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EL.ECTRICAI_ PERMIT
CITY OF T RESTRICTED ENERGY
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #: ELR96-0201
1'125 SW Hall Blvd.Tigard,Oregon 97223.9199 (503)039-4171 DATE ISSUED: O6/16/96
�G�F�ARCEL: 251 1�:C:ll--018kti 1
SITE ADDRESS. . . ; 1:�E�EiO SW 79TH AVE � 4��''
SUBDTVISION. . . . : DURHAM ACRES � -LONING: R-1E
131—CCK. . . . . . . . . . . I_`JT. . . . . . . . . . . . . 4
P,,-oject De.scr4. pti0n:
(l. RESI DEN T I AL---•---___
c B.
AUDIO & STE EEO. . . : F,UU I 0 & STEREO. . : INTERCOM & PAGING_ ',
BURGL,')R ALARM. . . . : X 60ILER. . . . . . . . . . : LANDSCAPE/IRRIGAI - . ;
GARAGE OPENER. . . . . CLOCK. . . . . . • . . . . • MEDICAL_. . . . . . . . . . . . .
HVAC. . . . . . . . . : DATA/TE1_E COMM. . : NURSE CALLS. . . . . . . . :
VACUUM SYSTEM. . FIRE AL.ARM. . . . . . : OU-.'DOOR LANDSC LITE:
OTHER: u : HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL— :
INSTRUMS.NTAT ION. : OTHER. . :
DOTAL # OF SYSTEMS
,',ARL NULTON_ type amaUnt by date recpt
15680 SW 79T1 AVE PRMT $ 40. 00 C?S 06/18/96 96--28069
5PCT t : . 00 CJS 06/16/96 96-280692
1' 1GARD OR 97223
F,Iione #:
L:ontractor: - -----____
SONITROL PACIFIC $ 41_. 00 'TOTAL
1974 SW 6TH AVE
------- REQUIRED INSPECTIONS
--
P'7RT' AND OR 97201 Wall Cover Elect* ! Fir,al
Phone #: 503-223-582:' Elect' 1 Service —
r e g .4. . . 53535
This permit , issued subject to the regulations contained in the __.� -- - --- .
Ligard M, .,icipal Lode, State of Ore. Specialty Codes and all other F'erm it ee Si gnat ure
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not startea I �
within 180 days of issuance, or if wore :i suspended for sore �..._K'C�7kta.�<f __._.._..___ _ _•-____.__..
tt an 1.80 days. I s s u E d }3 y
_ ----_-OWNER INTAI_I-AT I ON ONI_Y------------'---"-"`"'_,_____.--_-....
The installation-----.-----.--OWNER
is being made on preper,ty I own which is not intended for
sale, lease, or rent. DATE:
OWNER' S SIGNATURE:
CONTRACTOR INSTALLATION ON[-Y--- ------ -
SIGNATURE
NLY---_ _-___- _SIGNATURE OF SUF'R. ELECT' N: Q_f1�L f rl:�>f'�0 2_.___.___..___._._ DATE-.
CIO
i� L I CENSE NO., -
J Call fcr• inspection -• 6313-4175
Community Development RESTRICTED ENERGY ELECTRICAL APPLI(;ATION
13125 SW Hall Bled.
Tigard,OR 97223 PERMIT#.aRgo�-D
Phone(503)639-4171
FAQ;(503)684-7297 DATE ISSUED 6—/7— 4G
TDD No. (503)684.2772
CITY OF TIGARD Inspection (503)639-417.5 ISSUED EY
I
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
fe, -S,-tip .-�
Add ess RESIDENTIAL-Restricted Energy Fee. . . . . . . . . $40.00
nAx (FOR ALL SYSTEMS)
State Zip Check Tyne of Work Involy;fid:
PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems
15 NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR Ell"
180 DAYS. Ell Burglar Alarm
2. CONTRACTOR APPLICATION ❑ Garage Door Opener'
(( ❑ Heating,Ventilation and Air Conditioning System'
Contractor ���,,%li r•7� c type., �It/ � �y ❑ Vacuum Systems'
Address �>7f f�✓ �o�� / ! �j�jc/ ❑ O:her
Date 6,1-- �/6 COMMERCIAL—Fee licit each system . . . . . . . . . S40-00
(SEE OAR 918-260-260)
Property Owner n ultan 11401- __ Check Tyne of Work!r.utzlvstl;
Contractor's Board Reg. No. ���� ❑ Audio and Stereo Systems
p El Boiler Controls
Phone# ,�1 ,31 J` Z= ❑ Clock Systems
❑ Data Telecommunication Installations
3. OWNER APPLICATION
❑ Fire Alarm Installation
❑ MVAC
Print Owner's Name Phone No ❑ Instrumentation
Address — ❑ Intercom and Paging Systems
❑ Landscape Irrigation Contrei'
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:
1. Only use electrical licensed persons to do installations where required.(Certain 11 Protective Signaling
residential and -)ther transactions are exempt from':censing.These have ❑ Other _
asterisks(•).All others need licensing).
r, 2. Call for an inspectttn when all of the Installations under this permit are ready
,r for Inspectinn at 503-c•39-4175. ❑ Number of Systems
3. Purchase separate permits for all installations that are not ready for Inspection
M— 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
am done,and
5. Assume responsibility for calling(or a final inspection when all of the 5. FEES
) corrections are completed.
The person signing for this permit must he the applicant or a person a. Enter Foes
authorized to bind t applicant.
r l (r /�r_y_._ b. 5% Surcha,Qe(.05 x total above) $
Signa ure — TOTAL $�� �l _—
Authority if other than applicant
ENFRGAP.CHP