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8603 Sod AVON STREET
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Phone: 6394171
Date Requested: •�r �C ��- _ A.M. P.M. . MST:
Location: /� � 7s.�_—�' �t g 2d
BUR
Tenant: _ Suite:. dg: MEC: —,
�
^ G1 C C�ntr Phone: �' _ � PLM: _
Phone: ELC:
ELR: _0 '
i7r, edr Mgt-, 3)
BUILDING BLDG(con't) PLUMBING MECHANI /(I, ELIECTRICAr SITE
Site Post/Beam Post/Beam Po%tMeam Cover/Service Scwer/Storm
Footing Roof UndFI/Slab Rough-In Ceiling Water Line
Slab Framing Top Out Gas Line Rough-In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC,
Mawnry Ceiling Rain Crain A/C UG Slab
Sherr/Sheath Fire Spklr/Alm Crawl/Found Dr Heat Pump wVolt .-G7� ,��/
Approved Approved Approved 41pp Vv > Approved
Appr/Sdwlk Not Approved Not Approved Not Approved NiMlixovcd Not Approved
FINAL FINAL FINAL FINAL FINAL
C1 Call for reinspection cinsuection fee of S_ required before next inspection C) Unable to insixxt
Inspector _ / _ Date: / 7 _ � r Page of- -
CITY MJF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd.,Tigard,OR 97223 (,903)6394171 E1-ECT R T`.(al_ PEI RM 17' -
RESTRTCTF'D ENERGY
�
IEPMT-f it; F'LR97-00=?C
DAYr TSSL)Fr): 0,`/P6/97
it"7'E AI7DRE55. . . e0E36,0.7, SW ()VON ST
;UBl)T V 1 r T ON. . . . :CHFgSrMARI DOWN G ZON 1 NG:R--7
r'LCIC'!4. . . . . . . . . . .. U)T. , . . . . . , . .. . . . :5 .1'l1RTSDTCTN; TTG
.j .(!t n -sr.r-i.pt i nr+ : l NlaT,_ $�.1R!;I. A)7 r)l_ARM
1, nr rIT)ENJTIAL.__ __..._._._. _ Ta. CnMMER:-TAL.
_____..-._,._
PUD T O R• STEPE D. , . . PUD 1 r1 h 5)TFRE.O. . : w T W E'RCOM_..&�PAGING
RURraL.AR PL.ARM, . . . : X BOIL FR. . . . . . I . . . : 1_ANDSC:APE/T.RRTCAT. . :
GPRA(3E' OPENER. . . . . M.nr_la. . . . . . . . . . . : MF D'rf;AL_. . . . . . . . . . „ . ..
HVA!' . . . . . . . . . T)ATP/TF1..F COMM. . . NUREF rAL.1-S. . . . . . . . .
VACUUM ysTE M, , . . : F-T Rr. AI. t1RM. . . . . . O1.'Tr)OnR L.ANnSC I. T 1'1';
HVAC.. . . . . . . . . . . . . PROTECTIVE SIGNAL. . .
T N^,T PL1MFWTPT T nN. : OTH17 R. .
TOTAI._ 0 OF SVgTPMS:
�RrCi rONRAD type molant by state re•r_pt
SW {;VnN c3--r PRMT $ 40. 00 r A T 0?/x.5/'-17 97--_9;
" 113PRO OR 97284 5PCT $ 2. 00 TAT 0.'/�S/'�7 97 �'�u'�:15
�I)T SECURITY Al._ARW7, 4r=., 00 TOTAL.
'01 NF._' HANCOD-',
_._.... ...___ RFDLI T RF!) T NfiPECT I ONS
10P'fl. r)ND OR 7c 9 t Ce i. l my Cover Elect, 1 Tsery i r--p
hone itR FAX—P,t3L.. 7- -, Wall. C'ovpr !=lert' 1 Final
'`iis persit is issued subrect to the �equlatloms contained in ths, l i
'igard Mriricipal rode, State of Ore Swialty Codes and all other Perm ; 1 /�
Wlicablo laws, 01) wor6 wil' be done in ]rcordance with
-npr'ovec' plans, this persit will expire if work is not started
t in t* days of i5400ce, or if work is suspended for sore
Tan 188 days.
