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Permit � CITY � � DEVELOPMENT SERVICES ��~~� ~~m~��. .�.�~.� . ��~~. "�..~m~�� ' ;( ELECTRICAL PERMIT 1J- /31255N/ Hall BAvd. Tigard, �03 6�8��7/ Blvd., ~-- ' ~' RESTRICTED ENERGY PERMIT #: ELR97-0025 • DATE ISSUED: 01/23/97 u�^ -� 4 ��� /' " PARCEL: 2S101DB-00101 SITE ADDRESS...: 0��5V SW HUNZIKER ST #A SUBDIVISION....: ZONING:C-P BLOCK ^ LOT.'...........: Project Description: INSTL PROTECTIVE A. RESIDENTIAL B. COMMERCIAL - - -- AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING..: BURGLAR ALARM^� .� -'' -, • ' BOILER��°=�� . . .� « � ' ~ LANDSCAPE/IRRIGAT. . : GARAGE OPENER. ... : CLOCK. .... ...... : MEDICAL...... . . . ... : COMM. , I NURSE CALLS. . . . . . . . : VACUUM SYSTEM ^ FIRE ALARM ^ OUTDOOR LANDSC LITE: OTHER: ' '^ �' .^ «��'�-� � -/ HVAC�p.^ . . .�..~�~^ �.�`_ � �� PROTECTIVE SIGNAL. . :X INSTRUMENTATION.: OTHER..: :: , . ,,..„'TOTAL 4 OF SYSTEMS: 1 Owner: - - FEES -- FOUNDATIQN.ENGIMEERING'„ . � ., �. ' type amount. by.. date ` ^ recpt ^ 7420 SW HUNZIKER RD PRMT $ 40.00 TAT 01/23/97 97-289382] ' � ` . '`` ~' ` ' ',' � ~^ 5PCT $' ~ . ` 2. 00rTAT 01/23/97 97-289382 TIGARD OR 97223 Phone 4: Contractor: --- - . - ---- PHILLIPS ELECTRONICS DBA FOR $ 42.00 TOTAL (DBA FOR MASTER ALARML.L.C.) 1110 NW FLANDERS REQUIRED INSPECTIONS PORTLAND OR 97209 Ceiling Cover Elect'l Service Phone 41-503-227-0571, ' � '� `� ` . ` , ` - ' � ^Wall Cover Elect'l Final . Reg #..: 000433 This permit is iss��bject.t»the regulations, the. "4 / -L1 Tigard Municipal Code, State-of Ore. Specialty-Godes and^aD other P applicable laws. All work will be done in accordance with approved ;lams. This permit will 'oxpbre-if work is not started:,,, within 180 days of issuance, or if work is suspended for more than 180 days. ' . Issued: B ------ OWNER INSTALLATION ONLY -------- The installation is-'being made. on property L own-which is not intended for sale, lease, or rent. OWNER,El.SIGNATUR ' �� DATE':. - CONTRACTOR I'NSTALLATION ONLY----- ----- -- SIGNATURE OF SUPR. ELEC'N: _ ' DATE: LICENSE NO: - 639-4175 - _ Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION 13125 SW Hall Blvd. ‘Le,,,, Q �J_ /�-7 Tigard, OR 97223 PERMIT # / / (Jr�L -J //triw w ,4 Phone hone (503) 639 -4171 // 3/9 / - ' '�m�p l��� � FAX (503) 684 -7297 TDD No. (503) 684 2772 DATE ISSUED `' , CITY OF TIGARD Inspection (503) 639 -4175 ISSUED BY PLEASE COMPLETE ALL SECTIONS 1. LOCATION OF INSTALLATION 4. TYPE OF WORK t 7 ,a 1 nz i Ad 7142 ress SL RESIDENTIAL — Restricted Energy Fee $40.00 p of f v . GA. ci 722 Z (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 ❑ Garage Door Opener* 2. CONTRACTOR APPLICATION ❑ Heating, Ventilation and Air Conditioning System* Contractor fl,1), f c ; es Type ❑ Vacuum Systems* . ❑ Other Address \ 11 o N1..., -A c,Arlcls Tiatr i k- • G 1Za'7 Date . (/1 - 1 COMMERCIAL — Fee for each system . . . ... . $40.00 (SEE OAR 918 - 260 -260) Property Owner . ;.nr)ai-ion 1✓n5',nae•'• Check Type of Work Involved: Contractor's Board Reg. No. `I 3 ❑ Audio and Stereo Systems* ❑ Boiler Controls Phone# 2 ► ©57/ ❑ Clock Systems 3. OWNER APPLICATION CI Data Telecommunication Installations ❑ Fire Alarm Installation ❑ HVAC Print Owner's Name Phone No ❑ I nstrumentation 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 ❑ Nurse Calls restricted energy installations (100 volt amps or less) under this permit and to do the ❑ Outdoor Landscape Lighting* following: ir1 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 corrections 5. FEES are completed. The person signing for this permit must be the applicant or a person a. Enter Fees $ to • e 0 authorized to bind the applicant. 1 6'*(--'`)(--e(cd(-- b. 5% Surcharge (.05 x total above) $ 2. 0 c2 Signature TOTAL $ t i Z. ea 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 /FIr /Slab Plbg. Top Out Insulation Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr /Sdwlk Reins. Other: Date: 11,3... (D ( i 1 A.M. P.M. Entry: Address:. L/ 7 0 r �' ' af Tenant: + Ste: M BUP: Con /Own: 0 MEC: PLM: ELC: % D (_ THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: 7, r Inspector r „(,,,. ` %J /® ; Date: /-Y1 7 ' A APPROVED DISAPPROVED /CALL FOR REINSP. CO