Permit CITY OF TIGARD
, -
i t l iN l� DEVELOPMENT SERVICES ELECTRICAL PERMIT -
�_ 11. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
RESTRICTED ENERGY
PERMIT #: ELR97-0071
DATE ISSUED: 03/10/97
PARCEL: 2S101BC -02600 1
SITE ADDRESS...: 08250 SW HUNZIKER ST
SUBDIVISION--; PARTITION PLAT 1990 -41 ZONING :I -L
BLOCK..........: LOT............. :1•
Project Description: INSTL PROTECTIVE SIGNALING
A. RESIDENTIAL • B. COMMERCIAL------- __ ____
AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING—:
:
BURGLAR ALARM....: -. BOILER . . e e 4.... o n o n : • LANDSCAPE /IRRIGATd o :
GARAGE OPENER....: CLOCK...........: MEDICAL............:
HVACa.o.oaanaoe..: DATA/TELE COMM. .NURSE CALLS........:
VACUUM SYSTEM....: FIRE ALARM......: OUTDOOR LANDSC LITE:
OTHER: - •. ,,. HVACntion,o ap,eno -PROTECTIVE SIGNAL.. :X
INSTRUMENTATION.: OTHER..: an
. TOTAL # OF SYSTEMS: 1
Owner: - -- •----- -• - -•- • -- FEES --- - -- • - --
CENTREX CONSTRUCTION type .amount- - by date. . recpt
8250 SW HUNZIKER RD PRMT $ 40.00 TAT 03/10/97 97- 291456
5PCT $ 2..00 TAT 03/10/97
TIGARD OR 97224 -
Phone #:
Contractor ~: _- _. --
AAA ALARM CO OF OREGON $ 42.00 TOTAL
7865 SW CIRRUS DR
-- REQUIRED INSPECTIONS
BEAVERTON OR 97008 Ceiling Cover Elect' 1 Service
Phone #: 646-2700 . tr Wall Cover Elect' 1 Final
Reg #.. : 000938 •
This peroit is issued .subject to the°,regalati:ons‘contained °in. the ..,. „.;��
Tigard tiunicipaL•Code, State of Ore.. Specialty Co.desaid #1,. other.. . • ..P era i Si gnat ur .
applicable laws. All work will be done in accordance with ■
approved plans. This pereit will expire if work is not started / / / /
within 1'4 days of issuance, or if work is suspended. for Hare- • 4 `_1, , AL411611 __ _______
than 18a days. A I s.s ted By
- . - -• - -- . -------OWNER INSTALLATION ONLY - - - - -/ -------
The The installation. , i.s be.,ing, made ,on.,, ,p.ro.perty. I own which.. ,is not intended for
sale, lease, or rents
OWNER'S SIGNATURE:.
• DATE :.
.- .----- .----- -. - - -- CONTRACTOR INSTALLATION ONLY ----- -. -.
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
C1ll_,fo,r.^ ,inspection - 63?..-707.5-
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd. gg'7 —
Tigard, OR 97223 PERMIT # 0071
- l' //�Not i t Phone (503) 639 -4171
FAX (503) 684 -7297 DATE ISSUED :3_10, /O. 9 7
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
8250 SW ITTNZTKRR ROAD
Address RESIDENTIAL — Restricted Energy Fee $40.00
TIGARD OR 97224 (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 L, /F4 (T ub ejuae4 f ❑ Heating, Ventilation and Air Conditioning System*
Contractor AAA ALARM CO. T ype ELEcr(. t c A-(._ l ❑ Vacuum Systems*
• ❑ Other
Address 7865 S CIRRUS DRTVR RRAVERTON, OR 97008
Date 3/6/97 COMMERCIAL — Fee for each system $40.00
(SEE OAR 918 - 260 -260)
Property Owner�f � J TREE(_ £ p /\ ):51 - g — JCT7c( Check Type of Work Involved:
Contractor's Board Reg. No. q O cia• C�n 1-2-/q ❑ Audio and Stereo Systems* 6 L46 s ���®
CI Boiler Controls
Phone# ❑ Clock Systems
3. OWNER APPLICATION CI Data Telecommunication Installations
❑ Fire Alarm Installation
❑ HVAC
Print Owner's Name Phone No
❑ Instrumentation
Address CI 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 CI 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. ❑ I
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 permi ust be the applicant or a person a. Enter Fees $ 4o. oo
aut ,Irized to bind e aps ic. t.
• / 0 A YE / b. 5% Surcharge (.05 x total above) $ a • 00
'Signature
TOTAL $ 'la .O®
Authority if other than applicant
ENERGAP.CHP