Permit , A C ITY TI GARD
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�'�' ,,,,,, DEVELOPMENT SERVICES I 6 C ES ELECTRICAL PERMIT.- ' ,
Tigard, (503) RES 1 R I ir,TL =D ENERGY
. - PERMIT #.;:• .ELR y7- 007E, ,; , '
1 . DATE' ISSUED: -03/1,3/97 ,
PARCEL: ES11!ZDB- 00703
SITE ADDRESS— o Is 15348' SW PACIFIC HWY . . '
SUBDIVISI.ON.. 'ZONING: `
BLOCK— u. — .: " .
Project Description': Les Schwab .
A. RESIDENTIAL -•- --- - - -. -- , Be COMMERCIAL.--------.--•---- .-- _. ----- --
- : ,, „, , ,• ,•. . -`- E REO,o :, ,; , .INTERCOM. Z.. PAGI 'NS. o '
(l UD'I�i A. ST,ERE.J,a e', .,• ' ,, , :
AUD�IO �,• , _�T, °
BURGLAR ALARM— ,o: BOILER. '..= o...,e; '', LANDSCAPE/ IRRIGAT..
a ;saARAGE, R' :' OPENE ' '' 'Nk. 'CLOCK.: e' . ,,o , IYIED I CAL, _ ... ,-.:=-..-. a L',1 � - ..
H n o 4 o a e a t ' DATA / TELE COMM— C6 „ NURSE CALLS... n o n. ,
-- VACUUM` , SYSTEM -a -_ :u _�. ,,,,- FI_RE- .,AL. _ -, , - ,,.a- OUTDOOR..•,LANDSCI' L ITE s .
OTHERS . . o . HVAC= a o. o a o a a o a a PROTECTIVE SIGNAL... _
., a �. .�
�aoo n , s;,.. _ .. v
- '. -, -,.. :. - . ,r..,i „ _INS_TRUC E!' TATION,„ , ,:.. , . .s , - . ' n
'TOTAL # OF SYSTEMS e '
i
Own er - - - - -- --- ___ - -- -- -----
LES SCHWAB ,TIRE CENTERS.- INC . ,•,..;,•._..--,- .' , type='' amount by date . recpt
PO BOX 667 PRMT $ 40 'ZuZ! JSD 03113/97 97-291675
'. - 1 - - - - - - - 5PCT_ $ 2.00. JSD'' 03/ 13/97 97-291675
PRINEVILLE OR 97754 _
Phone t# 5.4-1- 447 -91 G-E.. , '
Contractor: ---- - - - - -- . - -- - - - -- -- -- -- - -, - __ - -.�. - • - - - - --
ALARM CENTER INC, A WASH CORP -$ 42„ !Z TOTAL
DBA: • ' ;CUSTOM SECURITY, SYSTEMS .
P 0 BOX 3407 .. - _ REQUIRED , INSPECT INSPECTIONS . --
. LACEY WA 98509 -- 34!217 Ceiling Cover Elect' 1 Final
Phone- #o= - 800 -426- 5338 r , . „ . , Wall Cover -
Reg #. a v ” 01121529 '
This pereit is issued, subject to ,the „,regulat.ions contained ; i1. the ,:.: -. :� ._ �/
Tigard Municipal Code, - ,State bf Ore: ; Special'ty bodes and all other , . , - Per,m i t e ei• Si gnat.ure,..a - - - .
applicable laws. P11 work will be done in accordance with -
, ,approyred plans: - This , pereit,. will empire if wcrk,lis 4not' started,_;,, „ ■.,,,, ' ,/
- - within , 1816---,days of, issoaneei ; °or- if -- - -is suspended:.frr'_ei,e ; ' --- . , . . , ,
•th'an• In ,day. .� - _! -.. , , _
, , --- . ,!,. - ' �, ' O' s.m1 I s s.�t e d : � :J. :, .
--- -___.____.._ ______ _. -OWNER INST L_L�ll "ION OTdL __�__ .__.__ ^ " _� _ _ _..._ ._____,,..m.___..:_.�_- .
