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8317 SW DURHAM ROAD 00 W i 0 .f r I 9317 SW DURHAM ROAD, s • CITY OF TIGARD ^��[.C`TI .. .. ,,,-I~J C.TI C 1Z1,i 'RuY COMMUNITY DEVELOPMENT DEPARTMENT -,',r'lIT 4. CLR96._0087 13125 3W Hall Blvd.Tlgar.1,Oregon 97223.9194 (503)639-4171 T r I (..11rrr, 01, r'r+ii CZ L.. is u 11 Lc,Z CgMMEr.0 S AL . . rIUD I O OTIr RLC. . I t�il'O RCCM R �'CaG I rJr�. CLtOC'I.... . . . . . . . . . . a MET)I CAL.. . . . . . . . . . . . l"ATf1/Tl'1-17 '110MM. . NlJrZWr. cAll1. '". . . . ALARM. . . . . . 0L'TV001'7; L N D'-C L 1 T~ • .. rI"'i(ir. . . . . . . . . . . . . tr r10Tt:,r1 INSTRUMENTATION. c DT1"Ir::R. . TOTAL L. IAM type aro; ; -A bj datr Srl"T t 1 .1C1.1 03. MCI,r'r'l I .sDe reit is issued subject to the replationE zoilvaineJ in the jard Mun, cipl Coder State of Ore. ;pfr.:a;t; Cunei and a;y athv- ;licawle lane. All *ark will be dare with waved plaps. This pereit will expire if aor.k is nct started �` ���-- 'hi+r 104+ days J i6%u0cl, or if mark it = spendfd fcr 61' Irl I MIT AI..I.r�T I C 08NL' o"e3dV all pr-Gpe�.t y 2 :ti:11 Wi Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION 13125 SW Hall Blvd. — , _ ���6-� 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 INSTALLA ION (A) 4. TYPE OF WORK Add RESIVENTIAI.—Restricted Energy Fee. . . . . . . . . 140.00 LOA (FOR ALL SYSTEMS) (-ity State• Zip Check Type of Work Involved: PERMITS ARE NUN-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 _�-�^ 1B DAYS. ..liurgiar Alarm 2. CONTRACTOR APPLICATION /❑ Garage Door Opener' r 13 Heating,Ventilation and Air Conditioning System* Contractor q I ype_A__�m ❑ Vacuum Systems' ❑ other-----. _111 ` prr�5 - - - -- Address �p � (�C]f�, __ ._ Date_ 01W) �_=1_J __.. COMMERCIAL—Fee for each system . . . . . . . . $40.00 (SEE OAR 918-260-260) Property Owner Check Tyne of Work Involved: Contractor's Board Reg. No. �,2.1 _.___.____ ❑ Audio and Stereo Systems ❑ Boiler Controls Phone# 2 , 1'V _— ❑ Clock Systems ❑ Data Telecommunication!nstallations 3. OWNER APPLICATION ❑ Fire Alarm Installation 0 HVAC Print Owner's NamePhone No ❑ Instrumentation Address —� ❑ Intercom and Paging Sys.ems ❑ Landscape Irrigation Control* City State Zip ❑ Medical This permit is issued unk'er OAR 918.320.370.This applicant agree,to make only ❑ Nurse Calls restricted energy Installati�ns 000 v(h amps or less)under this permit and to do the ❑ Outdoor 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 _- astmisksl.)..411 others need licensing). 2. Call for an inspection when all of the installations under this permit are ready for inspection at 503-639.4175. ❑ v_ Number of Systems 1. 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 Insulations. 4 Assume responsibility for assuring that all corrections required by the inspector are done,and S. Assume responsibility for calling for a final inspection when all of the S. FEES corrections are completed. The person signing for this permit must be the applicant or a person a. Enter Fees $� w ,l ori7ed to hind t liFaaf /� h. 5%Surcharge(.05 x total above)(:�A - — $ r�v Siy nature TOTAL $_ Authority if other than applicant ENFRGAP.CHP CIWOFTIGARD COMMUNITY DEVELOPMENT DEPARTMENT CERTIFICATE OF 131:5 25 SVV Hall BIA.Tigarci,Oregon 9722398199 (503)639-4171 OCCUPANCY F:,ERmiT #. . . . . . . % ms,p5-010 DATE ISSUED: 08/ 13/96 PAkCEL: 1:31TF ADURLSS. . . .. 