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Permit r CITY OF TIGARD dilto,,,, �, DEVELOPMENT SERVICES ELECTRICAL PERMIT — RESTRICTED ENERGY PERMIT #: ELR98 -0092 DATE ISSUED: 04/03/98 PARCEL: 2S1O2CC -00500 SITE ADDRESS...:135O0 SW PACIFIC HWY #54 SUBDIVISION • ZONING:C —G BLOCK • LOT • JURISDICTN: TIG Project Description : Installing data telecommunications system A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING..: BURGLAR ALARM • BOILER • LANDSCAPE /IRRIGAT..: GARAGE OPENER • CLOCK • MEDICAL • HVAC • DATA /TELE COMM..:X NURSE CALLS • VACUUM SYSTEM • FIRE ALARM • OUTDOOR LANDSC LITE: OTHER: .. HVAC • PROTECTIVE SIGNAL..: INSTRUMENTATION.: OTHER..: .. TOTAL # OF SYSTEMS: 1 Owner: FEES COMPANION PET CLINIC type amount by date recpt 13500 SW PACIFIC HWY PRMT $ 40.00 B 04/03/98 98- 304652 STE 54 5PCT $ 2.00 B 04/03/98 98- 304652 TIGARD OR 97223 Phone #: Contractor: MOORE COMMUNICATIONS INC $ 42.00 TOTAL 20811 NW CORNELL RD STE 700 REQUIRED INSPECTIONS HILLSBORO OR 97124 Ceiling Cover Low Voltage Insp Phone #: 617 -9800 Wall Cover Elect'1 Final Reg #..: 000763 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 -0810 through OAR 952- 001 -0880. You may obtain ,.pies of these rules or dir t questions to OUNC at (503)246 -1987. / / / Iss by r Permittee SignatureA,/ �� l %%/ ,•;-- %� OWNER INSTALLATION ONLY O The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACpR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC' N : ') A - DATE: LICENSE NO: +++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + ++ + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day +++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by: 13125 SW HALL BLVD Date Rec'd: - TIGARD OR 97223 PRINT OR TYPE , V - 503 - 639 -4171 X304 Permit #: �J "1- 2i" F - 503 -684 -7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd: WILL NOT BE ACCEPTED Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL • Restricted Energy Fee $40.00 /j7i 4 16A) R7 dLlit / C' (FOR ALL SYSTEMS) JOB Street Address /� Ste # ADDRESS 635 $W FACAG �y ..5S` Check Type of Work Involved: Ci a eO ©e ji 2 Phone # ❑ Audio and Stereo Systems Name 7 J ❑ Burglar Alarm OWNER Mailing Address ❑ Garage Door Opener* City /State Zip Phone # ❑ Heating, Ventilation and Air Conditioning System* Name atiii,el ❑ Vacuum Systems• la0,,e‘ ew7 /O/(jS ❑ Other CONTRACTOR Mailing Address otel/ 94J tb,C4eLG Z/ 7 7 TYPE OF WORK INVOLVED - COMMERCIAL (Prior to issuance a Ci /State Zi Phone Fee for each system $40.00 copy of all licenses LGS6 0 eeP 0/7 t (SEE OAR 918 - 260 -260) are required if Oregon Contr. Brd Lic. # Exp. Date expired in C.O.T. Check Type of Work Involved: data base). Electrical Contr. Lic. # Exp. Date ❑ Audio and Stereo Systems C.O.T. or Metro Lic. # Exp. Date ❑ Boiler Controls Owner's Name ❑ Clock Systems OWNER - Mailing Address APPLICANT K 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. ❑ Intercom and Paging Systems 1 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 El Outdoor Landscape Lighting' inspector are done, and; ❑ Protective Signaling 1 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. 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 bind the applican�/ FEES: ignaee ENTER FEES $ th .00 5% SURCHARGE (.05 X TOTAL ABOVE) $ Z - Authority if other than Applicant TOTAL $ q2..V0 iAresele.doc 12/98 I1 — Page No. 1 CASE HISTORY FOR CASE NO.: ELR98 -0092 COMPANION PET CLINIC 13500 SW PACIFIC HWY Unit: 54 06/18/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ELRC001 Application Received / / / / 04/03/98 RECD B 04/03/98 BON ELRC003 Permit Created / / / / 04/03/98 DONE B 04/03/98 BON ELRC500 (F) Issue permit / / / / 04/03/98 PASS B 04/03/98 BON ELRC700 Ceiling Cover / / / / 04/09/98 PASS BRP 04/09/98 B *P ELRC720 Wall Cover / / / / 04/09/98 PASS BRP 04/09/98 B *P ELRC725 Low Voltage Inspection / / / / 04/09/98 PASS BRP 04/09/98 B *P ELRC799 Elect'l Final / / / / 04/09/98 PASS BRP 04/09/98 B *P ELRC800 Case finaled / / / / 04/14/98 BRP 04/14/98 J *H • • • •