11950 SW GREENBURG ROAD 11950 SW GREE_NBURG ROAD
CITY OF TIGARD
DEVELOPMENT SERVICES ELECTRICAL P HMIT -
13125 SW Nall Blvd., Tigard,OR 97223 (503)639.4171 RESTRICTED ENERGY
PERMIT #: E'LR98-0057
DATE ISSUEDa 02/23/98
PARCEL: 1S135DU-04403
RITE ADDRESS. 19510 SW GREENBURG RD
SUBDIVISION. . . . : 7.ON I NG;C-F�
BLOCK. . . . . . . . . . .. LOT. . . . . . . . . . . . . . JURISDICTN: TIG
pro,j ect De scr i pt ion: Install protective signaling for an existing commercial
tenant oc.; .
A. RE.S[DENTIAL--_.--_-__..._ B. COMMERCIAL-__-_-_________________ --_-_ -------:--.-
AUDIO & SfE.RE0. . . ; AUDIO & STEREO_ : IN'TERC'OM & FAGTNG. .
BURGLAR ALARM. . . . : BOILER. . . . . . . . . . : L.ANDSCAI C/IRRIGAT. .
GARAGE OFTENER. . . . . CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . a
HVAC:. . . . . . . . . . . . . : DATA/TELE I:;OMM. . : NURSE: CAL L_S. . . . . . . .
VACUUM (SYSTEM. . . . : FIRE AL.ARM. . . . . . : OUTDOOR LNNDSC LITE:
OTHER: : : HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . :X
INSTRUMENTATION. : OTHER. . :
TOTAL # OF SYS TE:MS: i
OwnPr: ___._______._____________________.___._________..__._.__..---_____ Ff.cC
KATHY MYE:RS type amol.tnt by date recpt
11950 SW BREENBURG ROAD #15111 PRMT E 40. 00 (37FO 02/23/98 98-303436
1 IUARD OR 97223 SPCT is 2. 00 GEO 02/23/98 98-303496
F,h o n e #1 590-7622
Contrartore.
SON It_ F'AC i T f7__ 42. 00 TOTAL
1975 SW 8TH AVE
------ REQUIRED I NSn'ECT J C7NS --------
POR'Tl_AND OR 97201 Low Voltage Insp .�_.-
Phone #: 223-582F Elect' 1 Final
r2 e g #. . : 000535
This permit is issued subject to the regulations contained in the Tigard Municipal Cade, State of Ore. Specialty "odes hid all other
applicable laws. All work will be done in accordance with approved plans. This p..'mit will expire if work is not started within lee
days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law renulres You to follow rule ae,mted by the
Oregon Utility Notification Center. Those rules are set forth in DAR 952-ee1-@ell through DA► 9!2-0e1-W, You may obtain conies of
these rules or directgyestionsyto, 03)246-1987.
F'ermitt?e Si nat�_ire_
Issi..ted by
�•7"� INSTALLATION ONLY------.----------------------
The�installation is being made on property I own which is not intended for
sale, lease, or rent.
OWNER' S SIGNATURE=: _.............. . DATE: __...