.The installati,o:ris� b2,in.g. am, 4d, e„;, o, n<„ pr .o.per ,.I't is,not ,intended fur
' sale, lease, or rent..
OWNER'S SIGNATURE °o . ' _ _
CONTRACTOR INSTALLATION ONLY ___.______----- •-- __ -_: - -_
.S,I.GNA,TURE�; OF_- SUPRn„ ,ELEC' Non.-, _ -. - .,DATE ; , •
LICENSE NO:
,� , _ . �. ', -;- , '
�. - Ca,l f � ;t i,a�n ,E,,;,9, =4.175 , -i-
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CITY OF.TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by
13125 SW HALL BLVD Date Rec'd: ‘-''3"/"3 7
9 cp
TIGARD OR 97223 /lti ( . 0 I9 -5 PRINT OR TYPE /� GG V - 503 - 639 -4171 7 6a
Permit #: �Z / 6
F - 503 - 684 7297 c.-0 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd: C'TC^
WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL
Restricted Energy Fee $40.00
f J 6Gt/4 D jge L (FOR ALL SYSTEMS)
JOB Street Address Ste #
ADDRESS t 6 c5c) rvaillof Check Type of Work Involved:
_it /State as Phone # ❑ Audio and Stereo Systems
Name ❑ Burglar Alarm
5 I 0 ❑ Garage Door Opener*
OWNER Mailing Addre [�
It) /5- MA !UN ❑ Heating, Ventilation and Air Conditioning System'
/State 75 Phone
i2i� VIyL�
am �y( �� i du
CU El Vacuum Systems*
< < c5her) c5ErVQT�✓ ❑ Other
CONTRACTOR dress
rp ling 3 y09 TYPE OF WORK INVOLVED - COMMERCIAL
(Prior to issuance a Ity/State Zip Phone fao Fee for each system $40.00
copy of all licenses � j4C C t CeJA ii9 /•4 320 (SEE OAR 918 - 260 -260)
are required if Oregon Cont rd Lic Exp. Date
expired in C.O.T. 6/9 pZ 3 ay -9'7 Check Type of Work Involved:
data base). E ctriC�L C Li . # Exp Date...,
7 -(o ' � L� /0-/-'? / El Audio and Stereo Systems
C.O.T. or Metro Lic. # t (` Exp. Date
1,j El Boiler Controls
Owner's N me '
❑ Clock Systems
OWNER - Mailing Address
APPLICANT 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 ❑ 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;
❑ 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
started within 180 days of issuance or if work is suspended for 180 days. Number of Systems
f
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.
_ i" / — —v FEES: k /
I nature ENTER FEES $
• 9
C.:- 5% SURCHARGE (.05 X TOTAL ABOVE) $
Authority if other than Applicant TOTAL $ /�
i
resele.doc 12/98 _ —f
Page No. 1 CASE HISTORY FOR CASE NO.: ELR97 -0076
LES SCHWAB TIRE CENTERS INC
15348 SW PACIFIC HWY
09/17/97
Action Description Reg/ Schd/ End/ Action Notes Diap By Update Upd
Code Sent Done Done Date By
ELRC001 Application Received 03/13/97 / / 03/13/97 PASS JSD 03/13/97 JD
ELRC003 Permit Created 03/13/97 / / 03/13/97 PASS JSD 03/13/97 JD
ELRC500 (F) Issue permit / / / / 03/13/97 PASS JSD 03/13/97 JD
ELRC700 Ceiling Cover 03/13/97 / / / / 03/13/97 JD
ELRC720 Wall Cover 03/13/97 / / / / 03/13/97 JD
ELRC799 Elect'l Final 03/13/97 / / / / 03/13/97 JD
ELRC799 Elect'1 Final / / / / 03/25/97 PASS MJR 03/31/97 MJR
ELRC800 Case finaled / / / / 03/25/97 PASS MJR 03/31/97 MJR