Permit _ _
-� CITY oF T I CARD ELECTRICAL ENERGY -
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #: ELR96 -0101
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171 DATE ISSUED: 03/26/96
PARCEL: 19134BC- ®0200
SITE ADDRESS...: 1 160 SW SCHOLLS FERRY RD
SUBDIVISION,...,: ZONING :C -G
BLOCF', °..,, ° ° °.... LOT ....... . °. °..:
Project Description: Install protective signaling.
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 . ° °...e OUTDOOR LANDSC LITE:
OTHER: .° HVAC PROTECTIVE SIGNAL °.:X
INSTRUMENTATION.: OTHER..: .°
TOTAL # OF SYSTEMS: 1
Applicant: - -- __._ _- _ -._ -- - _•__.___ -- FEES - _..___.___.__.__.___..__
SUBWAY ' type amount by date recpt
12160 SW SCHOLLS FERRY RD PRMT $ 40.00 CJS 03/26/96 96- 277450
5PCT $ 2.00 CJS 03/26/96 96- 277450
TIGARD OR 97223
Phone ##:
Contractor: - - - --
PHILLIPS ELECTRONICS $ 42.00 TOTAL
1110 NW FLANDERS
-- - - -• -- REQUIRED INSPECTIONS -----
PORTLAND OR 97209 Ceiling Cover Elect' 1 Service
Phone #: 503 -227 -0571 Wall Cover Elect'1 Final
Reg a#..: 43343
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, 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 core l/?Ur e ,ScA , , c// —
than. 18Pi days. Issued B y
------------- . _. 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- --------
AUTHORIZED SIGNATURE: al a / /0/«6 _ DATE: 3-.16-96
LICENSE NO:
Call for inspection - 639- -4175'