Permit ELECTRICAL PERMIT —
CITY OF TIGARD
PERMIT #: ELR96-0050
COMMUNITY DEVELOPMENT DEPARTMENT
DATE ISSUED: 02/01/96
13125 SW Hall Blvd. Tigard, Oregon 97223°8199 (503) 639-4171
PARCEL: 2S104DC-06800
SITE ADDRESS...: 13870 SW FERNRIDGE TERR
SUBDIVISION....: MORNINGSTAR ZONING:R-4.5 PD
BLOCK..........: LOT.............:009
Project Description: New residence
___
A. RESIDENTIAL---- B. COMMERCIAL--- -----
AUDIO & STEREO... :X AUDIO & STEREO..; INTERCOM & PAGING..:
BURGLAR ALARM....:X BOILER..........: LANDSCAPE/IRRIGAT..:
GARAGE OPENER....:X CLOCK...........: MEDICAL............:
HVAC......... .... :X DATA/TELE COMM..: NURSE CALLS........;
VACUUM SYSTEM....:X FIRE ALARM......: OUTDOOR LANDSC LITE:
OTHER: :: HVAC............: PROTECTIVE SIGNAL..:
INSTRUMENTATION.: OTHER..: ::
TOTAL # OF SYSTEMS: 0
Applicant: ---------------- — FEES ----- --
TOM ARVIDSON type amount by date recpt
15256 SW TEAL BLVD PRMT $ `40.00 JSD 02/01/96 96-275597
# B 5PCT $ 2.00 JSD 02/01/96 96-275597
BEAVERTON OR 97007
Phone #: 590-2955
Contractor: — ------- ----------- — ------------------------
CALLAGHAN CUSTOM HOMES INC $ 42.00 TOTAL
4545 SW CHUNUT CT
------- REQUIRED INSPECTIONS —
TUALATIN OR 97062 Ceiling Cover Elect'l Final
Phone #: 691-1262 Wall Cover
Reg #.. 58585
This permit is issued subject to the regulations contained in the _______
Tigard Municipal Code, State of Ore. Specialty Codes and all other Perm tee Sign are
applicable laws. All work will be done in accordance with
approved plams. This peroit will expire if work is not started Air `--------
=�~
within 180 days of issuance, or if work is suspended for core
than 180 days. Is tied 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 — ---
AUTHORIZED SIGNATURE: DATE:
LICENSE N8:
Call for inspection — 639-4175
•
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall 2 L
Tigard, OR 97223 23 PERMIT #
/�1t��aHq� _.4.'411 UN � 1 \ Phone (503) 639 -4171 O '- / c 6
TDD FAX No. 3) DATE ISSUED
) 684 2772 r
CITY OF TIGARD Inspection (503) 639 -4175 ISSUED BY
(,
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
13 i-2 n Sc"- . .t,-h ,-; ---z -r
Address RESIDENTIAL — Restricted Energy Fee $40.00
J 1 f, j 0//& 7 (FOR ALL SYSTEMS)
City State Zip Check Type of Work Involved:
PERMITS ARE NON - TRANSFERABLE AND NON - REFUNDABLE AND EXPIRE IF WORK Q Audio and Stereo Systems
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR
180 DAYS. Burglar Alarm
Gara Door Opener*
2. CONTRACTOR APPLICATION ❑'"Heating, Ventilation and Air Conditioning System*
Contractors 11.06h eetj/'Hozype Are.40 e 2 Vacuum Systems*
❑ Other
Address 1 `t2) le-4'4 G
Date 2.-- —/ -1 L COMMERCIAL — Fee for each system $40.00
n (SEE OAR 918 260 - 260)
Property Owner L >keP t > 4 ,4yllyd$n Check Type of Work Involved:
Contractor's Board Reg. No. 5 0r_ t� ❑ Audio and Stereo Systems
❑ Boiler Controls
Phone # 6, 7 t --/26.2- ❑ Clock Systems
❑ Data Telecommunication Installations
3. OWNER APPLICATION
❑ Fire Alarm Installation
❑ HVAC
Print Owner's Name Phone No
❑ Instrumentation
Address ID 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 ❑ Protective 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. U
The person signing for this permit must be the applicant or a person a. Enter Fees $
authorized to bind the applicant. /,
7 /.� alf b. 5% Surcharge (.05 x total above) $ ` l r �
Signature TOTAL $ _��
Authority if other than applicant
ENERGAP.CHP