Permit A CITYOFTIGARD , 1 i ��A
DEVELOPMENT SERVICES ELECTRICAL PERMIT —
13125 SW RESTRICTED ENERGY
PERMIT #: ELR99 -0039
DATE. ISSUED: 03/04/99
PARCEL: 19136DB -02400
SITE ADDRESS...:1164O SW PACIFIC HWY
SUBDIVISION • ZONING:C —G
BLOCK • LOT • JURISDICTN: TIG
Project Description: Install protective signaling.
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: .. HVAC • PROTECTIVE SIGNAL.. :X
INSTRUMENTATION.: OTHER..: ..
TOTAL # OF SYSTEMS: 1
Owner: FEES
SONITROL SECURITY type amount by date recpt
1975 SW 6TH AVE PRMT $ 40.00 GEO 03/04/99 99- 313434
PORTLAND OR 97201 SPCT $ 2.00 GEO 03/04/99 99- 313434
Phone #: 223 -5822
Contractor:
SONITROL PACIFIC $ 42.00 TOTAL
1975 SW 6TH AVE
REQUIRED INSPECTIONS
PORTLAND OR 97201 Low Voltage Insp
Phone #: 223 -5822 Elect'1 Final
Reg #..: 000535
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 wore 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 - 881-010 through OAR 952 - 801 -8080. You way obtain copies of
these rules or direct questions to at : )246 -1987.
Issued by Permittee Signature (. 4
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: •d//9-- DATE:
LICENSE NO:
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
RECEIVED
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by:
13125 SW HALL BLVDAR ti 1999 Date Rec'd:
TIGARD OR 97223 PRINT OR TYPE
V - 503 - 639 -4171 X304 Permit #: F"---R /9— 00 3?
F - 503 - 684- 7297COMMUNIIY DEVELOPMENT
NCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:
WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
CiN I CS Restricted Energy Fee $40.00
(FOR ALL SYSTEMS)
JOB Street Address n � 1 I Ste # Check Type of Work Involved:
ADDRESS 11(-0 LAO S.1...) � OQItC. �
City /State h Phone #
- Audio and Stereo Systems
7 kae 3 (oa0 -aCf� I
Name ❑ Burglar Alarm
OWNER Mailing Address ❑ Garage Door Opener'
City /State Zip Phone # El Heating, Ventilation and Air Conditioning System*
Naam,,e,� 1--k , L ❑ Vacuum Systems'
o` r S\ —QQ (,- A ❑ Other
CONTRACTOR Mailing Addres
'C� 1� S C E c je_dmiksz. TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to issuance a ity /State �c Zip Phone ._.# Fee for each system $40.00
copy of all licenses Va `T ,t�✓NC\ q - 1 ail aa3- Sg aa. (SEE OAR 918- 260 -260)
are required if OregonrLr. 3 c. # Exp. Date
expired in C.O.T. Check Type of Work Involved:
data base). Electrical Contr. Lic. # Exp Date
D Co - 3 -it� cl � ❑ Audio and Stereo Systems
C.O.T. or Metro Lic. # Exp. Date
❑ Boiler Controls
Owner's Name
0 Clock Systems
OWNER - Mailing Address
APPLICANT ❑ Data Telecommunication Installation
City /State Zip Phone # ❑
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 ❑ HVAC
permit and to do the following:
❑ Instrumentation
1. Only use electrical licensed persons to do installations where required.
Certain residential and other transactions are exempt from licensing. I I Intercom and Paging Systems
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; ❑ Medical
3. Purchase separate permits for all installations that are not ready for an ❑ Nurse Calls
inspection when the inspector is out to inspect under this permit;
4. Assume responsibility for assuring that all corrections required by the ❑ 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. I 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 ap licant.
kr 0 C50
FEES:
ENTER FEES $ AO
Signature
5% SURCHARGE (.05 X TOTAL ABOVE) $ a ' On M
Authority if other than Applicant TOTAL $ L 4 ■ (50
i:tdststresele.doc 7/97 —