Permit ., - ____�
�
|
/ OFTIGARD CITY
DEVELOPMENT SERVICES
' U� ~��~=n�"~��" "�"~~»�o ~�»�n«�n��"�°� ELECTRICAL PERMIT -
.� �+•��J�� 13125 SN/Ha0BA�.,Y&�rd��872&3UO3 G3�4/7/ �
�°-- ' -' RESTRICTED ENERGY
: PERMIT #: ELR97-00.74
DATE ISSUED: 03/12/97 ,
PARCEL: 29110DB-00703 .
SITE ADDRESS...: 15348 SW PACIFIC HWY
SUBDIVISION....: ZON7NG: ,
BLOCK..........: LOT.............:
..Project Description: Protective signaling . .. '
_
A. RESIDENTIAL- ----- . B. COMMERCIAL------------------- -------�--�-
AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING. .:'
BURGLAR ALARM.,...: . . ,^'' BOILER..,.r.,.',,,...:: ' �- . LANDSCAPE/ I RR IGAt, .:
GARAGE OPENER....: CLOCK...........: lMEDICAL..... ..... �.:
HVAC.....��......: ^ '. DATA/TELE COMM..:. NURSE CALLS........:
VACUUM SYSTEM....: FIRE ALARM......: OUTDOOR LANDSC LITE
OTHER: - .. 1 :,. ` , ^, HVAC.,.. ......'., ::, . PROTECTIVE SIGNAL.. :X
INSTRUMENTATION.: OTHER..: ::'
.
.�. . . ^ _, .;- _J.'�,. TOTAL_ # OF, ,SYSTEMS: i YSTEMS: .
Owner: ------ --------- ---- - FEES ---
LES SCHWAB TIRE CENTERS INC ' type amount '' by date` '^r recpt .
., . . . ,,
PO 'BOX 667 PRMT $ 40.00 DRA 03/12/97 97-291574
` . .__.^, 5 PCT-���- 2.00DRA 03/12/97,;97-291574 _,
PRINEVILLE OR 97754
Phone #: 541-447-9162
•
Contractor: - ---�----- ------------ -- ----- -- --
. ALARM CENTER INC, A WASH CORP $ 42.00 TOTAL `
DBA: CUSTOM SECURITY SYSTEMS
P 0 'BOX 3407 '. . REQUIRED INSPECTIONS --
LACEY WA 96509-3407 Ceiling Cover Elect'l Service
Phone #:'8@0-426-5338/~�..., ,. - ',1-^ ,. Wall Cover . ^. Elect'l Final ' .. -
R # 010529 � '
`
in ,t
Tigard Municipal' Code„State bre4Specialty Codes anthall ,other . Perm it ee, gnat ur.e ' . .
applicable laws. All work will be done in accordance with
approved plans. 'This permit wiQ`expirt if wurk���xot st�tei� . ^
within 18N �*
�of issuance, 'or if work is suspended fnr.aonp • 46/4 .A61 `» '
than IN days.' ' .,^ ,'
• ----- 7----------OWNER INSTALLATION ONLY- --�-�-----------------
The instal lat ion -is being`.mad� �pn^ ^pro,perty,,I,^own which,- is ..not intended for
sale lease, or rent.
OWNER' S SIGNATURE:. DATE��.
.
------------ --CONTRACTOR INSTALLATION ONLY---------- "--------
SIGNATURE OF SUPR..ELEC'N: DATE:
LICENSE NO: _ ______ ___�
- ., Call,. for inspection -. 639-4175 '
• `
! � `
^ _�- - - � - . � � ° =. '`' ° ' ~ '
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd ■ : _ _ _0/
13.125 SW HALL BLVD Date Rec •. —. , s
TIGARD OR 97223 PRINT OR TYPE s n
V - 503 - 639 -4171 X304 Permit #: C,L.1� -- "7 -007
F - 503 - 684 -7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:
WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL
Restricted Energy Fee $40.00
L(5 SC/4E00 %/E ',07re (FOR ALL SYSTEMS)
JOB Street Address JJ// Ste #
ADDRESS 4 5 38 Sit);oF1C /C Y Check Type of Work Involved:
City /State Zip Phone # ❑ Audio and Stereo Systems
7)4 ARAD Name ❑ Burglar Alarm
6 r � - ❑
Garage Door Opener*
OWNER Mailing dre ,(�4) Y
ry/State i Phone # ❑ Heating, Ventilation and Air Conditioning System*
T�INFU/ �`� ❑
Name / C Vacuum Systems*
A ZAI2 41 2 ZN C ❑ Other
CONTRACTOR Mailing Address
■ 9 0 ,Qp 3 TYPE OF WORK INVOLVED - COMMERCIAL
(Prior to issuance a City /State p Phone #460 Fee for each system $40.00
copy of all licenses AL',fi cf wik 1 /9/ - 4326 (SEE OAR 918 - 260 -260)
are required if O,rp�go cSopt�, r L # 3 o � F7 yP
expired in C.O.T. U� C heck T e of Work Involved:
data base). Electrical Spit tit # Exp. D e
3 ? (0.5 C /Q -/- 1 ❑ Audio and Stereo Systems
O.T. or Metro Lic. # Exp. Date
g "7 IJ 4_LJ ❑ Boiler Controls
Owner's Name
❑ 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;
El 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
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.
f �� — - FEES:
ignature ENTER FEES $ / )
oo
5% SURCHARGE (.05 X TOTAL ABOVE) $ A •
6 d
Authority if other than Applicant TOTAL $ V a
i \resele doc 12/96 —
l
Page No. 1 CASE HISTORY FOR CASE NO.: ELR97 -0074
LES SCHWAB TIRE CENTERS INC
15348 SW PACIFIC HWY
09/17/97
Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
ELRC001 Application Received / / / / 03/12/97 RECD DRA 03/12/97 DST
ELRC003 Permit Created / / / / 03/12/97 PASS DRA 03/12/97 DST
ELRC500 (F) Issue permit / / / / 03/12/97 PASS DRA 03/12/97 DST
ELRC700 Ceiling Cover 03/12/97 / / 03/14/97 PASS HW 03/17/97 JT
ELRC720 Wall Cover 03/12/97 / / / / 03/12/97 DST
ELRC731 Elect'l Service 03/12/97 / / / / 03/12/97 DST
ELRC799 Elect'l Final 03/12/97 / / 03/14/97 PASS HW 03/17/97 JT
ELRC800 Case finaled / / / / 03/14/97 PASS HW 03/31/97 MJR