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CITY ®FTIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT RESTRICTED ENERGY
13125 SW Hall Blvd.Tigard,Oregon 97223e8199 (503)639-4171 PERMIT #: EL R96-0154
DATE ISSUED: 05/13/96
PARCEL: 2SI12BC-04800
SITE ADDRESS. . . : 14840 SW 83RD AVE
SUBDIVISION. . . . : LA MANCHA ESTATES EXPIREr, ZONING:R-4. 5
BLOCK, . . I . . . . . . . LO].. . . . . . . . . . . . . : 1
Project Description:
A. RESIDENTIAL---- B. C 0 MME RC I AL
AUDIO & STEREO. . . : AUDIO & STEREO. . : INTERCOM & PAGING. . :
BURGLAR ALARM. . . . ;X BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . :
GARACEOPENER. . . . . CLOCK. . . . , . . . , . . . MEDICAL. . . . . . . . . . . . .
HVAC. . . . . . . . . . . . . . DATA/TELE COMM. . . NURSE CALLS. . . . . . . . .
VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE;
OTHER: HVAC. . . . . . . . . . . . . C"ROTECTIVE SIGNAL. . :
INSTRUMENTATION. : OTHER. . :
TOTAL # OF SYSTEMS- 0
Owner: FEES --_--_----.---_
IERESA KILLION type aln(JUnt by date reept
).4840 SW 83RD AVE PRMi- $ 40. 00 CJS 05/13/96 96-279291.
5PCT $ 2. 00 CJS 05/13/96 96-279291
] IGARD OR 97223
Ph ne #: 503-6 M-7918
Contractor-:
BRINKS HOME SECURITY $ 42. 00 TOTAL
8059 SW CIRRUS DR
REQUIRED INSPECTIONS
BEAVERTON 09 9700B Wall Cover Elect' l Final
Phone #: 503--641-0574 Elect' I Set-vice
Reg 1*. . : 44421
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other Perm itee Signature
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 1,4 days of issuance, or if work is suspended for more
than 188 aiys. Issued By
INSTALLATION
The installation is being made on property I own Wh,iLoh. is riot irl.-endr,cl for-
sale, lease, or- rent.
OWNER' ',) SlUNATURL: DATE:
----------------._—.__----CONTRACTOR INSTALLATICAN
SIUNAIURE OF SUVIR. ELECIN: Or CL'h.Qn DATE
LICENSE NO:
Call for inspeci: ion 639-4175
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 PERMIT
Phone(503)639-4171
FAX(503) 684-7297 DATE ISSUED 5. 13-9,
A4 TDD No. (503)684-2772
CITY OF TIGARD Inspection (503)639-4175 ISSUED BY Enc ^1�r s ;;,�,J•
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
Addr G RESIDENTIAL--Restricted Energy I ee. . . . . . . . . 140.00
(FOR ALL SYSTEMS)
City State I p Chech Tune or Work Involved:
PERMITS ARE NON-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 jg�_Burglar Alarm
CONTRA TOR APPLI ATION ❑ Garage Door Opener*
y /� ElHeating,Ventilation and Air Conditioning System'
- Le6s�ititype 94- 4ie� ❑ Vacuum Systems*
ao / ❑ Other
Address 80,5 �� . ��✓1aL LLQ X�i' --
Date�[(� to _ _ COMMERCIAL—Fee for each system . . . . . . . . . S40,00
(SEE OAR 918-260-260)
Property Ownee—r � / _ C,,:ckT of ark r,1volved:
Contractor's Board Reg. No.
11 Audio and Stereo Systems
[J_ Boller Controls
Phone# _��r' �-s�% ❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecomrnunication Installations
❑ Fire Alarm Installation
❑ HVAC
Print Owner's Name Phone No
❑ InsVumentition
Address ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control'
City State Zip ❑ .Medical
This permit is issued under OAR 910.320.370.This applicant agrees to make only ❑ Nurse Calls
restricted energy Instillations(100 volt amps or less)under this permit and to do the ❑ Outdoor Landscape Lighting'
follrnving:
1. Only use electrical licensed persons to do Installations where required.(Certain L Protective Signaling
ta- residential and other transactions are exempt from licensing.These have ❑ Oder
tr astedsksM.All others need licensing).
