Permit • TIGARD ELECTRICAL PERMIT — OF RESTRICTED ENERGY
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #: ELR96-0186
1u1omeW Hall Blvd. Tigard, Oregon m72u°w1m» (5o3)o39-41n DATE ISSUED: 06/10/96
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PARCEL: 2S109BA—HS227
SITE ADDRESS...: 14112 SW WAGONER PL
SUBDIVISION • HILLSHIRE SUMMIT #2 ZONING:R-7 . PD
BLOCK ^ LOT ^27
Project Description:
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A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO... :X AUDIO & STEREO..: INTERCOM & PAGING..:
BURGLAR ALARM '^X BOILER • LANDSCAPE/IRRIGAT..:
GARAGE OPENER ^X CLOCK ^ MEDICAL
HVAC ~X DATA/TELE COMM..: NURSE CALLS ^
VACUUM SYSTEM ^X FIRE ALARM • OUTDOOR LANDSC LITE:
OTHER: ::X HVAC • PROTECTIVE SIGNAL..:
INSTRUMENTATION.: OTHER..: • ::
• TOTAL # OF SYSTEMS: '0
Owner: FEES
CASCADE WEST CONST type amount by date retpt
PRMT $ 40.00 CJS 06/10/96 96-280421
• 5PCT $ 2.00 CJS 06/10/96 96-280421
Phone #:
Contractor: ----
GARY'S VACUFLO INC $ 42.00 TOTAL
9015 SE FLAVEL
REQUIRED INSPECTIONS.
PORTLAND OR 97266 Wall Cover Elect'l Final
Phone #: 503-775-2042 Elect'l Service
Reg #..: 69047
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Dre. Specialty Codes and all other Permitee Signature
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
� - r .
within 180 days of issuance, or if work is suspended for more � ro��� —"�,.xm '
~ - 1 ��
than 18N 8ays. 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 —
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SIGNATURE OF SUPR. ELEC'N: =. / DATE: 6-to- 426
LICENSE NO:
Call for inspection — 639-4175
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. ~ '
JUN -10 -1996 15 06 GARY'S UACUFLO, INC. P.02
'Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
} .. 13125 SW -Iall Blvd.
't Tigard, OR 97223 PERMI I # F� R96 - 0 1 86 _
'4 it ,,,t r Phone (503) 639 -4171
'?�
! FAX (503) 684 -72 DAT ISSUED C-
/O - 96
2 TDD No. (503) 684 -2772
CITY OF TIGARD Inspection (503) 639 -4175 ISSUED BY Charles Sc A vy1 r c/ r
PLEASE COMPLETE ALL SECTI CNS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK bocrti--pis
( s �� RESIDENTIAL — Restricted Energy Fee MI=
(FOR ALL SYSTEMS)
City State Zip Check Type of W ork Involved /
PERMITS ARE NON- TRANSFERABLE AND NON - REFUNDABLE AND EXPIRE IF WORK E Audio and 'Stereo Systems* ! 5 J
is NOT STARTEG WITHIN Tao DAYS OF ISSUANCE. OR If WORK IS SUSPENDED FOR r ^�i i
160 DAYS. [a Burglar Alartm
V Jarage Door Opener*
2. CONTRACTOR APPLICATION eating, V4ntilation and Air Conditioning System*
Contractor Type - cuum Systems"
Imo' Other
Address -
D. GARY'S VACUFLO, INC 775 -2042 COMMERCIAL' —
Fee for each system $40.00
9015 SE FLAVEL. , PTLD, OR 97266 l (SFF OAR 918- 260 -260)
DATE : 1,9_/ /n QB
Pr' O Ch T of Work Involved:
OWNER : C�Gt SC' /�J1� S `�`
CLE 26728. JLE 985. CCB: 69047 ❑ Audio and 5tereoSystems*
❑ Boiler Conth
Phone # _ ❑ Cluck Systems
3. OWNS APPLICATION ❑ Dab Telecr,mrnunication Installations
❑ Fire Alarm Installation
❑ HvAC_ i
Print Owner' Name Phone No ❑ Instrumentation
i
❑ Intercom 4d Paging Systems
Address
❑ Landscape Irrigation Control*
City State Zip ❑ Medical
This permit is iss ed under OAR 918 -320 -370, This'rppli. ant agrees to snake only ❑ Nurse Call
rraricted energy , nstailaions (100 volt amps or less) under this perrnit and to do the ❑ Outdoor Landscape Lighting*
following:
❑ Protective Signaling
1. Only use e 'cal licensed persons to do installations where required (C"errsin I
residential a d other transactions art exempt from licensing. These have ❑ Other 1
asterisks(•). II others need licensing),
2. Call for an i spection when all of the installations under this permit are ready
fur inspecli at 503-639 -4175. ❑ Number of Systems
3. Purchase ser Grate permits for all installations that are not ready for inspcclion - - -
when the in pt..tor is out to inspect under this permit • No 1k rmes are required Licenses are required for all other installations.
4 Assume r nsrbdity fur assuring that all corrections required by the inspector --- - - - - -- - - • .. _
are done, a d -
5. Assume res•onsihility for calling for a final inspertron when all of the corrections 5. FEES
are complet-d. �1
The person s gning for this permit must he the applicant or a person a- Enter Fees $ eyo 0
authorized to bind the applicant 42-41- h. 5% Surcharge (.05 x total above) $_ -_
C4 Ail Signature TOTAL $ gild -
Authority if other than applicant
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ENERGAP.CHP
Tr1T2I P _ Gt?
Case Activity 11/16/2004
Y Listin g 12:01:22PM
TIDEMARK Case #: ELR96 -00186
COMPUTER SYSTEMS, INC.
Assigned ,- Done Updated ,
Acti - Description „ Date 1 Date 2 Date 3 Hold - Disc: To` B �B� �;Notes,.,:,;� . -
P = P Y -
Y� � �`
ELRA003 Application received 6/10/1996 None RECD CJS 6/10/1996
CJS
ELRA010 Permit created 6/10/1996 None PEND CJS 6/10/1996
CJS
ELRA720 Wall Cover 6/10/1996 None 6/10/1996
CJS
ELRA730 Elect'I Service 6/10/1996 None 6/10/1996
CJS
ELRA799 Elect'1 Final 6/10/1996 10/1/1996 None 4/3/1997
MJR
ELRA500 (F) Issue permit 6/10/1996 None PASS CJS 6/10/1996
CJS
ELRA800 Case finaled 10/1/1996 None 4/3/1997
MJR
Page 1 of I CaseActivity..rpt