Permit CITY OF TIGARD
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-'.. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 ELECTRICAL PERMIT -
RESTRICTED ENERGY
. .IstA.
PERMIT #: ELR98 -0199
DATE ISSUED: 07/29/98
. .(t• ® PARCEL: 28112CB -06900
SITE ADDRESS... :15425 SW 81ST AVE
SUBDIVISION °ASHFORD OAKS NO. 2 ZONING :R -7 PD
BLOCK LOT •083 JURISDICTN: TIG
Project Description : Installation of burglar alarm system.
A. RES I DENT I AL B. COMMERCIAL
AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING..:
BURGLAR ALARM °X BOILER..........: LANDSCAPE/ IRRI GAT. .:
GARAGE OPENER • CLOCK.....:...... MEDICAL.. — ... .... :
HVAC • DATA /TELE COMM....: NURSE CALLS •
VACUUM SYSTEM • FIRE ALARM OUTDOOR LANDSC LITE:
OTHER: .. HVAC PROTECTIVE SIGNAL..:
INSTRUMENTATION.: OTHER..: ..
TOTAL # OF SYSTEMS: 0
Owner: FEES
J R BURWELL & MARTA CAMPBELL type amount by date recpt
15425 SW 81ST AVE PRMT $ 40.00 DEB 07 /29/98 98- 307811
TIGARD OR 97224 5PCT $ 2.00 DEB 07/29/98 98- 307811
Phone #:
Contractor:
PHILLIPS ELECTRONICS $ 42.00 TOTAL
(DBA FOR MASTER ALARM L. L. C. )
1110 NW FLANDERS REQUIRED INSPECTIONS
PORTLAND OR 97209 Ceiling Cover Low Voltage Insp
Phone #: 222 -5083 Wall Cover Elect'1 Final
Reg #..: 001253
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 more than 180 days. ATTENTION: Oregon law requires you to follow rule adopted by the
Oregon Utilit fication Center. Those rules are set forth in OAR 952 -001 -0010 through OAR 952- 001 -0080. You may obtain copies of
these rul- or direc •uestions ti OUNC at (503)246 -1987. `` �
Issue by . �!'��� �4,,.�1_ Permittee Signat�_ire..ANi¢[.l�..eAlime..,, '
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:
•
CONTRAC OR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: //I— DATE:
LICENSE NO:
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7 :00 P.M. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
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CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by:
13125 SW-HALL BLVD RECEIV 7 o: d Date Rec'd: 7 —, —91
TIGARD OR 97223 PRINT OR TYPE
V - 503 - 639 -4171 X304 JUL 2 0 • •8 Permit #: G!-.2 9 f - Gfl7
F - 503 - 684 -7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:
WILL NOT BE ACCEIUED iiy DEUEI(1PMFNT
Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
-� r� I4 14 J '_ / 1 ._ . Restricted Energy Fee $40.00
�►� �$ ��' [ �eQ (/h [ (FOR ALL SYSTEMS)
J ,r �Stre:41 a r - t } di S �A , a y� srs r , a _. ak rk 4160c,:05.151
' etV �5 t �- s ss ' x , Check Type of Workn
' Ivolved t
ADDRES ---':---• S L57ga .. ,.;-gx i .', :i ' < . a f ' ` y e • Cit /State .. __ •.__..... 'Phone P hone # .._..._ ... _ Audio and Stereo Systems • :__.. __. 3_ .: .,._ x_ f... _ --_:.
Tfi 1 �! ❑
Na Me
pi!J� /, • Burglar Alarm
Address l / ��" `�- �� ❑ Garage Door Opener*
OWNER Mailing Ares
City /State Zip Phone # El Heating, Ventilation and Air Conditioning System*
Name ❑ Vacuum Systems*
n Other
CONTRACTOR Mail
%
g/Address
MO NCO Fk TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to issuance a CpZiip Phone # Fee for each system $40.00
copy of all licenses City/Stat
.- / 72609' 22.2_3-0e_ (SEE OAR 918 - 260 -260)
are required if Oregon Contr. B d Lic. # Ex . Date
expired in C.O.T. /,'24"36 4•, �p�t Check Type of Work Involved:
data base). Electrical Contr. Lic. # Exp. Date
3_Ci_..E ob t ed ❑ Audio and Stereo Systems
C.O.T. or Metro Lic. # Exp. 99at
3 (o 0 3 Jo/i /fig n Boiler Controls
Owner's Name
❑ Clock Systems
OWNER - Mailing Address
APPLICANT ❑ Data Telecommunication Installation
City /State 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 n 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. n 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 -4175; ❑ Medical
3. Purchase separate permits for all installations that are not ready for an
17 Nurse Calls
inspection when the inspector is out to inspect under this permit;
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.
FEES:
Signature ENTER FEES $ 40
5% SURCHARGE (.05 X TOTAL ABOVE) $ ,a,OO
Authority if other than Applicant TOTAL $ 1 0 .
i:\dsts\resele.doc 7/97 —
6/16/00 Activities for Case #: ELR98 -00199
1:27:38 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELRA003 Application received 7/29/98 DEB MAIL DRA 7/29/98
ELRA010 Permit created 7/29/98 DEB DONE DRA 7/29/98
ELRA700 Ceiling Cover DRA 7/29/98
ELRA720 Wall Cover DRA 7/29/98
ELRA725 Low Voltage Inspection DRA 7/29/98
ELRA799 Elect'I Final DRA 7/29/98
ELRA500 (F) Issue permit 7/29/98 DEB DONE KJP 7/29/98
ELRA920 Miscellaneous action 2/15/00 JMT DONE No Hold JMT 2/15/00 research inspection request
ELRA580 Expired by limitation 6/7/00 HAP DONE No Hold AKJ 6/7/00
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