08311 ;W DURM-401 RE) 1, - SUBDIVIS13N. . . . s ZONING.R I.? 8 1.(Jr.K. . . . . . . . . . .. . . . . . . . . . . . . I CLASS OF WUPK. -.NEW TYPL OF UISE. . . :;PI4;f 01CLUPANCY GRP. . r4 OCLUPANLY LOAD: Remai kic Consti-kiLt thir-ae-Unit apair-i'ment building. Wnits 1'.5 15) Owriev,j WILLIAM REED PC) L40X 12'564' PORTLPND OR 9/r-'12 Phone #: :?49- 7375 R & R ENERGY RLSOURCEf, 10.sy,p :,W pr RTER POR71-AND OR Phurip #.- 292-5051 Rey ft. . 1 71865 this Certificate 91r,arit5 oCCLjp4Etjjcy of the above t-efeve-iced buildinU ot- pot-tion thereof and confirms that the building has been 3rispec-ted fav- compliance with the State of Ov"P9011 c ec.ialty CcidP4 for- the gr-OUP, OcIc"kipaTcyl arid 1,se tmdet which 1, L;b f e 1-0 11 p -mit was issued. i 11,L)PEL I il I BUILDING OFFIC101- POST IN CONSPICUOUS PLACr-.. MASTER P,ERMIT MST5­0076 Cms"FITY OF Yl�,A,RD DATEIISSUED: . 12/18/959 COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 9722398199 (503)639-4171 r-APCEL_: ISS I12CC-01700 ITF ZONING: R-12 UBDlVISION. L_OT. . . . . . . . . . . . . . Remarks: Construct three-unit apartment building, -------------------------------------------------------------- BUILDING ------------------—------------------------------------------ REISSUE: STORES.......: 2 FLOOR AREAS---------- BASEMENT...: @ sf REQUIRED SETBACKS----- REQUIRED------------- CLASS OF WORK.:NEW HEIGHT........: 23 FIRST,.,.: 2028 sf GARAGE.....1 1440 sf LEFT..........: 0 SMOKE DETECTRS: Y TYPE OF USE...:MF rl OOR LOAD....: 40 SECOND...- 2026 sf FRONT.........: 0 PARKING SPACES: 3 TYPE OF CONST.6-MR DWELLING UNITS- 3 F I NBSMENT: 0 Ef RIGHT,........: 0 OCCUPANCY GRP.IN BDRM: 9 BATH: 9 TOTAL------: 4056 sf VALUE—ti 117146 REAR..........: 0 --------------—---—---------------------------------------- PLUMBING --------—-------------------------I—-------------------------- SINKS.......... 3 WATER CLOSETS.: I WASHING MACH..: I LkNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS.........: 0 LAVATORIES....: 9 DI'WSHERS...: 3 FLOOR DRAINS.,1 0 SEWER LINT ft: 0 SF RAIN DRAINS: 0 CATC4 BASINS..: 0 TUB/SHOWERS...: 6 GrABAGE DISP-.: 3 WATER HEATERS.: S WATER LINE ft: 0 BCKF-W PREYNTR: 0 GREASE TRAPS..: 0 OTWP FIXTURES: 0 MECHANICAL -------------------------------------------------- ---------- PUEL TYPES----------- FURN ( lQ*K 0 BOIL/CMP ( 3HP: 3 VENT FANS.....1 18 CLOTHES DRYERS: ii /ELE/ / I FURN )=1W 0 UNIT HEATERS..- 0 140ODS.........1 0 OTHER UNITS...: 0 MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOODSTOVES....1 0 GAS OUTLETS...: 0 ELECTRICAL ---------------------------------------------------------------- -RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L IWJKCTIONS--- ;000 SF OR LESS: 1 0 :100 alp..: 0 0 - 200 alp..: 0 W/SVC OP FDR..., 0 PUMP/IRRIGATION: 0 PER INSPECTION0: EA ADDIL 50117.: 7 201 4811 asp..: 0 201 - A@@ asp..