Permit CITY OF TIGARD
'1l � l � � DEVELOPMENT SERVICES ELECTRICAL PERMIT —
— = 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 RESTRICTED ENERGY
PERMIT #: ELR98 -0053
DATE ISSUED: 02/19/98
PARCEL: 1S13EDA- 00100
SITE ADDRESS...:11308 SW 68TH PKWY
SUBDIVISION ZONING:MUE
BLOCK LOT JURISDICTN: TIG
Project Description : Add data telecommunication installation to a tenant occpy.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING.. :
BURGLAR ALARM BOILER • LANDSCAPE/ IRRI GAT. .
GARAGE OPENER CLOCK • MEDICAL
HVAC DATA /TELE COMM..:X NURSE CALLS
VACUUM SYSTEM • FIRE ALARM • OUTDOOR LANDSC LITE:
OTHER: . HVAC PROTECTIVE SIGNAL..:
INSTRUMENTATION.: OTHER..: ..
TOTAL # OF SYSTEMS: 1
Owner: FEES
PROVIDENCE type amount by date recpt
11308 SW 68TH PKWY PRMT $ 40.00 GEO 02/19/98 98- 303439
TIGARD OR 97223 5PCT $ 2.00 GEO 02/19/98 98- 303439
Phone #: 234 -9900
Contractor:
OREGON ELECTRIC CONST /GROUP $ 42.00 TOTAL
1010 SE 11TH AVE
REQUIRED INSPECTIONS
PORTLAND OR 97214 Low Voltage Insp
Phone #: 234 -9900 Elect' 1 Final
Reg #..: 203
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180
days of issuance, or if work is suspended for sore than 180 days. ATTENTION: Oregon law requires you to follow rule adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 -0010 through OAR 952 -'4A-0080. You may obtain copies of
these rules or direct• (503)246 - 1987.
Issued b Ade tif i . .ri� Permittee Signature
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for
sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY Q
SIGNATURE OF SUPR. ELEC'N: DATE: ! cG�
LICENSE NO:
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd. p
Tigard, OR 97223 PERMIT # E-C /ef - et 53
_i_14- � 4 Phone (503)
(503) 684-7297 1
DATE ISSUED
TDD No. (503) 684 -2772
CITY OF TIGARD Inspection (503) 639 -4175 ISSUED BY
Job #18086 PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
11308 SW 68th Pkwy.
Address • RESIDENTIAL — Restricted Energy Fee $40.00
Tigard, OR (FOR ALL SYSTEMS)
City State Zip Check Type of Work Involved:
PERMITS ARE NON - TRANSFERABLE AND NON - REFUNDABLE AND EXPIRE IF WORK , ❑ Audio and Stereo Systems*
15 NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK 15 SUSPENDED FOR
180 DAYS. ❑ Burglar Alarm
❑ Garage Door Opener*
2. CONTRACTOR APPLICATION
❑ Heating, Ventilation and Air Conditioning System*
Contractor Oregon Electrikypf$roup ❑ Vacuum Systems*
❑ Other
Address 1010 SE llth Ave.
Date 7/17/98 COMMERCIAL — Fee for each system $40.00
(SEE OAR 918- 260 -260)
Property Owner ProviaenrP Health SystPmc Check Type of Work Involved:
Contractor's Board Reg. No. 203 ❑ Audio and Stereo Systems*
❑ Boiler Controls
Phone# 503/234 -9900 ❑ 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 918- 320 -370. This applicant agrees to make only ❑ Nurse Calls
restricted energy installations (100 volt amps or less) under this permit and to do the ❑ Outdoor Landscape Lighting*
following:
0
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
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. ❑ 1 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 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 corrections 5. FEES
are completed.
The person signing for this permit must be the applicant or a person a. Enter Fees $ 40.00
authorized to bind the plicant.
„ ' b. 5% Surcharge (05 x total above) $ 2.00
Signature
OTAL $ 42.00
Authority if other than applicant
ENERGAP.CHP
3/6/00 Activities for Case #: ELR98 -00053
7:51:36 AM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELRC001 APPlication Received 2/19/98 GEO RECD GEO 2/19/98
ELRC003 Permit Created 2/19/98 GEO DONE GEO 2/19/98
ELRC725 Low Voltage Inspection 2/19/98 2/19/98 BRP PASS B'P 4/6/98
ELRC799 Elect'I Final 2/19/98 4/8/98 BRP PASS B *P 4/8/98
ELRC500 (F) Issue permit 2/19/98 GEO PASS GEO 2/19/98
ELRC725 Low Voltage Inspection 4/3/98 BRP PASS DGW 4/8/98 Roughin by OEG approved.
ELRC800 Case finaled 5/12/98 BRP PASS J *H 5/12/98
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