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Permit CITY OFTIGARD ^ ; 0 1 , DEVELOPMENT SERVICES RESTRICTED ENERGY ELECTRICAL — PERMIT #: ELR98 -0197 DATE ISSUED: 07/28/98 PARCEL: iS134CD -01600 SITE ADDRESS... :11770 SW KATHERINE ST SUBDIVISION -LERON HEIGHTS NO.3 ZONING :R -4.5 BLOCK ....... ° LOT -051 JURISDICTN: TIG Project Description: Currier 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 :IRRIGATION : :.X HVAC PROTECTIVE SIGNAL..: INSTRUMENTATION °: OTHER..: .. TOTAL # OF SYSTEMS': 0 Owner: FEES LEONARD CURRIER type amount by date recpt 4l177O SW KATHERINE PRMT $ . 40.00 JSD 07/28/98 98- 307768 TIGARD OR 97223 SPCT $ 2.00 JSD 07/28/98 98- 307768 Phone #: 625 -6308 Contractor: PROGRASS LANDSCAPE SERVICES $ 42.00 TOTAL 29895 SW KINSMAN RD REQUIRED INSPECTIONS WILSONVILLE OR 97070 Low Voltage Insp Phone #: 682 -6076 Elect'l Final Reg #..: 6136 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 1. 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 Center.. Those rules are set forth in OAR 952 -001 -0010 through OAR 952-" You may obtain copies of these rules or direct questions ti wilt (503)246 -1987. ,J*-- dif Issued by Permittee Signature G�€ /a069 - j 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 SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: +++++±++++++++++++++±+++++++++++±++±+++++++±±± ��++ + + + + ± + + + + + + + + + + + + + + + + + ± ± + + ++ ± ±_ Call 639 -4175 by 7 :00 P.M. for an inspection needed the next business day +++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ 04/30/98 THU 12:55 FAX 503 598 1960 CITY OF TIGARD lti 003 CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by: ' Date Rec'd: 4W t4 13125 TIGARD HALL BLVD PRINT OR TYPE V 503- OR 972X Permit #: - C V - 503 -639 -4171 X304 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 Restricted Energy Fee $40.00 (FOR ALL SYSTEMS) JOB Street Address �/� �J �t� Ste # Check Type of Work Involved: ADDRESS ii I MO 50 ►�1� 'v /u'.�t` City /Slat Zip Phone # D Audio and Stereo Systems lei � D� . 'fil GaS• 00) Name v n Burglar Alarm teo�ari V 0 Garage Door Opener' OWNER Mailing Address j , 1 1 1,0 -cW ��A1 °S-1; E] Heating, Ventilation and Air Conditioning System' Ci !State Zip Phone # G�g a 1477 6125-610264) Vacuum Systems' Nam �rh/ O /� / 1 SJ Eg Other t o it t 1 it iW r phott thidoe CONTRACTOR Mailin Addre s TYPE OF WORK INVOLVED - COMMERCIAL ONLY 2�r9 s ro la i�saT1 �2d . $40.00 copy of all licenses (Prior to issuance a City/State c f Fee for each system. I IsO✓ Il e t Z 7 &137-lee �� (SEE OAR 918 - 260 -260) are required if Oregon�ntr. Brd Lic. # E/ Check Type of Work Involved: expired in C.O.T. (�J (.P data base). Electrical Contr. Lic. # Exp. Date Audio and Stereo Systems C.O.,or etro # Elx� 0 Boiler Controls Owner's Name El Clock Systems OWNER - ' Mailing Address ❑ Data Telecommunication Installation APPLICANT City /State I Zip I Phone # 0 Fire Alarm Installation . This permit is issued under OAE 91 5- 320 -370. This applicant ! agrees to HVAC make only restricted energy installations (100 volt amps or less) under this El permit and to do the following: 0 Instrumentation 1. Only use electrical licensed persons to do installations where required. Intercom and Paging Systems Certain residential and other transactions are exempt from licensing. These have asterisks('). All others need licensing; ❑ Landscape Irrigation Control" 2. Call for inspections when installation under this permit are ready for inspection at 503 - 639.4175; 0 Medical 3. Purchase separate permits for all installations that are not ready for an 0 Nurse Calls inspection when the inspector is out to inspect under this permit; 0 Outdoor Landscape Lighting* 4. Assume responsibility for assuring that all corrections required by the inspector are done, and; Protective Signaling 5. Assume responsibility for calling for a final inspection when all of the Other corrections are completed. Ell Permits are non - transferable and non- refundable and expire if work is not Number of Systems started within 180 days of issuance or if work is suspended for 180 days. 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. du p FEES: WW ems . E NTER FEES $ 'Pe Signature 5% SURCHARGE (.05 X TOTAL ABOVE) $ Ailv TOTAL Authority if other than Applicant — i•WstsVesele.doc 7/97 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 r, BUP I Date Requested ' / d AM ■ PM BLD Location I 1 110 a ! 'ELI ' . Suite MEC r Co -' 'erson ! "►si�i / ��, PLM" e lY-0D4-6, Contractor Ph 2 �©1 ,� te I � - -. SWR :''_ Tenant/Owner ELC Retaining Wall ° ELR 'O p -O 14 Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab 1/�. SIT Post & Beam 0 Ext Sheath /Shear r� "�^x'u �-- --�, Int Sheath /Shear �\ Framing Insulation Drywall Nailing Firewall 41 Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS —.4T FAIL 0 141IN BG�' :, �& B eam �p / Under Slab Top Top Out Water Service ,1 Sanitary Sewer Drain, „jt.. I PART FAIL ME `ANICALx'„ Post & Beam Rough In Gas Line Smoke Dampers Final paw T FAIL ELECTRICAL .,,,» Rough In UG /Slab Low Voltage Fire Alarm k'? 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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA Approach/Sidewalk Date Inspector E x t Final / PASS ,PART FAIL DO NO REMOVE this inspection record from the job site. •