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6540 SW ALFRED STREET
CITU OF TIGARD BUILOING INSPECTION DIVISION
24-Hour Inspection Line 6394175 Business Phonr.: 6394171
Date Reque.-tted: A.M. —.-- P.M.-- MST:
Location: BUP:
Tenant:- Suit'e:___..--Bldg: MEC-
Contractor: Phone:
PLM:
Owner:-- Phone: , ELC:
-7
�5_"- ftp AJI2JI)k I' ELR:
L/ SIT:
BUILDING
BLDG(coni) PLUMBING MIXTIANICAL ELECTRICAJ SITE
Site Post/Beam PostfBearn Post/Beltm -CFJMM7T, .W; ice Sewer/Stonn
Footing Roof UndFl/Slab Rough-In Ceiling, Water Line
Slab Framing Top out Gas Line Rough-In UG Sprinkler
Founuation Insulation Sewer Hood/Duct Rixomuct Vault
Bsmt Damp Drywall Storm Furnace Temp Service misc.
Masonry Ceiling Rain Drain AIC, UG-Slab PtJ- 10,44
Shear/Sheath Fire SpkIr/AIm CravvIA,owtd Dt Heat Pump l'oW.
o",
Approved Approved Approved pprovG �Approved
1 E�_
,kppr/Sdwlk Not Approved Not Approved Not Al proved roved Not Approved
FINAL FINAL r1NA L iAL-, FINAL
Q 11.1,ER 19H U 7— 1) U.1,A1 1104--AF08,1_1 ,EQ
T_ mom/7-04-.
T
C3 Call for tcinliv� Reinspection fee of S__ jequired before n", Isp!c ton 0 Unable to inspect
htspeclor: Page_of
CITY OF TIGARD
T DEVELOPMENT SERVICES ELECTRICAL PERMIT -
I 13125 SW Hall Blvd.,Tigard,OH 97223 (503)639-4171 RESTRICTED ENERGY
171ERMI•T #: E:L_R97--0167
DATE ISSUED: 06/ 12/97
i
PARCEL: 1 S 1 25DA-091 _0
`:;ITE ADDRESS. . . :0640 SW AI..F"Rf_:D ST -
)UBDIVISION. . . . :PARTITION PLAT 1991-117192 ZCNING: R-4. 5
r1l_O;;f:. . . . . . . . . . LOT. . . . . . . . . . . . . : T1JRI5DICTN: 1IC�
r'ro J ect De scr,i pt ion : instl 1 burglar alarm
"i. -RES IDENT IAL__._.___.._-•-_- B. COMMERCTAI_------ ------ -------_____-__-________.__._._._
AUDIO & STEREO. . . : AUDIO & STEREO. . : INTERCOM A PAGING. . :
BURGLAR ALARM. . . . : X BOILER. . . . . . . . . . ; I...ANDSC('.F'E/ I RRICAT. . :
GARAGE OPENER. . . . . CLOCK. . . . . . . . . . . . ME 1)1 CAL. . . . . . . . . . . . .
HVAC. . . . . . . . . . . . . : DATA/TEI.-E COMM. . : NURSE CAI-LS. . . . . . . . .
VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE:
OTHER: : : HVAC. . . . . . . . . . . . : PROTECTIVE_ SIGNAL. . :
I NIS TRLIMENTATI ON. : OTHER. . :
TOTAL # OF SYSTEMS: k�
FEES
.JEAN TABOR type amor.knt by date recpt
E,54O SW At FRED PRMT $ 40. 00 TAT 06/ 12/97 97-- '9 586:
T IGARD OR 97223 SPCT $ L. O0 TAT 06/ 12/97 97--x95863
Phone #:
i.'0nt Tactor:
(')DT 5ECURITY ALARMS $ 42. 00 TOTAL
703 NF_ HANCOCK
REQUIRED INSPECTIONS
r'ORTI_..AND Of? 97212 Cellinq Cover Elect' 1 Service
Phone #: 2:84-3265 Wali Covet- Elect' I Final.
