Permit ELECTRICAL PERMIT —
CITY OF TIGkRD RESTRICTED ENERGY
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #: ELR96 -0256
13125 SW Hell Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171 DATE ISSUED: 08 / 15/ 96
PARCEL: 2S111AD -08500
SITE ADDRESS...: 08845 SW REILING ST
SUBDIVISION • SCHECKLA PARK ESTATES ZONING:R -4.5
BLOCK • LOT •6
Project Description: EXPIRED
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO...: 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
Owner: FEES
RON FLORES type amount by date recpt
8845 SW REILING PRMT $ 40.00 CJS 08/15/96 96- 282955
5PCT $ 8.00 CJS 08/15/96 96- 282955
TIGARD OR 97224
Phone #:
Contractor:
PHILLIPS ELECTRONICS $ 42.00 TOTAL
1110 NW FLANDERS
REQUIRED INSPECTIONS
PORTLAND OR 97209 Wall Cover Elect'l Final
Phone #: 503 -227 -0571 Elect'l Service
Reg #..: 43343
This pereit 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 pereit will expire if work is not started
within 180 days of issuance, or if work is suspended for more /.e e ze
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
SIGNATURE OF SUPR. ELEC' N : Mailed DATE: R - (h - 45'
LICENSE NO:
Call for inspection — 639 -4175
•
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 PERMIT # — LP9G - (5'oaS6
.• /48,09 Phone (503) 639 -4171
� FAX (503) 684 -7297 DATE ISSUED 8- IS- 4 /6
TDD No. (503) 684 2772
CITY OF TIGARD Inspection (503) 639 -4175 ISSUED BY Cho r le < Scjty,,,,cff
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
F Q `tT 1 _
Address RESIDENTIAL — Restricted Energy Fee ($70.00
9 -i _ 772-7-/4 (FOR ALL SYSTEMS)
City State Zip Check Type of Work Involved:
PERMITS ARE NON - TRANSFERABLE AND NON - REFUNDABLE AND EXPIRE IF WORK ❑ idio and Stereo Systems
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR
180 DAYS. Burglar Alarm
2. CONTRACTOR APPLICATION 1=1 Garage Door Opener*
//� ❑ Heating, Ventilation and Air Conditioning System •
Contractor ,€Z1 `f C/L S'ype (w 4 e 1 ' CLC 7 ❑ Vacuum Systems*
L r CP�c `� - l 7z0 ❑ Other
Address llt W c(,l/,
Date 77Z7 p. r COMMERCIAL — Fee for each system $40.00
(SEE OAR 918 - 260 -260)
Property Owner QS (OA) Check Type of Work Involved;
Contractor's Board Reg. No. 533 Sc_.? ❑ Audio and Stereo Systems
❑ Boiler Controls
Phone # 2 - 2 7 — C9,S — 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.
C
The person signing for this permit must be the applicant or a person a. Enter Fees $
authorized to bind the applicant.
74/4/ ( b. 5% Surcharge (.05 x total above) $
Z 2O
Signature TOTAL $ 4 f5---c °
Authority if other than applicant
ENERGAP.CHP
3/30/00 Activities for Case #: ELR96 -00256
6:20:30 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELRA003 Application received 8115/96 CJS RECD CJS 8/15/96
ELRA010 Permit created 8/15/96 CJS PEND CJS 8/15/96
ELRA720 Wall Cover 8/15/96 CJS 8/15/96
ELRA730 Electl Service 8/15/96 CJS 8/15/96
ELRA799 Elect'I Final 8/15/96 CJS 8/15/96
ELRA500 (F) Issue permit 8/15/96 • CJS PASS CJS 8/15/96
ELRA580 Expired by limitation 3/28/00 HAP DONE No Hold AKJ 3/28/00
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