- 0 1st W/O SVC/FDR: I SIGN/OUT LIN LT: 0 PER HOUR...... : 0 LIMITED ENERGI. : 1 401 600 840,.: 0 401 - 600 amp..: Z EA ADDL BR CIA: 0 SIGNAL/PANEL...: 0 IN PLANT......: 0 MANF HM/SVC/FDR: 0 601 low amp.: 0 601+alps-I000 v: 0 MINOR LABEL -10: 0 IM+ 330/volt.: 0 .----------------------------- PLAN REVIEW kCTION ------------------------------- Reconnect ------------------------------ Reconnect only.: @ RES UNITS..: SVC/FDR)x225 A.: ) 600 V NONINALs CLS AREA/SPC OCC: ----------------- ELECTRICAL - RESTRICTED ENERGY ------ -----------•--------------------•-------------- A. -------------------------------------------- A. SF RESIDENTIAL--------------------------- B. COMMERCIAL------------------------- -------------------------------------------- AUDIO I STEREO.: VACUUM SYSTEM..: AMID i STEREO. : FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM-- 0TH: It BOILER.........: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER.. X CLOCK........... INSTRUMENTATION: MEDICAL......... OTHP- HVAC........... DATA/TELE COMM.: NURSE CALLS....: TOTAL I SYSTEMS: 0 Owner: ----------- -------------------Contractor: ------------------------------ TOTAL FEES-.$ 3379.30 WILLIAM REED R A R ENERGY RESOURCES DO BOX 2:564 10355 SW PORTER PORTLAND OR 97212 PORTLAND OR 972025 Phone #: 249-7375 ')hone #.- 292-591 Rea 1..: 71865 This tiervit it issued subject to the req,.tlation% contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable Jews- All work Pill be done in accordance with approved plans. This permit will Pxoire if work is not started within 6j days of issuance, or if work is suspended for more than 1811 days. REQUIRED INSPECTIONS ------- - -------------- -- - - _---------------------- Footing --------------------- Footing Insp Post/Beam Mechan Plusbina Too Out Shear Wail Insto Water Line Insp Building Final Fuundat:on Insp Pla/Underfloor FrzIling Insp Firewall Insp Water Seryire In Erosion Control Crawl Drain Fireplace Insp Gyp Board Into Appr5doolk Insp Wtr Proofing Est Slab Insp Cas Line Inso Reinforced cc- Smoke Detector "ost!Beas Struct Mechanical Insp sulation sv Rain Drain Insp Ptusb Final -,or-ri i t t;e e E)'i q i i a t;k-t v- S S 1.1 P ri P y Call f o r- inspection 639-•4175 a1� i City of Tigard Commercial Building Permit Application 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 •lobsite Address: � _ — �• �(,(�" �� 4 W , Tenant: _ Suits#_(j Valuation; - j-� 1�^ Planck/Rec # -L2" Permit Owner, If C/l'l') ( Ci_ Map & TL 9- Address: / . 0, 60x- 12 5'6 / Approvals Reauired p Planning Phone: 2 1 ` --- Engineering r Other Contractor. �L �l ( l^ Address: Type of const: J n Phone: 71 - Q 4M - 737 _ Occupancy class: __k� I Sprinklered? Yes No Contractor's License (attach copy of current Onegon Ikense) Sq. ft. of project: __ 144a M Contact name & phone: Cc�lr^.