Permit CITY OF TIGARD
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� 1�► J ,�I 1;� � DEVELOPMENT LOPMEN�T SERVICES ELECTRICAL PERMIT — Hall Blvd., Tigard, ) RESTRICTED ENERGY
PERMIT #: ELR97 -0149
DATE ISSUED: 05/23/97
PARCEL: 2S1O4BB -01500
SITE ADDRESS...: 14341 SW WINDSONG CT
SUBDIVISION -CASTLE HILL ZONING:R -12 PD
BLOCK LOT :052 JURISDICTN: TIG
Project Description: instl burglar alarm
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING..:
BURGLAR ALARM •X BOILER • LANDSCAPE /IRRIGAT..:
GARAGE OPENER • CLOCK • MEDICAL •
HVAC • DATA /TELE COMM..: NURSE CALLS •
VACUUM SYSTEM • FIRE ALARM • OUTDOOR LANDSC LITE:
OTHER: •• HVAC • PROTECTIVE SIGNAL..:
INSTRUMENTATION.: OTHER..: ••
TOTAL # OF SYSTEMS: 0
Owner: FEES
DOMINIC VIRGILIO type amount by date recpt
14341 SW WINDSONG PRMT $ 40.00 TAT 05/23/97 97- 295022
TIGARD OR 97223 5PCT $ 2.00 TAT 05/23/97 97 -29502
2
Phone #:
Contractor:
BRINKS HOME SECURITY $ 42.00 TOTAL
8059 SW CIRRUS DR
REQUIRED INSPECTIONS
BEAVERTON OR 97008 Wall Cover Elect'l Final
Phone #: 641 -0574 Elect'l Service
Reg #..: 000444 �/�,, Q
This permit is issued subject to the regulations contained in the (— �� / laA�-Y L,
Tigard Municipal Code, State of Ore. Specialty Codes and all other Perm • e 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 / t.._C , .... i itAT
t 180 days. I s ued 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 : I'll I• � DATE: Z 3-17
LICENSE NO: /v in
Call for inspection — 639 -4175
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd. Lb q�/, l�l(,��} .
' Tigard, OR 97223 PERMIT # /
,i�,,,,� ;� Phone (503) 639 -4171 6---2-3-7
II I . FAX (503) 684 -7297 DATE ISSUED
- TDD No. (503) 684 -2772
CITY OF TIGARD Inspection (503) 639 -4175 ISSUED BY�
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PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION _ 4. TYPE OF WORK
q/ d1& ila w.
Addr • //6;3 RESIDENTIAL — Restricted Energy Fee $410Q
9 (FOR ALL SYSTEMS)
City • to Zip Check Type of Work Involved:
PERMI /RE 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*
Contracto HOME SECURI ALARM ❑ Vacuum Systems*
Address 8059 S.W. CIRRUS DRIVE, BEAVERTON 97008
❑ Other
Date c ' /9? COMMERCIAL — Fee for each system $40.00
(SEE OAR 918- 260 -260)
e
Property Owner L/ vk,, Check Type of Work Involved:
Contractor's Board Reg. No. 0VIA 21 ❑ Audio and Stereo Systems
• Boiler Controls
Phone # (503) 641 -0574 ❑ Clock Systems
❑ Data Telecommunication Installations
3. OWNER APPLICATION ❑ Fire Alarm Installation
❑ HVAC
Print Owner's Name Phone No ❑ Instrumentation
❑ Intercom and Paging Systems
Address
❑ 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
asterisks(1. 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. 014) .�
The person signing for this permit must be the applicant or a person a. Enter Fees $
authorized to bind the applicant
b. 5% Surcharge (.05 x total above) $
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Signature . ,Z:;;;;_ ,...._
TOTAL $
if
Authority i other than applican
ENERGAP.CHP
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RECEIVED
MAY 2 3 1997
COMMUNITY DEVELOPMENT