Permit . „
A 1°6 \ � CITY OF TIGARD ■
j� DEVELOP SERVICES ELrC rRcAL r- �ERr�1zT - __ ... 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639'4,171 RESTRICTED ENERGY
'PERMIT i ; EL'R99 -0021 - '
. , , DATE ISSUED; 02 / 1 1 / 99 .
/30 -3/ .
PARCEL 2, . 2S 11s1•D8 -•- 02901
SITE ADDwRESSe.o e o 1:?�? -'c. SW ROCK INGHAM DR , .
'SUBDIVTSION� o a o :A!`rESBURY HEIGHTS ZONING;R - -4e 5 ,
• BLOCK. — .. ; � o . e ' • LOT n o a'o o u e e . a o 029 JUR ISDI CTN TIC .
Project Descriptions Installation of audio /stereo systeo and burglar alarn.
A. RESIDENTIAL - - - -- • Bo COMMERCIAL---- - - - - -- -- •- ____
AUDIO & STEREO • . e n • AUDIO R STEREO.. a '. ' INTERCOM & PAGING. e a
• 5URGLAR ALARM— o. a 1. x' BOI!_ER< ° o p e v a e a s o LANDSCAPE / IRRI GAT . , s
GARAGE OPENER.,— o CLOCK. „. — — rs.; MEDI CAL— „z,a4..o.. o
H VAC. ............ DATA /TELE COMM..; NURSE CALLS— , —.
VACUUM SYSTEM° q e e ''FIRE AL_FPRM„ . o e „ . (7UTD00R LANDSC L. f TE s •
OTHER„ d a I HVACo o. e. a o 0 0 0 o PROTECTIVE SIGNAL. a o
,I NSTRU dENTAT I ON. Q OTHER. n • . . tl 2
' TOTAL * OF SYSTEMS i 0
•
KEVIN MURRAY type amount by dar'te recpt
1321.37 SW ROCK I NGGHAM DR PRMT $ , 47.1. t210 DLH 02.11.0n9 '.39-2',12820
TIGARD OR 97223 - SPCT- ts. ' ;%,! m ( op / 1 9
1/9 99-122 0_ ,
Phone cs rA X 293-2338 - ' - ..'
ContrarC'tora ---'-----7----- _
QUADRANT SECURITY ' $ 420 00 TOTAL '
(GARY NEDELISKYI - ,'
P 0 BOX 865IZ18 ' ,, -- REQUIRED INSPECTIONS '----- - - -_._
PORTLAND 013'97286 : Low Voltage, Insp _
Phone 234-5558 Elect /1 Final '- ,
Re,g 4. 0 0 001)968 . •
This pernit 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 pernit will expire if work is not started within 180,'
days of issuance, or if work is suspended for core than 180 days. ATTENTION: Oregon law requires you to 'follow rule adopted by the
Oregon Utility Notification Center.. Those rules are set forth in CAR 952431 -01914 through tIAR 952- 01 -U80. You nay obtain copies of
these rules or direct questions to OUNC at (5,13)24671997. '
Issued ay' _ _ . Perm it t ee Si gnat '_�re /�i1', /97
- -- __- _.___--- _.- _..._
- -- ._
__OWNER I{�1STALLATION ON
. ._ ONLY '-----------------------.-
The The installation is being made on property I own which i ts not intended , ,f or - .
sale.,' lease, or' rent. '
OWNER/ Ci SIGNATL JRE o �� e._._— DATE ° ____��___._�_ _ __._.._
-------.---"-------------CONTRACTOR INSTALLATION ONLY--,-------------
- SIGNATURE. OF SUPR. ELEC/ N; __ , 4/4 �' DATE: __,_ __ _
LICENSE NO
'r ++. +•-0--t + +•i°+++'.--I- ++ + + + + +++44+ + +-14 -141 4+ + + +-f•++;i• + + + ++ - + ++ +• •v-'r-:-i. + + + +++ ++ + ++ ++++4-4- --I-- 1 -1-
,Cal 639-- -4175 by 7;00 P.M. for an inspection ,needed the next; business 'day . '
, -F- ++ f + + ++ ++ + + + ++ --F + + +-F-+- - 4- 4- + + ++ + + + + + + + + + + ++ +,444- 4-++ + ++ ++ + + + ++ -1-- 1- + +++ + ++ ++ + + + +++++-I_
. .
/303 — /ec ct U w, -
, . RECEIVED. by: L�
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd b
13125 SW HALL BLVD FEB 1 01999 Date Rec'd: ...2//0/q9
TIGARD OR 97223 Nit PRINT OR TYPE
V - 503-639-4171 X304 COMMUNI I� E} �MLETE OR ILLEGIBLE APPLICATIONS (of Cust E �OOoZ/
CaIII'd:
F - 503 -684 7297
WILL NOT BE ACCEPTED ��
. Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL
• . O
Restricted Energy Fee $40.00
(FOR ALL SYSTEMS)
JOB Street Address n I Ste #
ADDRESS ) `403`7 Su) eock y ka Check Type of Work Involved:
City/State I %-/ Phone # Audio and Stereo Systems
T �'YJI
Na a Alarm
? Irvin/ /yu2Rhy
OWNER Mailing Address ❑ Garage Door Opener'
S47,l---- F ❑ Heating, Ventilation and Air Conditioning System'
City /State Zip I c —
0�93 3 ❑ Vacuum Systems*
Name JJ (�
Urr 4✓aid £ojab -, / , it) L ❑ Other
CONTRACTOR ailing Addr ss
PD d6-4 g' (DSO TYPE OF WORK INVOLVED - COMMERCIAL
(Prior to issuance a ity /State Zip Phone # Fee for each system $40.00
copy of all licenses ro -+ larrd, ai amo a3L1 5558 (SEE OAR 918 - 260 -260)
are required if Oregon Contr. rd Lily# Exp,
expired in C.O.T. t!' _Aj t ( � (o(6, 5 j 0 � `' fi ' Check Type of Work Involved:
data base). Electrical Contr. Li # Exp. Date
�� � C • D ) 1 1 .3 L E )(� -J c • -� El Audio and Stereo Systems
I C � ` p I C.O.T. or Metro Lic. # Exp. Date
f� nooa P.4 (0 (o I -DI -DOW ❑ Boiler Controls
Owner's Name
AG, -565 C LE /0/199 — ❑ 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 pe • ust be the applicant or a person • No licenses are required Licenses are required for all other installations
authorized to bind the appli - .
atit FEES: v
1/ o
ENTER FEES $ LID
Signature
p0
5% SURCHARGE (.05 X TOTAL ABOVE) $ ..
Authority if other than Applicant TOTAL $ y •-
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