Permit •
CITY OF TIGARD ELECTRICAL PERMIT -
RESTRICTED ENERGY
j SW I A . DEVELOPMENT I
O N pr SERVICES 2 PERMIT (0222
(503) DATE ISSUED: 091231999
SITE ADDRESS: 12144 SW SCHOLLS FERRY RD PARCEL: 1S134BC-00101
SUBDIVISION: ZONING: C -G
• BLOCK: LOT: JURISDICTION: TIG
Project Description: Landscape irrigation control
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: 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: Contractor:
WILLIAM W. SAUNDERS TRUSTEE CEDAR LANDSCAPE
2155 KALAKAU STE 500 14146 SW GALBREATH DR
HONOLULU, HI 96815 SHERWOOD, OR 97140
Phone: Phone: 625 -3700
Reg #: LIC 75535
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRMT BON 09/23/199c $60.00 99- 318574 Elect'I Service
5PCT BON 09/23/199E $4.20 99- 318574 Elect'l Final
Total $64.20
ORIGINAL
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. 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 rules 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 ir d;'ect ques . ons to UNC at (503)
246 -1987. /
Issued by Permittee Signet e
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: K► r DATE:
LICENSE NO:
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by: rev
13125 SVI HALL BLVD Date Rec'd: 'fr z 1`1
TIC)ARD DR 97223 PRINT OR TYPE
V - 503 - 639 -4171 X304 Permit #: 1;-e- t0Zu
F - 503 - 598 -1960 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:
WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
I Restricted Energy Fee $60.00
Car IS r (FOR ALL SYSTEMS)
JOB Street Address Ste # Check Type of Work Involved:
ADDRESS I ,21yt/ cholLS Ferry /a City /State Zi Phone # ❑ Audio and Stereo Systems cig
Tinet MI
Ne tilit U..Mm ' u ❑ Burglar Alarm
OWNER Mailing Address ❑ Garage Door Opener*
2-4% KA
% t.A 26 5-1t, bd ❑ Heating, Ventilation and Air Conditioning System'
City /State / Zip P hone #p�
f 4t IT/ x'6$!5 / _ ❑ Vacuum Systems*
Name
(' &t r LnciTa_pe ❑ • Other
CONTRACTOR 1'//nV Address Au) Q!hr
t TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to issuance a Ci / o Zip Phone # Fee for each system $60.00
copy of all licenses jP.ffA 0 9?/VO 625 — ,3717).(.11 (SEE OAR 918- 260 -260)
are required if Ore on Contr. Brd Lic. # Exp. Date
expired in C.O.T. )9V /3 Check Type of Work Involved:
data base). Electrical Contr. Lic. # Exp. Date
Sf3g3 ❑ Audio and Stereo Systems
C.O.T. o trro i . # Exp. Date
�j ❑ Boiler Controls
Owner's Name
❑ Clock Systems .
OWNER - Mailing Address
APPLICANT ❑ Data Telecommunication Installation
City/State Zip Phone # ❑ Fire Alarm Installation
This permit is issued under OAE 918- 320 -370. This applicant agrees to .
make only restricted energy installations (100 volt amps or less) under this ❑ HVAC
permit and to do the following: ❑
Instrumentation
1. Only use electrical licensed persons to do installations where required.
Certain residential and other transactions are exempt from licensing. ❑ Intercom and Paging Systems
These have asterisks('). All others need licensing;
pQ Landscape Irrigation Control*
2. Call for inspections when installation under this permit are ready for
inspection at 503 - 639 -4175; ❑ Medical
3. Purchase separate permits for all installations that are not ready for an ❑ Nurse Calls
inspection when the inspector is out to inspect under this permit;
4. Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting'
inspector are done, and;
❑ Protective Signaling
5. Assume responsibility for calling for a final inspection when all of the
corrections are completed. ❑ Other
Permits are non - transferable and non - refundable and expire if work is not
started within 180 days of issuance or if work is suspended for 180 days. I Number of Systems
The person signing for this permit must be the applicant or a person • No licenses are required. Licenses'are required for all other installations
authorized to bind the applicant.
FEES: /
Signature r7 TER FEES $ '
` SURCHARGE (.05 X TOTAL ABOVE) $ ►,
Authority if other than Applicant TOTAL $ ,
i: �
eists\forms\resele.doc 3/98 tg" -7
10/08/1999 Activities for Case #: ELR1999 -00222
10:41:43 AM •
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELRC001 Application Received 09/23/1999 BON DONE No Hold BON 09/23/1999
ELRC003 Permit Created 09/23/1999 BON DONE No Hold BON 09/23/1999
ELRC725 Low Voltage Inspection 09/24/1999 BRP FAIL No Hold AKJ 09/26/1999 not complete
ELRC730 Elect'I Service 09/23/1999 09/23/1999 No Hold BON 09/23/1999
ELRC799 Elect'I Final 09/23/1999 09/23/1999 09/29/1999 CD PASS No Hold AKJ 09/29/1999
ELRC500 (F) Issue permit 09/23/1999 BON DONE No Hold BON 09/23/1999
ELRC800 Case finaled 09/29/1999 AKJ DONE No Hold AKJ 09/29/1999
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