N2. Call for an inspection when all 0 the installations under this permit arc ready
for inspection at 503-639-4175.
1- ❑ Number of Systems
F— 3. Purchase separate permits for all Installations that are not ready for Inspection
J when'he 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
03
are done,and
LD 5. Assume responsibility for calling for a final inspection when all of the S• FEES
—� corrections are completed. �j
The person signing for this permit must be the applicant or a person a. Enter Fees $
authorized to hind the applicant.
b. 5% Surcharge(.05 x total above) S
Signature
.ICS TOTAL $
Authority if other tha pplicant
ENERGA.P.CHP
INSPECTION IOTA B
City of Tigard Br.ilding I ePartJ—t
13125 SM Hall Blvd. Tigard. lz.sgon 97223
Insp4ction Line (Rec-O-Phone): 639-4175 Busi.necs Phone: 639-4171
I nspect i.o:::
pont 1.ng
Plbg• Underslab Hech. Ro,,gh-in Appr/Sdwlk
Plbg. Top Out Cas Line (` FINAL•
Found. ` —,
Poet/Beam Struct. San. Sewer
Framing Bldg
Poet/Beam Mech. Rain Drain
Ineulation -plumb.
Water Line Gyp. ad. _n—LD
Ping. Underfloor �w.�
�� C� Time: �,�n:w PM
�
Mite Pequested:_
Permit is
Address:
i
THE FOLLOW.,, CORRECTIONS ARE
nat
I --
Inspector:_+ - - --
IPPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
call For Reinsp.
C11Y OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #r:. . . . . . . : MST940071
13125 SW'Hall Blvd.Tigard,Oregon 07223e819g_,1*3W,Pjgj41171 DATE ISSUED: 02/28/94
P;ARCEL: 1.m:S112BC-0480I7f
SITE ADDRESS— : 1484.0 SW 133RD AVE
','1UBD I V I EF I ON. . . . : LO MANCHA LSTATEC ZONING: R-4. 5
13LOCK. . . . . . . . . : LOT. . . . . . . . . . . . . : 1
BUILDING
REI6SL ": DWELLING UNITS: 1 BASEMENT. . . . . . . . :0 Sf
.:LASS OF WORK. :ADD BEDRMS:O BATH5:0 GARAGE. . . . . . . . . . :0 sf
1, YPIE OF USE. . . :SF FLOOR AREAS------- FEUUIRED SETBACKS--
I'YPIE OF CONST. :5N F I RST. . . . :c,-_,2o 5 f LEFT. . -0 ft RIGHT. .5 f i;
UCCUP'ANCY GRP'. : R3 SECONE. . . :0 5 f FRONT. :0 ft REA R. . :0 ft
_3TORIES. . . . . . . : I THIRD. . . . :0 s REQU I RED------------------------
Ii p I GHI.. . . . . . . . : 12 ft TOTAL—— 220 SMOKE DETECTORS. -
�"LOOR :-.,JAD. . . . :40 psf VALUE. . . . . 101`d PARKING SPACES. . :O
Remarks : PATH I ADDITION OF 220 SO FT
PLUMBING ----------------
'3 1 NKS. . . . . . . . . . .0 F.,_OOR DRAINS. . . . :0 BACKFLOW PIREVNTRS. . :0
LAVATORIES. . . . . :0 WATER HEATERS. . . :0 TRAPS. . . . . . . . . . . . . . :0
TULA/SHOWERS. . . . :0 LAUNDRY I-RAYS. . . :0 CATCH BASINS. . . . . . . .0
WATER CLOSETS-0 SEWER LINE (ft ) . :0 GREASE TRAP'S. . . . . . . :0
DISHWASHERS. . . . :0�O WATER LINE (ft ) . :O OTHER FIXTURES. . . . . :0
SARBAGE DISP. :0 RAIN DRAIN (ft ) . :0
WASH INO PIPLIA. :0 SF RAIN DRAINS. . :0
