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Permit CITY OF TIGARD ELECTRICAL PERMIT - RESTRICTED ENERGY 4 ' DEVELOPMENT SERVICES PERMIT #: ELR1999 -00228 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 09/29/1999 SITE ADDRESS: 06621 SW WALNUT TERR PARCEL: 1S125DA-09200 SUBDIVISION: PP1991 -075 ZONING: R -4.5 BLOCK: LOT: 001 JURISDICTION: TIG Project Description: Install burglar alarm. Job #3623 -HB 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: Owner: Contractor: DEBRALEE MILLS ALLTEC SECURITY 06621 SW WALNUT TERR PO BOX 55310 TIGARD, OR 97223 PORTLAND, OR 97238 -5310 Phone: 503 - 977 -1965 Phone: 331 -2620 ORIGINAL Reg #: LIC 001188 ELE 26307CLE FEES Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRMT KJP 09/29/199c $60.00 99- 318717 Elect'I Final 5PCT KJP 09/29/199£ $4.20 99- 318717 Total $64.20 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 throu OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -1987. ///-:/ ,, n Issued by Permittee Signature `7'►'t. 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: 1( CONTRACTOR INSTALLATION ONLY )99 SIGNATURE OF SUPR. ELEC'N: I" A DATE: /2Q LICENSE NO: Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day CITY OF TIGARD RECEIV a -- STRICTED ENERGY ELECTRICAL APPLICATION ec by: S} r 13125W HALL BLVD Date Rec'd: I' /Z- 9/9f TIGARD OR 97223 SEP 2 9 1999 PRINT OR TYPE V - 503 - 639 -4171 X304 Permit #: GL g my y -0 0 x. F - 503 - 598 -1960 COMMUNITY DEVELOPM IItOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd: WILL NOT BE ACCEPTED Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY Restricted Energy Fee $60.00 (FOR ALL SYSTEMS) JOB Street Address Ste # ADDRESS (p(02,1 SW Wain k-VTer Check Type of Work Involved: (t�� 1 � n Zip '72Z �,1 # ] 965 , n Audio and Stereo Systems Name I� Burglar Alarm "': ro, I -e.. M 1 ( S ❑ Garage Door Opener* OWNER 1 5 LJQ I h Vk'�" i '>° rr Clt Sate ,J n Zip`s cP�ho�ne # �} ❑ Heating, Ventilation and Air Conditioning System* T / I �a rd p I /�} - tf " �� ❑ Vacuum Systems* Name Other CONTRACTOR Ma#Iing Addre t r 0 I b � 3 l II TYPE OF WORK INVOLVED - COMMERCIAL ONLY (Prior to issuance a Ity/ t ^ to M � n . 4 I 23x � hone Fee for each system $60.00 copy of all licenses w1 >vl f ©2 (SEE OAR 918 - 260 -260) are required if Oregon 1 I ptr ' Lid, # PP roc yp expired in C.O.T. 1 ab yy C heck Type of Work Involved data base). Electrical cont. Ic. Ex . Da 2-f0 ° Q C ID 0 f ❑ Audio and Stereo Systems C.O.T. or Metro Lic. # Exp. Date n Boiler Controls Owner's Name ❑ Clock Systems OWNER - Mailing Address APPLICANT ❑ Data Telecommunication Installation City /State Zip Phone # ❑ Fire Alarm Installation This permit is issued under OAE 918 - 320 -370. This applicant agrees to make only restricted energy installations (100 volt amps or less) under this ❑ HVAC permit and to do the following. n Instrumentation 1 Only use electrical licensed persons to do installations where required. Certain residential and other transactions are exempt from licensing. ❑ Intercom and Paging Systems These have asterisks( *). All others need licensing; ❑ Landscape Irrigation Control* 2 Call for inspections when installation under this permit are ready for inspection at 503 - 639 -4175; n Medical 3. Purchase separate permits for all installations that are not ready for an ❑ Nurse Calls inspection when the inspector is out to inspect under this permit; 4. Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting* inspector are done, and; ❑ Protective Signaling 5. Assume responsibility for calling for a final inspection when all of the corrections are completed. ❑ Other Permits are non - transferable and non - refundable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. Number of Systems The person signing for this permit must be the applicant or a person ' No licenses are required Licenses are required for all other installations 'authorized to bind the applicant . FEES: Signature t^/l ENT R FEES $ ii) 100 7 � O 4, 2.0 5WSURCHARGE (.05 X TOTAL ABOVE) $ Authority if other than Applicant TOTAL $ (A04 1 \dsts \forms\resele doc 3/98