Permit CITY OF TIGARD
• %�� „� I � h � DEVELOPMENT SERVI RESTRICTED ENERGY
PERMIT #: ELR98 -0102
DATE ISSUED: 04/09/98
PARCEL: 2S1O2CC -00500
SITE ADDRESS...:135O0 SW PACIFIC HWY #54
SUBDIVISION • ZONING:C —G
BLOCK • LOT • JURISDICTN: TIG
Project Description: Companion Pet Clinic
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING..:
BURGLAR ALARM BOILER • LANDSCAPE /IRRIGAT..:
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
COMPANION PET CLINIC type amount by date recpt
13500 SW PACIFIC HWY PRMT $ 40.00 JSD 04/09/98 98- 304805
STE 54 SPCT $ 2.00 JSD 04/09/98 98- 304805
TIGARD OR 97223
Phone #:
Contractor:
ALLTEC SECURITY $ 42.00 TOTAL
PO BOX 55310 REQUIRED INSPECTIONS
PORTLAND OR 97238 -5310 Ceiling Cover Low Voltage Insp
Phone #: 331 -2620 Wall Cover Elect'1 Final
Reg it..: 001188
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 ru s are set forth in OAR 952 - 001-0010 through OAR 952-0814080. You say ob in copi s of
these rules or direct questions t. !..., :t )246 -1987. <
Issued by —40 Permittee Signatur UCam. "
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
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + +++ + + + + + + + + + + ++
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
131
Tigard, Hall PERMIT # 9 —0/
"
Tiga OR 97223 223
/rA,�ei ,ia Phone (503) 639 -4171 DATE ISSUED /7" �� vsrs
�, FAX (503) 684 -7297 ``�� �`
` ._... . No. (503) 684 -2772 --��
CITY OF TIGARD Inspection (503) 639 -4175 ISSUED BY
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
135 5w 0 c if fyi ttr i 44 ' "/ RESIDENTIAL — Restricted Energy Fee $40.00
Ad s a v- I Die ' 7 213 (FOR ALL SYSTEMS)
City (J 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 FQR ❑ Burglar Alarm
180 DAYS.
❑ Garage Door Opener'
2. CONTRACTOR APPLICATION ❑ Heating, Ventilation and Air Conditioning System'
Contractor Alltec Security Type ❑ Vacuum Systems'
❑ Other
Address PO Box � 55310 - Portland. OR 97238 -5310
Date Li —1— 71 f COMMERCIAL — Fee for each system $40.00
(SEE OAR 918 - 260 -260)
Property Owner C' �1� 611)0 f 116) Pei � rl 1 C Check Type of Work Involved;
Contractor's Board Reg. No. 118839 ❑ Audio and Stereo Systems
❑, Boiler Controls
Phone # 331 -2620 ❑`. Clock Systems
❑ Data Telecommunication Installations
3. OWNER APPLICATION ❑ Fire Alarm Installation
❑ HVAC
Print Owner's Name Phone No ❑ Instrumentation
❑ Intercom and Paging Systems
Address ❑ Landscape Irrigation Control'
State Zip ❑ Medical
City ❑ Nurse Calls
This permit is issued under OAK 918- 320.370. This applicant agrees to make only ❑ Outdoor Landscape Lighting'
restricted energy installations (100 volt amps or less) under this permit and to do the
following: ❑ Protective Signaling y�
1. Only use electrical licensed persons to do installations where required. (Certain [Other Allay a �"
residential and other transactions are exempt from licensing. These have
asterisks('). All others need licensing).
2. Call for an inspection when all of the installations under this permit are ready ❑ Number of Systems
for inspection at 503- 639 - 4175 .
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 5. FEES
corrections are completed. qb.00 The person signing for this • • •• • t J•' the applicant or a person a. Enter Fees $
authorized to bind / = �� G) g-
Y + b. 5% Surcharge (.05 x total above) $ 2
Signature TOTAL $ 442.00
Authority if other than applicant
ENERGAP.CHP
•
Page No. 1 CASE HISTORY FOR CASE NO.: ELR98 -0102 •
COMPANION PET CLINIC
13500 SW PACIFIC HWY Unit: 54
06/18/98
Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
ELRC001 Application Received / / / / 04/09/98 USPS JSD 04/09/98 JSD
ELRC003 Permit Created / / / / 04/09/98 PASS JSD 04/09/98 JSD
ELRC500 (F) Issue permit / / / / 04/09/98 PASS JSD 04/09/98 JSD
ELRC725 Low Voltage Inspection / / / / 05/07/98 Per note from Ben Palmer, no inspection PASS TLP 05/18/98 J *H
slip received.
ELRC799 Elect'1 Final / / / / 05/07/98 PASS BRP 05/18/98 J *H
ELRC800 Case finaled ' / / / / 05/18/98 No inspection report received, approved PASS BRP 05/18/98 J *H
by note from Ben Palmer, received by
TLP.
•