Permit •
CITY OF TIGARD
I
DEVELOPMENT L SERVI ELECTRICAL PERMIT — Hall Blvd., Tigard, RESTRICTED ENERGY
PERMIT #: ELR97 -0181
DATE ISSUED: 06/27/97
PARCEL: 251O2CC -04700
SITE ADDRESS...:13635 SW STEVEN CT
SUBDIVISION •BEREA ZONING:R -4.5
BLOCK • LOT -8 JURISDICTN: TIG
Project Description : add burglar alarm
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
SCOTT MECRAE type amount by date recpt
13635 SW STEVEN COURT PRMT $ 40.00 GEO 06/27/97 97- 296528
TIGARD OR 97223 5PCT $ 2.00 GEO 06/27/97 97- 296528
Phone #:
Contractor:
BRINKS HOME SECURITY $ 42.00 TOTAL
8059 SW CIRRUS DR
- - - - -- REQUIRED INSPECTIONS
BEAVERTON OR 97008 Elect'l Service
Phone #: 641 -0574 Elect'l Final
Reg #..: 000444
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 rules are set forth in OAR 952- 001 -0010 through OAR 952-001-0. You may obtain copies of
these rules or direct que io t 1 at (503)246 -1987.
Issued by j ,._ Permittee Signature tea,
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 OFSUPR. ELEC'N: Bs1J DATE: G - /2T 7
- 9?
LICENSE NO: 6770704Y
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 6:00 P.M. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
id
I I ,
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
.. 13125 SW Hall Blvd.
i Tigard, OR 97223 PERMIT # L jZR -O / w . •
py,, , 4 , i' ;� I ,,, r � Phone (503) 639 -4171 DATE ISSUED
I 0
TDD No. (503) 684-2772
CITY OF TIGARD Inspection (503) 639 -4175 ISSUED BY
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF IN TALLATION 4. TYPE OF WORK
/30 3� . , J J, � >.-
Add.. RESIDENTIAL — Restricted Energy Fee SAUL!
1 5 2 - 2 ' (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 FOR
180 DAYS. Burglar Alarm
• ❑ Garage Door Openers
2. CONTRACTOR APPLICATION
❑ Heating, Ventilation and Air Conditioning System*
Contracto HOME SECURLYP ALARM ❑ .Vacuum Systems*
•
Address /_ 8059 S.W. CIRRUS DRIVE, BEAVERTON 97008
❑ Other
Date 697,3 ../ e 7 COMMERCIAL — Fee for each system $44.00
ll( (SEE OAR 918- 260 -260)
Property Owner y (/ 1 L c-caueeo Check Type of Work Involved
•
Contractor's Board Reg. No. 0/1 /121 it 21 ❑ 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
Address ❑ Intercom and Paging Systems
❑ Landscape Irrigation Controls
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
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 $
authorized to bind the applicant.
b. 5% Surcharge (.05 x total above) $ G2 : -
•
f —
Signature • TOTAL $
Authority i other than applican
ENERGAP.CHP
CITY OF TIGARD BUILDING INSPECTION DIVISION X 20 3
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
MST
O f I l �
t° V 7 Date Requested , '��" 47 �f �j BUP AM PM BUD
Location 1 31>, . 34 f 4 Suite MEC
Contact Person L./�CC I Ph 2 7Y,5 PLM
Contractor e kc Ph SWR
BUILDING Tenant/Owner
9 � - 0/F1
Retaining Wall
Footing Access: ice'
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: [,��
Slab Awl
Post & Beam EZ Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing r .
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL •
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
_ PA FAIL
/'ILEA
Service
( Rough
UG/Sla• In
ow Volta! -
F're Alarm
AleAl
- AS 4 PART FAIL
S
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk 'p
Other Date UJ r �e Inspector 4 49 Ext ,
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.