Permit CITY OFTIGARD
DEVELOPMENT SERV 639-4171 ICES ELECTRICAL PERMIT —
RESTRICTED ENERGY
PERMIT t ELR97- 0224
DATE ISSUED: 08/05/97
PARCEL: 2S112DA -01300
SITE ADDRESS... :06640 SW REDWOOD LN #1ST
SUBDIVISION -MLP96 -0002 ZONING :I —P
BLOCK LOT . JURISDICTN: TIG
Project Description: Portland Clinic first floor tenant
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 -X PROTECTIVE SIGNAL:.:
INSTRUMENTATION.: OTHER..: o.
TOTAL * OF SYSTEMS: 1
Owner: ---- ----------- __
SISTERS OF PROVIDENCE type amount by date recpt
9205 SW BARNES PRMT $ 40.00 JSD 08/05/97 97- 297972
PORTL ANn OR 97:225 5PrT $ `. 00 JSD 08 /05 /97 Q7- _ _ _ _
Phone I#: 224 -4032
•
Contractor: -. -
HUNTER I SSON $ • 42.00 TOTAL
3410 SE 20TH
REQUIRED INSPECTIONS --
PORTLAND OR 97202 Ceiling Cover Elect'1 Final
Phone #: 234 -0477 Wall Cover
Reg #..: 000161
This peroit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This peroit will expire if work is not started within 180
days of issuance, or if work is suspended for oore than 180 days. ATTENTION: Oregon law requires you to follow rule adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952101 -0080. You oay obtain copies of
these rules or direct questions to OUNC at (50' 246 -1987.
r
Issued by Permittee Signatur
- -- - -OWNER INSTALLATION ONLY --
The installation is being made on property I on 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 639 -4175 by 6 :00 P.M. for an inspection needed the next business day
+ + + + + + + + + + + +-F ++ + + + ++ + + + + + + + + + + + +-F + + + + ++ + -F + +- 1- + +- i- + + ++-F + + + ++ + + + + ++ + + + + +- i- + + + +-F- + ++ + ++
CITY bF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by: ("1
13125 SW HALL BLVD Date Rec'd: 4 !•
TIGARD OR 97223 PRINT OR TYPE a.
�
V - 503 - 639 -4171 X304 Permit #: t- 9 7 - be ` 7 /
F - 503 -684 -7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd: 0 76
WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL
Restricted Energy Fee $40.00
o u ' /�� oOkoX MC" (FOR ALL SYSTEMS)
JOB tre Address Ste #
ADDRESS i�(d`LO �c j Check Type of Work Involved:
City /State i Phone # ❑ Audio and Stereo Systems
'MAO C,/_ 9 G2 ni9
Name Alarm
Pd Air) ( 1 Al 1 z-- C7 I(
1 ❑ Garage ene
OWNER Mailing Address ❑ 9 a Door Opener
p
(06 e 10 1A-) ❑ Heating, Ventilation and Air Conditioning System'
City /State �(p Phone #
1 -A2O CA ` N2.3 2'-1 k/ ❑
Name Vacuum Systems*
4 1 li . /1550A) L ❑ Other
CONTRACTOR Mailing Address . 3 4- 110 5t: 0D ' " TYPE OF WORK INVOLVED - COMMERCIAL
(Prior to issuance a ity /State Zip Phone # Fee for each system $40.00
copy of all licenses ( lU4A Oft 9-72oa Z3q-"Y7) (SEE OAR 918 - 260 -260)
are required if Ore on Contr. Brd Lic. # Exp. Date
expired in C.O.T. 0 /( 0 /2 y.2 /f i Check Type of Work Involved:
data base). Electrical Contr. Lic. # Exp. Date
9,6- 6 8.2 a /O - / -5 7 ❑ Audio and Stereo Systems
C.O.T. or Metro Lic. # Exp. Date
Q /SQ C- / -QY ❑ Boiler Controls
Owner's Name
❑ Clock Systems
OWNER - Mailing Address
APPLICANT ❑ Data Telecommunication Installation
City /State Zip I 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 IZI 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. �" L 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 installatio
authorized t ' d the applicant.
`��j� Fes:
Signature ' �� ENTER FEES $
z
5% SURCHARGE (.05 X TOTAL ABOVE) $
■
Authority if other than Applicant TOTAL $
i:lresele.doc 12/96 — VIKM