Permit t• CITY OF TIGARD
DEVELOPMENT SERVICES RESTRICTED ENERGY
PERMIT #: ELR97 -0147
DATE ISSUED: 05 /23/97
PARCEL: 25112CC -07000
SITE ADDRESS...:O8222 SW PATTI LN
SUBDIVISION •LANGTREE ESTATES ZONING:R -12
BLOCK • LOT •2 JURISDICTN: TIG
Project Description: instl burglar alarw
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING..:
BURGLAR ALARM •X BOILER • LANDSCAPE /IRRIGAT..:
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: 0
Owner: FEES
TAU /LISA PORTER type amount by date recpt
8222 SW PATTI LN PRMT $ 40.00 TAT 05/23/97 97- 294982
TIGARD OR 97223 SPCT $ 2.00 TAT 05/23/97 97 -29498
Phone #:
Contractor:
BRINKS HOME SECURITY $ 42.00 TOTAL
8059 SW CIRRUS DR EXPIRF
n REQUIRED INSPECTIONS
BEAVERTON OR 97008 Ceiling Cover Elect'1 Service
Phone #: 641 -0574 Wall Cover Elect'1 Final
Reg #..: 000444 � `
This permit is issued subject to the regulations contained in the
/talk
Tigard Municipal Code, State of Ore. Specialty Codes and all other Permit e Signature
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started / I /
within 180 days of issuance, or if work is suspended for lore �.. , , L1A45
than 180 days. I s s ed By /
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: / /I(i � �Q� DATE:
/
� �
LICENSE NO: /l �T
Call for inspection — 639 -4175
.
. Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd. c I C ^ bl V7 Tigard, OR 97223 PERMIT # r 1. •
/id,�ra Phone (503) 639 -4171 DATE ISSUED
?
�,t FAX (503) 684 -7297
!�1► r- TDD No. (503) 684 -2772 ' 'f
CITY OF TIGARD Inspection (503) 639 -4175 ISSUED BY _
• PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTA ON 4. TYPE OF WORK
•
Sol 2-2 g'Gf - a,{l� ,
A Q,,- - 9 709.. � y RESIDENTIAL — Restricted Energy Fee $40.00
(FOR ALL SYSTEMS)
C'ty� 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. a Burglar Alarm
❑ Garage Door Opener*
2. CONTRACTOR APPLICATION ❑ Heating, Ventilation Air Conditioning System'
Contract° HOME SECURL p e ALARM ❑ Vacuum Systems* •
Address 8059 S.W. CIRRUS DRIVE, BEAVERTON 97008
El Other
Date 5/.1-6 I1 COMMERCIAL — Fee for each system $40.00
�n- (SEE OAR 918- 260 -260)
Property Owner / (AAA /4- catairlfg , Check Type of Work Involved; EXPIRED
Contractor's Board Reg. No. pitilil ❑ Audio and Stereo Systems
• Boiler Controls
Phone # (503). 641 -0574 ❑ 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*
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 iess) under this permit and to do the 0 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. ❑ 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 5. FEES
corrections are completed.
The person signing for this permit must be the applicant or a person a. Enter Fees $ W
authorized to bind the applicant - _
b. 5% Surcharge (.05 x total above) $
•
Signature V TOTAL $
Authority i other than applican
ENERGAP.CHP
RECEIVED
MAY 2 3 1997
COMMUNITY DEVELOPMENT