11581 SW PACIFIC HIGHWAY N
CO
n
n�
1'S Sol SW Pacific Hwy
CITY OF TIGARD
DEVELOPMENT SERVICES ELECTRICAL PERMIT -
13125 SW Hal(Blvd., Tigard,OR 97223 (503)633.4171 RESTRICTED ENERGY
I PERMI'r #: ELR97-0177
DATE ISSUED: 06/23/97
PARCEL: OSOON X X-00000
SITE ADDRESS. . . : ,1,1 7 SW PACIFIC. HWY
SUBDIVISION. . . . : ZONING:
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . JURISDICTN:
Pr^o j ect Description: ADD PROTECTIVE SI6NALIN6
-----------------------------------------------------------
A. RESIDENTIAL-- ------~ B. COMMEP,CIAI_----------~-_ ._-___.__.--__.____.___.'_____.._.
AUDIO & STEREO. . . : AUDIO & STEREO. . : INTERCOM & PAGING. . :
__
BURGLAR ALARM. . . . r BOILER. . . . . . . . . . . LANDSCAPE/IRRIGAT. . :
('GARAGE OPENER. . . . . CLOCK.. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . .
HVAC. . . . . . . . . . . . . : DATA/TELE COMM. . : NUR13E CALLS. . . . . . . . :
VACUUM SYSTE:M. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE:
OTHER: . . HVAC. . . . . . . . . . . . . PROTECTIVE SIGNAI_. . : X
I NST Rl1MENTA1 ION. : OTHER. . :
TOTAL # OF SYSTEMS: 1
Owner; __.._______...__.__.__ _ _.._-.___..__..__.._____ ..._______.___...---------------_--_._.__.-- FEES
LES SCHWAB type amol.int by date r-ecpt
11567 SW PPCIFIC HWY PRM'T $ 40. 00 GEC) 06/23/97 97-21:36298
'TIGARD OR 97223 5PCT $ 2. 00 GEO 06/23/97 97-296298
Phone #:
AAA ALARM CO OF OREGON $ 42. O0 TOTAL.
7865 SW C I RRUC' DR
_._____ REQUIRED INSPECTIONS
------
RE:0VERTON OR 97008 Ceiling C.over� Ele1-t' 1 Final
Phone #: 646-..2700 Wall Cover
R e g #. . : OOO936
This pewit is issued subject to the regulations contained In the Tigard Municipal Code, State of Ore. Specialty Codes and all other
appiicable laws. All work will be done in accordance with approved plans. This pet-sit will expire if work is not started within 198
days of issuance, or if Mork is suspended for sore than 180 days. ATTENTION: Oregon law requires you to follow rule adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 95c-001-0010 through OAR 952-001-0090, Yon may obtain copies of
these rules or direct,quest ions to OK at 15031246-1987.
�_�c c rmittee
I s;�;�.1 p d b Y�1 �,.f! PeS 1 gnat Ia r e /,�1?. t�-G IC-4f
---
-_----------.-----------------OWNER INSTALLATION ONLY----- --- _.____-------------- -.
The installation is being made on property 1 own which is not intended for^
sale, lease, or^ rent.
OWNER' S S I GNAT URE: — - --___ DATE: _.
RACTOR INSTALLATION ONLY-------------------------
SIGNATURE OF" SUF'R. ELEC' N: ��, DATE: -
LICENSE NO-
+j...F....+-F+-F+++++i'+f'++++++++++++f'+.+++.-F+++i....+++i-++.+++}+-F+-h......+++++++'r-+f t
Call 639--4175 by 6:O0 P. M. for, an inspection needed the next b1_Isiness day
++++++t++++++++++• ++++++..:.++++4.++4.......................1-++4+++++++++i++t+++++++-i-
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd. e^
Tigard, Ok 97223 PERMIT# - % `C7/�
Phone(503)639-4171 c
FAX(503)684-7297 DATE ISSUED G" —
u TDD No. (503)684-2772 /1
CITY OF TIGARD Inspection 150'1 639-4175 ISSUED BY �f-d
I - PLEASE- COMPLETE ALL SECTIONS
1. LOCA ION OF INSTALLATION 4. TYPE OF WORK
i IF -7 Sup' Aac406 Hwy _
Address _ RESIDENTIAL—Restricted Energy Fee. . . . . . . . .
