Permit ELECTRICAL PERMIT - v
_CITY OF TIGARD RESTRICTED ENERGY
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #: ELR95 -0198
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171 DATE ISSUED: 11/13/95
PARCEL: 2S102BC -07300
SITE ADDRESS...: 12604 SW PATHFINDER CT
SUBDIVISION • NORTH TIGARDVILLE ZONING:R -4.5
BLOCK LOT •1
Project Description: Adding wiring for restricted energy electric
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO...:X AUDIO & STEREO..: INTERCOM & PAGING..:
BURGLAR ALARM •X BOILER LANDSCAPE /IRRIGAT..:
GARAGE OPENER CLOCK • MEDICAL
HVAC • DATA /TELE COMM..: NURSE CALLS •
VACUUM SYSTEM FIRE ALARM OUTDOOR LANDSC LITE:
OTHER: :: HVAC • PROTECTIVE SIGNAL..:
INSTRUMENTATION.: OTHER..: ..
TOTAL # OF SYSTEMS: 0
Applicant: - FEES
RLR HOMES type amount by date recpt
14320 SW ANYNSELY WAY PRMT $ 40.00 JDA 11/13/95 95- 272760
SPCT $ 2.00 JDA 11/13/95 95- 272760
TIGARD OR 97224
Phone #: 789 -4226
Contractor:
CONTRACTOR NOT ON FILE $ 42.00 TOTAL
REQUIRED INSPECTIONS
Cover Inspection Electrical Servi
Phone #: Wall Cover Electrical Final
Reg #...
4
This permit 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 i gnat rue
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 1.4 I../
than 180 days. I s s u 'V
- - OWNER INSTALLATION u10► Y
The installation is being made on property I o n which is not intended for
sale, lease, or rent.
OWN= '' S SI , TURE: _ DATE: _
- CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUP R. ELEC' N : DATE:
LICENSE NO: ___
Call for inspection - 639 -4175
•
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd. L > Q R r r ,
Tigard, OR 97223 PERMIT # ( y CI 9d
//dill n ; Phone (503) 639-4171
DATE ISSUED / l /3/9:r—
�� '.... FAX (503) 684 -7297 !
- T DD No. (503) 684 -2772
CITY OF TIGARD Inspection (503) 639 -4175 ISSUED BY
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
/ t , o'7 sek.) /9 NDek ct
Address RESIDENTIAL — Restricted Energy Fee $40.00
t ( ( (X G�2 Z / 1./ (FOR ALL SYSTEMS)
City `� State Zip Check Type of Work Involved:
PERMITS ARE NON - TRANSFERABLE AND NON - REFUNDABLE AND EXPIRE IF WORK PF Audio and Stereo Systems
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR
180 DAYS. Burglar Alarm
Garage Door Opener*
2. CONTRACTOR APPLICATION nn-
�
� �� K ❑ Heating, Ventilation and Air Conditioning System*
Contractor R L2 r{� Type I 1442 =6 1 4giil ❑ Vacuum Systems*
Address J 1 Li Si. ,Q-e (4-)....
❑ Other
Date /1/131 q J COMMERCIAL — Fee for each system $40.00
( (SEE OAR 918 - 260 -260)
Property Owner / 1 , p h it 1 14.3 Check Type of Work Involved;
Contractor's Board Reg. No. Re 9 a k ❑ Audio and Stereo Systems
G �f / ❑ Boiler Controls
Phone # 7,� / - 2 . 2 - C,7 — ❑ 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:
❑ Protective Signaling
1. Only use electrical licensed persons to do installations where required. (Certain
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 $ 4U 00
authoriz:. to bind the a..licant.
Air / .
b. 5% Surcharge (.05 x total above) $ 2. 00
.....! 4 i .... .. -.....4 _ e
Signature 4 TOTAL $ YR' o ' l 1
Authority if other than applicant
ENERGAP.CHP
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection:
Footing Susp. Ceiling Sprink. Rough -in Appr /Sdwlk
Foundation Plbg. Underslab Mech. Rough -in Fireplace
Post/Beam Struct. Plbg. Top Out le Rough -in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain -• - Plumb.
Alarm Water Line nsulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elec
Date Requested: // 1/4' ! ' S Time: AM PM
Address: / 2-63 q
Builder: -7 / L p Per it #: fa (cw
THE FOLLOWING CORRECTIONS ARE REQUIRED: lY1 S a s- 0 333
r 4 q7c-e or s � ,. y �r Q7�
e r'pkly s7T Ccr
Inspector: d/ � - � � .� G" // Date:
APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp. P/4-
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection:
Footing Susp. Ceiling Sprink. Rough -in Appr /Sdwlk
Foundation Plbg. Underslab Mech. Rough -in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough -in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing - Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wal Gyp. Bd.
Date Requested: / I I Time: AM PM
Address: / Le d 4 p
Build 411_ Co : Permit _,C_ 0 ,)'Sco
THE FLOWING CORRECTIONS ARE REQUIRED: 9y 0 /7
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Inspector: C ‘ !D / 1 pie,' Date: / / , /q �
_APPROVED XDISAPPROVED APPROVED SUBJECT TO ABOVE
all For Reinsp. C--F
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