Permit it
41111‘ CITY OF TIGARD
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DEVELOPMENT ������U������
m�°�= °�u~��n .�.m�n� " SERVICES
n~�m�~� ELECTRICAL PERMIT -
~��� 13125 SW Hall Blvd., Tigard, ~ ' ' ' RESTRICTED ENERGY
PERMIT #: ELR97-0080
DATE ISSUED: 03/20/97
I
PARCEL: 1S135CB-00600
SITE ADDRESS...: 11530 SW TIEDEMAN AVE ,
SUBDIVISION....: ZONING:I-P
8LOCK..........: LOT ^
Project Description: Installing protective signaling
_______________________________ ___________ ______ _ ____
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. ........ ...: PROTECTIVE SIGNAL'.:X
INSTRUMENTATION.: OTHER..: ::
TOTAL # OF SYSTEMS: 1
Owner: ----- -- ---- ------------------ FEES ------ -----
MCCALL PROPERTIES INC type amount by date recpt
808 SW 15TH AVE PRMT $ 40.00 JSD 03/20/97 97-292052
- ~ _- . - - 5PCT $ 2.00. JSD, 03/20497 97-E'92052
PORTLAND OR 97205
Phone #:
Contractor: -------------------------_ -------------- ----------------
GUARDIAN SYSTEMS $ 42.00 TOTAL
13500 SW PACIFIC HWY
SUITE 245 REQUIRED INSPECTIONS -------
PORTLAND OR 9722.3 Ceiling Cover Elect'l Service
Phone #: 503-639-3723 Wall Cover Elect'l Final
Reg #. . : 53683 '-
- ' "sued subject to the regulations contai ed in the -~^ ~�~ " ^~--- / ' �
_______
Tigard Municipal Code, State of Ore. Specialty Codes and all other Permitee Si nature
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 00 days of issuance, or if work is suspended for more ____
than 0Ndays. Issu y . '
----------- ----------OWNER INSTALLATION Ot_Y-----------------------------
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 for inspection - 639-4175
.
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd. `/
1 Tigard, OR 97223 PERMIT # - (?�� b6
d I Phone (503) 639-4171
FA (
e . � I FAX (503) 03) 684-7297 DATE ISSUED
TDD No. (503) 684 -2772
CITY OF TIGARD Inspection (503) 639 -4175 ISSUED BY
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
\530 rAr
Address RESIDENTIAL — Restricted Energy Fee $40.00
■ G /a4 O4 91•2.23 (FOR ALL SYSTEMS)
City State Zip Check Type of Work Involved:
PERMITS ARE NON - TRANSFERABLE AND NON - REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems*
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR y
180 DAYS ❑ Burglar Alarm
2. CONTRACTOR APPLICATION ❑ Garage Door Opener*
Co. rates , ate syy r6,115 Nk ) ❑ Heating, Ventilation and Air Conditioning System*
Contractor Type ❑ Vacuum Systems*
Address \35° Sw 'P l -1 '2z{S ❑ Other
Date —z— 3\q-1 COMMERCIAL — Fee for each system $40.00
(SEE OAR 918 - 260 -260)
Property Owner la Check Type of Work Involved;
Contractor's Board Reg. No. S L � 3 ❑ Audio and Stereo Systems*
❑ Boiler Controls
Phone # (t 3q 31z� ❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
❑ Fire Alarm Installation
❑ HVAC
Print Owner's Name Phone No
❑ Instrumentation
Address ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
City State Zip ❑ Medical
This permit is issued under OAR 918 - 320 -370. This applicant agrees to make only ❑ Nurse Calls
restricted energy installations (100 volt amps or less) under this permit and to do the ❑ 9 utdoor Landscape Lighting*
following:
1. Only use electrical licensed persons to do installations where required. (Certain Protective Signaling
residential and other transactions are exempt from licensing. These have ❑ Other
asterisks(*). All others need licensing).
2 Call for an inspection when all of the installations under this permit are ready
for inspection at 503- 639 -4175.
❑ Number of Systems
3 Purchase separate permits for all installations that are not ready for inspection
when the inspector is out to inspect under this permit. • No licenses are required Licenses are required for all other installations.
4. Assume responsibility for assuring that all corrections required by the inspector
are done, and
5 Assume responsibility for calling for a final inspection when all of the corrections 5. FEES
are completed.
The person signing for this permit must be the applicant or a person a. Enter Fees $ 0 , oo
authorized to bind the applicant.
o., ✓�. ? b. 5% Surcharge (.05 x total above) $ 2.u0
Signature
TOTAL $ ) .0o
Authority if other than applicant
ENERGAP.CHP
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain C�aYerFService FINAL:
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing -Mech.
PIbg.Und /FIr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other: ti 1 ° ° ell'-e=4'S q____.,- (Li
Date: Si r :'I 11 it A.M. P.M. Entry:
r ,ate u
Address: r? f `- iL) •Q =. %!-,y1 rit
Tenant: Ste: MST:
/ /t BUP:
Con /Own: C - - �: ,j �!.(( i�1 is MEC:
PLM:m. . :7
ELC: IIPIN-1 `-4 "•
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR. - 'TIC ...r
_ -
I
C n
... " -- c— (--- L_ r , f " _ _ _ / il -- 1 ( ..e /(<12`f <
eyP -
Inspector: < < <- t
f�'7 --e f I J Date:3' - - 2 , 9 » 7 7
APPROVED DISAPPROVED/CALL FOR REINSP. CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINAL:
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing -Mech.
Plbg.Und /FIr /Slab Plbg. Top Out Insulation Q
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr /Sdwlk Reins.
Other:
Date: ii//2 /g/
Entry:
--
Address: / I S �O (1QQ � a
Tenant: Ste: MST:
BUP:
Con /Own: o-Y) MEC:
°-� `�
J b 0(4 PLM. ELC.
THE FOLLOWING CORRECTIONS ARE EOUIRED: ELR.� L rII
r r—e (.7 „ LA 5
eta r ; r L - CAo --c
6
Inspector:? '2c '6 ( fel-C41 Date: A 7
APPROVED _ DISAPPROVED /CALL FOR REINSP. CO