Permit - . _A _ . _
1,
TI E LE [ FRIC L PERM - ' '
' r COMMUNITY DEVELOPMENT DEPARTMENT RESTRICTED ENERGY I
13125•SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171 PERMIT #: EL R96 -1r? 94 .
DATE ISSUED: 09/25/96-
•
. PARCEL : 16125:0D-05700
SITE ADDRESS,...: 09880 SW• VENTURA CT, r . - .
- SUED I V I S I ON • WASHINGTON! SOUARE: ESTATE S NOe 2 ZONING : R-4.5
'BLOCK. LOT ............ :65'
Project Description:'
A. RES !DENT I AL---„ B. COMMERCIAL----- - - - - -- •- - - --•" • - - - - -- .
• •AUDIO -& STEREO: .. a — AUDIO .& STEREO..: INTERCOM & pAGING. -. :
• ' BURGLAR ALARf *i.,...-.:'X BOILER.......'.. . . L_ANDSCAPE,.i IRRI GAT .. :
GARAGE OPENER..... CLOCK....'... .. - MED.ICAL.a.........
HV(1C „ ... DATA /TELE COMM..: NURSE CALLS •
VACUUM SYSTEM • FIRE ALARM..- . .... : OUTDOOR LANDSC LITE:
OTHER: :: HVAC.. -.....- PROTECTIVE SIGNAL—:
• • . INSTRUMENTATION. OTHER. . : .
' T #t OF SYSTEMS: 0
°WTI�r. • ' ' _' —• -- FEES .- :. - --
BRENDA' :TOR IAN type amount by date recpt
' 9880 SW VENTURA. CT - PRMT $ '40.00 CJS 09/25/96 96-284357
' 5PCT 9 -'' - 00 CJS 09/25/96 96- 284357-
TIGARD OR 97223 - . •
Phone #:
Contractor: - - - -- • - ' - - - - -- • - - - - -• .
DRINKS HOME SECURITY ' $ 42.00 TOTAL
•
8059 SW CIRRUS DR ----- REQUIRED. . INSPECTIONS
BEAVER TON! OR 9 Wa 1 1 Cover Elect' 1 Final
Phone #k: 503- 641• -0574 . ' Elect' 1 Sery ice
F2 e,g. #i ... ; •44421 -
This pernit is issued subject to 'the regulations contained in the • ._ - �— _ _
Tioard Municipal Code, State of Ore. Specialty Codes and all other " Perm it e Si gnat _ire
applicable laws. All work will be done in accordance with . ,
approved plans.' This pernit will - expire if work is not started - • -
wi'thin 180 days of is nuance, or if work, is suspended for Dore �a � 'Eta __.
, than 180 days. I's s u e d By '
• • OWNER I NSTAL.LAT ION ONLY - -- - - - -- - -_ =
The installation is "being made on property I own which is not intended for '
sale,, lease, or rent.
- OWNER'S SIGNATURE _ �.__ DATE: - �__. _ —_�._ •
___--- ____--- .._- - - -_f- CONTRACTOR .INSTALLATION ONLY •- - " - - -- ,
SIGNATURE - OF SUPRe .ELEC,' N: _ �' )u./' -ed _ DATE: 4 o�. 6(6 •
L T CENSE NO : —� - _ —_•—
• . - -,'Call ,for inspection -
. .
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
( 13125 SW Hall Blvd.
r
Tigard, OR 97223 PERMIT # ELR X16 - t�a�ty
� I�I'�
Phone
FAX (503) 684-7297 1
TDD No. (503) 684 -2772 DATE ISSUED q- 2.5 -
CITY OF TIGARD Inspection (503) 639 -4175 ISSUED BY C-VICA.cieS SG k VYI i c.L_
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
Ad RESIDENTIAL — Restricted Energy Fee $40.00
g Q� a/ • 9 .g (FOR ALL SYSTEMS)
City // / State !! Zip Check Type of 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 y
180 DAYS. . Burglar Alarm
CONTRACTOR APPLICATION
❑ Garage Door Opener*
/ c � ���rc ❑ Heating, Ventilation and Air Conditioning System*
r� V Y.(:N 'Type ❑ Vacuum Systems*
Qf e ? Li J. �� ❑ Other
Address Cll / e�
Date 9/, lJ / ` . COMMERCIAL — Fee for each system $40.00
(SEE OAR 918- 260 -260)
Property Owner Y'e 2.. ''Ua4N. Check Type of Work Involved:
Contractor's Board Reg. No. 799Y02..1 ❑ Audio and Stereo Systems*
❑ Boiler Controls
Phone # 6. I7 OS 7 V ❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
❑ Fire Alarm Installation
❑ HVAC
Print Owner's Name Phone No
❑ Instrumentation
Address ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
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 ❑ Protective Signaling
residential and other transactions are exempt from licensing These have ❑ 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
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
are done, and
5. Assume responsibility for calling for a final inspection when all of the corrections 5. FEES
are completed.
The person signing for this permit must be the applicant or a person a. Enter Fees $__, .....--'
authorized to bind the applicant.
b. 5% Surcharge (.05 x total above) $
Signature
...,Z(Zo' TOTAL $ Y
Authority if other tha pplicant
ENERGAP.CHP /
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested AM PM BLD
Location • i , I 1L . de Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC /
Retaining Wall - _ 4f t76, - -
F o o t i n g
Foundation Aa NOT REQUESTED FPS
Ftg Drain FOUND DURING RESEARCH ' SGN
Slab I Drain �nsl NO INSPECTION(s) IN FILE
Post & Beam l �� 2 2 SIT
Ext Sheath/Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof /� /
Misc:
Final W �C4�- C e -eiA ' a� �. -
PASS PART FAIL 41--04.-... PLUMBING 1 _ Post & Beam F-1.---;.,
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains (
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line .
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
. Service
Rough In
UG /Slab
Low Voltage '
Fires --
F' . -
PART FAIL
Backfill /Grading
Sanitary Sewer '
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd r
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: -[ ] Unable to inspect - no access ,
ADA
Approach /Sidewalk c
Other Date 1�1/77 "� Inspecto Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.