------ --------- MECHANICAL ------------------------------------- FEES ---------------
FUEL IYP'ES-------------- UNIT HTRS. . :0 type amal-int by date t-eept
VENTS . . . . . .0 DPRT $ 86. 50 JLH 02/18/94 94-24912:.,
MAX INPUT :0 BTU VENT FANS. . :0 BFT-C $ 36. 213 JLH 02/ 18/94 `)4-24912
FURN ( 100K ILI HOODS. . . . . . :0 B5PIC $ 4. 33 JLH 02/18/94 94-24912c'*_'
FURN ) =100K . . -0 WOODSTOVES. :0
F-LUUR TURN. . . . :0 CLO DRYERS. : 0
BOIL/CMP ( 3HP1:0 OTHER UNITS:0
GAS OLS T'l_ETS:0
Owner: ---------------------------------------
TERESA i'ILL ION
14a40 SW 83RD AVE
TIGARD OR 97ad3
Phone #:
Contractor:
K. M. G. CONSTRUCTION
6505 SW 179TH AVE
ALOHA OR 97007
P,hone 642---,327
Reg47468 ---------------------------------------------
$ 147. 06 TIPT'AL
This permit is issued subjert to the regulations contained in the REDUIRED INS)r1E-..C1 A'ONS
LO
Tigard Punici.ial Code, State of Ore. Specialty Codes and all other Foot/fol-ind li)sp Mechani.--Al Final
applicable laws. All work will b; done [:lost/Beam Stt-,.ict BL(i Iding !'incl
r: :n acqpfdanjr with approved
plans. This permit will expire 1 5 started within :60 Post/Ream Mechan Erosion Control
days of issuance, or if foork is susi)endpd mere thanOT aaylii. Mechanical Insp Crawl Drain
Framing Insp
F,ei-r-ittee bignati.ii,et Insolation InFp
Gyp Board Insp
Issi-ted by : Hain drain Insp
Call fol, inspection 639-4175
1
Residential Building Application
City of Tigard —
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: /� L/ 70
Subdivislon: /6'&AA 0114 Ccl-Adii4Lot#_ Office Use Only
J
atuation: 41) , Planck/Rec# `f
�T Perrpit # _ / - G �f
Owner: pn� /"5.� //CJi�
Reissue of
Address: /y Map& Ti#
Phone: to�0 �� / Approvals Re uq_Ired
Planning _
Contractor: ��/L> > �� r Engineering _
Address: 179 `--� Other
I)1�, Items
_Required
Phone: / L ��C'
Contractor license # Sub ontractors
(atOch copy of current Oregon license) Truss Details
Subcontractors: Other
Plumbirxd:
Mechanical: '-`1;1�, �7• � ��
(attach copy of current OR Contractor's license)
ArchitectlEngineer. _
R
Addy ess:
J
C�
LD Phone:
LL:
J
COMMENTS:
I rl
'Applicant Signature & Phone number
Received by: i _ Date Received: �jc%
Pernilt tt Account Description Amount Amt. Pd. Bal. Due•
G sa
Bldg. Permit (BUILD) "
Plumb. Permit (PLUMB)
Mech. Permit (MECH)
State Tax (TAX)
Bldg:
Plumb:
Mech:
Plan Check (PLANCK)
Bldg: . 2
, a%1
Plumb:
Mech:
Sew,3r Connection (SWUSA)
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Storm Drainage Chg (SDSDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C)
_ Industrial TIF (TIF-1) _
r�
Institutional TIF (TIF-IS)
Office TIF (TIF-0)
J
Water Quality (WOUAL)
LL1
J Water Quantity (WOUANT)
Fire District (FIRE)
TOTALS: 1 ,