Permit CITY OF TIGARD
�i
DEVELOPMENT L SERVICES ELECTRICAL PERMIT -
-
. RESTRICTED ENERGY
PERMIT #: ELR97 -0004
DATE ISSUED: 01/06/97
PARCEL: 2S113AD -01800
SITE ADDRESS...: 16650 SW 72ND AVE #B -12
SUBDIVISION • ROSEWOOD ACRE TRACTS ZONING:I -L •
BLOCK........... LOT °11
Project Description: INSTL PROTECTIVE SIGNALING
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING..:
BURGLAR ALARM • BOILER LANDSCAPE /IRRIGAT..:
GARAGE OPENER • CLOCK • MEDICAL
HVAC • . DATA /TELE COMM..: NURSE CALLS •
VACUUM SYSTEM FIRE ALARM • OUTDOOR LANDSC LITE:
OTHER: .. HVAC PROTECTIVE SIGNAL..:X
INSTRUMENTATION.: OTHER..: •.
TOTAL # OF SYSTEMS: 1
Owner: FEES
PACTRUST type• amount by date recpt
16650 SW 72ND AVE PRMT $ 40.00 TAT 01/06/97 97- 288450
ST 12 SPCT $ 2.00 TAT 01/06/97 97- 288450
TIGARD OR 97223
Phone #:
Contractor:
SONITROL PACIFIC $ 42.00 TOTAL
1974 SW 6TH AVE
REQUIRED INSPECTIONS
PORTLAND OR 97201 Ceiling Cover Elect'1 Service
Phone #: 503 -223 -5822 Wall Cover Elect'1 Final
Reg #..: 000535
This permit is issued subject. to the regulations contained in the,
Tigard Municipal Code, State of Ore. Specialty Codes and all other Permit Signature
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 more A,e Y
than 180 days. I s s ' d By
• 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 SUPR. ELEC' N : DATE:
LICENSE NO:
Call for inspectiop,- 639 -4175
,._ __
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd. /q�7,
Tigard, OR 97223 PERMIT # Fi_ 00
i 97-
/�i�n:piy- i (.fie I ; \ Phone (503) 639 -4171 /(p/ ��
���1 I 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 INSTALLATION 4. TYPE OF WORK
./ilf SO YiNd ,
Address RESIDENTIAL — Restricted Energy Fee $40.00
ex ,9 22 V (FOR ALL SYSTEMS)
City vA 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 IS SUSPENDED FOR
180 DAYS. ❑ Burglar Alarm
❑ Garage Door Opener*
2. CONTRACTOR APPLICATION
�
/n �� y � ❑ Heating, Ventilation and Air Conditioning Systems
Contractor O N ro / Eto �, � / �
c Type AV ❑ Vacuum Systems*
Address
/7/ ,j7./ i "IK. " ,77,/ ❑ Other
Date / 'Z - °l/ /4 COMMERCIAL — Fee for each system 540.00
(SEE OAR 918 - 260 -260)
Property Owner Check Type of Work Involved:
Contractor's Board Reg. No. L5 3J 3 ❑ Audio and Stereo Systems
❑ Boiler Controls
Phone # p?.2 31/2- L ❑ Clock Systems
❑ Data Telecommunication Installations
3. OWNER APPLICATION
❑ 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:
1. Only use electrical licensed persons to do installations where required. (Certain rotective 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
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 5. FEES
corrections are completed.
The person signing for this permit must be the applicant or a person a. Enter Fees $ /0
authorized to bind th applicant.
i/ .e
b. 5% Surcharge (.05 x total above) $
Signature TOTAL $ 7 O
Authority if other than applicant
ENERGAP.CHP
CITY OF TIGARD BUILDING INSPECTION NOTICE 6— 1
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINAL:
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing -Mech.
PIbg.Und /FIr /Slab Plbg. Top Out Insulation 4 :10 1.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr /Sdwlk Reins.
Other: 0 ' 4 11#
Date: t --1 cl 1 A.M. P.M. Entry:
Address: I Co TO 7 ✓Yi61
Tenant: .- Z T Ste: MST:
BUP:
Con /Own: MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: 7 UOne/
S..c7/ �1T
..e.__,/) r -z.)---J
c C f - - s ,, c -
Frey-eq rp_ .
Inspector: ,i i _- i _ii Date: /— �7
APPROVED _ DISAPPROVED /CALL FOR REINSP. CO