________--_---_•--._-.-_------CQNTRACTOR INSTALLATION ONLY--------
'7
SIGNATURE OF SUPR. E~LEC' N a DATE a ��_: L�
LICENSE NO a
4+++++++++++++++•+•++++++"++++++++++++++++++++•++++++++++++++++4•++++++++++++++++++
Call 639-4175 by 7;00 P. M, for an inspection needed the next bo.tsiness day
++++++++++++++++++++++++.1�+++++++++s•+++++++++++++++++++++++++++++•++++++f++++++++
�a
i
Community Development RESTRICTED ENERGY ELECTRICAL.APPLICATION
13125 SW Half 23 PERMIT #
Tigard, OR 9722:.3
A Phone(503)639-4171
FAX(503)684.7297 DATc ISSUED
TDD No. (503)684-2772
CITY OF TIGARD Inspection (503)639-4175 ISSUED BY
1—h 13 ;4�- PLEASE COMPLETE ALI_ SECTIONS
1. LOCATION OF (NST LLA,�ION 4. TYPE OF WORK
Address i� RESIDENTIAL—Restricted Energy Fee. . . . . . . . . S41.QQ
E- b (FOR ALI SYSTEM
_ S)
City Stale zip Chech Type of Work involved:
PERMITS ARE NON-TRANSf r.RAOLE AND NON-R'rUNDARL F:AND EXPIRE IF WORK ❑ Audio and Stereo 5ystems*
IS NOT STARTED WITHIN 1110 DAYS OF ISSUANC E OR IF WORK IS SUSPENDED FOR
1110 DAYS, ❑ Burglar Alarm
11 Garage Door Opener*2. CONTRACTPR APPLICATION ❑ ticating,Ventilation and Air Conditioning System*
Contracloi: J_ �-- Type_ ❑ Vacuum Systems*
Adure�s
❑ Other - ---- — —
Dile- a � COMMERCIAL—Fee for each system . . . . . . . . 540.00
(SEE OAR 918.260-260)
Property Owner __ _ Check Tyne of Work Involved:
Contractor's Board Reg No. j•.���� ❑ Atulio and Stereo Systems*
/� ❑ Hailer Controls
Phone # 1 ❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
❑ Fire Alarm Installation
_ ❑ HVAC
Print Owner's Name Phone No
❑ Instrumenlalion
Address - ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
City State Lip ❑ Metiical
Tnis permit is Issued under OAR 91 h.420-370.This sppliomt .gu os to onake only ❑ Nurse Calls
restricted energy instaAatlons(100 vols amix or less)under this Iii-snit.and to r!o the ❑ Outdoor Landscape Lighting*
h,llnwing
-erotectivt Signaling
1. Only Pse vivorical licensed prmms to do inzt.dlations where requirml (Certain
residential and other transactions are PiemPt ft-mi lig vw-ing.These have El Olher
asterisks(*).All others need licensing). --V
2. Call fon an inspectnnn when ail of the installations under this permin are ready
fnr inslim1lon at 504 619-4175.
❑ _y____T Number of Systems
3. Purchase separate permits for all in�:illatinns that art,rind ready fnr Inspection
when the inspector Is nut to insprr t under this permit. •No Ih enses are required. Ucenw%are required or all other installations
4 Assume responslhltity for assuring that all cora,:ions mquinvl by the inspvctar
are done,and
5. Assume responsibility for calling for a final lnslivdion when all of the cormctions S. FEES
are completed. ll
lfl
Tb,: person signior,for this permit must he the applicant or a person a. Enter Fees $ `'
aul.,oriz d to hint the applicant. �� `2�
' �! "et - h. 5% Surcharge(.05 x total above) $ :::,(
t
TOTAL
Authority if other than applicant
ENERGAP,CHP
3'qZ
CITY OFTIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Bus!acss Phone: 6394171
Date RequeRted: _ J ' 3 ' l A. I'.M MST:
Location: 1195V clx) (�� _ _ _ BUP:
'tenant:_ 15 Suite: Bldg: —� MEC: —
Contractor: ? Phone � S��*� PI.M:
Owner: _ _---Phone: ----__-- ELC:r 150 D
ELR: 2e —CC
--._., SIT:
BUILDING BLDG(con't) PLUMBING MECHANICAL �LECTRICAYJ SITE
Site PostMeatn Post/13eant Postilicarl `Covcr civice Sewer/Storm
I'ooting Roof Undf'I/Slat) Rough-In Ceiling Water Line
Slat) Frarning Top Out Gas Line Rough-In (10 Sprinkler
Poundation Insulation Sewer Iiorxvl)uct Reconnect Vauit
Rsint Damp Drywall Storm I':unace Temp Service MISC.
Masonry Ceiling Rain Drain A/C Ilah
Shear/Sheath ['ire Spidr/Alm Crawl/I'ound lr Ifeat Ihnnn 1, w Volt
Approved Approved Approved Apprnvul Approved
Appr/Sdwlk Not Approved Not Approval Not Approved T777VITroved Not Approved
I'INAL FINAL FINAL FINAL FINAL
/j
C1 Call for reinspection einspection fee of S _ required I-cforene. 'ns O Unable to inspect
Inspector— — lhn _ Page-- _—�of _