Permit - CI TY OF TIGARD ELECTRICAL PERMIT -
RESTRICTED ENERGY v
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #: ELR96 -0222
' 13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171 DATE ISSUED: 07/10/96
PARCEL: 1S134DC -00300
SITE ADDRESS...: 10865 SW WALNUT ST
SUBDIVISION ° ZONING :R -4. 5
BLOCK ° LOT °
Project Description:
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-2X
INSTRUMENTATION.: OTHER..: ..
TOTAL # OF SYSTEMS: 1
Owner: -- -- FEES ---------
TIGARD TUALATIN SCHOOL DIST type amount by date recpt
13137 SW PACIFIC HWY PRMT $ 40.00 CJS 07/10/96 96- 281507
5PCT $ 2.00 CJS 07/10/96 96- 281507
TIGARD OR 97223
Phone #: 684 -2353
Contractor: --
SONITROL PACIFIC • $ 42.00 TOTAL
1974 SW 6TH AVE
REQUIRED INSPECTIONS - -•
PORTLAND OR 97201 Wall Cover Elect' 1 Final
Phone , #: 50,E -223 -5822 Elect' 1 Service
Reg #.. . 53535
This permit is issued subject to the regulations contained in the _
P
Tigard Municipal Code, State of Ore. Specialty Codes and all other ermitee Signature
applicable laws. All work will be done in accordance with
. approved plans. This permit will expire if work is not started / q-�-
within 180 days of issuance, or if work is suspended for more (� /€.S S G_ m!C
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: __/'VI Cc (/p / DATE: _L LD 6
LICENSE NO:
Call for inspection - 639 -4175
. _
•. A Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 PERMIT # EL/296-0 a
■ �ia� art iii l Phone (503)
(503) 684-7297 1 DATE ISSUED 7 /p 9G
-- TDD No. (503) 684 -2772 �///
CITY OF TIGARD Inspection (503) 639 -4175 ISSUED BY Cho r/eS f�N,,i�-
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
le( tr fjJ i/ /u.I,s9` (ivti, IL &ic .)
Address RESIDENTIAL — Restricted Energy Fee 540
�, � r 0.0 p/e ✓2223 (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*
/' J • ❑ Heating, Ventilation and Air Conditioning System*
Contractor S0� A . Type 2.1 0c/ ff ❑ Vacuum Systems*
I/ ❑ Other
Address //7[ ' .SG) 6- , -c, f� 7 W
Date 7 .- ✓ COMMERCIAL — Fee for each system $40.00
''�]� (SEE OAR 918 - 260 -260)
Property Owner / L ie C heck Type of Work Involved:
? yy
Contractor's Board Reg. No. j JrJ I ❑ Audio and Stereo Systems
�� 3 �� 2 � ❑ Boiler Controls
Phone # ❑ 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 ❑ 03,itdoor 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
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 5. FEES
corrections are completed.
The person signing for this permit must be the applicant or a person a. Enter Fees $ 7.
authorized to bind the ap licant.
k bxi
,- b. 5 %Surcharge (.05 x total above) $ G�
Signature CS
TOTAL $
Authority if other than applicant
ENERGAP.CHP
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINAL
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing -Mech.
PIbg.Und /FIr /Slab Plbg. Top Out Insulation - ec
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr /Sdwlk Reins.
Other: II I
Date: I 1- l 9 7 A.M. P . Entry:
Address: / D e ,c Li T
Tenant: 36' 47 MST:
BUP:
Con /Own: Z 2_ 3 S77_, Z MEC:
PLM:
ELC:
TH FOLLOWIN ORRECTIONS RE REQUIRED: p LR: 7�6 7
5 ,t=.c- r i\
Inspector: �j r ., . Date: / 7,(77
APPROVED DISAPPROVED /CALL FOR REINSP 4111 CO