Neq #. . : 000599
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore, Specialty Codes and all other
applicable laws. All work will he done in arcordance with approved plans. This permit will expire if work is not started within 180
days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to f,..low rule adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0980. You may obtain copies of
these rules or direct st s at 15831246-1987.
19si_red by _ _.__ -.-- _ Permittee Si gnat
OWNER INSTALLATION ONl_Y---•------..__.________.__.____._.__________-_.
The installation is being made on property 1 own which is not intended fat-
,,ale,
ar
,,ale, Wase, or rent.
r7WNER' S S I GNATLIRE: _ DATE
INSTALLATION ONLY-----------------------------..
c 1 GNATURE OFNSLIF'R. ELEC' N: �— �_ DATE
I T f-F N S E_ N O:
i i-++4.44+4+++•+++++++....4 ++4 4-+++4•-' +4 4 +-V-f+++++++i++4-+++++++f•++++++++++++-F+++ F+++++.1-4
Call 639-4175 by 6:00 P. M. for an inspection needed the next br.rsiness day
++++............4+++++i++++++-F+4444++++•+i•++-4•+t++++++++•F+++++++++++++•t++++++.+++i
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by
13'12.5 SW HALL BLVD Date Recd:-._, ~
TIGARD OR 97223 PRINT OR TYPE J
V- 503-639-4171 X304 Permit#:—Ci��G/%-��w�
F - 503-684-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd.
WILL NOT BE ACCEPTED
�v r 6 A Name of Development Project TYPE ')F WORK INVOLVED -RESIDENTIAL
Restricted Energy Fee........................................ $40-00
(FOR ALL SYSTEMS)
JOB Street Address Ste#
ADDRESS ,—4,`, 5bc ,` ct— Check Type of Work Involved
City/State IZi Pho'n/e , F-1Audio and Stereo systems
- _
Name !XI Burglar Alarm
OWNER Mailing Address Garage Door Opener'
C,tylSt^' — 7�p Pho e#
Heating,Ventilation and Air Cond!tionmm
g Syste '
---- �� F�] Vacuum Systems'
Name ARaa, >F a
103 HAP,=
�; Other
CONTRACTOR Mailing Address 3{2f4g
TYPE OF WORK INVOLVED -COMMERCIAL
— —— — -----------
(Prior to issuance a City/Stale Zip Phone# Fee for each system.............................................. $40.00
copy of all licenses (SEE OAR 918-260-260)
are required if Oregon Contr Brd Lic # Exp Date
expired in C O T `3 `/ '/ y C i Check Type of Work Involved
data base) Electrical Contr. Lic # Exp Date
Audio and Stereo Systems
C O T or Metro Lic.# Exp Date
_ Boller Controls
Owner's Name
CJ Clock Systems
OWNER - Mailing Address
APPLICANT luta Telecommunication Installation
City/State Lp Phone# Fire Alarm Installation
This peirnit is issued under OAE 918-320-370 This applicant agrees to
make only restricted energy installations(100 volt amps c less)under this HVAC
permit and to do the following
Instrumentation
Only use electrical licr,nsed persons to do ins!allations where required
Certain residential and other transactions are exempt from licensing El Intercom and Paging Systems
These have asterisks(') All others need licensing,
2 Call for inspections when installation under this permit are ready for Landscape Irrigation Control'
inspection at 503-639-4175; Medical
3 Purchase separate permits for all it tallations that are not ready for an
inspection when the inspector is out to inspect under this permit. Nurse Calls
4 Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting'
inspector are done.and.
Protective Signa6nc.
5 Assume responsibility`or calling for a final inspection wh?n all of the
corrections are completed Other Permits are non-transferable and non refundab and expire if work is not
started within 180 days of!ssoance o wor suspended for 180 days -_Number of Systems
The person signing for this pe i u e the applicant or a person N(,hcensps are required UcenSes are renuirea for all other installations
authorized to bind th ppli
FEES: cct
--,§-jgoKure
-- ENTER FEES s
5%SURCHARGE 1.05 X TOTAL ABOVE) s
-------- TOTAL : /r) d C -
Authority if other than Applicant —��
!vesele dr`c 12196 _ —.