-nwNEP T1,,.!1'jTP1 !_G'TMN
intitm) lation hping mArip on r..)wrn which i5 rr..t intenripo for
Is.?+ lease, Or ►^nr1! .
',,,1N P1 13 c 7 GNPTl PFR DATE:
CON",rPrirTf_1P TNr;Tr'11.L.r'i-I"TCiir!
Or SUrm. >=I_t r,+ h!; nATF:
Tr-FNt;V N(1-
e'al.l for^ insr+rct i on 879..-4'175
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by
13125 SW HALL BLVD Date Recd Gn
TIGARD OR 97223 PRINT OR TYPE Permit#:
V- 503-6394171 X304
F - 503-684-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:
WILL NOT BE ACCEPTED
Narne of Development Project TYPE OF WORK INVOLVED -RESIDENTIAL
Restricted En6rgy Fee....................................... $40.G0
4 ��y�,L� FOR ALL SYSTEiv�S)
SOB Street less Ste# Check.Type of Work Involved
ADDRESS � ) S
Ci Stpte Zi P one r Audio and Stereo Systems
Na;r. Burglar Alarm
_ El r.arage Door Opener'
OWNER Mailing Address
Heating,Ventilation and Air Conditiolihi-�fiystem'
City/state 7_Ip Phone#
LJ Vacuum Systems'
Name
N3 MAlli ❑ nther ----- —
CONTRACTOR t.4ailmg Address T'!PE OF WURK INVOLVED -COMMERCIAL
_
--- — Fee for each system .......... $40.00
(Prior to issuance a CitylState �-ip tF
A Y •••••�••••••••••••••••••••••
copy of all licenses (SEE OAR 918-260-260)
are required if Oregon Contr Brd Lic # ate
expired in C O T ��9 --7—.— Check Type of Work Involved
data base) Electrical Conlr Lic # ate —I Audio and Stereo Systems
LJ
COT or Metro Lic N Date
Boiler Contro)s
�— --- —— Owner's Name —`~ _— ��--- r , Clock Systems
OWNER - Mailing Address_ LJ
APPLICANT Data Telecommurication Installation
CitylState Zip Phone# l
LJ Fire Alarm Installation
This permit is issuer'under OAE 918-320-370 This applicant agrees to HVAC
make only restricted energy installations(100 volt amps or less)under this
permit and to do the following r
I� Instrumentation
1 Only use Electrical I-censed persons to do installations where required.
Certain residential and other transa.;tions are exemia from licensing Intercom and Paging Systems
These have asterisks(') All others need licensing;
..andsrape Irrigation Control'
2 Call for Inspections when installation under this permit are ready for
inspection at 503-6394175; Medical
3 Purchase separate permits for all installations that are not ready for an I__.1 Nurse Calls
inspection when the inspector is out to inspect under this permit,
4 Assume responsibility for assuring that all corrections required by the
Outdoor Landscare Lighting'
Inspector are done,and, r,
LJ Protective Signaling
5 Assume responsibility for calling for a final inspection when all cf the r_J, —
corrections are completed LOther_
Permits are non-transferable and non-refundable ane expire if work is not
started within 180 days of issuance or It vrork is suspended for 180 days __.Number of Systems
The person slgnin rr this mit must be the applicant or a person No licenses are required Licenses ere required for all ether installations
authorized to in a ap i nl --- �`— -
ENTER FEES
Si ria e
5%SURCHARGE(.05 X TOTAL ABOVE)
Authority if other than Applicant - TOTAL f- --
i Vesele doc 12196