Permit CITY O TIGARD ELECTRICAL PERMIT -
RESTRICTED ENERGY
a A � DEVELOPMENT SERVICES PERMIT #: ELR2000 -00039
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 02/22/2000
SITE ADDRESS: 12565 SW QUAIL CREEK LN PARCEL: 2S104DA -00300
SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R -4.5
BLOCK: LOT: 040 JURISDICTION: UR
Project Description: Install burglar alarm system in single family dwelling.
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:
Owner: Contractor:
BRAD HARRIS SIGNATURE SECURITY INC
12565 SW QUAIL CREEK PMB541 1901 NE 162ND AVE
TIGARD, OR 97223 D -105
VANCOUVER, WA 97684
Phone: Phone: 360- 883 -1557 ORIGINAL
Reg #:
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRM3 KJP 02/22/200C $60.00 00- 321778 Elect'I Final
5PC2 KJP 02/22/200C $4.80 00- 321778
Total $64.80
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. 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: Or -gon law
requires you to folio . rules adopted by the Oregon Utility Notification Center. Those es are set forth i OAR
•
952 - 001 -0010 th • OAR 952 - 001 -0080. You may obtain copies of these rules or . irect questions to OUNC at ( 4 3)
246 -1987. /
Issued by Permittee Signature ■ l� / j. cvtC
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:
CONT CTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: k_- � DATE:
LICENSE NO:
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
02/18/00 FRI 15:27 FA1 '93 1960 CITY OF TTC:1R1) Q002
.
CITY OF TIGARD T ICTED ENERGY ELECTRICAL APPLICATION I by:
13125 SW HALL BLVD (� Oats Rec d :_ _ - -_
TIGARD OR 97223 PRINT OR TYPE -�'`
V - 503-639-4171 X301 � Permit #' 1 .-0-10, J
F - 503.5913 -1960 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Cal1'd: _
WILL NOT BE ACCEPTED
Name at Oeve . pdwnt Projers TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
Restricted Energy Fva seo.6E
�,,,� (FOR ALL SYSTEMS)
JOB Street Add fire A
ADDRESS 12 lL 6 SYv Q u> I L• C t er e- Cruack Type of Work Involved:
1ty1St � 1 i n 0 Aret(io and SICIee Systems
j 4� � L 1 .
IPr Burglar Alarm
. 0 q4449-9-).S
t .�
OWNER Mailing Address LJ Garage Door Opener'
CityfState 21p Phnne
❑ Heating, Ventilation ant' Air Conditioning System"
Name v Vacuum Systems'
ki rra Air( :Z0■C U Other . - -- __.
CONTRACTOR N+,��t s i ll _ /90{ �� 'ao �kr�0 TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(prior to issuance o — C l if / /State 1 Zt no ne o Joe fur each system 560.00
copy of oh ircensre,.. �rtlle/ �b'� $ -668 -)010 (SEE OAR 918-260-2601
Oregon are required if Contr nt I ie. it Exp. Dale
expired in C.O.T. ! b l C72 O/ ej✓ Check Type of Work Involved:.
data base). Elect onte. Lea:. 4 t p. 1. w e
31 -1,5c-L.C. f 0 -1- 00,1 ❑ Audro and Stereo Systems
C.0.1. or Mello L tc a Exp. Date
Outer Controls
Owner's Name - -°
❑ filer Systems
OWNER - Mailing Addron%
APPLICANT 0 Data Telecommunication Installation
City/State —17117. 1 '+ Phone! ❑
Fire Alarm itLarauanun
This permit is isaucd under OAE 918- 320370. This applicant agrees to
make only restricted energy Installations (100 volt amps or lase) under tits ❑ HVAC
permit and to do the (ulkwring:
❑ lnetnlmenlalion
1 only use eIcctrlt:al licensed persorul to do Installations where required.
Certain re_. identrat and other transactions are exempt tram licensing u Intercom and Paging Systems
These have a:;terkdrst "). All others need licensing: .
[.8d tar its El I :irdscape Irrigation Control*
2.
Inspections when installation under this permit are ready for
inspection at 943-6391179; ❑ Medical
3. Purchase separate pumrrals for all installations that are not ready for an u Nurse C:ilW
inspection when the inspector Is out to inspect under this perms
4. Assume responsibility for assuring that nil corrections required by Vie El Ordrioor 1 aid;cape Lighting"
inspector ate done, and.
U Protective Siigner,ng
5. Assume responsibility tor calling tore anal tnsoecuun when all of the
corrections are completed. ❑ anus - —
Permits are non transferable and nun - refundable and expire if work is not
Started within 180 days n ' - ro : : • . ark is ou::peiided tor 180 days. I • Margret of Systems
The pnrcnn sign' this permit must b he app or a peon - Nn licenses are required. licenses are rewired for all other rnstananruts
authorized to hind the op. • ant.
/ 1j > : _!-
-- ' .1 - �.: r ENTER FEES $ C . �.Lj
igna re i l '` . ( p
/ U
l3% SURCHARGE (.08X TOTAL. ABOVE) S JD
4?
• I ority if other than Applicant • T OTAL $ -•
Fvi,Licuwmsvresero tits: 3190
RECEIVED DATE : 02/18 15:28'00 FROM :5035981960
.-, f_.- ri:, - , r N
IO'd dOb =£O OO -ST -gad
06/08/2000 Activities for Case #: ELR2000 -00039
3:57:32 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELRA003 Application received 02/22/2000 KJP RECD No Hold KJP 02/22/2000
ELRA010 Permit created 02/22/2000 KJP DONE No Hold KJP 02/22/2000
ELRA725 Low Voltage Inspection 02/22/2000 No Hold KJP 04/18/2000
ELRA799 Elect's Final 02/22/2000 02/22/2000 04/06/2000 CD PASS No Hold AKJ 04/06/2000
ELRA500 (F) Issue permit 02/22/2000 KJP DONE No Hold KJP 02/22/2000
ELRA800 Case finaled - 04/06/2000 AKJ DONE No Hold AKJ 04/06/2000
■
•
Page 1 of 1