Permit CITY OF TIGARD
114 ��i �
DEVELOPMENT SERVICES RESTRICTED ENERGY
PERMIT #: ELR98 -0188
DATE ISSUED: 07 /21/98
PARCEL: 25112DC -00200
SITE ADDRESS...:07342 SW KABLE LN
SUBDIVISION °SOUTHERN PACIFIC TIGARD INDUST ZONING:I —L
BLOCK ° LOT °003 JURISDICTN: TIG
Project Description : Installation of data telecommunications system.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING..:
BURGLAR ALARM • BOILER LANDSCAPE/ IRRI GAT. .:
GARAGE OPENER • CLOCK • MEDICAL
HVAC • DATA /TELE COMM..:X NURSE CALLS
VACUUM SYSTEM FIRE ALARM OUTDOOR LANDSC LITE:
OTHER: .. HVAC PROTECTIVE SIGNAL..:
INSTRUMENTATION.: OTHER..: . .
TOTAL # OF SYSTEMS: 1
Owner: FEES
PACIFIC REALTY type amount by date recpt
111 SW 5TH PRMT $ 40.00 DEB 07/21/98 98- 307529
# 2950 5PCT $ 2.00 DEB 07/21/98 98- 307529
PORTLAND OR 97204 -0000
Phone #: 503 - 224 -2246
Contractor:
GREENLINE INC • $ 42.00 TOTAL
PO BOX 230755
REQUIRED INSPECTIONS
TIGARD OR 97223 Ceiling Cover Low Voltage Insp
Phone #: 968 -1978 Wall Cover Elect'l Final
Reg #..: 001030
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 • y 'o 1 ' ation Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952 -001 -0080. You may obtain copies of
these ules or direct '.estio OUNC at (503)246 -1987.
Iss -d by . — Permittee Signatu - , i ce /414. ✓.i, i
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//R 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
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + ++ + + + + + + + + + + + + + + + + + + + + ++ •
. i i .
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by(k
13125 SW HALL BLVD Date Rec'd: 7 "a /mil `,�
TIGARD
503-639-4171 2X304 PRINT OR TYPE Permit #: ELL- - ®l a�
F - 503 - 684 -7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:
WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
3 0 /A Ele Restricted Energy Fee
y (FOR ALL SYSTEMS)
Street Address /► B Q 1' U d Ste #
ADDRESS 73'Z X f' WE Check Type of Work Involved:
City /State Zip • Phone # ❑ Audio and Stereo Systems
-r16 - -✓-i gb 6S _ 9722' 646-111/
Name ❑ Burglar Alarm
OWNER Mailing Address n Garage Door Opener*
City /State Zip Phone # n Heating, Ventilation and Air Conditioning System*
Name pGG 1� gyIpp/� //
El Vacuum Systems*
G.�R,EEWLli //Y C. ❑ Other
CONTRACTOR Mailin Address
po jz 2 3v755 TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to issuance a City /State 7 , Zi Phone # Fee for each system $40.00
copy of all licenses -- 776-; h11 0 � . 772-81 9108-1,78 (SEE OAR 918- 260 -260)
are required if Oregon Contr. Brd Lic. # Exp. Date
expired in C.O.T. / o30 33 // f3 Check Type of Work Involved:
data base). Electrical Contr. Lic. # Exp. Date
..3 3 97 C L E /10 / 9 8 n Audio and Stereo Systems
C.O.T. or Metro Lic. # Exp. Date
9 8 ' 93 /2/3498 n Boiler Controls
Owner's Name
n Clock Systems
OWNER - Mailing Address
APPLICANT Data Telecommunication Installation
City /State Zip Phone # n
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 n HVAC
permit and to do the following:
n Instrumentation
•
1. Only use electrical licensed persons to do installations where required.
Certain residential and other transactions are exempt from licensing. n Intercom and Paging Systems
These have asterisks( *). All others need licensing;
n Landscape Irrigation Control*
2. Call for inspections when installation under this permit are ready for
inspection at 503- 639 -4175; ❑ Medical
3. Purchase separate permits for all installations that are not ready for an n Nurse Calls
inspection when the inspector is out to inspect under this permit;
4. Assume responsibility for assuring that all corrections required by the El Outdoor Landscape Lighting*
inspector are done, and;
❑ Protective Signaling
5. Assume responsibility for calling for a final inspection when all of the
corrections are completed. ❑ 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.
eir...„ FEES:
ENTER FEES $
ignature
/Jj Q 5% SURCHARGE (.05 X TOTAL ABOVE) $ 21 6 b
!' L �t
Aut Z3 1/1 -
ri y if other than Applicaca nt TOTAL $
is \dsts \resele.doc 7/97 - —