10450 SW GREENLEAF TERRACE I
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-- 10450 SW Greenleaf 'Terra-e
CITY OF TI GARD ELECTRICAL PERMIT-
i
RESTRICTED ENERGY
DEVELOPMENT SERVICES PERMIT#: ELR1999-00199
13125 SW Hall Blvd ,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/23/99
SITE ADDRESS: 10450 SW GREcNI_EAF TERR
PARCEL: 2S 111 CC-233(,0
"OU3171IVISION: SUMMERFiELD NO 5 ZONING: R-12
BLOCK: LOT: 291 JURISDICTION: TIG
Project Description: Add burglar alaram to an existing SFD
A. RESIDENTIAL _ y__ B.COMMERCIAL^�^ _
AUDIO & STEREO: AUDIO &STEREO: INTERCOM & PAGING:
BURGLAR ALARM: X BOILER: LANDSCAPE/IRRIG.AT:
GARAGE OPENER: CLOCK: MECICAL:
HVAC: 0;,T A/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: IIVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: -� -� OTHER: --I
'TOTAL#OF SYSTEMS:
Owner: Contractr,r
OLBEKSON, MERT& SHIRLEY BRIN,:S HOME SECURITY
10450 SIN GRE ENI EAF 8059 SW CIRRUS DR
TIGARD, OR 97224 BEAVERTON, OR 97008
Phone- 503-624-0311 Phone: 641-0574
Req#: SUP 2650JLE
LIC 00044421 I
ELF. 34166CI_E �
FEES Required Inspections
Type By Date _ Amount Peceipt Low Voltage Inspection
5PCT GEO 8/23/99 $4.20 99-317832 Eect'l Final
PRMT GEO 8/23/99 40.00 ^9-317832
Total $64.20 OR I uINA
L
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicaole laws. All work will be clone in accordance with approved plans. Th's permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days AITENTION: Oregon law
regt.iires yo,a to follow rules adopted by the Oregon Utility Notification Center Those rules ars? se! forth in OAR
952-001-0010 through OAR 952--001 -0080 You may obtain copies of these rules or direct questions to GU at (503)
246-1987
Issued byr� ( � .�.< _ Permittee Signature
OWNER INSTALLATION ONLY C
The installation Is being made on prop3rty I own whicl. is not intended for sale. le"se, or rent.
OWNER'S SIGNA"URE: DATE:
CONTRACTOR INSTAL"ATION ONLY
SIGNATURE OF SUPR. ELEC'N fit/ DATE:_ "y �
LICENSE NO:
Call 639-4175 by 7:00 P.M. for an inspection needed the next business day
CITY OF TIGARD RESTRICTED ENERGY ELECTRI�;AL,APPLICATION Rrc'd by:.
,3125 SW MALL BLVD Data Recd:
TIGARD OR 97223 PRINT OR TYPE
V- 5C3-639-4171 X304 7 Permit# ee plfy�'00jr f
F -503-598-1960 INCOMPLETE OR ILLEGIBLE AP13LICATIOPJS CLISt.Call'd. u _
WILL NOT BE ACCEPTED
Name of Deveiopment Project TYPE OF WORK INVOLVED -RESIDENTIAL ONLY
Restricted Enerry Fee.................... ................... $60.00
(FOR ALL SYF FEMS)
JOB Street Address s Ste#
ADDRESS ( G#' Check Type of Work Involved
Cit 7 -
„ (F1 Audio and Stereo Systems
Name Burglar Alarm
,rk !
OWNER Mailing Address ❑ Garage Door Opener'
City)State Zip Phone#
❑ Heating,Ventilation and Air Conditioning System'
Name '- L Vacuum Systems'
7
Other------ — —__ _
CUNTF;ACTOR �dr�Ss I, r �V _TYPE OF WORK INVOLVED-COMMERCIAL ONLY
(Prior to issuance a - Add
-_��ial�hr+� P �ne# Fee for each system............ ................................. $80.00
copy of all licenses `] ( C�Id (SEE OAR 918-260-260)
are required if Oregon # E .D
er.pired in C.O.T Co r rd i Check Type of Work Involved:
data base). Electrira o1 t rc Dalp
CW2)W E-1 J Audio and Stereo Systems
C.O.T. or tr # p r
❑ 8oiier Controls
Owner's Name
OWNER - Mailing Address Clock Systems
APPLICANT ❑ Data Telecommunication Irs'Alation
City/State tip Phone# ❑
Fire Alarm Installation
This permit is issued under OAE 918-320-370."'his applicant agrees to
make only restricted energy installations(100 volt amps or less)under this ❑ HVAC
permit and to do the following
❑ Insim,r ,kation
1 Only use electrical licensed parsons to du installations where required.
Certain reg idential and other transactions Are exempt from licensing. ❑ Intercom and Paging Systems
These haoe asterisks(*) All others need licensing,
❑
2. Cell for inspections when ins!alletlon under)itis permit are ready for Landscape Irrigation Control'
inspection at 503-839-4116: ❑
Medical
3 Purchase separate permits for all installations that are not ready for an L_l Nurse Calls
Inspection when the inspector is out to inspect under this permit,
4 1ssan ce 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
starte9 within 180 day s of issuance or If work is suspended for 180 days. _ urf )er of Systems
The person signing for this permit must be the applicant or a person No hcensNs aro-required Licenses are icgwred for all other installations
authorized to bind tfi ant �-
``, `�t
FEES:
—` - - -- - - ENTER FEES
Signature
5%SURCHARGE(.05 X TOTAL ABOVE) $—�. OLIJ
Authority if other than Applicant TOTAL S V
r\dsts\formslresele doc 3/98
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