Permit • CITY OF TIGARD ELECTRICAL PERMIT —
DEVELOPMENT SERVICES RESTRICTED ENERGY
'` PERMIT #: ELR97 -0332
�t.14 '� �.. 13125 SW Hall Blvd., Tigard, OR 97223 (509)639.4171 DATE ISSUED: 11/17/97
PARCEL: 2S104CB -01300
SITE ADDRESS •13179 SW ASCENSION DR '•
SUBDIVISION •HILLSHIRE WOODS ZONING:R -7 PD
BLOCK • LOT •029 JURISDICTN: TIG
Project Description: Add residential irrigation controller to an existing single
family dwelling.
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:IRRG CONTL::X HVAC • PROTECTIVE SIGNAL..:
INSTRUMENTATION.: OTHER..: ..
TOTAL # OF SYSTEMS: 0
Owner: • FEES
WINDWOOD HOMES INC type amount by date recpt
14076 SW BENCHVIEW TERR PRMT $ 40.00 GEO 11/17/97 97 -30988
TIGARD OR 97224 5PCT $ 2. GEO 11/17/97 97 -30988
Phone #: 590 -4700
Contractor: -- --
CEDAR LANDSCAPE $ 42.00.TOTAL
14375 SW PATRICIA
REQUIRED INSPECTIONS
HILLSBORO OR 97123 Low Voltage Insp
Phone #: 628 -3411 Elect'1 Final
Reg #..: 000058
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 188
days of issuance, or if work is suspended for more than 1. days. ATTENTION: Oregon law requires you to follow rule adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 881-8810 through OAR 952 - 801-9888. You lay obtain copies of
these rules or direct .uestio I , a 5831246 -1987.
I ssued by ,/ �; ������,, Permittee SignatureD244t-- 4.14 -4L_
- -- -OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for
szle, lease, or rent.
OWNER'S SIGNATURE: DATE:
—° - - - - CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
+•++-++++ +++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
+ + +'+ + + + + + + + + ++ + ++ + + + ++ + + ++ + ++ + + + ++ + + + ++ + ++ ++ + + + + + + + + + + + + + + + + ++ + + + + ++ + ++ ++ + ++ + + ++
•
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by:
13125 HALL BLVD Date Rec'd:
TIGARD OR 97223 PRINT OR TYPE
V - 503 -639 -4171 X304 Permit M: -/ 7 i 0 3 f,.7c
F - 503 -684 -7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Catl'd:
WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL
�/ '� , Restricted Energy Fee $40.00
r /
S rge •0aS (FOR ALL SYSTEMS)
JOB Street Address LS I
ADDRESS )3i 7y Sw! g sce ma c, �, a Check Type of Work Involved:
City/State Z ip Phone * ❑ Audio and Stereo Systems
Ti4ARD OR 1 122)
Name
/J ❑ Burglar Alarm
(AliNbWO01 iiimL✓S
OWNER Mailing Address ❑ Garage Door Opener
City /State Zip I Phone * ❑ Heating. Ventilation and Air Conditioning System'
Name ❑ Vacuum Systems'
Lfz►4R L,ANDsc.V�1E q--41C 1E( Other lRRr�{RTa J 4:424) TRocc ER
CONTRACTOR Mailing Address
/431. Sw ? Arib A A(/6' TYPE OF WORK INVOLVED - COMMERCIAL
(Prior to issuance a CO/State Z ip Phone M Fee for each system - $40.00 .
copy of all licenses Aid/ . (V. 9' 71.2.3 1 44).14 f (SEE OAR 918- 260 -260)
are required if Oregon Contr. Brd Lic. * Exp. Date
expired in C.O.T. 584 4 -98 Check Type of Work Involved:
data base). Electrical Contr. Lic. * Exp. Date ❑
Audio and Stereo Systems
C.O.T. or Metro Lic.* Exp. Date
❑ Boiler Controls
Owner's Name
OWNER - Mailing Address ❑ Clock Systems
APPLICANT ❑ Data Telecommunication Installation
City/State I Zip . Phone * ❑
Fire Alarm Installation
•
This permit is issued under OAE 918 - 320370. 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 th permit are ready for •
inspection at 50439.4175; ❑
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 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 rewired for all other installations
authorized to bind the applicant.
C 44 ..4.- 4-2.4
Signature ENTER FEES $ 4•0
5% SURCHARGE (.05 X TOTAL ABOVE) $ 2
Authority if other than Applicant TOTAL $ 4 2
veaele doc 19J96
. ..
tw... ..
5-2.3
. 04,3it P .
a CITY OF TIGARD BUILDING INSPECTION DIVISION
, 24-Hour Inspection Line: 639-4175 Business Phone: 639-4171
t s r
Date Requested: 5-A9- ' 8 . AM. P.M. MST:
-
Location: ?. . I , ..^a . I BUP:
Tenant: Suite: Bldg: MEC:
Contractor: 0 1 1 1 / ° Phone: 750- 4375 PLA43-7::04..r7 .
Owner: Phone: ELC:
LO C44.130A : & L t) ELRq 7-1
da*410.1_1 AZIACL sir:
BUILDING ft'on't) PLUMBING CHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover/Service Sewer/Storm
Footing Roof UndFl/SAb Rough-In Ceiling Water Line
Slab Framing Top Out , Gas Line Rough-In UG Sprinkler
Founda.:3n Insulation Sewer(- 0/ I f Hood/Duct Reconnect Vault
Bsmt Damp Drys all Storm Furnace Temp Service MEX.
Masonry Ceili.-g Rain Drain A/C UG Slab
ShetieSheath Fire Spklr/Alm Crawl/Found Dr Heat Pump . Low Volt
94t- Approved r .ppso -. . .
A /Sdvilk Not . ....!. ved 1 , _.._.' ',_...._'"'''' ' ved ot A .., .... Approved
ki.i; .
Ft d) ' 1 AL
ttgi 5 .; D""" .', I
. :
tre-f.
IA / • 4 i ' ! _ . , -d -1 ,.. ,i_ 4 -_
I
NW .'
. ■
----,-----.
•
0 Call for reinspection Cti Reinspection fee oft required before next inspection CI Unable to inspect
Inspector .. ../1„, , Date: 4.5 7 -'7 —' "$ Par of
i
.,