Permit CITY OF TIGARD
�i �; DEVELOPMENT SERVICES ELECTRICAL PERMII -
RESTRICTED ENERGY
PERMIT #k: ELR97- 0054
DATE ISSUED: 03/04/97
PARCEL: 29101DA- 02000
SITE ADDRESS...: 06980 SW VARNS ST
SUBDIVISION ° ° ° °: VARNS ACRES ZONING :C -P
BLOCK ° ° °° ° ° ° ° ° °° LOT. ° ° ° °. ° °° ° ° ° ° :3
Project Description: instl burglar alarm & protective signaling
job # 0178
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° ° :X
INSTRUMENTATION ° :, , OTHER..:
•
TOTAL it OF SYSTEMS: 1
Owner: - -- - -- - - - - -- - - - -- - - -- -- - l= EES _ - -_ _ - - -- - -- - --
WEST COAST LUMBER INSP BUREAU , type, amount by date rec'pt
6980 SW VARNS ST PRMT $ 40.00 TAT 02/24/97 97- 290759
5PCT $ 2.00 TAT 02/24/97 97- 290759
TIGARD OR 97223
Phone #:
Contractor: -- -- --
ALLTEC SECURITY $ 42.00 TOTAL_
(A° K. A° SEQUENCE SYSTEMS INC)
PO BOX 55310 REQUIRED INSPECTIONS --
PORTLAND OR 97238- 5310 Ceiling Cover Elect' 1 Service
Phone #: 503 -232- 1188, Wahl, Cover Elect'1 Final
Reg #.. : 001188
This pereit is issued subject to the regulations contained, in the
Tigsrd 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 pewit will expire if work is .not - started
within IN days of issuance,•or if work is suspended for core '
than 180 days. Issued By
--OWNER INSTALLATION ONLY------ - -- -.- - ---
installation. is being made on property,I on which ,is not intended for
sale lease, or rent.
OWNER'S SIGNATURE,: DATE :.
- ----- - - - - -- CONTRACTOR INSTALLATION ONLY - - -- -----
SIGNATURE OF SUPR. - EL EC' N: DATE:
LICENSE NO:
Ca,],l, „for .inspect _ io,n,.3 -4175
•
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
,......1, 13125 SW Hall Blvd. � % L ��„�
�•} PERMIT #
Tigard, OR 97223
_„,,„„p,,,,„„„,,,, , Phone (503) 639 -4171
I , �:. FFAX (503) 684 -7297 DATE ISSUED g 7
: = :_... TDD No. (503) 684 -2772
CITY OF TIGARD Inspection (503) 639 -4175 ISSUED BY
PLEASE COMPLETE ALL SECTIONS
1 1.,LOCATION OF INSTALLATION 4. TYPE OF WORK
SW Varns St.
Address RESIDENTIAL — ' -stricted Energy Fee $40.00
Tigard OR 97223 '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
180 DAYS. } Burglar Alarm
❑`Garage Door Opener'
2. CONTRACTOR APPLICATION ❑ Heating, Ventilation and Air Conditioning System'
Contractor Alltec Security Type ❑ Vacuum Systems*
❑ Other
Address PO Box 55310 - Portland, OR 97238 -5310
Date
2/18/97 COMMERCIAL — Fee for each system $40.00
(SEE OAR 918- 260 -260)
Property Owner West Coast Lumber Insp. Bureau Check Type of Work Involved:
Contractor's Board Reg. No. 077704 ❑ Audio and Stereo Systems
❑ Boiler Controls
Phone # 331 -2620 ❑ Clock Systems
❑ Data Telecommunication Installations
3. OWNER APPLICATION ❑ Fire Alarm Installation
❑ HVAC
Print Owner's Name Phone No ❑ Instrumentation
❑ Intercom and Paging Systems
Address
❑ Landscape Irrigation Control•
City State Zip ❑ Medical
❑ Nurse Calls
This permit is issued under OAR 918-320-370. This applicant agrees to make only
restricted energy installations (100 volt amps or less) under this permit and to do the
❑ Outdoor Landscape Lighting'
following: NIE Protective Signaling
1. Only use electrical licensed persons to do installations where required. (Certain 0 Other
residential and other transactions are exempt from licensing. These have
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 $ 40 . 00
authorized to bind licarti• 41 1, b. 5% Surcharge (.05 x total above) $ 2.00
Signature TOTAL $ 42.00
Authority if other than applicant
ENERGAP.CHP
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINAL:
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing -Mech.
PIbg.Und /Flr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr /Sdwlk Reins.
Other:
Date: 5 /9 19 7 A.M. P.M. Entry: \
Address: 61Q 0l1 qq��5c.0 Jtk M� (GCS 721d(2(
Te nant. DG 41. Q X.0 �J QJ�/ Ste: MST:
�
BU :
Con/Own: !'./.. _ A L 4. 33 - ' ME
1
_ W -1, vw l�(r"vR" .DltAAR+ti, PI
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: 41-00SI
e° - k. ' S .... /_ S
_k _ i Op' I ' . t _ } . - - : 59
Inspector: /�' i'c 4I ,e ( X ' Date: J ?
rr 4 /APPROVED _ DISAPPROVED /CALL FOR REINSP. CF CO