Permit CITY OF TIGARD
„ DEVELOPMENT SERVICES ELECTRICAL PERMIT —
21.! 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 RESTRICTED ENERGY
PERMIT #: ELR98 -0095
DATE ISSUED: 04/07/98
PARCEL: 1S133DB -12600
SITE ADDRESS...:13490 SW SUMMERWOOD DR C1—(
SUBDIVISION •SCHOLLS FERRY ROAD TOWNHOMES ZONING:R -25
BLOCK LOT •052 JURISDICTN: TIG
Project Description : Residential burglar alarm.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING..:
BURGLAR ALARM :X BOILER • LANDSCAPE/ IRRI GAT. .
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
BRINKS HOME SECURITY type amount by date recpt
8059 SW CIRRUS DRIVE PRMT $ 40.00 DLH 04/07/98 98- 304735
BEAVERTON OR 97008 SPCT $ 2.00 DLH 04/07/98 98- 304735
Phone #: 641 -0574
Contractor:
BRINKS HOME SECURITY $ 42. TOTAL
8059 SW CIRRUS DR
REQUIRED INSPECTIONS
BEAVERTON OR 97008 Low Voltage Insp
Phone #: 641 -0574 Elect'l 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 •ore 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 direct questions to OUNC at (503)246 -1987.
Issued by Permittee Signature /1 ,9 /L�.
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for
sale, lease, or rent.
OWNER' S SIGNATURE: 0JV' ff /If /C 3 — 70/V DATE: V/7/
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC' N : t`/9 DATE:
LICENSE NO: //
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
1
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 PERMIT # CL/L9P' — d0 9S
/ a.rp h i , i al1 1 I P hone (503) 639 -4171 DATE ISSUED Y/7/9"
FAX (503) 684 -7297
TDD No. (503) 684 -2772
CITY OF, TIGARD Inspection (503) 639 -4175 ISSUED BY -=)//
PLEASE COMPLETE ALL SECTIONS
1. LOCATION O , . I / c SU-,w,.rr�✓J e NSTALLATION ,� _ / 4. TYPE OF WORK
24/p
L .Z r l ct ` - -
/ 0
RESIDENTIAL — Restricted Energy Fee $40.4
Addre_ ■ Q (FOR ALL SYSTEMS)
r
�W q r -
%
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. a Burglar Alarm
' ❑ Garage Door Opener'
2. CONTRACTOR APPLICATION ❑ Heating, Ventilation and Air Conditioning System*
Contracto )3RINKS HOME SECURLTY ALARM ❑ Vacuum Systems*
Address 9 ? 8 S.W. CIRRUS DRIVE, BEAVERTON 97008
El Other
Date 1- 02O - COMMERCIAL — Fee for each system $40.00
U / (SEE OAR 918- 260 -260)
Property Own:. - .,E , . . �! *1 i • Check Type of Work Involved:
/
Contractor's Board Reg. No. WWI WI 21 //7/9, ' ❑ Audio and Stereo Systems
❑ 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 Controls
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 $ i
authorized to bind the applicant _
b. 5% Surcharge (.05 x total above) $
Signature / TOTAL $ Y
Authority i other than ap'plican
ENERGAP.CHP
Page No. 1 CASE HISTORY FOR CASE NO.: ELR98 -0095
BRINKS HOME SECURITY •
13490 SW SUMMERWOOD DR Unit: Cl
11/05/98
•
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
ELRB001 Application received / / / / 04/06/98 RECD DLH 04/07/98 DLH
ELRB003 Permit created / / / / • 04/06/98 DONE DLH 04/07/98 DLH
ELRB500 (F) Issue permit / / / / 04/07/98 DONE DLH 04 /07/98 DLH
ELRB725 Low Voltage Inspection 04/07/98 / / 10/27/98 Brinks Security System. PASS BRP 10/28/98 J *H
ELRB799 Elect'l Final 04/07/98 / / 10/27/98 PASS BRP 10/28/98 J *H
ELRB800 Case finaled / / / / 10/28/98 11/5/98 sent to records, did not receive PASS CD 11/05/98 JT
CD inspection slip
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