Permit CITY OF T I GA R D ELECTRICAL PERMIT -
RESTRICTED ENERGY
1a DEVELOPMENT SERVICES PERMIT #: ELR1999 -00136
4 4
--- 13125 SW Hall Blvd.. Tisiard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/1/99
SITE ADDRESS: 12585 SW PACIFIC HWY PARCEL: 2S102BA -01200
SUBDIVISION: NO.TIGARDVILLE ADDITION AMEND. ZONING: C -G
BLOCK: LOT: 053 JURISDICTION: TIG
Project Description: 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: Contractor:
MORLAN PROPERTIES SONITROL PACIFIC
5529 SE FOSTER 1975 SW 6TH AVE
PORTLAND, OR 97206 PORTLAND, OR 97201
Phone: Phone: 223 -5822
Reg #: LIC 00053535
ELE 26370CLE
FEES Required Inspections
•
Type By Date Amount Receipt Elect'I Final clot .7(. 'J
PRMT BON 6/1/99 $40.00 99- 315794
5PCT BON 6/1/99 $2.00 99- 315794
Total $42.00
• oRIGINM-
.
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. 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 180 days. ATTENTION: Oregon law
requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -1987.
Issued by ` V' l�t�l �� Qa vL Permittee Signature ,(C -- PRA ed
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 N
•
SIGNATURE OF SUPR. ELEC'N: CA- DATE:
LICENSE NO:
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
ECEIVED Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd. ELK � — e c'(p
011999 Tigard, OR 97223 23 PERMIT # one (503) 63
1 4 . , ,!; 1 � VELOPMENT P FAX (503) 6847 297 DATE ISSUED
TDD No. (503) 684 -2772
CITY OF TIGARD Inspection (503) 639 -4175 ISSUED BY &,i
C� � °.- Y"1 � ;; PLEASE COMPLETE ALL SECTIONS
i
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
Address, RESIDENTIAL — Restricted Energy Fee $40.00
--�^l Aci.lid c qi .' a ,. (FOR ALL SYSTEMS)
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 Opener*
❑ Heating, Ventilation and Air Conditioning System*
Contractors kA Type ❑ Vacuum Systems*
Address A C I 1 S W C Q..O k- ❑ Other
Date ,Q —99 COMMERCIAL — Fee for each system $40.00
(SEE OAR 918 - 260 -260)
Property Owner Check Type of Work Involved:
Contractor's Board Reg. No. ? '' ❑ Audio and Stereo Systems*
D-3- �� ❑ Boiler Controls
Phone# ❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
❑ Fire Alarm Installation
❑ 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:
1. Only use electrical licensed persons to do installations where required. (Certain 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 corrections 5. FEES
are completed.
The person signing for this permit must be the applicant or a person a. Enter Fees $ lit0 • GO
authori , ■ to bind the applica
Si: . 5% Surcharge (.05 x total above) $ a r
Sir fe
TOTAL $ '"1 a ,
Authority if other than applicant -
ENERGAP.CHP