Permit CITY OF TIGARD
DEVELOPMENT SERVICES ELECTRICAL PERMIT —
'� 13125 SW HaII Blvd., Tigard, OR 97223 (503) 639.4171 RESTRICTED ENERGY
PERMIT #: ELR97 -0184
DATE ISSUED: 07/02/97
PARCEL: 25115AD -05501
SITE ADDRESS...:1O669 SW RIVER DR
SUBDIVISION -DOVER LANDING ZONING:R -4.5
BLOCK LOT -38 JURISDICTN: TIG
Pro.j ect Description : add burglar alarm
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
RICHARD GRAY type amount by date recpt
10669 SW RIVER DRIVE PRMT $ 40.00 GEO 07/02/97 97- 296724
TIGARD OR 97224 5PCT $ 2.00 GEO 07/02/97 97- 296724
Phone #:
Contractor:
BRINKS HOME SECURITY $ 42.00 TOTAL
8059 SW CIRRUS DR
REQUIRED INSPECTIONS
BEAVERTON OR 97008 Ceiling Cover Elect'1 Service
Phone #: 641 -0574 Wall Cover Elect'1 Final
Reg #..: 000444
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
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 than 180 days. ATTENTION: Oregon law requires you to follow rule adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952 -001 -0080. You may obtain copies of
these rules or dire/ q ue ,�: to at (503)246 -1987.
Issued byAll. . Permittee Signature
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: DATE: 7' •?_q
LICENSE NO:
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 6:00 P.M. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
id
r A Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd.
� Tigard, OR 97223 PERMIT # beg 9.9 – 0/ `6
kivAi)iii (1 Phone (503) 639 -4171 DATE ISSUED - � ' g
411 FAX (503) 684 -7297
TOD No. (503) 684 -2772
CITY OF TIGARD Inspection (503) 639 -4175 ISSUED BY d
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
10 C. S.W• r ttLIze.
Addre RESIDENTIAL — Restricted Energy Fee $40.00
s - r Of. 97z .,1 (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. -- I ( Burglar Alarm
❑ Garage Door Opener*
2. CONTRACTOR APPLICATION
❑ Heating, Ventilation and Air Conditioning System*
Contracto HOME SECURI ALARM ❑ .Vacuum Systems*
Address 8059 S.W. CIRRUS DRIVE, BEAVERTON 97008
❑ Other
Date i i/i /yi COMMERCIAL — Fee for each system £40.00
(SEE OAR 918- 260 -260)
Property Owner f:Pilti4,61 4, / e.. 6Y Check Type of Work Involved;
❑ Audio and Stereo Systems
• Contractor's Boar Reg. No. 0/0/121 ❑ Boiler Controls
Phone # (503)• .641 -0574 ❑ Clock Systems
❑ Data Telecommunication Installations
3. OWNER APPLICATION ❑ Fire Alarm Installation
❑ HVAC
Print Owner's Name • Phone No ❑ Instrumentation
❑ Intercom and Paging Systems
Address
❑ 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 $ ziv,
authorized to bind the applicant' •
b. 5% Surcharge (.05 x total above) $
•
Signature
TOTAL $ A
Authority i other than applican
ENERGAP.CHP
.
, , , I , . , \ '
•
RECEIVED
J UL021 997
COMMUNITY DEVELOPMENT
5/23/00 Activities for Case #: ELR97- 00184
2:08:39 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELRA003 Application received 7/2/97 7/2/97 GEO 7/2/97
ELRA010 Permit created 7/2/97 7/2/97 GEO 7/2/97
ELRA500 (F) Issue permit 7/2/97 GEO 'PASS GEO 7/2/97
ELRA725 Low Voltage Inspection 6/12/98 CD PASS CD 6/12/98 security system
ELRA799 Elect'I Final 6/12/98 CD PASS CD 6/12/98
ELRA800 Case finaled 6/12/98 CD PASS J'H 6/17/98
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