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Permit ' � / '- CITY OFTIGARD DEVELOPMENT SERVICES ,,,,..,,,,..„,,,,,\ ~°"� � �~n���x .�nu~n� " "�"�" "° "~�»�~� �� ELECTRICAL PERMIT — � ��^ 0 1. 13125 SN/ Hall 8kd.. Tigard, OR 97223 808 039-4171 RESTRICTED ENERGY PERMIT #: ELR96-0399 DATE ISSUED: 12/31/96 • PARCEL: 1S133CD-15100 / SITE ADDRESS...: 11577 SW TALLWOOD DR SUBDIVISION....: PEBBLECREEK,#3 _ . � _ ZONING:R-25 BLOCK..........: LOT.......... ^41 Project Description: INSTALL BURGLAR 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......: OUTDOOR LANDSC LITE: OTHER: :: HVAC....,.......: PROTECTIVE SIGNAL..: INSTRUMENTATION.: OTHER..: :: TOTAL # OF SYSTEMS: 0 Owner: -- — — FEES ------- WM/SARA DAVIS, .. � _ _ ' type amount by date recpt 11577 SW TALLWOOD CT PRMT $ 40.00 TAT 12/31/96 96-288300 5PCT $ 2.00 TAA 12/31/96 96-288300 _ . TIGARD OR 97223 Phone #: Contractor: --- — ------- --- BRINKS HOME SECURITY $ 42.00 TOTAL 8059 SW CIRRUS DR REQUIRED INSPECTI BEAVERTON OR 97008 Ceiling Cover Elect'l Service Phone #: V-641-0574 Wall Cover Elect' I. Final Reg #..: 44421 ` This permit is issued :subject, to the?eg4latioms contained in the ^~_ _ • �~42 _ Tigard'Itunicipal Code, State,of Ore. ,apmuialty.Codes.and All qther . P ignat Lire , applicable laws. All work will be done in accordance with \ y / approved plans. This permit will expire if work is not started, within 180 days of issuance, or if work is suspended for more ' i^^~/ 1 ` ~/ than Madays. ` Issued By --------------OWNER INSTALLATION ONLY----"---------- ------- The installation is being made on_propert\( % own. which is pot intended for sale, lease, or rent. OWNER'S SIGNATURE: _ _ DATE: ____ — CONTRACTOR INSTALLATION ONLY ----------------- SIGNATURE OF SUPR. ELEC.' W DATE,: LICENSE NO: _______ _ ' _ . _ Call for inspectiAr\ _ 639-4175 . Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 PERMIT # 9('' (-) 3 ?/ Q -/ , 1IN ,� Phone (503) 639 -4171 d I) ;- FAX (503) 684-7297 DATE ISSUED �3 / 9 k TDD No. (503) 684 -2772 CITY OF TIGARD Inspection (503) 639 -4175 ISSUED BY PLEASE COMPLETE ALL SECTIONS 1. LOCATION OF INST LLATIO,f l.-. 4. TYPE OF WORK ?? S . _r- a-,Qv e Ad RESIDENTIAL — Restricted Energy Fee $40.00 , 6t Ot (9-71 97 v J (FOR ALL SYSTEMS) City ( State Zip G 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 y 180 DAYS. Burglar Alarm 2. CONTRACTOR APPLICATION ❑ Garage Door Opener* 7 � ❑ Heating, Ventilation and Air Conditioning System* Contract° HOME SECURLTY• ALARM * ❑ Vacuum Systems Address 8059 S.W. CIRRUS DRIVE, BEAVERTON 97008 - ❑ Other Date /2— / ,. / 7 c COMMERCIAL — Fee for each system $40.00 / (SEE OAR 918 - 260 -260) Property Owner i 1 ( _,c t .,p,�, 4 12--✓&_ >V(5. Check Type of Work Involved: Contractor's Board Reg. No. 044/121 ❑ Audio and Stereo Systems ❑ Boiler Controls Phone # .(503). 641 -0574 ❑ Clock Systems 3. OWNER APPLICATION ❑ Data Telecommunication Installations ❑ Fire Alarm Installation ❑ HVAC Print Owner's Name Phone No ❑ Instrumentation Address ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* 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: 1. Only use electrical licensed persons to do installations where required. (Certain ❑ Protective Signaling 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- 0 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 $ a /y authorized to bind the applicant. b. 5% Surcharge (05 x total above) $ r ■ Signature � 1„ ,., TOTAL $ V2- Authority i other than app lican ENERGAP.CHP 03/03/2000 Activities for Case #: ELR96 -00399 8:44:55 AM ` Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes ELRA003 Application received 12/30/1996 12/30/1996 TAT 12/30/1996 ELRA010 Permit created 12/30/1996 12/30/1996 TAT 12/30/1996 ELRA700 Ceiling Cover 12/30/1996 TAT 12/30/1996 ELRA720 Wall Cover 12/30/1996 TAT 12/30/1996 ELRA730 Elect'I Service 12/30/1996 TAT 12/30/1996 ELRA799 Elect'I Final 12/30/1996 ST 02/07/2000 2/7/00- inspection request to Hap ELRA500 (F) Issue permit 12/31/1996 TAT PASS TAT 12/31/1996 • ELRA580 Expired by limitation 02/23/2000 RB DONE No Hold AKJ 02/23/2000 • • • • Page 1 of 1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line 639 -4175 Business Line: 639 -4171 BUP ( Date Requested `/� AM PM BLD 1 ( Location S 7 - 141036,061 or Suite MEC Contact Person Ph PLM Contractor Ph SWR BUILDING, Tenant /Owner EL Retaining Wall l&-663q, Footing Foundation NOT REQUESTED FPS Ftg Drain FOUND DURING RESEARCH SGN Slab Crawl Drain , NO INSPECTION(S) FOUND IN FILE SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line • Smoke Dampers Final PASS PART FAIL EOCTRICAt k- Service " Rough In ;°,.'= UG /Slab Vtr1 Low Voltage `'` ` Fire Alarm p in PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.