Permit CITY OF TIGARD
' DEVELOPMENT ������U������
=�� ���" omo�.� . ���nu�n**�~�
ELECTRICAL PERMIT —
1� 13125 SW H� B�1���QR������9 /�
Blvd., Tigard, ' ' RESTRICTED ENERGY
PERMIT #: ELR96-0305
DATE ISSUED: 10/11/96
PARCEL: 2S101DB-00101
SITE ADDRESS...: 07420 SW HUNZIKER ST #A&D
SUBDIVISION....:' ' ZONING:C—P
BLOCK..........: LOT.............:
Project Description:: Protective signali
� :
A. RESIDENTIAL ' B. COMMERCIAL. — —
AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING..:
BURGLAR ALARM: LANDSCAPE/IRRIGAT. . :
GARAGE OPENER....: CLOCK ^ MEDICAL..'.........:
DATA/TELE COMM.,: NURSE`
VACUUM SYSTEM....: FIRE ALARM......: OUTDOOR LANDSC LITE:
OTHER: : : • . , HVAC., . . ,. . .,~ . : _ , ,PROTECTIVE SIGNAL. . :X
INSTRUMENTATION.: OTHER..:
TOTAL # OF SYSTEMS: 1
Owner: — FEES ------
RAY HALLWOOD • type amount by date recot
3270 SW LAKEVIEW CT • PRMT $ 40.00 JDA 10/07/96 96-284841
5PCT $ 2.00 JDA 10/07/96'96-284841
LAKE OSWEGO OR 97035
Phone #:
Contractor: -- — ---- ' — � •
PHILLIPS ELECTRONICS $ 42.00 TOTAL
1110 NW FLANDERS
REQUIRED INSPECTIONS -------
PORTLAND OR 97209 Wall Cover
Phone #: 503-227-121571 ` Elect'l Final
Reg #..: 43343
/
This permit is issued subject' to the regulations contained in • the • Id—, '' /
Tigard Municipal' Code, State' of Ore, Specialty Codes'anthall.other Perm i gnat ur
applicable laws. All work will be done in accordance with
approved plans. This permit will , expire if work is nut started
within 180/days of issuance, or if work is suspended. more
than .180 days. � � � � ' ' I` 'ued 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 SUPFL ELEC'N:. � DATE:
LICENSE NO:
Call for inspectibn — 639-4175
- —
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 PERMIT # G1& - 030.7
� Phone (503) 639 -4171 DATE ISSUED •7
�1/4441111 FAX (503) 684 -7297 f b
='� = --a TDD No. (503) 684 -2772
CITY OF TIGARD Inspection (503) 639 -4175 ISSUED BY /1)
•
PLEASE COMPLETE ALL • SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
7 ci 7 o �k,. Ru a: r r U. S,, 4
Address RESIDENTIAL — Restricted Energy Fee $40.00
- 1 -\ G-Ptet `` `1, Cl - 7/1 ; (FOR ALL SYSTEMS)
City 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. ❑ Burglar Alarm
R�3
2. CONTRACTOR N w og1,29 ij El Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
Contractor ? ,5k 0„,,L -1„ Type k to 1 001A.ai>c ❑ Vacuum Systems*
Address 'III 0 )0k • • q t .BPS 1 P01 V- q 7 anti El Other
Date c1 /So COMMERCIAL — Fee for each system $40.00
...- (SEE OAR 918 - 260 -260)
Property Owner '�u� , iv r. L (" i Aee!i Check Type of Work Involved:
Contractor's Board Reg. No. `B ( (iKp)(-ey / / ❑ Audio and Stereo Systems*
❑ Boiler Controls
Phone# 2-7-7 -0.c7 / ❑ Clock Systems
3. OWNER APPLICATION
El Data Telecommunication Installations
El 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 El 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.
El 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 corrections 5. FEES •
are completed. •
The person signing for this permit must be the applicant or a person a. Enter Fees $ I/O . 00
authorized to bind the applicant.
6; d(-1 b. 5% Surcharge (.05 x total above) $ . - -
Signature
TOTAL $ z. d
Authority if other than applicant
ENERGAP.CHP
CITY OF TIGARD BUILDING INSPECTION NOTICE
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 /Flr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other: Lc7"" Ur -cam
Date: !1 - 16- A.M. P.M. Entry:
Address: - 7 4 /0-0 S
Tenant: ..Ste:A_ MST:
BUP:
Con /Own:, 7 — A MEC:
fJ PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:y,/ 93
V er) A4-7 (s ' i ti`en
Inspector ) - . s r Date: /4
)
,'APPROVED DISAPPROVED /CALL FOR REINSP. CF CO