Permit CI OF TIGARD RESTRICTED ENERGY
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #: EL R9 5 -0228
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171 DATE ISSUED: 12/01/95
PARCEL: 29112DA -00700
SITE ADDRESS...: 06650 SW REDWOOD LN #240
SUBDIVISION - ZONING:
BLOCK • LOT •
Project Description: Install strobes and horns.
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: ::X HVAC • PROTECTIVE SIGNAL..:
INSTRUMENTATION.: OTHER..: ..
TOTAL # OF SYSTEMS: 0
Applicant: FEES - - --
HONEYWELL type amount by date recpt
15495 SW SEQUOIA PERKY PRMT $ 40.00 CJS 12/01/95 95- 273448
SPCT $ 2.00 CJS 12/01/95 95- 273448
PORTLAND OR 97224
Phone #:
Contractor: -
HONEYWELL $ 42.00 TOTAL
15495 S.W. SEQUOIA PRKY #100
REQUIRED INSPECTIONS
PORTLAND OR 97224 Ceiling Cover Elect'1 Service
Phone #: 503 - 968 -3300 Wall Cover Elect' 1 Final
Reg 4*..: 57824
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other Pe rm 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 more C '7 a C ' les 4 fZ i2
than 180 days. Issued By
- OWNER INSTALLATION ONLY --
The installation is being made on property I own which is not intended for I I
sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC' N : 2 Cf DATE: - /c)-
LICENSE NO:
Call for inspection - 639 -4175
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd. PERMIT # Ezp.cl�� -Q a aR
Tigard, OR 97223
» ,''l I \
Phone
FA (503) 6847 297 /1- . O- 9s
1 1 DATE ISSUED
- TDD No. (503) 684 -2772
CITY OF TIGARD Inspection (503) 639 -4175 ISSUED BY C'iar %s Cc%m
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
49050 Ski i RCAWOOa ZAA/6
Ad ress RESIDENTIAL — Restricted Energy Fee $40.00 /�(�T
O a77 A-D £ it I4 7 .2 1 (FOR ALL SYSTEMS)
ity Y // 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
❑ Garage Door Opener*
2. CONTRACTOR APPLICATION
❑ Heating, Ventilation and Air Conditioning System*
Contractor Npi G L. Type in ADO ❑ Vacuum Systems*
/5 .15 s JcouotA K ,, ❑ Other
Address I� 1 ∎9 97 14
Date n- ,q 8 95 COMMERCIAL — Fee for each system $40.00
�� , ^ (SEE OAR 918- 260 -260)
Property Owner / :/ /C.Gt 5 T ZA c:,44 Check Type of Work Involved:
Contractor's Board Reg. No. S7 0 Zzl - ❑ Audio and Stereo Systems*
2 ❑ Boiler Controls
Phone # � 6, p . 333. ❑ 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:
1. Only use electrical licensed persons to do installations where required. (Certain ❑ Protective Signaling
residential and other transactions are exempt from licensing. These have VI Other SPC6V5 Alcknis
asterisks( *). All others need licensing). Cr—BCE
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 corrections 5. FEES
are completed.
The person signing for this permit must be the applicant or a person a. Enter Fees $ 4 - 0 4 00
authorized to bind the applicant.
b. 5% Surcharge (.05 x total above) $ Z. Oct _
Signature „,,.."
TOTAL $ 4Z, Oa
Authority if other than applicant
ENERGAP.CHP
05/30/2000 Activities for Case #: ELR95 -00228
2:13:32 PM
• Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELRA003 Application received 12/01/1995 CJS RECD TMP 12/01/1995
ELRA010 Permit created 12/01/1995 CJS RECD TMP 12/01/1995
ELRA700 Ceiling Cover 12/01/1995 TMP 12/01/1995
ELRA720 Wall Cover 12/01/1995 TMP 12/01/1995
ELRA730 Elect'I Service 12/01/1995 TMP 12/01/1995
ELRA799 Elect'I Final 12/01/1995 11/07/1995 MJR PASS TLP 02/08/1996
ELRA500 (F) Issue permit 12/01/1995 CJS PASS CTR 12/01/1995
ELRC800 Case finaled 11/07/1995 TLP PASS TLP 02/08/1996
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