Permit CITY OF TIGARD RESTRICTED ENERGY
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #: ELR96 -0126
13125 SW Hell Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171 DATE ISSUED: 04/19/96
• PARCEL: 2S102CC -00700
SITE ADDRESS...: 13599 SW PACIFIC HWY
SUBDIVISION • ZONING:C —G
BLOCK • LOT •
Project Description: Intsall protective signaling.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & RAGING..:
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
Applicant: - FEES
COMPANION PET CLINIC OF TIGARD type amount by date recpt
13599 SW PACIFIC HWY, SUITE C PRMT $ 40.00 CJS 04/19/96 96- 278417
SPCT $ 2.00 CJS 04/19/96 96- 278417
TIGARD OR 97223
Phone #: 684 -3132
Contractor:
C NOT ON FQ'E $ 42.00 TOTAL
4 OT Sec c.��fy
703 NEC Ha ncoc /.. REQU I RED INSPECTIONS
Por-I'IGn OP. 97Q/2 Wall Cover Elect 1 Final
Phone Elect'l Service
Reg #..:
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other Perm it ee Signature
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 C_Aort le.r Sck
than 180 days. Issued By
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
AUTHORIZED SIGNATURE: (m (,�J�l�rGf�9�! DATE: ti 9cf
LICENSE NO:
Call for inspection — 639 -4175
• Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 PERMIT # EL/?96-01a6
Ai �" ; \ Phone (503) 639-4171 DATE ISSUED 4 /9' 96
■ �i��l l FAX (503) 684 -7297
-^ � - TDD No. (503) 684 -2772
CITY OF TIGARD Inspection (503) 639 -4175 ISSUED BY CA at les rcAm,'c/-
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLA ON . 4. TYPE OF WORK
S X al Hi.dy Add �� RE SIDENTIAL — Restricted Energy ee $40.00
/ / • I Q � 7 - (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 i#OT maim SYS1EMS'MC' Ty ,.ir r 4 ❑ Vacuum Systems*
PORTLAND, OR 97211 I ❑ Other
Address /` 603)284.3265
/
Date ` : / 7-9:6 COMMERCIAL — Fee for each system 940.00
• (SEE OAR 918- 260 -260)
Property Owner i71/L - d/ i e3'(1 a7 (�4 ▪ e'j Check Type of Work Involved;
Contractor's Board Reg. No. ` 9 ❑ Audio and Stereo Systems
❑ Boiler Controls
Phone # ❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
l z / �/ j7'GC 0 / ❑ Fire Alarm Installation
(.4 — n 4 e L . - aiii 7e II I,' i .f il ., 6 ▪ / 3) -❑ 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:
Protective Signaling
1. Only use electrical licensed persons to do installations where required. (Certain
residential and other transactions are exempt from licensing. These have A
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 $ 44 , L O
authorized to bind the applicant
J ` _ � `
/ b. 5% Surcharge (.05 x total above) $ .9. Q.0
'L,,
Signatu
TOTAL $ 4V.JO
Authority if other than applicant
ENERGAP.CHP
/ 12-0
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: AZ -1C - 98 A.M. P.M. MST:
Location: /3599 P , � I . BUP:
Tenant: • L1) CO M P � . N P
� o / as/ Bldg: MEC:
Contractor ....• _, A ` 1/ , A / !/' % A Phone: . e98 V PLM:
Owne � /AbT' Phone: oL3 ELC: /
ELR: C% ( y/ —6/26
I /'L/ / .L -i . SIT:
BUILD I G BLDG (con't) / PLUMBIN / MECHANICAL Q01311:0400:446111 SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab p �j
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump .w " . /31,41- �I
Approved Approved Approved Approv:• Approved
Appr /Sdwlk • Not Approved Not Approved Not Approved ' . • ... ved Not Approved
FINAL FINAL FINAL , FINAL
7% wG s C/0,1 e 4 dog / man ∎ - qs,-) -
4 _il )5 Pe-// 7 cKs /I f4 Crr cics
/ = i ilq/ SS
O Call for reinspection Reinspection fee of $ required before next inspection C] Unable to inspect
ne
Inspector: Date: / ` U Page of
c•