8653 SW HAMLET STREET 1
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C11"Y OF TIGARD
DEVELOP''OEN'r SERVICES
1312,5 SW 4.,11Blvd., ri and OR 97223 /503)639.4171 ELE[ T R I CAL_ PERMIT -
y RESTRICTET) ENERGY
PERMT T #: EL_R?7--01PA6
DATE=. 19SLIED; 02/112,/1'97
PAPCEL:
r 1TE ADDRESS. . . : eGG53 �')W HAMI.-rT GT
SUBBITVT.,ION. . . . : MTL_LMONT PARK 7ONTNG; R-7
I?1-01'1%. . . . . .. . . . . . LOT. . . . . . „ . . . . .. . .3?
r' 'oject Desicr-iprtion : INSTI._ PURGI_AR ALARM
REF IDENT IAL-- - __.____. B. r;OMMERCIAL_•-- -.___.-----._._.--.--___.._._.__.___---_._.___._
AUDIO R aTERFO. . . : AUDIO R STEREO. . : TNTrVCOM R PAGTNr .
BURGLAR ALARM. . . . : X NOILE:R. . . . . . . . . . . I._ANDSCAPE/IRRIGAT'. . .
GARAGE" QPr.NE-1?. . . . . CLOCK. . . . . . . . . . . . ME-U T CAI_... . . . . . . . . . . . .
HVAC. . . . . . . . . . . . . : DATA/TELE COMM. . : NURSE CALLS. . . . . . . .
VACUUM SYGTEM. . . . : FIRE ALARM. . . .. . . : 11.1Tr)nOR I...ANDr3r TLv:
OTHER: HVAC. . . . . . . . . . . . : PROTECTIVE; SIGNAL. . :
T N9 rRtJMEN"rPT TON. : OTHER. . ;
TOTAL. # OF SYSTEM
_. rEEG' _..._._.....__..._._._._
ACY TAMES type cmcil-rnt �--
by ce r,ecpt
SW -iAM1_CT f;T f=RMT $ 0. 00 TAT 0c'/12/97 97- 90�''7`..
�� aPCT $ 2. O0 TAT �7r1='/1 w/77
' (;BARD OR "i 223 lexpo
pm
,one if:
?INKa HOME gECiJRTTY _.._._._._._ 4 4,,-,. 00 TOTAL.
^r SW r".,1RRUS DR
REOU T E'CI) T NSPE?CT I ONS _......._.
0VFRTON OR '37008 Ceiling Laver E'l tic--r' 1 Ser�v i(-e
'cone #: V--•641--0574 Wall Covet, Elect' 1 Final
44421.
iS permit is 155UEd Subject to the regulations contained in the � ----
:gard Municipal Codz, State of Ore. Specialty (dies and all other Perm 7 le m i c(rrart
applicalle laws. x;11 work will ue do,,r in accordance with
apprc^ud plans. This permit will ewpir if worts i5 not started
within 1W days o° iss'aance, cr if rob is suspended for tore L
'han 180 days.
-.. OWNEL7 I W1 TALL_AT T IN ONL- Y
i.r1stallation i s F)eing made on Nr-aperty 1 awn which is nct intended f
l �y le,seI nr- -eni:
)WS __.
NER' r IGNATURE: U4aTE:
rONI'RACTORI N5TAI_LAT 'OONLY_. ._._
i
T ONIAT(_IRE. OF P3UPR. EL_.CCI N: _ DATE:
1 CENSE: NO:
Call for insper.t i c.r -- 639-4175
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall filed.
Tigard,OR 9'223 PERMIT#
Phone(503)639-4171 >
FAX(503)684.7297 DATE ISSUED7 7
TDD No. (503)584-2772
P- T— –�
CITY OF TIOARD Inspection (503)639-4175 ISSUED BY
PLEASE COMPLETE ALL SECTIONS
1. LOCATION -1 TALLATI ) 4, TYPE OF WORK
Addres n RESIDENTIAL—Restricted Energy Fee . . . . . . . . . S40AIR
�, 6•-'y �'���) [� (FOR ALL SYSTEMS)
City State Zip < Check Type of Work Involved:
PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDARLt AND EXPIRE If WORK ❑ Audio and Stereo Systems
15 NOT STARTED WITHIN 100 DAYS OF ISSUANCt OR IF WORK IS SUSPENDED FOR
180 DAYS ,Burglar Alarm
2. CONTRACTOR APPLICATION ❑ Garage Door Opener'
RINKS HOME SECURITYALARM ❑ Heating Ventilation and Air Conditioning System'
Contracto _ Typc ❑ Vacuum Systems*
Address_-_8059 S.W. CIRRUS DRIVE, BEAVERTON 97008 ❑ Other _
Date C n-7 ___ COMMERCIAL—Fee for each system . . . . . . . . 140.00
(SEE OAR 918-260-260)
Property Owner a—eJ4 ._ ;heck Type of Work Involved:
Contractor's Board Reg, No. V ❑ Audio and Stereo Systems
❑ Boiler Controls
Phone# _(503) 641-0574 _ ❑ Clo6 Systems
❑ Data Telecommunication Installations
3. OWNER APPLICATION
--� ❑ Fire Alarm Installation
r ❑ HVAC
Print Owner's Name Pf"' e ❑ Inst-tlmentation
Address ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control"
City State Zip ❑ Medical
This permit is Issued under OAR 910-320.370.This applicant agrees io make only ❑ Nurse Calls
restricted energy Installations 11 W volt amps or Mss)under this permit and ur if.)the ❑ (Dutdoor Landscape Lighting'
following El
1. Only use electrical licensed persons to do installations where required.(t:edain Protective Signaling
residential and other transactions are exempt from licensing. These have 0 Other__
asterisks(*).All others need licensing).
2. Call for an inspection when all of the 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
whr-�.the inspector is out to inspect under this permit. •No licenses are required. Licenses ore 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
corrections are rompleted.
The person signing for this permit must be the applicant or a person a. Enter Fees $ iJ
authorized to bind the applicant.
b. 5% Surcharge(.05 x total above) $_�
Signature TOTAL $ J
Authority i(-other than apNlican
ENERGARCHF