TIMTO
I O R- +� !FOR ALL SYSTEMS)
City `' State+ — Zip Check Type o• f Work Involved:
PERMITS ARE NON•TRANSFERAHLE AND NON REFUNDAH-F AND EXPIRE IF WORK ❑ Audio and Stereo Systems*
IS NOT STARTED WITHIN 1110 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR
1110 DAYS ❑ Burglar Alarm
2. CONTRACTOR APPLICATION El Garage Dwir Opener*
^ ❑ Heating,Ventilation and Air Conditioning System*
Contractor AAA _. (UI m Type----- ___-_ — ❑ Vacuum Systems*
Address IA,IJ JW 0'r Y U S Dr i VC) U other_-- ---— - -- —
Date—J U nfl-_J. -1. J COMMERCIAL—Fee for each system . . . . . . . . , $40.00
Properly Owner
l 5 Sd Wab Annex (SEE OAR X18-260.200)
— - — --- — —— --
�/], S:hf:ck Type of Work Involved:
Contractor's Board Reg. No._ `1 ❑ Audio and Stereo Systems*
Phony #
E3 Boiler Controls
��� �O�{o �d
3. OWNER APPLICATION ❑ I)ata leiecommunicaticn Installations
❑ I ire Alarm Installation
❑ IIVAC
Print Ownt+r's Name Phone Nn
[] Inslrumcntalion
Address —�- -- ❑ Intercom and Paging Systems
❑ land,,( tpo Irrigation Control*
City Stale — Zip ❑ Meclic,tl
This Ix omit is iseu rl under OAR 91A i!IL17n ihi%applirand agars 1..make only ❑ Nurse Calls
restricted energy ingallatinm i lot,vuh amps or Ie%%i under this permit and to do flip ❑ Outdoor Landscape t ighting*
following:
1. only use rlrcirirdl limnsetl persons to rin installafiuns where required.It•rrtain
Prolective,Signaling
resIdential and other bansactiuns art-exempt from licensing Thrso have ❑ Other
asterisksl•1 All others nerd licensing). — "--"'— —"`---' '—"-----"
2 Call for an inspection when all of the installations under this permit arr ready
for inspection at 503-639-417
❑ Number of Systems
3. Put,hasty separate permits fur all installation%that are not rvadv 6 a inspection
whrrr the inspector is out to mslro under this permit. •No lirenms am required. Iicrnsrs arr required for all other installa'inns
4. Assume responsibility for assuring that all c orwrtinns root iiimd by the Inst; %tor
art-donr,and
5 %some rrspnnsihility,for calling fora final inspection when all of II•:corrections rj. FEES
art,cmm11letrd. II''nn
)fie person ,igning for this permit must he the applicant or a person a. Enter Fees $ LP. OD
authori7ed to hind the applicant.
$��Q►1 (1.� _ b. 5% Surcharge(.05 x total above) $ Q. to
Signature
TOTAL $ 111'1 QO
_ S0If' Cmd i na�pr _ —
Authority if other than applicant
ENERCAP.CHP
CITY OF TICA.RD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone: 619-41'%1
Late Requested: _ 1 -7 - /5- / _ _ A.M. P.M. MST:
Loc,tiJu: - l �(.t , (i1JZ / BTJP: -
Tenant: — ( - Suite: Bldg: ' ' NEC:
Contractor: � CI�YY Phone: // c /�/ 00 kt"tal PLP. : _gr
Owner: _L w 4 -.tet w,�,G- '--� Phone W "/.�-�J' E L2 C 7-01'7
i
_-7- « -q7 �_ 'Lc d f.G GL_ EI.R:
11.tLt�r1L'/ S�Ct,F 077 Clv1 .SU'l-t SIT: _
BUILDING BLDG(con't) PLUMBING M CIdANICAL CA SITE
Site Post/Beam Post/Beam Post/Beam Sewer/Storm
Footing Roof' UndFUSlab Rough-in Ceiling Water Line
Slab Framing 'fop Out Gas line Rough-In UO Sprinkler
Foundation Insulation Sewer flood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace 'Temp Service MISC.
Masonry Ceiling Rain Drain A/C ll '
Shear/Sheath Fire Spklr/Alm CrawVFound Ir Heat Pump Low Volt
Appieved Approved Approved Approved Approved --
Aplir/Sdwlk Not Approved Not Approved Not Approved pproved i,'-' Approved
FINAL FINAL, FINAL FINAL FINAL
0 Call for reinspection � 16—,Reinspectiva fix of S_—_-_rex1rid he(i6re next inspection C3;Inable to inspect
Inspector —•-- _-- Date: � of