7390 SW BONITA ROAD-1 7390 SW BOW1,11A ROAD
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard,OR 97223 (503)63"4171
ELECTRICAL PERMIT
RESTRICTED ENERGY
PERMIT #: ELP96-0317
DC,I-L ISSUED: 10/16/96
SITE ADDRESS. . . : 07390 SW BONITA RD PARCEL. 2S112AC-0-0500
1:-)UBD I V I S I ON. . . . : ZONING: I–P
f3LOCK. . . . . . . . . . : LOT. . . . . . . . . . . . .
Protect Descv^iption: ADD PROTECTIVE SIGNALING
------------------------------------- ---------------------
RESIDENTIAL--------- S. COMMERC I AL-------
AUDIO & sTEREO. . . ., AUDIO & STEREO. . : INTERCOM $.- PAGING. . :
BURGLAR ALARM— . : BOILER. . . . . . . . . . .... LANDSCAPI:'/IRRIGAT. . :
GARAGE OPENER. . . . : CLOCK. . . . . . . . . . . : MEDICAL.
HVAC. . .
: DATA/TELE COMM. . : NURSE
LLS. . . . . . . .
VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSO LITE:
FiTHER: FIVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . : X
INSTRUMENTATION. : OTHER. . :
TOTAL # OF SYSTEMS: I
llwner,: FEES
)ONITROL PACIFIC type amount by date v,ecpt
1975 SW ETH AVE PRMT $ 40. 00 TA,r 10/16/96 96-285234
5PCT $ 2. 00 TAT 10/16/96 96--285234
PORTLAND OR 912101
Phone #: 223-5822
SON ITROL PACIFIC f 42. 00 TOTAL
1974 SW 6TH AVE
------- REQUIRED INSPECTIONS
PORTLAND OR 97201 Ceiling Co%�ev, Elect' l Servir-e
Phone #: 503-223-3A22 Wall Covet- Elect' l Final
Reg #. . : 53535
'his persit 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 permit will expire if work is not started / `��
within 180 days of issuance, or if stork is suspended ft r more I than 180 days. fs-SLIea by
INSTALLATION ONLY--.--.-.
The installation is being made on property I own which J , not intended for,
sale, lease, at, rent.
OWNER' S SIGNATURE: DATE:
INSTALLATIJ11 ONI Y-----------------------------
SIGNATURE OF SUPR. ELECIN: DATE :
I...ICENSE NO:
Call for inspection – 639-4175
CR eJ//;z#e-Ul_)5Co
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Han Blvd. /l
Tigard,OR 97223 PERMIT#
Phone(503)639-4171
FAX(503)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
p
Addry �2 RESIDENTIAL—Restricted Energy Fee . . . . . �
.� ,QQ
(LOR ALL SYSTEMS)
City State Zip CUcklype of Work Involved:
PERMITS ARE NON-TRANSFERABLE AND NON-REFUND!81.1 AND EXPIRE IF WORK
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR 1F WORK IS SUSPENDED FOR ❑ Audio and Stereo Systems
IW DAYS. U Burglar Alarm
2. CONTRACTOR APPLICATION El Garage Door Opener*
El Heating,Ventilation and Air Conditioning System*
Contractort).A, Al o aT.i Type_�.i�• 4/✓r✓cv' ❑ Vacuum Systems*
Address,// f <i/ ` 14 ,/ �� (! ❑ Other__!
Dale 7 COMMERCIAL•--Fee for each system . . . . . . . . 140,00
(SEE OAR 918-260.260)
Vi ,pwrty Owner_ Check Typc of Work Involved-.--
Contractor's
nvolved;Contractor's Board Reg. No. JJ �� J ❑ Audio and Stereo Systems
❑ Boiler Controls
Phone# ��--
_ _ ❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installailins
❑ Fire Alarm Installation
❑ HVAC
Print Owner's Name Phone No
❑ Instrumentation
Address –`-- ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control"
city rr State Zip ❑ Medical
This permit is iss,led under OAR 918.320.370.This applicant agrees to make only ❑ Nurse Calls
mstricted enerii� nstallations(100 volt amps or less)ander this permit and to(to the ❑ Outdoor Landscape Lighting'
following:
I:14rotective Signaling
1. Only use elrctrica)licensed persons to do installations where required.(Certain
residential and other transactions are exempt from licensing These have ❑ Other
asterisks(`).All otters need licensing).
2. call for an inspection when all of the installations under this permit are ready
for inspection at 503.639-4175.
yrz.r Number of Systems
3. Purchase sepn,ate 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 Irtl AIWIt ona.
4. Assume respansibihty for assuring that all corrections required by the inspector
are done,wid
5 Assume re;por-,ib)lity for calling for a final inspection when all of the S. FEES
correction!are completed.
The person s;gning for this permit must he the applic,+nt or a person 8. Enter Fees $
authorized to hind thea licant.
b. 5%Surcharge(.05 x total above) $_
TOTAL
Authority if other than applicant
ENERGAP.CHP