Permit CITY OF TIGARD
DEVELOPMENT OR LOPMENT SERVICES ELECTRICAL PERMIT
11. 13125
RESTRICTED ENERGY
PERMIT #: ELR97 -0223
O DATE ISSUED: 08/05/97
PARCEL: 2S112DA -01300
SITE ADDRESS... :06640 SW REDWOOD LN *1ST
SUBDIVISION.... :MLP96 -0002 ZONING :I -P
BLOCK LOT .............: JURISDICTN: TIG
Project Description: Portland Clinic first floor tenant
A. RESIDENTIAL B. COMMERCIAL -•
AUDIO & STEREO...: AUDIO & STEREO..: X 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..:
INSTRUMENTATION.: OTHER..:
TOTAL # OF SYSTEMS: 1
Owner: FEES - -- - - --
SISTERS OF PROVIDENCE type amount by date recpt
9205 SW BARNES PRMT $ 40.00 JSD 08/05/97 97- 297947
PORT' AND OR 9 7 22 5 SPrT s -- o 00 JSD 0 97- 29794
- PORT' � AND OR r LL. -../ - L. Y• JSD •t•V .... - -
Phone #: 224 -4032
Contractor: --
MUZAK LTD $ 42.00 TOTAL
2901 3RD AVE
STE 400 REQUIRED INSPECTIONS -----
SEATTLE WA 98121 -1042 Ceiling Cover Elect'1 Final
Phone #: 253 -7573 Wall Cover
Reg #..: 000866
This peroit 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 peroit will expire if work is not started within 180
days of issuance, or if work is suspended for oore 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 952101 -0010 through OAR 952 -001 -0080. You oay obtain copies of
these rules or direct questions to OUNC at `:3)246 -1987.
Issued by `! Permittee Signature '��i4
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 639 -4175 by 6 :OO for an inspection needed the next business day
4. 1-+++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + ++ + + + + + + + + + + + + ++ + + + ++ + ++
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION --
PERMIT #
13125 SW Hall Blvd.
Tigard, OR 97223 7 .- 9 Q� _ Q ``�
( Phone (503) 639 -4171
/�,
1 i 111 ;� FAX (503) 684 -7297 DATE ISSUED Q
` -
TDD No. (503) 684 -2772
CITY OF TIGARD Inspection (503) 639 -4175 ISSUED BY _ z - 7 7 -..
PLEASE COMPLETE ALL SECTIONS
.1. LOCATION OF INSTALLATION ( 7 ' '� i�� 4. TYPE OF WORK
G‘‘Y•0 gedWocJ 1
Address RESIDENTIAL — Restricted Energy Fee $40.00
// G rcl OR 9 222 U (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
/' I ❑ Heating, Ventilation and Air Conditioning System*
Contractor Mil 2 A /C Type 2r� f,✓ a 1) ❑ Vacuum Systems'
Address /Z- 5 N4 it) rXc S71- 7f— ❑ Other
,.S
Date 8 / q 7 COMMERCIAL — Fee for each system $4o.00
PO (SEE OAR 918- 260 -260)
Property Owner C l l\�'i tNC\ CA . 1 7 1 C- Check Type of Work Involved;
Contractor's Board Reg. No. 6 (0 , 4 9 y Z( 6,6 k CLG ®'udio and Stereo Systems
❑ Boiler Controls
Phone # , c03- 2 ?3 -6 7/ 2 ❑ Clock Systems
3. OWNER APPLICATION El 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:
❑ 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 -1175
❑ 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.
,/ D O
The person signing for this permit must be the applicant or a person a. Enter Fees $ G/ 0
authorized to bind the applicant.
�; b. 5% Surcharge (.05 x total above) $ 2 0 c>
Signature TOTAL $ / o O „
Authority if other than applicant
ENERGAP.CHP