Permit V ;
SIN O F T I CARD RESTRICTED ENERGY
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #: ELR95 -0206
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171 DATE ISSUED: 1 1 / 14 / 9 5
•
PARCEL: 1S134DD -00102
SITE ADDRESS...: 10505 SW TIGARD ST
SUBDIVISION....: ZONING :I -P
•
BLOCK LOT . °
Project Description: Protective signal.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING °.:
BURGLAR ALARM • BOILER LANDSCAPE /IRRIGAT..:
GARAGE OPENER CLOCK MEDICAL °
HVAC . DATA /TELE COMM..: NURSE CALLS
VACUUM SYSTEM FIRE ALARM......: OUTDOOR LANDSC LITE:
OTHER: .. HVAC PROTECTIVE SIGNAL.. :X
INSTRUMENTATION.: OTHER..:
TOTAL # OF SYSTEMS: 1
Applicant: FEES - - - - - --
ADT type amount by date recpt
703 NE HANCOCK PRMT $ 40.00 CJS 11/14/95 95- 272812
5PCT $ 2.00 CJS 11/14/95 95- 272812 -
PORTLAND OR 97212
Phone #: 503 -284 -3265
Contractor: -----
CONTRACTOR NOT ON FILE $ 42.00 TOTAL
REQUIRED INSPECTIONS
•
Ceiling Cover Elect' 1 Service
Phone #:
•
Wall Cover Elect' 1 Final
Reg #..°
This permit is issued subject to' the regulations contained in the
Tigard Municipal Code, ,State of Ore. Specialty Codes and all other Perm i t e e Signature
applicable laws. All work will be done in accordance with
approved plans. This.per ®it will expire if work is not started
within 180 days of issuance, or if work is suspended for more _
than 180 days. Issued By
-- - - - - -- - 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: 077). DATE: ,J - /y- 9s
LICENSE NO:
Call for inspection - 639 -4175
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
.,r-r. , 13125 SW Hall Blvd.
� 'p � Tigard, OR 97223 PERMIT # E /r9c- O D. 06
11,1 "_ 1 Ph (503) 684-7
847 297 DATE ISSUED // - /y 9S
* TDD No. (503) 684 -2772 // //
CITY OF TIGARD Inspection (503) 639 -4175 ISSUED BY (1h? - .S SC// , , 9
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
t t� %% / `, /
A•dre ' RESIDENTIAL — Restricted Energy Fee $40.00
t CiV (FOR ALL SYSTEMS)
City 4 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 ❑ Burglar Alarm
❑ Garage Door Opener*
2. CONTRACTOR APPLICATION
❑ Heating, Ventilation and Air Conditioning System*
Contractor Tyse d ,/ � ❑ Vacuum Systems*
�/� /� i) /
` ❑ Other
Address --- ����, /0./... � �
Date 0 — / '- COMMERCIAL — Fee for each system $40.00
' (SEE OAR 918- 260 -260)
Property Owner _.0 M Check Type of Work Involved:
Contractor's Board Reg. No. c: 5 - 9q 5/4 ❑ Audio and Stereo Systems*
3 ❑ Boiler Controls
Phone # � ❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
�^ /^� ❑ Fire Alarm Installation
'c J Q7 ❑ 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. rn � �-
1. Only use electrical licensed persons to do installations where required (Certain Ll��Yfo 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
❑ 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 corrections 5. FEES
are completed. /'/J��
The person signing for this permit mus the applicant or a person a. Enter Fees $ 4 / 11V
autho 'te o bind the applicant.
/ b. 5% Surcharge (.05 x total above) $ 66
Signature —
TOTAL $ 14.60
Authority if other than applicant
ENERGAP.CHP
11/10/1999 Activities for Case #: ELR95 -00206
9:05:55 AM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELRC001 Application Received 11/14/1995 CJS RECD TMP 11/14/1995
ELRC003 Permit Created 11/14/1995 CJS RECD TMP 11/14/1995
ELRC700 Ceiling Cover 11/14/1995 11/14/1995 TMP 11/14/1995
ELRC720 Wall Cover 11/14/1995 11/14/1995 TMP 11/14/1995
ELRC730 Elect'I Service 11/14/1995 11/14/1995 . ' TMP 11/14/1995
ELRC799 Elect'I Final 11/14/1995 11/14/1995 TMP 11/14/1995
ELRC500 (F) Issue permit 11/14/1995 CJS PASS TMP 11/14/1995
ELRC799 Elect'I Final 11/30/1995 MJR PASS . MJR 11/30/1995
ELRC800 Case finaled 11/30/1995 MJR YES MJR 11/30/1995
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection: L- 4' .4� /—':-a- ,
Footing Susp. Ceiling Sprink. Rough -in Appr /Sdwlk
Foundation Plbg. Underslab Mech. Rough -in Fireplace
Post /Beam Struct. Plbg. Top Out :. Rough -in FINAL:
Post /Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing - Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. - Elect.
Date Requested: /1/3o/55" Time: AM PM_
Address: / b SD
Builder:4 1) T Permit #: �4. f S Da
THE FOLLOWING CORRECTIONS ARE REQUIRED:
,e4r1/14
......,
Cr
Inspector: M ®Z/ / 1 4 ( jel Date: l / 3
PPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp. -P- 5