�• �(� l �-7 / � Story (1st, 2nd, etc.) Z Proposed use: � -J INC ArchitectlEngineer: • r'C"�� �/ r%S Ct-- Previous use: Address: L�•'/� T /L�;^C/� ( `^. �� 7���'�' Note: Plumbing R mechanical plans must be submitted at time of > > building permit application. Phone: JOB DESCRIPTION: r -' `t 1 Aoolicant ignature & Phmne number �— r Received by:..'14 i Date Received: February 26, 1996 William C. Reed Comp any & R Energy Resou ces PG. CITY OF TIGARD . Box 12564 Portia;,,i. OR 97212 OREGON Re: Reed Apartments Durham Avenue j In a routine inspection of the above referenced project, the City of Tigard's electrical inspector, ichael Rudd, discovered a fee calculation error based on the project type and work performed for the following permits: MST95-0073: 8273 SW Durham Rd. Alts. Q - 6 MST95-00i4 8289 SW Durham Rd. Apts. 7 - 9 MST95-0075: 8301 SW Durham Rd. Apts. 10 - 12 ,,UST95-0076: 8317 SW C'urham Rd. Apts. 13 - 15 While Multi-Family dwellings are classified as commercial projects for bui:ding code review requirements, they are a residential occupancy group R-1. The Commercial Plans E-aminer calculated the electrical fees based on the total square footage of the 3 unit buildings as follows. (1) at $1.0.00 for 1000 sq. ft. _ $11000 + (7) for @ addt'I 500 sq ft = $175.00 = SUBTOTAL: $285.00 x 5% tax = $14.25 = TOTAL. $399 25. The correct calculation of electrical fees should be based on each residential unit as follows per each 3 unit building: (3) at S110 00 for 1000 sq. ft. _ $330 00 + (3) for @ addt'I 500 sq. ft = $75.00 SUBTOTAL $405.00 x 5% tax = $20.25 = TOTAL. $425 25. ADDITIONAL FEES DUE PER PERMIT ABOVE: Elects permit: $405.00 - $285 00 = $120.00 5% Tax: 5 20.25 - $ 14.25 = 6.00 'Total. _ $126.00 Limited Energy was charged in error on a permits (525.00 + $1 25 tax) which represents the following credit: Electrical permit: $120.00 - $25.00 = $ 95.00 5% Tax: $ 6.00 - S 1 25 = S 4.75 TOTAL. = S 95.75 Please remit $39.00 ($99.75 x 4) to the City of Tigard immediately to rectify this error and bring your account into compliance. Permit MST95-0072 for Units 1-3 at 8265 SW Durham is ready for pick-uo Fees due for this permit reflect the electrical permit recalculations. If you have any questions, please contact me directly at 639-4171, extension #322. Sin rely, Jilldri Co munity Development. Customer Service Manager 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772 — ------------ July 22, 1997 William Reed 10355 SW Porter Portland OR 97225 RE: Dutzend Country Homes, Durham Road, Tigard, OR Deai Mr. Reed: It has corne to my attention that the City of Tigard and Washington County do not [lave sets of plans for 8273, 8317, 8289, and 8301 SW Durham Road. This may be due to the confusion during the plancheck or issuance of the above permits. The original plans and applications submitted were for 5 3-uilit apartments and were then changed to condominiums and given separate addresses. It is crucial that we obtain this information for our Records Depai tment. We can only accept a stamped set of plans. I will make a copy for our retention, a copy for Washington County and return the plans to you. Please contact me at your earliest convenience. Thank You, Jeanne Temple Administrative Specialist II Building Division c: Jack Graff, Washington County R& R Energy Resources CITY CSF T I GARD ELECTRICAL PERi',11 r' RECTF%'TCTrD C"'IEPCY COMMUNITY DEVELOPMENT DEPARTMENT rCRMIT #: EL.ROC-009Z 13125 SW Hall Blvd.Tigard,Oregon 9722398199 (603)639-4171 0 Tr I"1:3 U C'1). 