Loading...
Permit - CITY OF TIGARD '��,�,��, �� DEVELOPMENT SERVICES ELECTRICAL P ERMIT - �- ='� �.. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 RESTRICTED ENERGY F'ERM I T # : ELR98 —Q���� DATE ISSUED: Q�8/��/98 F'A RCEL : 2S 1 Q� 1 AD- 0`6Q�0 SITE ADDRESS...:1�6�5 SW 69TH AVE SUBDIVISION °WEST PORTLAND HEIGHTS ZONING:MUE FLOCK LOT •031 JURISDICTN: TIG F'ro.j ect Description : Add audio /stereo systee B protective signaling. A. RESIDENTIAL P. COMMERCIAL AUDI 0 R STEREO...: AUDI 0 R STEREO..: X I NTERCOM R F'AG I NG.. : PURGLAR ALARM BOILER LANDSCAPE /IRRIGAT..: GARAGE OPENER CLOC{'. MEDICAL . HVAC DATA /TELE COMM..: NURSE CALLS ° VACUUM SYSTEM FIRE ALARM OUTDOOR LANDSC LITE: OTHER: .. HVAC PROTECTIVE SIGNAL..:X INSTRUMENTATION.: OTHER..: .. TOTAL # OF SYSTEMS: Owner: FEES JOHN MCCROSKEY type amo��nt by date recpt 1415 SW FARMINGTON F'RMT � 80.00 GEO 08/20/98 98- 3Q�8443 REAVERTON OR 97 @05 5F'CT � 4• Q�Q� GEO Q�8 /`Q� /98 98— �Q�8443 Phone #: 646 -9157 Contractor: G!UADRANT SECURITY � 84.00 TOTAL (GARY NEDELISKY) F' 0 BOX 865Q�8 REG!U I RED I NSF'ECT I ONS PORTLAND OR 97 86 Low Voltage Insp Phone #: `.:,4 -5558 Elect' 1 Final Reg #..: 000968 This per�it is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All pork will be done in accordance pith approved plans. This perait sill expire if work is not started Within 180 days of issuance, or if work is suspended for yore than 180 days. ATTENTION: Dregon law requires you to follow rule adopted by the Qregon Utility Notification Center. Those rules are set forth in OAR 952- 801 -0010 through UAR 952- 001 -0080. You aay obtain copies of these rules or direct questions to �� NC .• (503)246 -1987. Issued b � �� /��l F'ermittee Signatu ,, 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 SIGNATURE OF SUF'R. ELEC' N : ' "/� DATE : � a� �� LICENSE N0: - +++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:Q�@ F'. M. for an inspection needed the next business day +++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + ++ + + + + + + + + ++ CITY OF_JIGARD �. RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by: 13'125 SW HALL BLVD Date Recd: TIGARD OR 97223 PRINT OR TYPE V - 503 -639 -4171 X304 Permit #: EL/ �3 F - 503 -684 -7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd: WILL NOT BE ACCEPTED Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL (D }� c � Restricted Energy Fee $40.00 �� $/�� Y //J> > (FOR ALL SYSTEMS) JQB Stre t Address Ste # ADDRESS I X � �Q�` Check Type of work Involved: City /Stat I �i� Phone # ❑ Audio and Stereo Systems TI �� Na ❑ Burglar Alarm ������ ���� ❑ Garage Door Opener' OWNER Mailing dress City /State Zip I Phone # ❑ Heating, Ventilation and Air Conditioning System' Name ❑ Vacuum Systems' (.��,�,QL�.� -� �QCLI.I'L� IIQ,VIC� ❑ Other CONTRACTOR M 'I' g Address �.� ��psp TYPE OF WORK INVOLVED - COMMERCIAL (Prior to issuance a �ty /$gate ^� 1 � n �Z�� Phone # Fee for each system ) $40.00 copy of all licenses �f`n.i.U� l� K� 23� -�jSg (SEE OAR 918 - 260 -260 are required if Oregon��n�t�8� Lic. # Exp. Date expired in C.O.T. Check Type of Work Involved: data base). Electrical Contr. Lic. # Exp. Date � ' 2�0 �D 5 �,(-� Audio and Stereo Systems C.O.T. or Metro Lic. # Exp. Date �[.�{p (p ❑ Boiler Controls Owner's Name ❑ Clock Systems OWNER - Mailing Address APPLICANT ❑ Data Telecommunication Installation City/ tae Zip Phone # ❑ Fire Alarm Installation This permit is issued under OAE 918 - 320 -370. This applicant agrees to make only restricted energy installations (100 volt amps or less) under this ❑ HVAC permit and to do the following: ❑ Instrumentation 1. Only use electrical licensed persons to do installations where required. Certain residential and other transactions are exempt from licensing. ❑ Intercom and Paging Systems These have asterisks('). All others need licensing; ❑ Landscape Irrigation Control' 2. Call for inspections when installation under this permit are ready for inspection at 503 - 639 175; ❑ Medical 3. Purchase separate permits for all installations that are not ready for an © Nurse Calls inspection when the inspector is out to inspect under this perrnit; 4. Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting' inspector are done, and; Protective Signaling 5. Assume responsibility for calling for a final inspection when all of the corrections are completed. ❑ Other Permits are non - transferable and non - refundable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. Number of Systems The person signing for this permit must be the applicant or a person • No licenses are required. Licenses are required for all other installations authorized to bind the applicant. ����� � I`� FEES: S19 ENTER FEES $ �l 1� CX� 5 %SURCHARGE (.05 X TOTAL ABOVE) $ ` � C� Authority if other than Applicant TOTAL $ b'�I' -CEO i:Vesele.doc 12/98 — Page No. 1 CASE HISTORY FOR CASE NO.: ELR98 -0223 JOHN MCCROSKEY 12625 ,SW 69TH AVE 11/20/98 Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ELRC001 Application Received / / / / 08/20/98 RECD GEO 08/20/98 DST ELRC003 Permit Created / / / / 08/20/98 DONE GEO 08/20/98 DST ELRC500 (F) Issue permit / / / / 08/20/98 PASS GEO 08/20/98 DST ELRC725 Low Voltage Inspection / / / / 08/26/98 PASS CD 08/26/98 CD ELRC799 Elect'1 Final / / / / 11/17/98 PASS CD 11/17/98 CD ELRC800 Case finaled / / / / 11/18/98 PASS CD 11/18/98 J *H