Permit CITY OF TIGARD
A � ��4,..*,,, -. DEVELOPMENT SERVICES ELECTRICAL PERMIT -
_- _ . 4 - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 RESTRICTED ENERGY
PERMIT # :- ELR97 -0065
DATE - ISSUED: 03/07/97
PARCEL: 1 S 135CB- 00600 '
SITE ADDRESS...: 11530 SW TIEDEMAN AVE
SUBDIVISION....: ZONING :I -P
BLOCS'. °. ° ° ° °. ° °° ° LOT ., -
Project Description: Installing data telecommunications system
-- ..-------------------- .___. - -.. ----- 1 -- ------------------------
A° RESIDENTIAL B. COMMERCIAL -
AUDIO & STEREO :... AUDIO R. STEREO..: INTERCOM & PAGING.. :
BURGLAR ALARM - BOILER.; °,..,.. .,, :_•„ LANDSCAPE /, LRRIGAT•.,°.
GARAGE OPENER, ° „.: : CLOCK..,.......: MEDICAL. °.= v.. =rt °°
9- IVAC.. ° ° . o . ° .. °. ° n : DATA /TELE' COMM,. ;X , NURSE CALLS„ ° o :a = ;. '
VACUUM SYSTEM °. ° °: FIRE ALARM. . ° °e °: OUTDOOR LANDSC LITE:
OTHER :, . . : , , . . HVAG ° , PROTECTIVE SIGNAL.. :
INSTRUMENTATION.: OTHER.. ..
TOTAL # OF SYSTEMS: 1
Owner: -- - _ __ -- - - -_ -- FEES ---------- --- •--
MCCALL PROPERTIES INC , type amount, by date recpt
808 SW 15TH AVE PRMT $ 40.00 B 03/07/97 97- 291391
— _ � __s_- ___ - -__ : __ - - _5PCT- $_ = _ 2. J
O . B = 7_ _ 03/07/9 97-29_1391
PORTLAND OR 97205
Phone #:
Contractor: -°
WESTERN TELEPHONE CORPORATION $ 42.00 TOTAL
7600 - SW • R I DGEPO.RT ; RD .
. _.- REQUIRED INSPECTIONS '
DURHAM OR 97224 Elect' 1 Service ____
Phone # :, 503 -624 -7600. Elect' 1 Final
Reg #..: 000699
This perait is issued ,subject to the,regulat : ions contained in -, ,,;;, -
Tigard 'Municipal Code, State .of Ore. Specialty Cndes, ail, (Ober- ‘. Permi ee : "ignatare
applicable laws. All work will be done in accordance with approved plans.. This perait will expire, if work is not started . iS, / � , within',14 , 4, >daYs:,-of isuance,. if .work:, i,s.suspeaded: for more . • - ,
than 180:- day,s... ' � • �' I s s �_� e d., A 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 - --- -------------------------
SIGNATURE OF SUPR. ,ELEC' N :., . DATE: '
LICENSE NO:
' Ca,1„1 , for inspection, 63974,175 , .-
v r , i111OV J. , v niya vv• ILV1 l.11l Ur 11t,:tzU! 411.10 2
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
' 13125 SW Hall Blvd. --
Tigard, OR 97223 PERMIT #
Phone (503) 639 -4171
. l ' / 1 1 FAX (503) 684 -7297 DATE ISSUED 3— 7—/9
9 `
TDD No. (503) 684 -2772 //��
CITY OF TIGARD Inspection (503) 639 -4175 ISSUED BY YJr e•
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
Address \ RESIDENTIAL — Restricted Energy Fee i_419.11
--V 1�(Z eN - 172_. (FOR AU. SYSTEMS)
City State Zp Check T e of Work Involved
Pt i T N� Type
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 ❑ Audio and Stereo Systemso
180 DAYS.
❑ Burglar Alam1
2. CONTRACTOR APPLICATION ❑ Garage Door Opener'
❑ Heating, Ventilation and Air Conditioning System'
Contractor ■i.. ❑ Vacuum Systems'
— Ala c -., � ; ❑ Other
Address
o LP�cz� �-,s Q n ci •� Q
,,, -12-4. 0.m C) tZ °V1Z. --\
Date \b \' V V COMMERCIAL — Fee for each system 540.00
(SEE OAR 918- 260.260)
Property Owner _ Check TX a of W ork Involved:
Contractor's Board Reg. No. ,agg9-4 ❑ Audio and Stereo Systems
❑ Boiler Controls
Phone # 9'Zy - t10 ❑ Clock Systems
3. OWNER APPLICATION lta Telecommunication Installations
❑ Fire Alarm Installation
❑ HVAC
Print Owner's Name Phone No
❑ Instrumentation
Address ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control'
City Stale Zip ❑ Medical
This per mu is issued under OAR 918- 320 -370. Thls applicant agrees ro make only ❑ Nurse Calls
restricted energy installations (100 volt amps or less) under t permit and to do the ❑ Outdoor Landscape Lighting'
following:
1. Only use electrical licensed persons to do installations where required. (Certain ❑ Protective Signaling
residential and other transactions are exempt from licensing. These have ❑ Other
asterisks(`). All others nerd 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
S. 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 $ #0., (� " "
a orize to bind the applicant
-63/2, IVT A b. 5% Surcharge (05 x total above) $ d `dr)
Signature 20- v-0
TOTAL 5
Authority if other than applicant
ENERCAP.CHP
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain &Lt ervice FINAL:
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing -Mech.
PIbg.Und /FIr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins. `
Other:
Date: --(/ o� ' 1 1 A.M. P.M. Entry:
Address: r) 0 .y ( r '17,,.i p':_A.A %'
Tenant: Ste: MST:
7•, . 1 BUP:
Con /Own: . , 3 ,.,t l Vii d MEC:
PLM:,g, -).
ELC: AIM' 'ate .
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR. W�.4.*
S / , 410 fir Jr, —.1—
I
C 2
/
,... .,5 - e C" i-o r / f" ..__ I ri --- l e -e / (ciP7 <
Y / 9 trr4j C°'.
Inspector: ( _ /. �c Date:3' - 7 7
APPROVED DISAPPROVED /CALL FOR REINSP. CF CO
/VI
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 /FIr /Slab Plbg. Top Out Insulation Q
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr /Sdwlk Reins.
Other: G
Date: � /// / ! M. P.M. Entry:
Address: 15 v I o )
Tenant: Ste: MST:
c BUP:
Con /Own: �Yl ._ I MEC:
PLM
�� D� ELC. Anortal.
THE FOLLOWING CORRECTIONS ARE EOUIRED: ELR.'111/D J
■ 7 -0065
ro7 7 -� ve (t f - P h4 5
/`�s��l/ , z 14, / 4d3 hs .
c:i2'� - i e• a c_ -r-e- C-11 "1 fet_5 -e
/-t==. dir r 2 ( I L - v) (7C --c S 6-
a A" ti e-
Inspector: /4 49 '63 ( I L ? ( ' Date: 4 -
K APPROVED _ DISAPPROVED /CALL FOR REINSP. ail CO