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Permit ,_------------ -_--_- __ ___� 1./ � -�p��� OF � ELECTRICAL PERMIT � � � RESTRICTED ENERGY COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #: ELR96-0018 13125 SW Hall Blvd. Tigard, Oregon 97223°81ee (503) 639-4171 DATE ISSUED: 01/12/96 PARCEL: 2S102BA-00200 SITE ADDRESS...: 12045 SW 95TH AVE SUBDIVISION....: Nt]. TIGARDVILLE ADDITION AMEND. ZONING: R-25 BLOCK..........: LOT........ ..... :61 Project Description: Restricted energy electrical installer log ________ A. RESIDENTIAL--- B. COMMERCIAL— — — AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING..: BURGLAR ALARM....:X BOILER..........: LANDSCAPE/IRRIGAT..: GARAGE OPENER.... :X CLOCK........... : MEDICAL........ .... : HVAC'''..........:X DATA/TELE COMM..: NURSE CALLS VACUUM SYSTEM....: FIRE ALARM......: OUTDOOR LANDSC LITE: OTHER: HVAC ^ PROTECTIVE SIGNAL..: INSTRUMENTATION.: OTHER..: :: TOTAL # OF SYSTEMS: 0 Applicant: — — — -- FEES LANDMARK DEVELOPMENT CORP. type amount by date recpt 9990 SW GREENBURG RD PRMT $ 40.00 JSD 01/12/96 96-27 SUITE 101 5PCT $ 2.00 JSD 01/12/96 96-274877 PORTLAND OR 97223 Phone #: 620-4427 Contractor: --- — PACRIM ENGINEERING & DESIGN • $ 42.00 TOTAL 9990 SW GREENBURG RD SUITE 101 -- REQUIRED INSPECTIONS PORTLAND OR 97223 Ceiling Cover Elect'l Final Phone #: 620-4427 Wall Cover . Reg #..: 081868 This permit is issued subject to the regulations contained in the /d '~ Tigard Municipal Code, State of Ore. Specialty Codes and all other Permitee Signature applicable laws. All work will be done in accordance with approved plans. This peroit will expire if work is not started within 180 days of issuance, or if work is suspended for core --~ . ' than 180 days. s sued ---- — OWNER INSTALLATI N 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 inspection — 639-4175 Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION • 13125 SW Hall Blvd. e � � / � Tigard, OR 97223 PERMIT # t--1 l7 — I 7 i��raNgMi 'N�1141 =�j Phone (503) 63 ,=7 FAX (503) 6847 297 DATE ISSUED 0 / — I ' ' t° _Al, - 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 PP ,SW 95 ()AA. Address /` � , / RESIDENTIAL — Restricted Energy Fee $40.00 I l id l/ ) � (FOR ALL SYSTEMS) ' City J State Zip Check Type of Work Involved: PERMITS ARE NON - TRANSFERABLE AND NON - REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR 180 DAYS. 71. Burglar Alarm p Garage Door Opener* 2. CONTRACTOR APPLICATION Heating, Ventilation and Air Conditioning System* Contractor� Type ❑ Vacuum Systems* q e l% SW � Address Y 'L ) 1 i g arcJ 97223 ❑ Other Date I // 2 lc? COMMERCIAL — Fee for each system $40.00 _, (SEE OAR 918- 260 -260) Property Owner e1 Vhcc'c l imE� 1 Check Type of Work Involved: • Contractor's Board Reg. No. 03 1 g (0 D ❑ Audio and Stereo Systems ❑ Boiler Controls Phone # I o — 4 c 7 ) ❑ Clock Systems 3. OWNER APPLICATION ❑ Data Telecommunication Installations ❑ Fire Alarm Installation c 1 ftOrnct ea-e, /D eAti± ('P 620,442) ❑ HVAC Print Owner's Name r Phone No ❑ Instrumentation 5 stigree an ci kol , Of Address ❑ Intercom and Paging Systems ` yj,d o G1 ` � ❑ 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: ❑ Protective Signaling 1. Only use electrical licensed persons to do installations where required. (Certain 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. /4 ---- The person signi : for this permit must be the applicant or a person a. Enter Fees $ authorized to .I/ the pplic ` b. 5% Surcharge (.05 x total above) $ Signature TOTAL $ /1F Authority if other than applicant ENERGAP.CHP 6/16/00 Activities for Case #: ELR96 -00018 2:08:57 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes ELRA003 Application received 1/12/96 1/12/96 JSD PASS JD 1/12/96 ELRA010 Permit created 1/12/96 1/12/96 JSD PASS JD 1/12/96 ELRA700 Ceiling Cover 1/12/96 JD 1/12/96 ELRA720 Wall Cover 1/12/96 JD 1/12/96 ELRA799 Elect'I Final 1/12/96 4/12/96 GS APP GES 4/12/96 ELRA500 (F) Issue permit 1/12/96 JSD PASS JD 1/12/96 ELRA720 Wall Cover 1/22/96 MJR PASS MJR 1/22/96 ELRA800 Case finaled 4/12/96 GS APP GES 4/12/96 ELRA800 Case finaled 8/14/96 MJR PASS MJR 8/14/96 Page 1 of 1 CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639 -4175 Business Phone: 639 -4171 Footing Rain Drain Cover /Service FINAL: Foundation Water Line Ceiling -+ Post/Beam Mech. Shear /Sheath Framing -Mech. PIbg.Und /Flr /Slab Plbg. Top Out Insulation Post/Beam Struct. Mech. Rough -in Gyp. Bd. CJ� s -ii# San. Sewer Gas Line Appr /Sdwlk Reins. Other: , , Date: s/� � ' l (p A.M. P.M. Entry: S W / Address:. / a7-© Li,s 7s Tenant: Ste: MST: ?s.5" as - --7 BUP: 0 /Own: L Z-U — L{ L{ 3--`1 MEC: PLM: _ ELC: 4 —ate V THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: I G yyyy / el -o .// si / 1� �L S C'1.-z1 e .7.1 , ei -- 1 ,° L t- 4 1 'e C. AI r' ^ I- bef4 'cam Inspectorn 6' 4' i Dater % APPROVED '!' : • P.': oVED /CALL FOR REINSP. i i. CO