Permit r
CITY OF TIGARD
�
� DEVE SERVICES ELECTRICAL PERMIT -
^ RESTRICTED ENERGY
PERMIT #: ELR98 -0320
DATE ISSUED: 11/23/98
PARCEL: 2S1O2CB -02500
SITE ADDRESS...:13O9O SW PACIFIC HWY
SUBDIVISION •FREWINGS ORCHARD TRACTS ZONING:C —G
BLOCK LOT °007 JURISDICTN: TIG
Pro Descri pt ion : Jack -in- the -box audio /stereo system
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO...: AUDIO & STEREO..:X 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..:
INSTRUMENTATION.: OTHER..:
•.
TOTAL # OF SYSTEMS: 1
Owner: FEES
AL TEFCH SPECIALTY STEEL CORP type amount by date recpt
19191 S VERMONT AVE STE 590 PRMT $ 40.00 JSD 11/23/98 98- 311032
TORRANCE CA 90502 5PCT $ 2.00 JSD 11/23/98 98- 311032
Phone #:
Contractor:
COMWERX $ 42.00 TOTAL
101 E 8TH ST
SUITE 140 REQUIRED INSPECTIONS
VANCOUVER WA 98660 Ceiling Cover Low Voltage Insp
Phone #: 360- 574 -1168 Wall Cover Elect'l Final
Reg #..: 117471
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. ATTENTION: Oregon law requires you to follow rule adopted by the
Oregon Utility Notification Center Those rules are set forth in OAR 952 -ml -0010 through OAR 952-%1-0080. You may obtain copies of
these rules or direct ques 4 06x. at (503)2• '
Issued by ,i4� — Permittee Signature
t -
y �
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
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by:
13125 SW HALL BLVD Date Rec'd: 4.
TIGARD OR 97223 PRINT OR TYPE q p
V - 503 - 639 -4171 X304 Permit*: t� f / O'er 3
F - 503 - 684 -7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:
WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
Restricted Energy Fee $40.00
.3Ac X /N 77'E a ox (FOR ALL SYSTEMS)
JOB Street Address Ste # Check Type of Work Involved:
ADDRESS /3090 s... PAc .
City /State Zip Phone # 1 Audio and Stereo Systems
T. A� 04_ 97223 fo -Sr99- /o /Z
Nene ❑ Burglar Alarm
,4/ 7 Fc-N S- ECAt. /Ty - 4 -C Co'ti:t. ❑ Garage Door Opener*
OWNER Mailing Address
/9/9/ r c rl ✓C s • S
2'v ❑ Heating, Ventilation and Air Conditioning System'
City /State Phone #
eR �At/C� °k fl ❑ Vacuum Systems'
Name
G.o Apt ,. -E2JC ❑ Other
CONTRACTOR Mailing Address
/2 /Z/ „ r 991 sr detoo TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to issuance a Cjty /State Zip Phone # Fee for each system $40.00
copy of all licenses A„/Co( ✓E2 u/A rot 6'64,0 3(„c:,- :.5- / /G8 (SEE OAR 918 - 260 -260)
are required if Ore on Contr. Brd Lic. # Exp. Date
expired in C.O . 3 - 76 Ct -E /D_ /- 9°) heck Type of Work Involved:
data base) ectric. !
rrIxp. t0 G / r Audio and Stereo Systems
El C.O.T. of al Metro Contr. Lic. Lic #� Date
❑ Boiler Controls
Owner's Name
❑ Clock Systems
OWNER - Mailing Address
APPLICANT ❑ Data Telecommunication Installation
City /State Zip Phone # ❑
Fire Alarm Installation
This permit is issued under OAE 918 - 320 -370. This applicant agrees to
make only restricted energy installations (100 volt amps or less) under this ❑ HVAC
permit and to do the following:
❑ Instrumentation
1. Only use electrical licensed persons to do installations where required.
Certain residential and other transactions are exempt from licensing. ❑ Intercom and Paging Systems
These have asterisks( *). All others need licensing;
❑ Landscape Irrigation Control'
2. Call for inspections when installation under this permit are ready for
inspection at 503 - 639 -4175; ❑ Medical
3. Purchase separate permits for all installations that are not ready for an ❑ Nurse Calls
inspection when the inspector is out to inspect under this permit;
4. Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting* .
inspector are done, and;
❑ Protective Signaling
5. Assume responsibility for calling for a final inspection when all of the
corrections are completed. ❑ Other
Permits are non - transferable and non - refundable and expire if work is not
started within 180 days of issuance or if work is suspended for 180 days. Number of Systems
The person signing for this permit must be the applicant or a person • No licenses are required. Licenses are required for all other installatio
authorized to bind the applicant.
FEES:
ENTER FEES $ i
Signatur('
5% SURCHARGE (.05 X TOTAL ABOVE) $
Authority if other than Applica t 9 g �/ 7-.0- TOTAL $ 'I
i:\dsts \resele.doc 7/97 O ) —
r TV
Page No. 1 CASE HISTORY FOR CASE NO.: ELR98 -0320
FOODMAKER, INC.
13090 SW PACIFIC HWY
12/28/98
Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
- - -- - -- -- -- - - -- ---
ELRC001 Application Received / / / / 11/23/98 PASS JSD 11/23/98 JSD
ELRC003 Permit Created / / / / 11/23/98 PASS JSD 11/23/98 JSD
ELRC500 (F) Issue permit / / / / 11/23/98 PASS JSD 11/23/98 JSD
ELRC725 Low Voltage Inspection / / / / 12/11/98 PASS CD 12/17/98 J *H
ELRC799 Elect'l Final / / / / 12/11/98 PASS CD 12/17/98 J *H
ELRC800 Case finaled / / / / 12/17/98 PASS CD 12/17/98 J *H
•