Permit • 4 CITY OF TIGARD
L �,,�i�j DEVELOPMENT SERVICES 97223 (503) 639-4171
ELECTRICAL PERMIT —
EXP''.��j RESTRICTED ENERGY
� 61 E
PERMIT #: ELR96 -0304
DATE ISSUED: 10/07/96
PARCEL: 25111CD -02300
SITE ADDRESS...: 09600 SW SUMMERFIELD DR
SUBDIVISION • SUMMERFIELD NO.7 ZONING:R -7
BLOCK • LOT •342
Project Description: 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 - - - - --
PHYLLIS WOHLERS type amount by date recpt
9600 SW SUMMERFILED DR PRMT $ 40.00 JDA 10/07/96 96- 284827
SPCT $ 2.00 JDA 10/07/96 96- 284827
TIGARD OR 97224
Phone #: 641 -0574
Contractor:
BRINKS HOME SECURITY $ 42.00 TOTAL
8059 SW CIRRUS DR
REQUIRED INSPECTIONS
BEAVERTON OR 97008 Wall Cover
Phone #: 503- 641 -0574 Elect' 1 Final
Reg #.. : 44421 n
This permit is issued subject to the regulations contained in the 4 /C C!/
Tigard Municipal Cade, State of Ore. Specialty Codes and all other Permitee 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 u
than 180 days. Issued 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: DATE:
LICENSE NO:
Call for inspection — 639 -4175
Community Development tj' p RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd. /"���� `03D
Tigard, OR 97223 PERMIT # G
% ��i��� Phone (503)
(503) 684-7297 1 DATE ISSUED /0/7/ �ij
y
-- TDD No. (503) 684 -2772
CITY OF TIGARD Inspection (503) 639 -4175 ISSUED BY 5 14,a &,/d,(
PLEASE COMPLETE ALL SECTIONS
1. L CATIION OF ISTALIA1;19N 4. TYPE OF WORK
6 1 AL c etiviirtq l c' "' ,
Addr RESIDENTIAL — Restricted Energy Fee 540.00
J (Z � Q� - f7Z (FOR ALL SYSTEMS)
Ci State V Zi / 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. AKLBurglar Alarm
2. CONTRACTOR APPLICATI N ❑ Garage Door Opener*
/ �.[� l=1 Heating, Ventilation and Air Conditioning System*
Contractp /L[,�,G�i /6/1'Y + ' Type (0 ❑ Vacuum Systems*
�� 7 f . (. �. r� (A,.. ❑ Other
Address r� �/ �GI -v �(�t
Date T4 e /l COMMERCIAL — Fee for each system $40.00
D vV �4 (SEE OAR 918- 260 -260)
Property Owner /�f� Check Type of Work Involved:
Contractor's Board Reg. No.y�/ ❑ Audio and Stereo Systems
p W- 5--71-( ❑ Boiler Controls
Phone # l ❑ 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:
1. Only use electrical licensed persons to do installations where required. (Certain ❑ Protective Signaling
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.
El 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 $ v `
authorized to bind the applicant.
b. 5% Surcharge (.05 x total above) $
Signature l
� TOTAL $
Authority if other than applica
ENERGAP.CHP
5/18/00 Activities for Case #: ELR96-00304 •
3:51:56 PM EXPO*.
g ED
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. - Level By Updated Notes
ELRA003 Application received 10/3/96 JDA PASS JDA 10/7/96 •
ELRA010 Permit created 10/7/96 JDA PASS • JDA 10/7/96
awn Wall Cover 10/7/96 JDA 10/7/96
ELRA799 Elect'I Final 10/7/96 ST 2/7/00 2/7/00-inspection request to •
Hap
ELRA500 (F) Issue permit 10/7/96 JDS PASS JDA 10/7/96 •
ELRA920 Miscellaneous action 6/18/98 CD • INC. CD 6/18/98 visited site & spoke with owner,
system has never been
activated, owner is having
different system installed at a
• later date do to health
• situtation. suggest voiding
permit.
ELRA845 Request inspection research 3/24/00 JMT DONE No Hold JMT 3/24/00 •
ELRA580 Expired by limitation 3/28/00 HAP DONE No Hold AKJ 3/28/00
J -
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