InitiallyGood ti
cn
D
-1
:T
I
D
�� i
3
15293 SW ALDERBROOK PLACE
CITY CSF TIGARD
DEVELOPMENT SERVICES ELECTRICAL. PERMITAli —
13125 SW Nall Blvd., TI•gard,OR 87223 (503)639.4171 RE ST R T C;TEP. FNF RGY
PERMIT #: ELR96-0396
DATE= ISSUED: 12/31. /9F_,
C''f1FtC;EI_: c:S111.DP--�05?,�0 �
i
`31TE AD1)RE9S. . , r. 1F)293 SW ALT-�f_-'RPR00K. F'L_
13UPDIVISION, . . . : SUMMERFIELD NO. 7 I.ONING:R--7
BLOCK,. . . . . . . . . „ . t_17'T. . . . , . . . . . . . . :407
f"�ro.j ec' De ser i pt i on. INSTALL 13LIRGL.AR Al ,'-SRM
i
'1. RES'IDE'NTIAL------------ B.
AUDIO 8 STEREO. . . : AUD T O 8 STE"REO. . : INTERCOM 9 PAGING. .
PURGLAR ALARM. . . . - X BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . s
GARAGE: 0PENFR. . . . : CLOCK. . . . . . . . . . . . IhED:ICAL. . .
HVAC. . . . . . . . . . . . . : DA rA/TELE COMM. . . NURSE CALLS. .
VACI.IUM SYSTEM. . . . t FIRE ALARM. , , , , , OUTDOOR L.ANDSC, I...T 1 f..
OTHER: : s HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . :
I NST RUMENTA'T I m. : OTHI'77R. . :
TOTAL # OF SYSTEMS: 0
FEE.5
T LYNN JONES type amor.tnt by date r•ecpt
1 529193 SW AL-DERPROO1J, PL PRM-f s 40. 00 TAT 12/31 /96 9E—?A8c'q.7
PCT 1; 2. 00 TAT 12/31./96 96-28D2'3?
rIGARD Oft 97224!_'hone #:
�:ontractar: __. .___...___ ___ .__...____.___ ___ __.__. _----•-__..__.____________.___—___.__ _._._.
nR I NK S HOME SECURITY 42. 00 TOTAL.
ri059 SW CIRRUS DR
_—-- --- REQUIRED INSPECTIONS --------
BEAVERTON OR 97008 Ceiling Cover Elect' 1 Service
r'hone #: V-641.--0574 Wall Cover E' ect' 1 Final
Peng #. . : 4442..1
This pewit is issued subject to the regulations contained in the _
Tigard Municipal Code, State of Ore. Specialty Codes and all other Per I i t:e . Si gnat�. e
;pplicahle laws. All work will he done in accordance with !/
approved plans. "irs pereit will expire if worN is not started
within IN days of issuance, or if work i= suspended for Bore ` L
1 pfes"
tian IN days. I Sd 13y
IN TAt.LATION nN1_Y.--
The installation is being made an property I own which i.s not intAnded for
mla, ].ease, or ren+.
'1WNER' S S I GNATURE: _ DATE:
INSTPLLATl,?N
',T GNATURE Of GLIF'R. ELEC' N: DATE:
'..ICENSE: NO:
Call for inspection -- 639-•4175
I
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
1317.5 SW Hall Blvd. d�
Tigard,OR 97223 PERMIT #
Phone(503)639-4171
FAX(503)684-7297 DATE ISSUED
TDD No. (503)684-2772
CITY OF TIGARD Inspection (503)639-4175 ISSUED BY
PLEASE COMPLETE ALL SECTIONS
LOCATION OF INSTALLATION 4. IFYPF OF WORK
�-� - r� to
Ar dre RESIDENTIAL—Restricted Energy Fee . . . . . . . . . $40.00
(FOR ALL SYSTEMS)
C—i_ty,-J_S1(JState Zip Check Type of Work Involved:
PERMITS ARE PEON-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*
Coo itractopRINKS HOME SECURpe
_ _ type
Ventilation and Air Conditioning System'
tyALARM
T U Vacuum Systems'
Address 8059 S.W. CIRRUS DRIVE, BEAVERTON 91008
❑ Other
Date_ / _ COMMERCIAL--Fee for each system . . . . . . . . . 140.00
(SEE OAR 918-260-260)
Property Owner of tio�c;k Involved:
Contractor's Board Reg. No. __ n4 ice_ — 0 Audio and Stereo Systems
❑ Boiler Controls
Phone# (503) 641-0574 _-_ ❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
❑ Fire Alarm Installation
Cl HVAC
Print Owner's Name Phone No ❑ Instrumentation
Address ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control'
City State Lip ❑ Medical
This permit is Issued under OAR 9r 8.320-370.This applicant agrees to make only ❑ Nurse Calls
restricted energy installations(100 volt amps or less)under thls permit and to do the EJ Outdoor Landscape Lighting'
following,
1. Only use electrical Iirensed persons to do installations where required.fCertaln EJ Protective Signaling
residential and other transactions are exempt from licensing.These have ❑ Other_ —
asterisksM,All others need licensing).
2. call for an inspection when all of th^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
copper tions are completed.
The person signing for this permit must be the applicant or a person a. Enter Fees $_ Zk/U
authorized to bird the applicant.
b. 5% Surcharge(.OS x total above) $_�
Signature 1 —
1OTAL $�� r
Authority i other than applican
ENERGARCHP