Permit ,CITY OF TIGARD ELECTRICAL PERMIT -
RESTRICTED ENERGY
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #: ELR96 -0040
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171 DATE ISSUED: 01/24/96
PARCEL: 2S112DA -00400
SITE ADDRESS...: 06650 SW REDWOOD LN #150
SUBDIVISION • ZONING:I -P
BLOCK • LOT •
Project Description: Security access system
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..:
INSTRUMENTATION.: OTHER.. :SECURITY A::X
TOTAL # OF SYSTEMS: 1
Applicant: FEES - - --
PACIFIC REALTY ASSOCIATES type amount by date recpt
15350 SW SEQUOIA S -300 PRMT $ 40.00 JSD 01/24/96 96- 275240
SPCT $ 2. 00 JSD 01/24/96 96- 275240
TIGARD OR 97224
Phone #:
Contract or:
Al LOCKTRONICS $ 42.00 TOTAL
DANIELL JAMES
533 NE KILLINGSWORTH REQUIRED INSPECTIONS
PORTLAND OR 97211 Ceiling Cover Elect'1 Final
Phone #: 284 -3197 Wall Cover
Reg #..: 096086
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other Perm i t e e Signature
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 Ago'
than 180 days. I sued B
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 for inspection - 639 -4175
. Community Development RESTRICTED ENERGY E CJ l/ RICAL APPLICA ON
13125 SW Hall Blvd. C 1 -0 C
. Tigard, OR 97223 PERMIT # ���
/��t�. l ; \ Phone (503) 639 -4171
iNi�ilA FAX (503) 684 -7297 DATE ISSUED D �' 6 - - TDD No. (503) 684 -2772
CITY OF TIGARD Inspection (503) 639 -4175 ISSUED BY /2
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
(o(Q 5 5 Ul- I2E17 WOOD 4 4 1 11C --- 4+ WO
Address RESIDENTIAL — Restricted Energy Fee $40.00
-' 0 O p— 9 7- LI (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 y
180 DAYS. ❑ Burglar Alarm
2. CONTRACTOR APPLICATION ❑ Garage Door Opener"
❑ Heating, Ventilation and Air Conditioning System*
Contractor A-1 Loc1I114fl+fi 5 Type E Tit-sc4C. ❑ Vacuum Systems*
43 ire 14,11 ❑ Other
Address 5 I•V w�r� � /' � �—
Date - Z (/-4 CP COMMERCIAL — Fee for each system $40.00
(SEE OAR 918 - 260 -260)
Property Owner ritC4 FCC- ant" • / Check Type of Work Involved:
Contractor's Board Reg. No. `4 # D /60VP ❑ Audio and Stereo Systems
❑ Boiler Controls
_
Phone # 20_ ')/q7 ❑ 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:
❑ Protective Signaling
1. Only use electrical licensed persons to do installations where required. (Certain p S C LV R� t C �
residential and other transactions are exempt from licensing. These have yt t31. Other y� C �:"c
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. ❑ 0 N6 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 $ li a
authorized to bind the applicant.
b. 5% Surcharge (.05 x total above) $
Z
Signature TOTAL $ Li 2
•
Authority if other than applicant
ENERGAP.CHP
05/30/2000 Activities for Case #: ELR96 -00040
3:37:35 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELRC001 Application Received 01/24/1996 01/24/1996 JSD PASS JD 01/24/1996
ELRC003 Permit Created - 01/24/1996 01/24/1996 JSD PASS JD 01/24/1996
ELRC700 Ceiling Cover 01/24/1996 JD 01/24/1996
ELRC720 Wall Cover 01/24/1996 JD 01/24/1996
ELRC799 Elect'I Final. 01/24/1996 02/20/1996 MJR PASS MJR 02/22/1996
ELRC500 (F) Issue permit 01/24/1996 JSD PASS JD 01/24/1996
ELRC800 Case finaled 02/20/1996 MJR YES MJR 02/22/1996
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Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION NOTICE 3 /
Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171
"Ni
Inspection: '411/'1 1 -
Footing ' usp. Ceiling Sprink. Rough -in Appr /Sdwlk
Foundation Plbg. Underslab Mech. Rough -in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough -in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing - Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear W II Gyp. Bd. - Elect.
Date Requested: 2- 711
AM PM
5 / Time: �^
Address: 46 .4 d 7 /7
Builder: Permit #:x,296 DO /a
THE FOLLOWING CORRECTIONS ARE REQUIRED:
r L
2 ° 7 °
. - ' , ==.c.._ 4 5 _/-*/&-----( ee /,'2,-g:Q
Inspector: , / / f c--114)r / /..c ,-(1.....1 Date:2,d‘e,
,,,i
APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp. 3