Permit CITY OF TIGARD
:4 � DEVELOPMENT SERVICES ELECTRICAL PERMIT —
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 RESTRICTED ENERGY
PERMIT #: ELR98 -0308
DATE ISSUED: 11/09/98
PARCEL: 2S102CB -02500
SITE ADDRESS...:13090 SW PACIFIC HWY
SUBDIVISION •FREWINGS ORCHARD TRACTS ZONING:C —G
BLOCK - LOT :007 JURISDICTN: TIG
Pro.j ect De scr i pt ion : Installation of protective signaling.
A. RES I DENT I AL B. COMMERCIAL
AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING..: 1
BURGLAR ALARM • BOILER • LANDSCAPE/ IRRI GAT. .:
GARAGE OPENER • CLOCK • MEDICAL -
HVAC • DATA /TELE COMM..: NURSE CALLS •
VACUUM SYSTEM • FIRE ALARM • OUTDOOR LANDSC 1_ITE:
OTHER: .. HVAC • PROTECTIVE SIGNAL..:X
INSTRUMENTATION.: OTHER..: ..
TOTAL # OF SYSTEMS: 1
Owner: FEES
FOODMAKER, INC. type amount by date recpt
4500 KRUSE WAY PRMT $ 40.00 DLH 11/09/98 98- 310671
SUITE 270 5PCT $ 2.00 DLH 11/09/98 98- 310671
LAKE OSWEGO OR 97035
Phone #: 503 -636 -4785
Contractor:
SECURITYLINK FROM AMERICTECH $ 42.00 TOTAL
5110 NE SANDY BLVD
REQUI RED INSPECTIONS
PORTLAND OR 97213 Ceiling Cover Low Voltage Insp
Phone #: 288 -3430 Wall Cover Elect'1 Final
Reg #..: 005506
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 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- %10 through OAR 952-001 -0080. You may obtain copies of
these rules or direct questions to OUNC at (503)246 -1987.
Issued by Permittee Signatum
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for
sale, lease, or rent.
OWNER'S SIGNATURE: /11/41— 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
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
r
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd. /p�
Tigard, OR 97223 PERMIT # EL-„ 9, t�
/��, � N tly �. l Phone
FAX (503) 684-7297 1 DATE I i /0,
II 14. - - TDD No. (503) 684 -2772
CITY OF TIGARD Inspection (503) 639 -4175 ISSUED BY ,d --
uF9,-
TA-4c, _ fi _ r>^( - t _ o)c PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
/3 6 9 o St,' Pa (, c (fit, �%
Address RESIDENTIAL — Restricted Energy Fee 140.00
v.t or< 9 -Z - (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
180 DAYS. ❑ Burglar Alarm
2. CONTRACTOR APPLICATION ❑ Garage Door Opener'
, , +�`� ❑ Heating, Ventilation and Air Conditioning System*
Contractor & „e,-i 4(( Type Zr., - 51 '-/ C- L E ❑ Vacuum Systems*
Address + Z... I r`�. /UE 9-y" S-}.. S, .-,. �(t'I ❑ Other
VgHco��., ..0 ,Q. 4 0168 - z_
Date I. I I q i 0.0 COMMERCIAL — Fee for each system $40
f (SEE OAR 918 - 260 -260)
Property Owner Check Type of Work Involved;
....••••
Contractor's Board Reg. No. 00 S 5 O 6-o d 4IQs /erD ❑ Audio and Stereo Systems
/ ❑ Boiler Controls
Phone # . (, - - La 3 ` 3 1 i 3 ❑ Clock Systems
, —5/get. E 4/0 0• ❑ Data Telecommunication Installations
3. OWNER APPLICATION
❑ Fire Alarm Installation
❑ HVAC
Print Owner's Name Phone No
❑ Instrumentation i
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:
ar
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 5. FEES
corrections are completed.
The person signing for this permit must be the applicant or a person a. Enter Fees $ Lic.. VD
authorized to bind the applicant.
•
Act_ _e /___;•: b. 5% Surcharge (.05 x total above) $ Z. Cc)
Sign. 'INV
TOTAL $ y Z . CIZ3
Authority if other than applicant
ENERGAP.CHP
Page No. 1 CASE HISTORY FOR CASE NO.: ELR98 -0308
FOODMAKER, INC.
13090 SW PACIFIC HWY
12/28/98
Action. Description Reg/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
---- --- -- - - - - -- ---
ELRC001 Application Received / / / / 11/09/98 RECD DLH 11/09/98 DLH
ELRC003 Permit Created / / / / 11/09/98 DONE DLH 11/09/98 DLH
ELRC500 (F) Issue permit / / / / 11/09/98 DONE DLH 11/09/98 DLH
ELRC725 Low Voltage Inspection / / / / 12/10/98 Security system PASS CD 12/11/98 J *H
ELRC799 Elect'1 Final / / / / 12/10/98 security system PASS CD 12/10/98 CD
ELRC800 Case finaled / / / / 12/11/98 PASS CD 12/11/98 J *H
•