Permit CITY OFTIGARD
DEVELOPMENT SERVICES
ELECTRICAL PERMIT - -- 39-4171
13125 RESTRICTED ENERGY
PERMIT #n ELR97 -0321
DATE ISSUED € , 1 1 /07/97
PARCEL = 2S 104DD-- 0 0
'SITE ADDRESS., o ; 13130 SW ROCKINGHAM DR
SUEtD I V I S I ON0 e, e s iviESI URY HE T Gi-!T5 ZON T NG o R-4. 5
BLOCK. .,.o— — JURISDICTN; TIC .
Pro j ec',t Desor i pt i on a Add landscape controller to an existing single' family
dwelling.
P. RESIDENT IAL - - -_ -- -- --_. •
AUDIO & STEREO. „ n e AUDIO & STEREO— 'a INTERCOM & PAGING.' e a
DL.JRSLAR ALARM. o n BOILER0 o 0 0 t o e o LANDSCAPE/ I RR MAT,' e a
GARAGE OPENER. o o.., ; CLOCK. o. ;EDICALo n 0 a r 0 0 0 0 0:
! — W Ca u u c a n y n n a e_ DATA /TELE COMM..; NURSE , Ct -ILLS o .. o O . o
VACUUM SYSTEM--; FIRE ALARM--; OUTDOOR LANDSC LITE: .
T+_ E R I S/ h r, r PROTECTIVE E T' V C
Oi14t�.f'saT.R�.urCOldL�oX i,JA�o�oe�oo,�000a F „CTvGiI�E sTGhiAL...;
INSTRUMENTATION.; OTHER,; 0 0
TOTAL_ # OF SYSTEMS; 0
( JVt 1 �1 c - -; o ____ _____ ___ ------.-------------------_--_.. ___._--- •----- __.-- _...-- - -. - -- FEES - - - -- .._ - -.. �._ - - -•._ ._..
DALTON DEVELOPMENT type amount by date recpt
9 -,1':if+i rl1 PSF4 INCH .h4 DRIVE ,-i T /.Yh ,T.i71 f'_Cr9 1.-1/1717/Q7-97-703.0 ih _
.I. .., vYd i \iJ i...l \ S i'tVt- it -'fi't L/E\ L Y L r .lr`1 i K - r.i..c °S'ti.i i•.If =ti ...i - •i.
ti �
TIGARD OR 972:.'2 5PCT r_a
00 GEC 11 /07/97 97-2300131D0 1D0
Phone
Contract ore ___ _- -_ _---- _-_ - -- - -- - - - - -- --
WINCHELL, KOREY D `s', 42. 01Z1 TOTAL
15183 -A SW WALKER ROAD
REQU I RED INSPECTIONS --- - -. - -_
BEAVERTON OF 97006 Low 4'olte.re Ihs.p
Phone #a 645-- 7483 Elect' 1 Find
Reg #.0 0 n .IZI IZIIZi 128
•
This permit is issued subject to the regulations contained in the Tigard,"uniciaal Code, State of Ore. Specialty Codes and all other
applicable laws. All or will be done in accordance with approved plans. This permit will expire. if work is not started within 183
days of issuance, or if work is suspended for more than 183 days. ATTENTION: Oregon law requires you to folio?: rule adopted by the
Creg,on Utility Notificatioi Center. Those rules are set forts in CU S52-3M-3310 through OAR 552 - 331 - 8388.. You may obtain copies' of
these rules or direct que' to 5 at (`Q3)245 -i487. .
Issued Uv �'eralittec Si>7ne�Uttre _
tifP.'°: INSTALLATION ONLY - -- -- _ _ -_____ -_... _ __ _.._____ -.. -.- _.
The installation is being made on property I own which is not ivte.nded for
sale, lease, or rent. -
OWNER' S SIGNATURE... . • . • DATE:
r i i AT ON ONLY- - ._.__._., _...__ _...__.._,- ._...,._.... -.__
_._._._._�•.__..- • -• - fry•5 ------ •_--- •------- ••- •COhlTRf� +..TOR .�1i:,�T�;�..�i -: r I'� DATE: SIGNATURE OF SUPR. EL.EC' hie __ DATE = / 7
LICENSE NO 0
I. .i i { . f..{ t ..;.�_.T... {.. ( 9.._ I i +.; .. }..�_ {-.. {- -•C--: +-i- -�--h-sr-I--1-••}--{'..±+ i I--�-;..-ri--�--i-•-`r•{•• t i -y F-r^ - -1 +-: -±i ° ; --1 +-i•+ ; +-:H•±-1 -•
Cal I 639-4175 . by 7;00 ' P a nI. for . r inspect iC i! neede;: the
a... i...._ . 1-'. $-i_-�...r..}...{.......••1 �...1.....s.. {.:. - ;. ; S ! hi .r_.._ . . t� ...t '
. � h - •'- r �- . • -1 . -� . -1 . •� . -. $..1_r_�..�.. {- .a.,...•F- �_I- -. .-- !••.k._}•-F•_..Y.,.. .l..l..- ;- •4•..i.Y,t•• �..•i-•4•
/ i4f 4
CITY OF TIGARD RESTRICTED ENERGY�LECTRICAL APPLICATION Rec'd by:
13125 SW HALL BLVD �-� �/qP Date Rec'd:
TIGARD OR 97223 / 3 / /CJ Aku " PRINT OR TYPE
V - 503- 639 -4171 X304 Permit #: G f7 32/
F - 503 - 684 -7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:
WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
Restricted Energy Fee $40.00
A v v µ ercl i ti }� (FOR ALL SYSTEMS)
JOB Street Address X(Ste#
7411. ADDRESS 7411. S c^, k 1 t t Check Type of Work Involved:
City /State Zip Phone # ❑ Audio and Stereo Systems
k � ..4 C72 C�
Na ❑ Burglar Alarm
\'co r�1 N.`)eAoe -P nl- ❑ Garage Door Opener'
OWNER .d ess
City /State Z i pho ne # Heating, Ventilation and Air Conditioning System'
— 6 � 3� ❑
N ame • J Vacuum Systems*
ILOr �`� :wC o \� C:!6 Other LA++c/ we_ Co - ► - Ro //•,y
CONTRACTOR Mailing Ads
ZCS'3g F vA (-OGCO__. Z-Z..t TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to issuance a City /State Zip Phone # Fee for each system $40.00
copy of all licenses IA , \ \S, (') CL_ 97/ 2-3 &A - Mag3 (SEE OAR 918- 260 -260)
are required if Oregon Contr. Brd Lic. # Exp. Date
expired in C.O.T. Check Type of Work Involved:
data base). Electrical Contr. Lic. # Exp. Date
❑ Audio and Stereo Systems
C.O.T. or Metro Lic. # Exp. Date
❑ 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;
11*---.. 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.
FEES:
/�-�� Signa a ENTER FEES $ 1 10.
5% SURCHARGE (.05 X TOTAL ABOVE) $ / ,a
Cit f . f9 c TOTAL $ `7 Z —
Authority If other than Apcant
hdststresele.doc 7/97 —
■•