7j 7.-'I.I/'a r 333 A IR C E L- 2 S I I t'5 CC 17021 '70N1 NO: � C-0 M M r)m C"iii L. 7 - AUDIO It TEREO. . . AUDIO & STEREO. , C I N C' ZLIAGLAO nL-nrM.. . . . X LIOTI-rn. . . . . . . . . . OPRAGECPUNCR. . . . s CLOCK. . . . a . . . . . . . MEDICAL. . . . . . . . . . . I ;VAC. :. . . . I . . . . . . . DATA/T71-17 COMM. . : ^4'UROC CC)' 1-7. 1 . . . . . VACUUM FIRE ALARM. . . . . . . OUTDOOR 'L..1N117;-,C L17 nT " Winc. . . . . . . . . . . . . PROTrf7*r.',,:- GNAL. . INSTRUMENTATION. : OTHER— : T 17)T P,L , —7 t ype amount by chat t. rMIT 40. 0.0 100 0: .'1 '' C, MO R!-, T r4 r 4r'. 00 TOTAL R I SO RCOUIRCD INSPECT IDNS WkIl C*;Ovet' perlit is issued subject to t`t regulations contained in the .4 't ,IN Runicipal Co'e, State e .41, 0-,,(, '-+iclaity Codes and all other l,ilcablt 1"s. A:: wwi'll Le lone ir, dLLQYdanC# Nith "V411d plims. This ve-lit will tier e if work is not started Ain IN days of AiUW%e, , ;f aerh is suipenJed for move .:i! i LiV i n71 pi',J�)Vk-t iAL DAtr 'ONTRACT1.11R, Community Development RESTRICTED ENERGY EL CTRICAL APP CATION 1317.5 SW Hall Blvd. �6 r 070 / Tigard, OR 97223 PERMIT# rz / / lJ Phone(503)639-4171 FAX(503)634-7297 DATE ISSUED _ 0�/ S TDD No. (503)684-2772 T CITY OF TIGARD► Inspection (503) 639-4175 ISSUED BY ,,�� � 3 3 S Sw'_ u./ZA PLEA COMPLETE ALL SECTIONS 1. LOCATION OF INSTALLATION (�� 4. TYPE OF WORK to /�_­RESIDFNTIAL—Restricted Energy Fee. . . . . . . . . 140.001 W1��-i l.e (FOR ALL SYSTEMS) City �`LL11----iiii..ssss�-- State Zip Check Type of Work Involved: PERMITS ARE NON•TRAN',FERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo S stems IS NOT STARTED WITHIN 100 DAYS OF ISSUANCE OR IF WORK 15 SUSPENDED FOR X13 A y 1110 DAYS. R.nurglar Alarm 2. CONTRACTOR APPLICATION110 ❑ Garage Door Opener' ,��,� ,��, �� ❑ Heating.Ventilation and Air Conditioning System' Contractor �•sur r e� rLv_ !'-_ ype ❑ Vacuum Systems' AddressLyzl 6),-) El Other_ ___— -- vate COMMERCIAL—Fee for each system . . . . . . . . . 140.00 �e'`'/1 (SEE OAR 918-260-260) Property Owner Check Type of Work Involved: Contractor's Board Reg. No. _ ❑ Audio and Stereo Systems ❑ Boiler Controls Phone# Dg�1 _ _ ❑ 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 910.320.370.This applicant agrees to make only ❑ Nurse Calls restdried energy installations(100 volt amps or less)under this Permit and to do the ❑ Outdoor Lands,ape Lighting* following ❑ Protective Signaling 1. Only use electrical licensed persons to do installations where required.(Certain 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 maul;, 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 msponsihllity,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 5. FEES corrections are completer(. The person signing for this permit must be the applicant or a person a. Enter Fees $ auth ized to hind the applicant. b. 5%Surcharge(.05 x total above) $ Signature / J TOTAL $ Authorily if other than applicant ENERGAP.CHP C 1-r", T R IC I CITY OF T I GARD [:14ERGY COMMUNITY DEVELOPMENT DEPP:5 i MENT PEPMIT #: EL_RI)-0009 1.3126 SW Hall Blvd.Tigard,Oregon 97223*6199 (5;3)639-4171 -Dr.,TC :CC'- 0170 'Tr- nnDR7 S". #lea DD'l V I I ON. 70NINGIR 1.'