Permit C1TY OF TIG6RD RESTRICTED ENERGY -
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT 0: ELR96 -0066
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171 DATE ISSUED: 02/2/96
SITE ADDRESS...: 14350 SW PACIFIC HWY ^ t
SUBDIVISION • CANTERBURY PLACE ZONING:C -G
BLOCK LOT -7
Project Description:
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
INSTRUMENT'ATION.: OTHER..: ..
TOTAL # OF SYSTEMS: 1
Applicant: - •--- ----- -- - - - - -- FEES • - - - --
CANTERBURY ANIMAL HOSPITAL type amount by date recpt
14230 SW PACIFIC HWY PRMT $ 40.00 CJS 02/21/96 96- 276103
SPCT $ 2.00 CJS 02/21/96 96- 276103
TIGARi) OR 97223
Phone #:
Contractor: • --
gSts "`a �2^ ( NEeR EM F liesg. 42. 00 TOTAL
AD / Seca ity
703 Al 5 //c co c/ REQUIRED INSPECTIONS
poi <[u4d, 97i.2 Elect' 1 Service
Phone #: Elect' 1 Final
Reg #.. .
This perait is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other Perm i t e e 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 wore C4 I Le,
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: rl7 i ?e DATE:
LICENSE NO:
Call for inspection - 639 -4175
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 PERMIT # F6 /2 96- 006 /4401 � Phone (503) 639 -4171
;I FAX (503) 684-7297 7297 DATE ISSUED a - a0 - 9 6
TDD No. (503) 684 -2772
CITY OF TIGARD Inspection (503) 639 -4175 ISSUED BY Cli, /Pr 5e 4,-, , ;J/
PLEASE COMPLETE ALL SECTIONS 4 1. LOCATION f O�F INST 4. TYPE OF WORK
Address r RESIDENTIAL — Restricted Energy Fee $40.00
, m q RESIDENTIAL 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*
ADT SECURITY SYSTEMS. III ❑ Heating, Ventilation and Air Conditioning System*
Contractor 703- N€- HANcOGK_ Type ❑ Vacuum Systems*
PORTLAND, OR 97212 ❑ Other
Address (503)284.3265
Date --/S - 9f0 COMMERCIAL — Fee for each system $40.00
A o}/'� (SEE OAR 918 - 260 -260)
Property Owner 6fitthija41,.....,t Type of Work Involved:
Contractor's Board Reg. No. �� -' ❑ Audio and Stereo Systems
❑ Boiler Controls
Phone # El Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
�,� � w/� ❑ Fire Alarm Installation
(1171 Qf P./Z/VI/Ll�l /�� c6V
&caO / ❑ HVAC
Prick- ewrrer'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 ❑ Outd Landscape Lighting*
following:
1. Only use electrical licensed persons to do installations where required. (Certain
rotective 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 fo thi rmit must be the applicant or a person a. Enter Fees $ 44, vd
authorized to ind e licant.
b. 5% Surcharge (.05 x total above) $ 4. op
Signat re TOTAL $ `� ' '' 64
Authority if other than applicant
ENERGAP.CHP
3/30/00 Activities for Case #: ELR96 -00066
5:03:54 PM
•
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp.• • Level By Updated Notes
ELRC001 Application Received 2/21/96 CJS RECD TMP 2/21/96
ELRC003 Permit Created 2/21/96 CJS PEND TMP 2/21/96
ELRC799 Elect'I Final 2/21/96 VLN 9/16/98 Inspection request for research
• to Chuck D. 9/17/98.
ELRC730 Elect'l Service 2/21/96 TMP 2/21/96
ELRC500 (F) Issue permit 2/21/96 • CJS PASS TMP- 2/21/96
ELRA920 Miscellaneous action 4/26/99 AKJ DONE No Hold AKJ 4/26/99 inactivity letter sent
ELRC580 Expired by limitation 3/28/00 HAP DONE No Hold AKJ 3/28/00
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