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14095 SW FANNO CREEK PLACE "
CITY OF TIGARD
DEVELOPMENT SERVICES
ELECTRICAL PERMIT
13125 SW Hall Blve Tigard,OR 97223 (503)639.4171 RES)"FRIFTED ENEPG'.'
PERMIT #: FL.R96-03,81+
Dn'rE ISSUED: 12'/30/96
2'5112BB-11.900
E ADDRET,9. . . . 14095 SW FnNNO CREEK PL
UBD I V I B I ON. . . . : COLONY CREEK ESTATE13 NO. 1+ 79NING: R-.7
1,1..00K. . . . . . . . . . L.OT. . . . . . . . . . . . :99
i=li-ojer-t Description: INSTL BURGLAR ALARM
-----------
REc3I DENT I B.
AUDIO & GIERE10. . . AUC)10 8. STEREO— : JNTC_RCOM S. PAGTNG. .
BURGLAR ALARM. . . . : X BOILER. . . . . . . . . . : I-ANDSCA1'-`E/IRRIGAT. .
GARAGE OPENE-q. . . . . . . . . . . .. . . . : MEDICAL... . . . . . . . . „ . .
1-1VAC.. . . . . . . . . . . . . .. DATA/TELE COMM. - : NURSE CALLS. . . . . . . . .
VACUUM �3YFJEM. . . . PJ RE ALARM. )UTDOOP LANDS(", I- ITF-"
C)TH E R HVAC ,-'" "T" " , *
PROTECTIVE SIGNAI....
.1.*N 9)T "J LI I UrA J' r f ri i\i o rHER. . :
TOTAL # OF SYSTEMS:
0 w t I
BRETT GORnELL type amoo.tnt t y date t,ecpt
A 38 IGF 13TH PRMT $ 40. 00 FAT 12'/30/96 9- 6-2AAF--'(:4
EXPIRFI) 5PCT $ 2. 00 TnT 12/30/96 96-P88F--F,4
PORT-AND OP 97202'
Phone I*:
Con►:t-actov':
BRINK5 HOME 91ECURITY 00 TOTAL
8059 GW CIRPIUS DR
REQUIRED INSPECT IONS
SEPVERTON rJR 9*70.08 Ceiling Cover- Eie(-tl I 9e,-,ice
Phone #: V-641-0574 Wall. Covet- Elect' 1. F J nal
Rei 444r-
This pewit is issued subject to the regulations contained in the
Tigard Municipal Cede, State of Ore. Specialty Codes and all other P.,
ev'Mit gra b
applicable laws, 4:1 worN will be done in accordance with
approved plans, This pervit will expire if worth is not started
within 180 day, of issuance, or if worti is skispended Fat vore
than tu days, i—SVIr,F d 'y
0 W N E t< TNqToL--L,A'I-TC)N
The installation is being made on pt-opet-ty T awt, which is not intended fol.-
.;ale, lease, ot, t,ent.
OWNER' S 91GNATURE: GATE
.... ...CONTRACTOR IN!')TALLATION ONLY-,--------
SIGNATURE OF BUPR. ELEC" Nk DATE:
LICENOE NO: .........
Call fo, inspection -- 639-L,.175
1
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Clvd. i
Tigard,OR 97223 PERMIT#
Phone(503)639-4171
FAX(503)684-7297 DATE ISSUED
TDD No. (503)684-2772 —
CITY OF TIOARD Inspection (503)639-4175 ISSUFD BY
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTA TION4. TYPE OF WORK
Add r RESIDENT IAL-Re! 'riled Energy Fee . . . . . . . 140.0
(FOR ALL SYSTEMS)
City State Zip Check Tyle of Work Invalyed:
PERMITS ARF.NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ ^udict and StSystems
IS NUT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR Stereo Y
180 DAYS. burglar Alarm
2. CONTRACTOR APPLICATION ❑ Garage Door Opener*
BRINKS HOME SECURM ALARM ❑ Heating,Ventilation and Air Conditioning System'
Contrado _ I y e_ ❑ Vacuum Systems*
Address 8059 S.W. CIRRUS DRIVE, BEAVERTON 97008 ❑ Other___________
Date_ 7- 2Z __ COMMERCIAL--Fee for each system . . . . . . . . . 940.00
(SEE OAR 9'18-260-260)
Property OwnerQil/_�II
Check TXpe of Work Involved:
Contractor's Board Reg. No, 044411 ❑ Audio and Stereo Systems
❑ Boiler Controls
Phone# (503) 641.-0574 ❑ Clock Systems
3. OWNER APPLICATION EXPIRED El Data Telecommunication Installations
0 Fire Alarm Installation
_ ❑ HVAC
Print Owner's Name Phone No ❑ Instrumentation
Address — ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
City State Zip ❑ Medical
I his permit is Issued under OAR 918.320.370.This applicant agrees to make only ❑ Nurse Calls
restricted energy installations 1100 vnh amps or lessl 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 am 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 lids permit. •No licenses are required. Licenses are required for all other installations.
4. Assume responsibility 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 completed.
The person signing for this permit must be the applicant or a person a. Enter Fees $ � r
authorized to bind the applicant. —
b. 5% Surcharge(.05 x total above) $
Signature —
TOTAL $�
Authority if other than applican
ENERGAP.f_HP