DashNumberEnd i
N
N
N
.A
t
H
O
z
d
;o
H
i
I
rTj
1
12184 SW ANTON DRIVE
CITY OF TIGARD BUILDING INSPECTION DIVISION
�I MST
24-Hour Inspection Line: 639-4176 Business Line: 63:)-4171 BLIP
cay A\. -Date Requested AA4 PM BLD
Location ', 7 Suite —_ MEC ——
Contact Person Ph y� PLM
Contractor Ph y SWR
BUILDING - Tenant/Owner ELC _
Retaining Wall
Footing A NOT REQUESTEDi
Foundation FPS
Fig Drain FOUND DURING RESEARCH
Crawl Drain Ir NO INSPECTION(s) IN FILE SGN
Slab SIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shea,
Framing
Irsulat;.-,
C)ryl,.all Nahng
F iv;wail
Vi e Sprinkler --
' ire Alarm
5usp'd Ceiling -
Roof
Ml;c: --- --
Cma,
PA 3S PART FAIL.. ---- -- - - - --.
Ji—LOMIBING
Post 8 Beam
f Unde, Slab
Top Out -_ . --- - -- —
Water Service
Sanitary 9, ��
Rain Drains
_ -_- .L_.._
F-inal
PASS PART FAIL
MECHANICAL l
Post& Beam - -- -- - - - --—
Rough In
Gas Line - — - -- - - -
Smoke Dampers
Final
PASS }1RT FAIL
FERT"! L
Rough In •-
UG/Slab ' �,('
Low Voltag-6-V '
Fire Alarm
PASS PART FAIL
SITE
Backfll/Grading
Sanitary Sewer
Storm Drain ( )Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin I Please call for reinspection RE: [ )Unable to inspect-no access
'Fire Supply Line
SADA
(Approach/Sidewalk nate Inspector Ext
Other - ---- -
Final
PASS PART FAIL 1 DO NOT REMOVE this inspection record from the job site.
CITY CF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Figard,OR 97223 (503)639.4171 ELECTRICAL PERM T T -
RESTRICTED ENERGY
PERMIT #: FLR97--0053
DATE ISSUED: 02/224/97
PARCEL: I a 134CN-18200
)ITE ADDRESS. . . : 112'184 SW ANTON DR
)IJBDIVISIC,N. . . . : ANTON PARK #2' ZONING: R-7
i'L.00V. . . . . . . . . : '._OT. . . . . . . . . . . .. . .. 109
,ro.jer^t Description: i.nstl hi-irglar alar~m
t.
REST DFNTIAL-._-_......_—___ p. COMMERCIAL
AUDIO 8 )TE::REO. . . : (-',JDIO x STEREO. . : INTERCOM 8 PAGING. . .
BURGLAR ALARM. . . . : X BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . :
90RAb;--. OPF_NER. . . . . CLOCK. . . . . . . . . . . . ME_E,I("AI. . . . . . . . . . . . . .
'AVAC. . . . . . . . ,, . . . . . DATA/TELE COMM. . : NURSE CALLS. . . . . . .
VACUUM SYSTEM. . . . F I RF: ALARM. . . . . . . OUTDOOR I.-AND5C LITE:
OTHER: : : HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL . . :
11\4STRUMENTAI'I ON. : OTHFR. . : .
TOTAL # OF SYSTEMS: 0
�wrrer: ---._________._____—_._._.___.._..._______.__.___._____—.___ _------.__ . ._.__._.___ FEES
COTT MILLS type i+mount by date recpt
't 84 SW ANION UR PPM] I if i1). OO 1-AT 1? /x'4/97 97...290745
1 (::;ARD OR 97223 5PCT 2. 00 1 AT 02/24/97 97-290745
'hone #:
W I I_SONV I LI._K LOCK, R SAFE 4 42. 00 TOTAL.
PO BOX 517
----~— - REQUIRED INSPECTIONS
WII..SONVII._E-E OR 97O70 r:Piling Cover• El.eet' I 9er•viro
Phone 4: 503-682-2323 Wall rover- Elect' 1 Final.
►deg 0. . : 17100493
This pewit, is issued subject to the regulations contained in the •_ ����1�'w x _
T1ga)•d NUnicapal Code, State of Ore. Specialty Codes and all other r-m a Si.gnat,-tre
applicable laws. AI'_ work wi'.1 L „one :n accordance with /
approvz4 plans. This permit will expire if work is not started // o
within ib'I days of issuance, r {�
y s ce, r if wo a k is s.spended for pare
than 108 Flays. 1 s s�e d Py —
_.. OWNER INSTAI.LATION ONLY.
ThP installation is being made on property I own which is not intended for,
;; alej Lease, or, r,nnt.
OWNER' S SIGNATURE-. DATE:
TNSTAL.I_.A7-ION ONLY_--- -- ._ __.._ ..__. . .._.
I GNATURE OF SUPR. ELEC' N: DATE:
I CEN GE NO:
Call for �nsf.iection - E39-4175
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd. _ n�,
Tigard,OR 97223 PERMIT#_ K `
Phone(503)639-4171
FAX(503)684-7297 DATE ISSUED
TDD No. (503)664-2772 �
CITY OF TlOARD Inspection (503)639-4175 ISSUED b"
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
1,9 ISq &0 Antati b -
Address RESIDENTIAL—Restricted Energy fee. . . . . . . . . 140.00
�p�( (�� 9�7a�3 (FOR ALL SYSTEMS)
City State zip Check Tine of Work Involved:
MITS ARE NON-TRANS1 ERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK Audio and Stereo Systems
IPERElS NOT 5TARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK 15 SUSPENDED FOR
180 DAYS. 9 Burglar Alarm
❑ Garage Door Opener*
2. CONTRACTOR APPLICATION ❑ Heatin Ventilation and Air Conditioning S stem•
r;L'll�n�,il� & 8 Y
Contractor L(aC K -.�CC1It2t -Type ❑ Vacuum Systems'
Address 4D. iioX 617 l.,t)i 166) WII 1e_d)r_ 97676 ❑ Other
Date d ("� _ COMMERCIAL—Fee for each system . . . . . . . �4SLt�
(SEE OAR 918-260-260)
Property Owner elf rm i ��
— -- Check Tvne of Work Involved:
Contractor's Board Reg. No. 49 3q I ❑ Audio and Stereo Systems
Phone#
F1 Boiler Controls
�� 3�3
-. ---- ❑ 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 C; Medical
This permit is Issued under OAR 918.320.370.This applicant agrees to make only ❑ Nurse Calls
restricted energy installations 000 volt amps or less)under this permit and to do the ❑ Outdoor Landscape Lighting*
following
Protective Si,, ,ling
1. Only use electrical licensed persons to do Installations where required.(Certain
❑
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 chis permit are ready
for inspection at 503-639-4175. ❑ Number of Systems
i Purchase separate permits for all Installations that are not ready for inspection
when the inspector is out to inspect under this permit. •Nn h enses are required. Licenses are required for all other installations.
4. Assume responsihility 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 completed.
The person signing for this permit roust be thY applicant or a person a. Enter Fees $
author' dinrapicant. 'y-
G'I0
_;p
✓ b. 5%Surcharge(.05 x total above) $
iKnattirr
TOTAL $ C'n
Authority if other than appl cant
ENERGAP.CHP