Permit ELECTRICAL PERMIT -
, CITY OF TIGARD
RESTRICTED ENERGY
u 'I'" DEVELOPMENT SERVICES PERMIT #: ELR1999 -00178
' .�.� I I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/22/99
SITE ADDRESS: 16075 SW UPPER BOONES FERRYRD PARCEL: 2S113AB-00300
SUBDIVISION: FANNO CREEK ACRE TRACTS ZONING: I -L
BLOCK: LOT: 036 JURISDICTION: TIG
Project Description: Protective signaling.
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
Owner: Contractor:
NORTHWEST LANDSCAPING HONEYWELL INC
16075 SW UPPER BOONES FERRY RD 15495 SW SEQUOIA
TIGARD, OR 97223 - STE 100
PORTLAND, OR 97224
•
Phone: Phone: 968 -3300
Reg #: SUP 941 -JLE
LIC 00057824
ELE 26207CLE
FEES Required Inspections
Type By Date Amount Receipt Elect'I Service
PRMT DLH 7/22/99 $60.00 99- 317067 Elect'I Final
5PCT DLH 7/22/99 $4.20 99- 317067
Total $64.20
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. 4.
Issued by // • % i . - Permittee Signature eAr /9/ / T/p^/ //Jg /z,e2■,
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale. lease, or rent.
OWNER'S SIGNATURE: i /9 DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELECN: €177 /97°1—/e A5 /D DATE:
LICENSE NO:
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
il
I :/'
t
I f �0 d RECEIVED
tn� 0962 869 20S 617:9T 6661- T0-111f
CITY OF TIGARD JUL 2t� ED ENERGY ELECTRICAL APPLICATION Rec'd by: -6 - d
13125 SW HALL BLVD Date Recd: 2 7 7 /97
TIGARD OR 97223 COMMUNITY DEVELOPMENT PRINT OR TYPE
V - 503 - 639 -4171 X304 Permit #: k r — z - I /T 99 - 00 / 7,
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
L T J Restricted Energy Fee $60.00
/Vor1h�� `7' tonSSC"pe,-1-r1a • (FOR ALL SYSTEMS)
JOB Street Address / Ste # Check Type of Work Involved -
ADDRESS /607 5) 73 Ferry A'd
City/State Zip .1 Phone # ❑ Audio and Stereo Systems
T qaret OR .77.q 2V 69'1 -l4Mn
Nafne / ❑ Burglar Alarm
V r» P. QS n u e - ❑ Garage Door Opener"
OWNER Mailing Address
City /State Zip Phone # ❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems"
Name
/�gAey coe / / ❑ Other
CONTRACTOR i n g Add w
ll '/ 7S/SC<Je e goo/ a Pk,/ #100 TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to issuance a Very /stare i Zip (Phone # Fee for each system $60.00
copy of all licenses 'P OK 1 9722 9G ':3300 (SEE OAR 918-260-260)
are required if Oregon Cont Brd Lic. # Exp. Date
expired in C.O.T. 057 0-2q/ //a.7I00 Check Type of Work Involved:
data base). Electrical Contr. tic. # - Exp. Date
a6 -.2,0 7 CL E 1°1/199 ❑ Audio and Stereo Systems
C.O.T or Metro Lic. # Exp. Date
1/109/ _ f/) /0n ❑ Boiler Controls
Owner's Name ❑ '
Clock Systems
OWNER - Mailing Address _ .
APPLICANT 0. • 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;
❑ 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
El Nurse Calls
inspection when the inspector is out to inspect under this permit;
4. Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting'
inspector are done, and;
IN 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
I
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 or a person • No licenses are required. Licenses are required for all other installations
authorized to bind the applicant.
FEES:
c m�O . '.1) A TER FEES $ 0- 00
lgna �p c, u
SeA SURCHARGE (.05 X TOTAL ABOVE) $ l - 2 O
Authority if other than Applicant
i:ldstslformslresele.dac 3/98
£001] UHVDI,L dO A,LLD 0961 869 £05 XVd Otr:91 f1H,L 66 /T0 /LO