Permit A CITY OF TIGARD
2 „ v� ,,,,,,,, DEVELOPMEN SERVICES
' ELECTRICAL PERMIT —
RESTRICTED ENERGY
PERMIT #: ELR97 -0129
DATE ISSUED: 05/02/97
PARCEL: 2S11ODB -00200
SITE ADDRESS...: 15199 SW ROYALTY PKWY
SUBDIVISION •WILLOWBROOK FARM /ARBOR HEIGHTS ZONING:R -25
BLOCK LOT •8 JURISDICTN: TIG
Project Descript : Installation of control for irrigation system.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING..:
BURGLAR ALARM • BOILER LANDSCAPE/ IRRI GAT. .:X
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: 1
Owner: FEES
SECURITY CAPITAL PACIFIC TRUST type amount by date recpt
SUITE 201 PRMT $ 40.00 DRA 05/02/97 97- 294064
330 112TH AVE., NE 5PCT $ 2.00 DRA 05/02/97 97- 294064
BELLEVUE WA 98004
Phone #: 206 - 451 -9292
Contractor:
CEDAR LANDSCAPE $ 42.00 TOTAL
14375 SW PATRICIA
REQUIRED INSPECTIONS
HILLSBORO OR 97123 Elect' 1 Service
Phone #: 628 -3411 Elect'1 Final
Reg #.. 000058 ,_ //�
This permit is issued subject to the regulations contained in the '� 4/,.
Tigard Municipal Code, State of Ore. Specialty Codes and all other Permitee Signature
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started '
within 188 days of issuance, or if work is suspended for sore , � _
than 180 days. sued 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 : 44'9- DATE:
LICENSE NO:
Call for inspection — 639 -4175
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
. • A 13125 SW Hall Blvd.
Tigard, OR 97223 PERMIT # LOS 9 7 - 0 I a'/
AM� Phone (503) 639 -4171 - 17
II I I TDD No5 684 -2772 DATE ISSUED C ITY OF TIGARD Inspection (503) 639 -4175 ISSUED BY"
-
PLEASE COMPLETE ALL SECTIONS
1. LO 5 S9 NE O F �jV TAB IQN 4. TYPE OF WORK rA
Address RESIDENTIAL — Restricted Energy Fee $40.00
HARO OR. 9 (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. ❑ Burglar Alarm
❑ Garage Door Openers
2. CONTRACTOR APPLICATION • ❑ Heating, Ventilation and Air Conditioning System'
Contractor CE[7i¢,Q 14NbSC95 Type LfluaSCre ❑ Vacuum Systems'
!� ❑ Other
Address /4 37J� SO /"/APR /C /R WE /
Date 5-` 2 - rj 7 COMMERCIAL — Fee for eac
c ste 260) $40.00
(SEE •
Property Owner Check Type of Work Involved:
Contractor's Board Reg. No. .5-813 ❑ Audio and Stereo Systems
❑ Boiler Controls
Phone # to a8 ' 31 / f ❑ Clock Systems
❑ . Data Telecommunication Installations
3. OWNER APPLICATION ❑ Fire Alarm Installation
❑ HVAC
Print Owner's Name Phone No ❑ Instrumentation
❑ Intercom and Paging Systems
Address
Er Landscape Irrigation Control'
City State Zip ❑ Medical
❑ Nurse Calls
This permit is issued under OAR 918- 320 -370. This applicant agrees to make only
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. ❑ i 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 $ 4 O
authorized to bind the applicant. dw
C o /doe b. 5% Surcharge (.05 x total above) $
Signature � i=/ m0
TOTAL $ '¢
Authority if other than applicant
ENERGAP.CHP
Page No. 1 CASE HISTORY FOR CASE NO.: ELR97 -0129
SECURITY CAPITAL PACIFIC TRUST
15199 SW ROYALTY PKWY
05/08/98
Action Description Reg/ Schd/ End/ Action Notes Diep By Update Upd
Code Sent Done Done Date By
ELRC001 Application Received / / / / 05/02/97 RECD DRA 05/02/97 CTR
ELRC003 Permit Created / / / / 05/02/97 PASS DRA 05/02/97 CTR
ELRC500 (F) Issue permit / / / / 05/02/97 PASS DRA 05/02/97 CTR
ELRC799 Elect'l Final / / / / 06/16/97 PASS TLP 07/10/97 RB
ELRC800 Case finaled / / / / 06/16/97 PASS TLP 07/10/97 RB
•
•
7/27/99 Activities . for Case #: ELR97 -00129
1:56:52 PM
Assigned Hold Updated •
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level • By Updated Notes
ELRC001 Application Received 5/2/97 DRA RECD CTR 5/2/97
ELRC003 Permit Created 5/2/97 DRA PASS CTR 5/2/97
ELRC799 Elect! Final 6/16/97 TLP PASS RB 7/10/97
ELRC500 (F) Issue permit 5/2/97 DRA PASS CTR 5/2/97
ELRC800 Case finaled 6/16/97 TLP PASS RB 7/10/97
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