Permit •
CITY ELECTRICAL PERMIT -
4 RESTRICTED ENERGY IT awlj� DEVELOPMENT H B Tigard. SERVICES 6 -4171 DATE ISSUED: 4/9 gg ELR1999-00077
SITE ADDRESS: 13103 SW STARVIEW DR PARCEL: 2S109AB -05900
SUBDIVISION: FORAN ZONING: R -7
BLOCK: LOT: 001 JURISDICTION: TIG
Project Description: All encompassing
A. RESIDENTIAL B. COMMERCIAL •
AUDIO & STEREO: X AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: X BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: X CLOCK: MEDICAL:
HVAC: X DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: X FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: : HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER: . .
TOTAL # OF SYSTEMS:
y�
Owner: Contractor: (- J ` S Ue,(A,( -- ( 0
CLIFFORD C. WAIBEL
879 NW 10TH C10(5 'E t" �-
kve
HILLSBORO, OR 97124 P(11r+iAAA U1e ,p
'T
Phone: Phone: - 775- zog
Reg #: 1,
FEES Required Inspections
Type By Date Amount Receipt Eleet'I- Firrai
PRMT BON 4/9/99 $40.00 99- 314367 VO �-�- !Q r �Te�cj-y1
5PCT BON 4/9/99 • $2.00 99-314367 O .0._(U UcCQ
Total $42.00 Eler r1& Rod_
•
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: Oregon law
requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -1987. O `
Issued by . 0 - U , . (L / L I-- Permittee Signature
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: Iv 11 DATE:
LICENSE NO:
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
•
I
( Ef6ditti101
Lommunity Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd.
•
Tigard, OR 97223 PER ��� 11 — ,
" (', Phone (503) 639 -4171
1� • I FAX (503) 684 -7297 DATE ISSUED
CITY OF TIGARD Inspection on (5 639-4175
ISSUED BY
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION
4. TYPE OF WORK
Add i .. RPU /ems r
RESIDENTIAL — Restricted Energy Fee $:x=4.4
4 I / /
Ci State r FO
(FOR ALL SYSTESM,S S) h q
Zip
PERMITS ARE NON TRANSFERABLE AND NONREFUNDABLE AND EXPIRE IF WORK f?1 J
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR
180 DAYS, , / Audio and Stereo Systems•
l[�' B lar Alarm
2. CONTRACTOR APPLICATION
�ge Door Opener"
Contractor LK H ng, Ventilation and Air Conditioning System'
"Type
Vacuum Systems'
Address ❑ Other
GARY' VACUFLO gg L'O, XNC. 77 5 - 204 2 -- • COMMERCIAL --Fee for each system
DATE : EW LA�EL' PTLD . OR Sao.00
9 7 2 6 6 (SEE OAR 918.260 -260)
OWNER : / JOB* .�
T I
CLE 26728, ,JLE 985.
CCB : 6 904 7 ❑ Audio and Stereo Systems*
hone # ❑ Boiler Controls
❑ Clock Systems
• • WNER APPL CAT • N 4 3//) ❑ Data Telecommunication Installations
�i ❑ Fire Alarm Installation
'int Owner's Name i i ❑ HvAC
Phone No
❑ Instrumentation
idress
❑ Intercom and Paging Systems
y ❑ Landscape Irrigation Control*
State zip
Medical
permit is issued under OAR 9 18- 320.370. This applicant agrees to make only
Acted energy installations (100 volt am ❑ Nurse Calls
y ,,,, ;ns: Ps or less) under this permit and to do the
❑ Outdoor Landscape Lighting'
Only use electrical licensed persons to do installations where required. (Certain
ave
❑ Other
residential and other transactions are exempt from licensing. These have ❑ Protective Signaling
asterisks(•)• All others need licensing).
,all for an inspection when all of the installations under this permit are ready
or inspection at 503- 639 - 4175
'urchase separate permits for all installations that are not ready for inspection ❑
vhen the inspector is out to inspect under this permit • Number of Systems
ssume responsibility for assuring that all corrections required by the inspector No licenses am required. Licenses are required for all other Irutallations
re done, and
ssume responsibility for calling for a final inspection when all of the corrections —_�_
e completed. 5. FEES •
person signing for this permit must be the applicant or a person 6_1_2') orized to bind the applicant. a. Enter -Fees
$____& rture , b. 5% Surcharge 6D
rge (.05 x total above) ,
• TOTAL $
)rity if other than applic _
•
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