. Alar alarm I J, I-," r.. C'OMMERCIA!L. 'IUD 7-G & CTEWO. . AUDIO & STCRC-0. . N o'; 01N0. —J'M AI-Aim . . ; X lloil-rl--P. . . . . . . . CL 0(7 K'. . . . . . . . . . . . M't';;-D I C A I.. . . . . . . . . . . 0ATC)/T0-1*-; COMM. NU I-_ r"IRE ALARM. . . . . . . OUTDODn' ..,rV'T7,- ITk" . . . . .. . . . . . . ING T RUME NTAT I ON OTHER. .by datD type amok.int PnMT t 11,0.1 1sn 01111 - 5PCT $ 00 Jr 0 A"d tib;/1 on 3 7 es t 00 TOTML OR `471-1 �i col I Ang %une 0 C,17 mA is issued subject tc t1it regulations contained in the ------ jard r.:lkipa: Code, Stitt of Gre. Specialty C,31el and all ,�li 741e laws. All wcwi oil] to done is a.-cordann with ,Orsy#4 olint, T�ii ptE alt will axpi,e if w0 is -tot starter C. riij 1,R .;ijs f jisuvicaj o, J %:rk is suspended for sore OWNS P i k1`7 ALLA7 a 0r; 0 V--J Gr"UF'. :. DnTr" —r 7 r 1Wl T rl!l IN57TnLi-i-i T A I r, o n 3 4 17'- Community Development RESTRICTED ENERGY ELECTRICAL Ar_FigJ ATION 13125 SW Hall Blvd. Tigard,OR 97223 PERMIT# Phone(503)639-4171 FAX(503)684-7297 DATE ISSUED 0-3 TDD No. (503)684-2772 CITY OF TIGARD Inspection (503)639-4175 ISSUED BY h 3 -a I PLEASE COMPLETE_ ALL SECTIONS 1. LOCATION OF INSTAL�ON ` �� 4. TYPE OF WORK 12- 1 f'`� RESIDENTIAL—Restricted Energy Fee. . . . . . . . . Sg12 0 V0. (FOR ALL SYSTEMS) City State Zip Check Tyne 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 180 DAYS. �9Urglar Alarm 2. CONTRACTOR APPLICATION ❑ Garage Door Opener" ❑ Heating,Ventilation and Air Conditioning System" Contractor/lr✓( 4955pe-type�� _ ❑ Vacuum Systems' Address N 115 Ji ❑ t ilhcr Date q _ COMMERCIAL—Fee for each system . . . . . . . . . 140.00 ' (SEE OAR 918-260-260) Property Owner /tC..-q Check Toot-of Work Involved; Contractor's Board Reg. No. lY J�� -�_ _ _ _ ❑ Audio and Stereo Systems ❑ Boiler Controls Phone# q" O g�C _ _ ---------_ __. ❑ Clock Systems 3. OWNER APPLICATION ❑ Data Telecommunication Installations ❑ Fire Alarm Installation ❑ HVAC. Print Owner's Name Phone No ❑ Instrumentation Address ❑ Intercom and f_ming 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 1100 volt amps or less?under this permit and to do the ❑ Outdoor Landscape Lighting' following 1. Only use electrical licensed persons to do Installations where required.(Certain 11 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 1 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 tot assuring that all corrections required by the inspector are done,and 5. Assume responsibility for calling for a final inspection when all of the ..5. FEES corrections are completed. The person signing for this permit must he the applicant or a person I. Enter Fees $ v authorized to bind the applicant. b. 5% Surcharge(.05 x total above) $ 2. l/Signature TOTAL $ Authority if other than applicant FNFRGAP.CHP r .N 2312 1G 1 2G OA 5T moo f 3 -i s 5� 301 -215-0 0 _5�: 10G 1