Permit ..CITY OF TIGARD ELECTRICAL PERMIT -
COMMUNITY DEVELOPMENT DEPARTMENT RESTRICTED ENERGY PERMIT #: ELR96 -0142
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171
DATE ISSUED: 05/07/96
PARCEL: 2S104CD -10000
SITE ADDRESS...: 13652 SW TRACY PL
SUBDIVISION HILLSHIRE ESTATES NO. 2 ZONING:R -7 PD
BLOCK LOT °099
Project Description:
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING..:
BURGLAR ALARM BOILER LANDSCAPE /IRRIGAT..:X
GARAGE OPENER CLOCK • MEDICAL
HVAC DATA /TELE COMM..: NURSE CALLS °
VACUUM SYSTEM . FIRE ALARM • OUTDOOR LANDSC LITE:
OTHER: .. HVAC PROTECTIVE SIGNAL..:
INSTRUMENTATION.: OTHER..: ma
TOTAL # OF SYSTEMS: 1
Owner: FEES
WINDWOOD CONSTRUCTION, INC type amount by date recpt
6933 SW TIERRA DEL MAR PRMT $ 40.00 CJS 05/07/96 96- 279086
SPCT $ 2.00 CJS 05/07/96 96- 279086
BEAVERTON OR 97007
Phone #:
Contract or: •-
CEDAR LANDSCAPE $ 42.00 TOTAL
14375 SW PATRICIA
REQUIRED INSPECTIONS
HILLSBORO OR 97123 Elect' 1 Service
Phone #: 503- 628 -3411 Elect'1 Final
Reg #..: 5843 -',Q�
This permit is issued subject to the regulations contained in the C04)-e r W 60P
Tigard Municipal Code, State of Ore. Specialty Codes and all other Perm it ee Signature
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 I, )0- Clate
than 180 days. I s s u By
OWNER INSTALLATION 0 Y
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 for inspection - 639 -4175
4 Community Development ty p RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 PERMIT # / -OJ
AI utn ,,• Phone (503) 639 -4171
FAX (503) 684 -7297 DATE ISSUED S -7 96
=- TDD No. (503) 684 -2772
CITY OF TIGARD Inspection (503) 639 -4175 ISSUED BY rAr r- /e r cc „,,
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
/365`.2 sk/ 7'4Ac/ pL.
Address RESIDENTIAL — Restricted Energy Fee $40.00
t6dIRD O R S (FOR ALL SYSTEMS)
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. ❑ Burglar Alarm
2. CONTRACTOR APPLICATION ❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
Contractor CEA9k LaNDse Type /44/VbSCAine ❑ Vacuum Systems*
❑ Other
Address /43r7 .5 Atli ii, ?i &Ro '4.
Date S- 7 - 76 COMMERCIAL — Fee for each system $40.00
(SEE OAR 918- 260 -260)
Property Owner /ND od //OM e_s Check Type of Work Involved:
Contractor's Board Reg. No. se 43 ❑ Audio and Stereo Systems
❑ Boiler Controls
Phone # to O S 341/ ❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
❑ Fire Alarm Installation
❑ HVAC
Print Owner's Name Phone No
❑ Instrumentation
Address El 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.
❑ 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
astensks( *) 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. ❑ I 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
authorized to bind the applicant. -
C Q.0e- Cc) b. 5% Surcharge (.05 x total above) $ c am°
Signature
TOTAL $ '12
Authority if other than applicant
ENERGAP.CHP
illir .- •
/
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line. 639 -4175 Business PWone• 639 -4171
Footing Rain Drain Cover /Service FINAL:
Foundation Water Line Ceiling C:►.
Post/Beam Mech. Shear /Sheath Framing 11100
PIbg.Und /FIr /Slab Plbg. Top Out Insulation .1
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bld�c .
San. Sewer Gas Line Appr /Sdwlk Reins.
Other �.P. ��tii::� -
Date • / 75 s A.M. P.M. Entry:
/
Address: "- - / ( , ---t 0
c
Tenant: Ste: I MST: c._S UFc
BUP:
Con /Own: MEC:
PLM: RiteMel
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: 7
i C
c
O
Inspect• . / / %r Date: /1M;
• PPROVE P DISAPPROVED /CALL FOR REINSP. ko CF CO
.____
l'
PIP •
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINAL:
Foundation Water Line Ceiling C'S.
Post/Beam Mech. Shear /Sheath Framing 1110
PIbg.Und /FIr /Slab Plbg. Top Out Insulation �
Post/Beam Struct. Mech. Rough -in Gyp. Bd.
San. Sewer Gas Line Appr /Sdwlk Reins.
Other: t�.
Date: • / - A.M. P.M. Entry:
Address:
Tenant: Ste: / MST: ?LS 6
BUP
Con /Own: MEC:
PLM: 63 7r11el ,
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: 7
va
CD
Inspect• . / / % Date: AT
• PPROVE I DISAPPROVED /CALL FOR REINSP. •CF CO
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