Permit CITY OF TIGARD
DEVELOPMENT SERVICES
--Al ' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 ELECTRICAL PERMIT —
RESTRICTED ENERGY
PERMIT #: ELR97 -0351
DATE ISSUED: 12/12/97
PARCEL: 16136DA -00900
SITE ADDRESS...:11552 SW PACIFIC HWY
SUBDIVISION •FRUITLAND ACRES ZONING:C —G
BLOCK LOT •002 JURISDICTN: TIG
Project Description : Installation of protective signaling.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING..:
BURGLAR ALARM • BOILER LANDSCAPE/ IRRI GAT. .:
GARAGE OPENER • CLOCK • MEDICAL •
HVAC • DATA /TELE COMM..: NURSE CALLS •
VACUUM SYSTEM • FIRE ALARM • OUTDOOR LANDSC LITE:
OTHER: .. HVAC • PROTECTIVE SIGNAL..:X
INSTRUMENTATION.: OTHER..: . •
TOTAL # OF SYSTEMS: 1
Owner: FEES
U —HAUL type amount by date recpt
1155E SW PACIFIC HWY. PRMT $ 40.00 TJH 12/12/97 97- 301670
TIGARD OR 97223 SPCT $ 2.00 TJH 12/12/97 97- 301670
Phone #: 245 -0791
Contractor:
AAA ALARM CO OF OREGON $ 42.00 TOTAL
7865 SW CIRRUS DR
REQUIRED INSPECTIONS
BEAVERTON OR 97008 Low Voltage Insp
Phone #: 646 -2700 Elect'1 Final
Reg #..: 000938
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 180
days of issuance, or if work is suspended for more than 180 days. ATTENTIOVV: Oregon law requires you to follow rule adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952-001 -0010 through OAR 952 -001 -0080. You may obtain copies of
these rules or direct questions to OUNC at (503)246 -1987.
I ssued by� Permittee Signature/1A_ o d or/.. X20
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 SUPR. ELEC'N: DATE:
LICENSE NO:
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + ++ + ++
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Ld
A Communit evelopment RESTRICTED ERGY ELECTRICAL APPLICATION
PERMIT #
13125 SW Hall Blvd.
Tigard, OR 97223 { ' l- 035 I
V U
Phone (503) 639 -4171
_7 i l l ; TDD
FAX ( 50 3) 6 684 2772 DATE ISSUED laI 11 04 4
CITY OF TIGARD Inspection (503) 639 -4175 ISSUED BY c1''dn
u i U I PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
115S.9- SW Pa o Ifi o i4 wy
Address — n Restricted Energy Fee $40.00
n g a rci O 2 cpa.23 (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
2. CONTRACTOR APPLICATION
❑ Garage Door Opener*
a rrn C ❑ Heating, Ventilation and Air Conditioning System*
AA A Alarm Contractor 4rca�ny ❑ Vacuum Systems*
Address 78 (D5 SW Cirrus Dri v-e) ❑ Other .
Date NOv-emb-er al iQgl COMMERCIAL — Fee for each system $40.00
(SEE OAR 918 - 260 -260)
Property Owner (� v� Check Type of Work Involved:
Contractor's Board Reg. No. c J$q ❑ Audio and Stereo Systems*
' A 4u �� 0 V n ❑ Boiler Controls
Phone # V ❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
❑ 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 ❑ 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. ' I I JJr���l 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. y�
The person signing for this permit must be the applicant or a person a. Enter Fees $ 1 4vh . 0 0
authorized to bind the applicant.
9 ft f- J n (,)-P,$) b. 5% Surcharge (.05 x total above) $ a • 0 0
Signature 4 a, oh
salts C o o rd n Q to r TOTAL $ l/
Authority if other than applicant
ENERGAP.CHP