Permit .
CITY �
DEVELOPMENT SERVICES
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~&� /��� %y� 5 SW/���v�7�e�iOR 97223 ��)G��1�� ELECTRICAL PERMIT —
RESTRICTED ENERGY
PERMIT #: ELR97-0088
DATE ISSUED: 03/25/97
PARCEL: 2S112DD-00700
SITE ADDRESS...: 15770 SW UPPER BOONES FERRY RD #BLD.
SUBDTVISION. . . . : ZONING: I—P
BLOCK....... ... : LOT.. ........... :
Project Description: instl protective signaling
__________ _______ _ _ _ ______________
A. RESIDENTIAL--------- B. COMMERCIAL--- ---
AUDIO & STEREO.. . : AUDIO 8- 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 # OF SYSTEMS: 1
Owner: ------- -------------------- -- FEES — --------
PACIFIC REALTY ASSOC LP type amount by date recpt
15115 SW SEQUOIA PKWY PRMT $ 40.00 TAT 03/24/97 97-292132
STE 200 SPOT $ 2.00 TAT 03/24/97 97-292132
PORTLAND OR 97224
Phone #: 624-6300
Contractor: -------------------------- -------------- -----------
SONITROL PACIFIC $ 42.00 TOTAL
1974 SW 6TH AVE
------- REQUIRED INSPECTIONS —
PORTLAND OR 97201 Ceiling Cover Elect'l Service
Phone #: 503-223-5822 Wall Cover ' Elect'l Final
Reg #..: 000535
/
This perwit is issued ��� to the regulations contained in the / � /
Tioard Municipal Code State of Ore. Specialty Codes and all other Perini/ e .) ignat
applicable laws. All work will be done in accordance with
(
approved plans. This permit will expire if work is not started xy
within 180 days of issuance, or if work is suspended for more
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 ty p RESTRICTED ENERGY ELECTRICAL APPLICATION
►' 13125 SW Hall Blvd. etig7 _ �-(JDO s/
Tigard, OR 97223 PERMIT #
// . ; Phone (503) 639 -4171 Vq7
A .f I I FAX (503) 684 -7297 DATE ISSUED
- TDD No. (503) 684 -2772
CITY OF TIGARD Inspection (503) 639 -4175 ISSUED BY
Pill =id,/ ; /I PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INS AL TION 4. TYPE OF WORK
151 6W WAR 00/(6 rr i
A dre s RESIDENTIAL — Restricted Energy Fee $40.00
Q (3 �, 5 (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
2. CONTRACTOR APPLICATION ❑ Garage Door Opener'
I ❑ Heating, Ventilation and Air Conditioning System*
Contractor C l`rol ? )C Type L l • E g g ❑ Vacuum Systems*
Address 1605 OW I•` Aire. l I is i , TOO / ❑ Other
Date mcur. al I I 6 7 COMMERCIAL — Fee for each system $40.00
(SEE OAR 918 - 260 -260)
Property Owner Check Type of Work Involved:
Contractor's Board Reg. No. \ ❑ Audio and Stereo Systems
❑ Boiler Controls
Phone # aa5 - 5is aa ❑ Clock Systems
3. OWNER APPLICATION CI 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:
X 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 -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 $ 10
authorized to bind the plicant.
jw ,Qf— b. 5% Surcharge (.05 x total above) $ a
Signature TOTAL $ a
Authority if other than applicant
ENERGAP.CHP
t , /22
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: A.M. P.M. MST:
Location: 1 5 7 7 O (A �] - BUP:
Tenant: �.e,lp.,'�� ' Suite: Bldg: MEC:
Contractor: Phone: PLM:
Oier: ` Phone: 7 9rn4 e _ E LC:
W ELR: 0 °
ti Phi C�rJL � .f411 l F a SIT:
BUILDING BLDG (con't) PLUMBIN MECHANICAL E SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer/Storm
3 z
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved Approved Approved
Appr /Sdwlk Not Approved Not Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
- 1 ( 149-A 1--- L.P./(' t.(f/ / A A0A-42,9./1—e—/k _)
II
le;t /lam% 4 - .29-97
" Call for reinspec ' . O Reinspection fee of $ required before next inspection O Unable to inspect
Inspector: ir �� Date: 6/S1711 Page of
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