Permit CITY OF TIGARD
DEVELOPMENT SERVICES RESTRICTED ENERGY
PERMIT #: ELR96 -0398
DATE ISSUED: 12/31/96
PARCEL: 2S1O4BA -16300
SITE ADDRESS...: 13740 SW LIDEN DR
SUBDIVISION • CASTLE HILL NO.3 ZONING:R -12 PD
BLOCK • LOT •193
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 •
HVAC DATA /TELE COMM..: NURSE CALLS •
VACUUM SYSTEM FIRE ALARM......: OUTDOOR L_ANDSC LITE:
OTHER: •• HVAC • PROTECTIVE SIGNAL °.:
INSTRUMENTATION °: OTHER..: .• •
TOTAL # OF SYSTEMS: 0
Owner: - -•— FEES
DON MORISSETTE BLDRS INC type amount by date recpt
5000 SW MEADOWS PRMT $ 40.00 TAT 12/31/96 96- 288299
5PCT $ 2.00 TAT 12/31/96 96- 288299
LAKE OSWEGO OR 97035
Phone #: 620 -7538
Contractor: --
BRINKS HOME SECURITY $ 42.00 TOTAL
8059 SW CIRRUS DR
REQUIRED INSPECTIONS
BEAVERTON OR 97008 Ceiling Cover Elect'1 Service
Phone #: V- 641 -0574 Wall Cover Elect'l Final
Reg #..: 44421 -
This permit is issued subject to the regulations contained in the .441/1. //
Tigard Municipal Code, State of Ore. Specialty Codes and all other Perm` e S i gnat i re
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 sore L1 j , 14
than 180 days. I sued By /
OWNER INSTALLATION ONLY -- 7 --
The installation is being made on property I on 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 for inspection — 639 -4175
•
1
r y.
f,,,. Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd. rJ
Tigard, OR 97223 PERMIT # EL/2940 - d3q1S •
/�� tr•�iy, � iH � ; \ Phone (503) 639 -4171
�■t . I FAX (503) 684 -7297 DATE ISSUED l �' �s
.. �il► _.. TDD No. (503) 684 -2772
CITY OF TIGARD Inspection (503) 639 -4175 ISSUED BY
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INS ALLATIO 4. TYPE OF WORK
Yo � . .
Ad� 0.00
dr ess RESIDENTIAL — Restricted Energy Fee $4
J (lOrd '?I ] _ (FOR ALL SYSTEMS)
City State 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 Openers
RINKS HOME SECURI�Y ALARM ❑ Heating, Ventilation and Air Conditioning System*
Contracto ype ❑ Vacuum Systems* •
Address 8059 S.W. CIRRUS DRIVE, BEAVERTON 97008 - El - Other
•
Date /;--(01-J/ / l • COMMERCIAL — Fee for each system $40.00
Q (SEE OAR 918 - 260 -260)
Property Owner —,�J� ti Check Type of Work Involved;
Contractor's Board Reg. No. 0/1/1421 ❑ 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 El Intercom and Paging Systems
•
❑ Landscape Irrigation Contra*
City State Zip ' ❑ Medical
This permit is issued under OAR 918 - 320 -370. This applicant agrees to make only El Nurse Calls
restricted energy installations (100 volt amps or less) under this permit and to do the ❑ Outdoor Landscape Lighting'
following: .
1. Only use electrical licensed persons to do installations where required. (Certain El 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 $0 —
authorized to bind the applicant. !
b. 5% Surcharge (.05 x total above) $ ,,z.
Signature A laati TOTAL $ Vi _
Authority i other than applican
ENERGAP.CHP
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
•
Footing Rain Drain Cover /Service
Foundation Water Line Ceiling lumb.
Post/Beam Mech. Shear /Sheath Framing -Mech.
PIbg.Und /Flr /Slab Plbg. Top Out Insulation
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr /Sdwlk Reins.
Other:
Date: / »( 19/ A.M. P.M. Ent
Address: 3 41d
Tenant: Ste: MST:
BUP:
Con /C9: 57 —1 - g MEC:
PLM:
ELC:
THE F LL WING CORRECT NSA E REQUIRED: ELR:
erceG / cam
Inspector: �� - Date: z//
• D DISAPPROVED /CALL FOR REINSP. CF C