection Line: 639 -4175 Business Phone: 63. 417
Footing Rain Drain Cover /Service INA •
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing -Mech.
PIbg.Und /Flr /Slab Plbg. Top Out Insulation d=
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr /Sdwlk Reins.
Other:
Date: l
I Z4 51 A.M. P.M. Entry:
Address: �5 Z d`-" Y l .€.✓1� 51-
Tenant: Ste: MST:
MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: '0144.51
Ae
� 1
Inspector: Date: Z 6 y
- " - 'OVED DISAPPROVED/CALL FOR REINSP. CF CO