10300 SW GREENBURG ROAD STE 560-2 ,:mow
zO
ri 0
00
L,
z Ln
E
H
G7
r En CT]
A 03
H z
CYl C
:U
Ln 41
m
O 7d
0
a
d
I
1.0300 SW GREEMBURG ROAD
LINCOLN I , SUITE 560 ...�
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SIN Hnli Blvd., Tigard,OR 97223(503)639-4171 ELECTRICAL PERMIT
RESTRICTED ENERGY
PERMIT #: ELR98-0234.
DATE ISSUED, 08/,F,6/98
FIAR(-,El,.: IF'3135AB-01001";"
L ADDRESS. . . : 1 O300 SW GREENBURG RD #560
SUBD I V I S I OKI. . . . :RED LOBSTER / CASA LUPITA ZONING:C-P,
BLOCK. . . . . . . . . . . LOT. . . . . . .. . . . . . : JURTSDICTN: TIS
Project Description: Installation of data telecommunication system.
P. RESIDENTIAL----------- B. COMMERC I
AUDIO & STEREO. . . : AUDIO & STEREO. . : INTERCOM & PAGING. .
BURGLAR ALARM. . . . BOILER. . . .. . . . . . . ;
LANDSCAP,E/IRRIGAT. . :
GARAGE OPENER. . . . CLOCK. . . . . . . . . . . . MEDICAL. .
HVAC. . . . . . . . . . . . . DATA/TELE COMM. . : X NURSE CALLS. . . . . . . . :
VACUUM bYSTEM. . . . FIRE 01-ARM. . . . . . : OUTDO(IR LANDSC, LITE:
OTHER: HVAC. . . . . . . . . . . . . PROTECTIVE SIGNAL_.. . :
I NSTRUMENTAT I Ohl. : OTHER. . :
Owner: TOTAL. # OF SYSTEMS:
FEES
MELVIN MARK type amoi-int by date rec-pt
10220 SW GREENBURG RD PRMT $ 40. 00 DEB 08/26/9B '38--308632
TIGARD OR 97c223 5 1-1 CT $ 2. 00 DEB 08/26/98 98-306632
Ohonp #- 't52-99L7it7i
Contractor:
PROGRESS TVE COMMUNICATIONS OF 4,2. 00 TOTAL
OREGON INC
2252 SE 1861H AVE RFOUIRED INSPECTIONS
PORTLAND OR 97233 Low Voltage Insp
Phone #: 665-6911 Elect' l Final
Reg #. . : 001 112
This permit is issued sjbject 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 acrordanre with approved plans. This permit will exnire if work is not started within 180
days of issuance, or if work is suspended for morn than 180 days, ATTENTION: Oregon law requires you to follow rule adopted by the
Notification Center. Those -dies are set forth in DAR 952-MI-0010 through BAR 952-W-Wo. You may obtain copies of
—
ilt
i!
li
r dirct 7.
then rules a
i�t V L
1.s s �_ b Permittee Signa 4,.jr,L-.
INSTALLATION
The installation is being marle an property I own which is not intended fni
sale, lease, or rent.
OWNER' S SIGNA-rLJRE.- DATE:
INSTALLATION
SIGNATURF Or SOPIR. ELECIN:
DATE.
LICENSI. NO:
}+++++++++++4-++;.+++++++•++++++++++++•++++++++++++++++++++++++ a`++++++++-F•+++•+++++
Call 639--11175 by 7:00 P. M. for- an inspertion needed the next hl.(si.ness (lay
1 14...................... ...........4-++++4.++++++-t.............................4-++++++++
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Bivd.
PERMIT#
Tigard,OR 97223
0416
Phone(503)09-41711
FAX(503)684-7297 DATE ISSUE - —�
TDD No. (503)684-2772
CITY OF TI4ARD Inspection (503)639-417. ISSUED BY
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
,�2j OQ
Address RESIDENTIAL—Restricted Energy Fee. . $`1Q,QJ
Gs , Cie oT Z j — (FOR All SYS TEMS)
City State `l Zip check Tvoe of Work Involved:
PERMITS ARE NUN-TRetNSFERAHLE AND NON-REFUNDARLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems
IS NOT STARTED WITHIN mo DAYS OF ISSUANCE OR IF NORK IS SUSPENDED FOR El Burglar Alarm
180 DAYS.
❑ Garage Door Opener'
2. CONTRACTOR APPLICATION ❑ Heating,Ventilation and Air Conditioning System'
R
r+is
Contractor Ds�r w/v�_�.r�-0 e_ �— ❑ Vacuum Systems'
� ❑ Other___
Address
DateCOMMERCIAL—Fee for each system . . . . . . . . . 140.00
— (SEE OAR 918-260-260)
Property Owner 4f e-r t.l Nt_i y- _ Check Tapp of Work Involved:
4 ❑ Audio and Stereo Systems
,ontractor"N Board Reg. No. d I I 1''�.-_
o ❑ Boiler Controls
Phone# 50.3 -(o (�3 __��_�— _.— ❑ Clock Systems
® Data Telecommunication Installations
3. OWNER APPLICATION ❑ Fire Alarm Installation
❑ HVAC
Print Owner's Name Phone No ❑ Instrumentation
_— ❑ Intercom and Paging Systems
Address ❑ Landscape Irrigation Control'
❑ Medical
City State Zip
❑ Nurse Calls
This permit Is issued under OAR 918.320-370.This applicant agrees to make only
restricted energy installations U W volt amps or le>sl under this permit and to do the ❑ Outdoor Landscape Lighting*
fnllmving. ❑ Protective Signaling
1. Only use electrical licensed persons to do installations where required.(Certain ❑ ether
residential and tither transactions are exempt from licensing.These have —
asterisks(') All others need licensing)
2. Call for art inspection when all of the installations under this permit are ready ❑
fur inspection at 503-639-4175. _ Number of Systems
1. Purchase reparate permits for all installations that are not ready for inspection
Mrn the inspector Is out to inspect under this permit. No licenses are required licenses are required for all Nher installations.
'S 4. Assume re.sponsibb, , .v assuring that all corrections regrdred by the inspector
are done,and
S. Assume.responsibility for calling for a final inspection when all of the 5. FEES
corrections are c;,repleted. n t�
The person signing for this permit must be the applicant or a person a. Enter Fees $ WC
authorized to hind the applicant. 0
b. 5%Surcharge(.05 x total above) $
ignalum TOTAL $�
Authority if other than applicant
ENERGAP.CHP