8162 SW DURHAM ROAD I
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8162 SW DURHAM ROAD
//A, CITY OF TIGARD
DEVELOPMENT SERVICES
13125 RW Hell Blvd., Tigard,OR 97223 (503)639.4171 ELF:C;TRI GAL PERMIT -
RESTPICTFI) ENERGY
PERMIT #: ELR97-001.7
DATE ISSUED: (2�1 / 14/97
r'ARCEL: 2S 1 1.30B00/4-00
3:I'T' ADDRESS. . . : 081&? SW DURHAM RD
")UBDIVISION. . . . . 7.0NTNG: I-P
BLOCK LOT. . . . . . . . . . . . . .
Project Description: inst ). protective signaling
A. RESIDENTIAL------------ B.
AUDIO & STERE O. . . : AUDIO !i STERED. . : INTFRCOM 8 PAC)I NG. .
PURGLAR ALARM. . . . : BOILER. . . . . . . . . . : I_AN09CARE/IRRIGAT. . :
GARAC3f- OPENER. . . . . CLOCK. . . . . . . . . . . .. MEDICAL.. . . . . . . . . . . . .
HVAC. . . . . . . . . . . . . . DATA/TELE COMM. . . NURSE CAL.L.S. . . . . . . . .
VACUUM SYSTE'.M. . . . : FIRE. AL_ARM. . . . . . : OUTDOOR LANDS[', L I TI' :
C.)THER: : : HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . : X
IPJ S'TRUMENTA'f ION. : OTHE=R. . : . .
TOTAL # OF SYSTEMS: 1.
Owner • -- ...-.._.....___ .... _..........._....__._.... ..___._.__._._._.._-.___._._._._-- --_.-_-•--....______._ FER9
JAMES C'ASTILF type amal_tnt by date rerpt
780�7� fiW F,h.-fFRS PRMF $ 4o. 00 TAT 01 /1.4/97 9--2881.)58
SPCT $ 2. 00 TAT 01/14/97 97-.288858
DURHOM OE? `'J722''4
Phone #- 639-1395 EXPIRED
Contractor.: .. _._ -__._..__-_.___..._._____._____.-----__.._---_._ _____ .......__
ADT SEC URTTY AI...ARMS .,, �3 �,�i 42. 00 TOTAL
703 NE HANCnCK
-- -- -- REQU I RE'./ I NSPFCT i.ri)JS -------
F?Tl-AND OR '?'7r'1�=' C:(?i :ling Cover• Flert' 1 ;
X1'7 �; 3 _G
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd.
Tigard,OR 97223 PERMIT # _ K'(J 60 11
Phone(503)6.39-4171
FAX(503)684-7297 DATE ISSUED
TDD No, (503)684-2772 -
CITY OF TIGARD Inspection (503) 639-4175 ISSUED BY
PLEASE 'i OMPLETE ALL .SECTIONS
1. L�OCATION OF INSTALLATION 4. TYPE OF WORK
�
Address , � ��J /� RESIDENTIAL--Restricted Energy Fee. . .
-Gt%/�"� & 9 X7,1 (FOR ALL SYSTEMS)
Ci'p Slate Zip Check Type of Work Invr,jud:
PERMITS ARE.NON TRANSf ERAHLE AND NON•REFUNDARLE AND EXPIRt II WORK ❑ Audio and Stereo$ stems�
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE(_)R IF WORK IS SUSPENDED FOR y
190 DAYS' ❑ Burglar Alarm
2. CONTRACTOR APPLICATION ❑ Garage Door Opener'
❑ Heatir,g, Ventilation and Air Conditioning System'
Contractor_.�Qt;fIR11Y SYSiEA1S.I ,,type._____. El Vacuum Systems'
703 NE.HANCOCK ❑ Other
Address IillAND,OR 97212 __.._
Date�/ 1/f n� __ __ _ _ COMMERCIAL—Fee for each system . . . . . . . . 4U.Qt1
1 (SFC OAR 918-260-260)
Property Owner Check Typeof Work Involved:
Contractor's Board Reg. No. _ y y y't� ❑ Aueici and Stereo Systems
❑ Boller Controls
Phone # -__ ❑ Clock Systems
3. OWNER APPLICATION
❑ Data Telecommunication Installatio if
R _ ❑ Fire Alarm Installation
El HVAC
riot(-)wnrr's Name
❑ Imtruinentation
Addros!, ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control'
City State Zip ❑ Medical
T lits IM`flrlll Ii IShUPd Ilttller C nAR 91 fl•10-370 1 his applit ant agrees to make only ❑ Nurse Calls
resirirtrd energy nwall,luuns(1011 volt amps or less)tinder this permitand to rlu the ❑ Outdoor Landscape Lighting*
following
171 Protective Signaling
I. Only use r;ectrical licensed persons to do Installalinns when,re(juired.ICenaln
residential and other transactions are exempt from licensing.These have ❑ Other
ttsterlskst•t Ail nlhers need licensing). ---------........-.--_-.__..._.-..._.__.___.-___._ ..................... _
2. call for an htspoction when all()(the Installations under this permit are ready
for Inspection at 5n3-r,v)•41'5. ❑ Number of Systems
3. Pun!`ase separate pertr;,s Inr all In—illaiinns that are not ready for inspet tion
when the uts1,., to out In insimr t tit ho this permit. •No Iir uses are required t iuenrs are required for all other Installations.
4. Amon wsponslhllily for assuring that all cnn.`ctions inquired by the inspector
are done.and
5. Assume responsibility for rolling for a final Inspecoon when all of the S. FEES
rorwrtions are romplf ted.
The person signing to s per it must be the applicant ora livrson a. Enter Fees $�
.nuthnrized hind ap ant.
fL e_ b. 5%Surcharge(.05 x total above) $
$i alure —
TOTAL $_ Q
Authority if other than applicant
ENERGAP.CHP