Permit CITY OF TIGARD
,, ,,„A DEVELOPMENT SERVICES ELECTRICAL PERMIT -
- 11. 1 13125 SW Hall Blvd., Tigard, OR 97223 ) RESTRICTED ENERGY
PERMIT #: ELR98 -0074
DATE ISSUED: 03/12/98
PARCEL: 25112AD -00900
SITE ADDRESS..• :14800 SW SEQUOIA PKWY
SUBDIVISION ZONING:I -P
BLOCK • LOT • JURISDICTN: TIG
Project Description : Install data telecommunications system.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING. •:
BURGLAR ALARM • BOILER • LANDSCAPE /IRRIGAT..
GARAGE OPENER • CLOCK • MEDICAL •
HVAC • DATA /TELE COMM..:X NURSE CALLS •
VACUUM SYSTEM • FIRE ALARM • OUTDOOR LANDSC LITE:
OTHER: :: HVAC • PROTECTIVE SIGNAL.•:
INSTRUMENTATION.: OTHER..: ••
TOTAL # OF SYSTEMS: 1
Owner: FEES
THE HOME DEPOT USA, INC. type amount by date recpt
601 SOUTH PLACENTIA PRMT $ 40.00 DEB 03/12/98 98- 304060
FULLERTON CA 92631 -0039 5PCT $ 2.00 DEB 03/12/98 98- 304060
Phone #: 714 - 738 -5200
Contractor:
ALPHA TECH VOICE & DATA SOLUT $ 42.00 TOTAL
8675 SW OLESON ROAD
REQUIRED INSPECTIONS
PORTLAND OR 97223 Ceiling Cover Low Voltage Insp
Phone #: 452 -8991 Wall Cover Elect'l Final
Reg #..: 001111
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 'thin 180
days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rule adop -. t the
Oregon Utility N • • ation Center. Those rules are set forth in OAR 952-001 -0010 through OAR 9524031 '.�;:,. Yo lay �� copie of
these rules or direct q.estions to '.'I at (503)246 -1987. /
Issued uy .i/ _ Permittee Permittee Signature 1
�■
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:
CONT R • C I R I ► AL • '■ N ONLY
SIGNATURE OF SUPR. ELEC' N: . / , 4... / DATE: 1
23 S Oar--
LICENSE NO:
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
i
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd b
13125 SW HALL BLVD Date Rec'd:_3 -/
TIGARD OR 97223 PRINT OR TYPE
V - 503 - 639 -4171 X304 Permit #: G t 9g"'L. / [7
F - 503 - 684 -7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:
WILL NOT BE ACCEPTED
Na;ne of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
Restricted Energy Fee $40.00
,v PA. L (4 dip 0 (FOR ALL SYSTEMS)
JOB Str Address Ste #
ADDRESS I , '� � SW ,�K Check Type of Work Involved:
Cit State i Phone ❑ Audio and Stereo Systems
�i 223 �39-
Name ❑ Burglar Alarm
OWNER Mailing Address ❑ Garage Door Opener*
City /State (Zip l Phone # ❑ Heating, Ventilation and Air Conditioning System'
N I I ❑ Vacuum Systems'
k iii Other
CONTRACTOR G
Y ` El /dr S W CIQ 5 Oy` a t>- TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to issuance a ity /S _ �} , Fee for each system $40.00
copy of all licenses 10T`I(a (J/` = l K„ � { (SEE OAR 918- 260 -260)
are required if rego C n Lic. # l ip. ate
expired in C.O.T. �. Qo Check Type of Work Involved:
data base). clrical C tr. Lic. # Exp. e
3S 1 ❑ Audio and Stereo Systems
c.o.J, qft 2 °I o Lic. #
Nat ❑
!f f G 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 El 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. pi Intercom and Paging Systems
These have asterisks( *). All others need licensing;
2. Call for inspections when installation under this permit are ready for
❑ Landscape Irrigation Control'
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 -refun ble and expire if work is not
started within 180 days of issuance dr if wo is suspended for 180 days. I Number of Systems
7 rson signing for thi pe it mLst be th or a person No licenses are required. Licenses are required for all other installations
ued t ind th
FEES:
CL A / O
Signature
"�/ ' ENTER FEES $ zip
n . Ov
5% SURCHARGE (.05 X TOTAL ABOVE) $ cA
CO
Authority if other than Applicant TOTAL $ i./a
is \dsts \resele.doc 7/97 —