Permit . ����'
ELECTRICAL PERMIT —
I OF TIGARD RESTRICTED ENERGY •
PERMIT #: ELR96-06>68
COMMUNITY DEVELOPMENT DEPARTMENT
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1u1oaSW*�/o*a.nmmu.o�mvne�o°u1me (503) 639-4171
DATE ISSUED: 02/23/96
PARCEL: 15134AA-00800
SITE ADDRESS...: 11342 SW IRONWOOD LP
SUBDIVISION....: ENGLEWOOD ZONING:R-4.5
BLOCK..........: LOT.............:15
Project Description: Install burglar alarm.
A. RESIDENTIAL B. COMMERCIAL -------- — ----
AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING..:
BURGLAR ALARM.. . . :X BOILER. ... ...... : LANDSCAPE/IRRIGAT. . :
GARAGE OPENER....: CLOCK......... .. : MEDICAL...... ...... x
HVAC... .. ...... .. : DATA/TELE COMM.. . : NURSE CALLS. ...... . :
VACUUM SYSTEM....: FIRE ALARM......: OUTDOOR LANDSC LITE:
OTHER: :: HVAC............: PROTECTIVE SIGNAL..:
INSTRUMENTATION.: OTHER..: ::
TOTAL # OF SYSTEMS: 0
Applicant: ------ ----- — FEES ----
CORDELL TIETZ type amount by date recpt
11342 SW IRONWOOD LP PRMT $ 40.00 CJS 02/23/96 96-276247
5PCT $ 2.00 CJS 02/23/96 96-276247
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TIGARD OR 97223
Phone #:
Contractor ---- — — --------- ---------
ADT SECURITY ALARMS $ 42.00 TOTAL
703 N.E. HANCOCK
------- REQUIRED INSPECTIONS -------
PORTLAND OR 97212 Elect'l Service
Phone #: 503-282-1549 Elect'l Final
Reg #.~: 59944
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This peroit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other Permitee Signature
applicable laws. All work will be done in accordance with
approved plans. This porait will expire if work is not started
within 180 days of issuance, or if work is suspended for wore / ~
�
tham \8N Uays. ^ Issued By
--- 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:
------ -- CONTRACTOR INSTALLATION ONLY -- ---
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AUTHORIZED SIGNATURE: 17/4i DATE: a3- 96 ___
LICENSE NO:
Call for inspection — 639-4175
r Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
-- 13125 SW Hall Blvd.
Tigard, OR 97223 PERMIT # EL R963- 0068
//yieriillilll♦61a�� Phone (503) 639 -4171
� I( ; FAX (503) 684 -7297 DATE ISSUED a- a. 3.- 96
- - TDD No. (503) 684 -2772
CITY OF TIGARD Inspection (503) 639 -4175 ISSUED BY C.atr /cam.. c.Z,-,.,,d/
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION i A 4. TYPE OF WORK
i /.__ 4,49-- azi _L-rtnk Addr.e.sEr RESIDENTIAL — Restricted Energy Fee $40.00
/ `
ic1 J� , Or � /�75 (FOR ALL SYSTEMS)
City State Zips Check Type of Work Involved:
PERMITS ARE NON - TRANSFERABLE AND NON - REFUNDABLE AND EXPIRE IF WORK ❑ AU and Stereo Systems
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR
180 DAYS. Burglar Alarm
2. CONTRACTOR APPLICATION ❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
Contractor .ADT SECURITY SYSTEMS. INC.Ty 1-1 Vacuum Systems*
703 NE NAE@
PORTLAND, OR 97212 ❑ Other
Address (5033) -3265 •
Date er7 (O COMMERCIAL — Fee for each system $40.00
(SEE OAR 918- 260 -260)
Property Owner ,mot ., ./ t ` `-- Ai � / / /e7-2...._ Check Type of Work Involved:
Contractor's Board Reg. No. Fa-9 / , ❑ Audio and Stereo Systems
❑ Boiler Controls
Phone # ❑ Clock Systems
❑ Data Telecommunication Installations
3. OWNER APPLICATION
❑ Fire Alarm Installation
r5g67 ❑ 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:
❑ Protective Signaling
1. Only use electrical licensed persons to do installations where required. (Certain
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 tinder 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 final inspection when all of the 5. FEES
corrections are completed. 1 ���
The person signing for is pet it must be the applicant or a person a. Enter Fees $ Tom'
authorized to 5 nt. _ b. 5% Surcharge (.05 x total above) $ Signatur /� /l
TOTAL $ 0 Qv
Authority if other than applicant
ENERGAP.CHP
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
S .�/3 Date Requested a / /67ff AM PM BLD
Location _ _IL.,2 r6:e sy� Suite MEC
Contact Person (zot.,) Ph ...57d-or7 PLM
Contractor )T Ph SWR
BUILDING Tenant/Owner L- 722/-i..17 jf, ELC
Retaining Wall ELR ep o/
Footing (��
Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: �; �� /(� SIT
d�7
Slab ,,,� / � IAJ
Post & Beam /A G�' a"�,�c.._
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing 2Z
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING �� -`� ::.
Post & Beam
Under Slab J
Top Out - -
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL-` , . .. g
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL �.
ECTRICA =. ;::;,
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
F'yu►
PART FAIL
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date 6 /6 - 9 Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.