Permit CITY OF TIGARD ELECTRICAL PERMIT -
RESTRICTED ENERGY
AN DEVELOPMENT SERVICES PERMIT #: ELR2000 -00168
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/20/00
SITE ADDRESS: 13217 SW SUMMERWOOD DR PARCEL: 1S133DB -09400
SUBDIVISION: SCHOLLS FERRY ROAD TOWNHOMES ZONING: R -25
BLOCK: LOT: 020 JURISDICTION: TIG
Project Description: Installation of 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: UTDOOR LANDSC LITE:
OTHER: : HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS:
Owner: Contractor:
AUREN BULL RINKS HOME SECURITY
3217 SW SUMMERWOOD 080 SW CIRRUS DR
IGARD, OR 97223 EAVERTON, OR 97008
Phone: 579 -6012 Phone: 641 -0574
Reg #: SUP 2650JLE
LIC 00044421
ELE 34166CLE
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRMT BLD 7/20/00 $60.00 0003849
5PCT BLD 7/20/00 $4.80 0003849
Total $64.80 EXPIRED
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 or direct questions to OUNC at (503)
246 -1987.
Issued by 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:
LICENSE NO:
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
BUP - Building Permit ELC - Electrical Permit
Inspection Description Date Passed By 1 Inspection Description Date Passed By
Footing /Setback Underground cover
Foundation walls Wall cover
Footing drain Ceiling cover
Waterproof bsmt walls Electrical rough -in
Slab Electrical service
Crawl drain Electrical final
Underfloor insulation
Post/beam structural
Shear walls /anchors ELR - Restricted Energy Per •
Roof nailing / Inspection Description A e a ; ssed B
Firewall Low volta:e
Tilt -up panel Electrical final
Masonry/Reinforcement illarfirkg7 d
Framing
MFG - Structure set -up MEC - Mechanical Permit
Insulation
Drywall nailing � Inspection Description Date Passed By
Post/beam mechanical
Suspended ceiling Gas line
Engineered soils Mechanical rough -in
Welding Lab Final Fire damper
Concrete Lab Final Duct work
Bolting Lab Final Smoke detector
Fireproofing Lab Final Mechanical final
Structural observation
Final inspection
PLM - Plumbing Permit
Inspection Description Date Passed By
BUP - Fire Protection System Permit Plumbing underslab
Inspection Description Date Passed By Crawl drain
Sprinkler underfloor /slab Post/beam plumbing
Sprinkler rough -in Plumbing top -out
Sprinkler final RP /backflow preventer
Fire alarm final Rain drain
Storm drain
Water service
SIT - Site Permit Sanitary sewer
Inspection Description Date Passed By Culvert/catch basin
Footings Pump /fill septic tank
Foundation walls Plumbing final
Sprinkler supply lines
Sprinkler underfloor /slab
Catch basin/Manhole SWR - Sewer Permit
Engineered soils I Inspection Description Date Passed By
Engineering acceptance Sanitary sewer
Final inspection Final inspection
INSPECTION RECORD — BUP, PLM, SWR, ELC, ELR, MEC SIT PERMITS
E
- CITY OF TI ARD ELECTRICAL PERMIT -
RESTRICTED ENERGY
04114 DEVELOPMENT SERVICES PERMIT #: ELR2000 -00168
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/20/00
SITE ADDRESS: 13217 SW SUMMERWOOD DR / PARCEL: 1S133D6 -09400
SUBDIVISION: SCHOLLS FERRY ROAD TOWNHOMES ZONING: R -25
BLOCK: LOT: 020 JURISDICTION: TIG
Project Description: Installation of alarm.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: X BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATAITELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: : HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS:
Owner: Contractor:
LAUREN BULL BRINKS HOME SECURITY
13217 SW SUMMERWOOD 8080 SW CIRRUS DR
TIGARD, OR 97223 BEAVERTON, OR 97008
Phone: 579 -6012 Phone: 641 -0574
Reg #: SUP 2650JLE
LIC 00044421
ELE 34166CLE
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRMT BLD 7/20/00 $60.00 0003849
5PCT BLD 7/20/00 $4.80 0003849
Total $64.80
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 or direct questions to OUNC at (503)
246 -1987.
Issued by Permittee Signature7 J /Q
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:
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: 2 t /
13125.SW HALL BLVD Date Rec'd: - 7/2%
TIGARD' 6R 97223 PRINT OR TYPE /%
V - 503 - 639 -4171 X304 Permit #: g2,202eaD -40/4?
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
Restricted Energy Fee $60.00
(FOR ALL SYSTEMS)
JOB Street Address Ste #
A DDRESS 1 ; A \ L meta C Check Type of Work Involved:
Zip Phone # ❑ Audio and Stereo Systems
t iTr q43 6
Na
rhd ❑ Burglar Alarm
I A r B I I ❑ Garage Door Opener'
OWNER Mailing Address
City /State I Zip I Phone # ❑ Heating, Ventilation and Air Conditioning System'
Name 1 ❑ Vacuum Systems' )
P ) flr ) 5 j pfrY? _ 5 1 w,r i Other l,3 �/ 61. M ( M
TOR Mailing CONTRAC Mai lin A dress
3)&561,3 C.+f r�5 r • TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to issuance a City /State Zip Phone # Fee for each system $60.00
copy of all licenses Bei oerbr, q 100if it9(4). -(mil /4 (SEE OAR 918 - 260 -260)
are required if Oregon Contr. Brd Lic. #6 1{.401 Exp. Date
expired in C.O.T. ti) -015 Check Type of Work Involved:
•
data base). Electrical Contr. Lic. # Exp. Date
3LI -1,k,L( / b -Ob 0 Audio and Stereo Systems
C.O.T. or Metro Lic. # II Exp. Date
/ ! Q -00 ❑ Boiler Controls
Owner's Name
OWNER - Mailing Address
❑ Clock Systems
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;
1 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 El 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. Number of Systems
The person signing for this permit must be the applicant ora person • No licenses are required. Licenses are required for all other installations
authorized to bind the applicant.
r---- antak.o.SL
FEES:
Signature FEES .off $ .�
$6 SURCHARGE (e5X TOTAL ABOVE) $ i i 7b
b
Authority if other than Applicant TOTAL $ l (4.0
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