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InitiallyGood I N N E O z d z� H I� C LT7 I _ 12298 SW ANTOL+ DR _ J,�q6 CITY OF TIGARD BUILDING INSPECTION DIVISION _ MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP Date Requested r ^ AM _PM BLU Location Suite MEC ---------- Contact Person Ph PLM Contractor Ph SWR BUILDINGi� Tenant/Owner ELC Retaining Wall _~----�-- -_ ELR _ Footing A NOTREQUESTED Foundation FPS Ftg Drain FOUND DURING RESEAR(-;I Crawl Drain It NO INSPECTION(s) IN FII,E, :IGN Slab — SIT Post&Beam — Ext Sheath/Shear Int Sheath/Shy:ar Framing Insulation Drywall Nailing Firewall Fire Sprinkler - - --_---..__-___—_ ___----- Fire ___Fire Alarm Susp'd Ceiling Roof Misc: - -- Final PASS PAR r FAIL --- -- - - -- PLUMBING Post&(seam Under Slab _ Top Out Water Service Sanitary Sewer Rain Drains Final PASS PARI FAIL MECHANICAL Post& Beam --_- Rough In Gas line - --- Smoke Dampers Final ---.. --- -- PASS PART : AIL LECT I At_ -------- ___� Rough In UG/Slab - Low Voltage Firqhlarrn incl/ SS FART FAIL -_--_�- -- - SITE Backfill/Grading --- - Sanitary Sewer Storm Drain ( Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( I Please call for reinspection RE: _ ( )Unable to inspect-no access ADA Approach/Sidewalk Date Inspector Ext Other — Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. I - CITY OF TIGARD DEVELOPMENT SERVICES 13125,,.,*Hall Blvd., Tigard,OR 97223 (503)639.4171 ELECTRICAL PERMIT RESTRICTED ENERGY PERMIT #: ELR97-0016 DOTE T SSLIED: 01 /1.3/97 PARCEL: 1a1.34CR-17500 IT1= ADDRr=SS. . . : 1 L J`31R SW ANTON DR SUBDIVISION. . . . : ANTON PARK II ZONING: R-7 FAD 111-OCK. . . . . . . . . . .. L_.o,r. . . . . . . . . . . . . . ..a 1=,roject Description: in ,t1. burglar alarm I"1. RE5I DENT I AL–_--.----- B. COMMERCIAt- AUDIO R STEREO. . . : AUDIO R STEREO— : INTERCOM & PAGING. . - BURGLAR AGING. .BURGLAR ALARM. . . . : X BOILER. . . . . . . . . . : L-ANDSCAPE/T.RRIGAT. . GARAGE OPENER. . . . . CI.-OCK. . . , . . . . . MEDICA. . . . . . . . . . . . 1-IVAf_'. . . . . . . . . . . . . DATA/TELE COMM. . . NURSE. CALLS. . . . . . . VACUUM SYSTEM. . „ . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE: f)THER: . . HVAC. . . . . . . . . . . . . PROTECTIVE, SNAL.. . . LNST RUMENTATION. : OTHER. . e . . TOTAL # OF E;YE TEM S: 0 Owne+r . - - --_.______._____________._..___–___.__._._____.____________._ FEES HIDEMAO KIMURA type amol.int by date recpt 12298 SW ANTON DR PRMT $ 40. 00 TAT 01 /1:3/97 9'7--,' Rflh, ( SPCT $ �='. 00 TAT 01/13/97 97-288846 1 I CARD OR 97223 1-shone #: ADT SECURITY ALARMS $ 42. 00 TOTAL - 703 NE HANCOCK ------- REOUTRED INSPECTIONS DOPTL..AND OR 9721' Ceiling (.over Elect' I Service Phone #: 503--284- 3P6'7 Wall. Cover Elect' ]. Final Reg #. . : 5994+ This permit is issued subject to the reguiatiors contained in the Tigard Municipal Code, Starr of Ore. Specialty Codes and all other Permittee Signati.cre ) applicable laws. All work will be done in accordance with approved plans, This permit will expire if work is not started Within 180 days of issuance, or if work is suspended for tore +han 168 days. Issi.ied Ry INSTALLF�7IOhd O1'4 � --__ ,he i;istalla►tion is being made on property I ow, which is not intended for -ale; Iease, or rent. 'i4l.EPI S SIGNATURE: — DATE: --. �- __._ --_–_CONTRACTOR INSTAL-I_ATTON ONI Y----_.._._.... ..__ ........-___ .1 UNATURE. Or SUPR. ELEC' N: DATE:: ICENSE NO: Call for inspection 639-- `+175 Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION 13125 SW Hall Blvd. �l Tigard,OR 97223 PERMIT# �L Phone(503)6.39-4171 FAX (503)684-7297 DATE ISSUED TDD No. (503) 684-2772 CITY OF TIOARD Inspection (503) 639-4175 ISSUED BY _ PLEASE COMPLETE ALL SECTIONS 1. LOCATION OF INSTALLATION 4. TYPE OF WORK /a >8 5iy a� zr, �Qu� _ Addres r N1 IAL—Restricted Energy Fee . . . . . . . . . 140.00y 7�.13 (FOR ALL SYSTEMS) City Stdte Zip Check Type of Work Involved: PERMITS ARE NON-TRANSFLRABLE AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems IS NOT STARTED WITHIN 100 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR trs0(JAYS rM Burglar Alarm 8141- //8 7'1-D 1( n Garage Door Opener' 2. CONTRACTOR APPLICATION ❑ Heating,Ventilation and Air Conditioning Syste n• Contractor AM"Ctlttlflr INC- Type_— �4LO,1r►li_� ❑ Vacuum Systems" 703 NE HANCOCK ❑ Other Address MRTt AND,OR 97211 -- Date�_ 1 Ci iMMERCIAL—Fee for each system . . . . . . . . . 140.00 (SEE OAR 918-260-4160) Property OwnerC�rr►2C-41� _�__ 'heck Type of Work Involved: Contractor's Board Reg. No. alG"':Ro ID ❑ Audio and Stereo Systems r Boiler Controls Phone # __ U Clock Systems ❑ Data Telecommunication Installations 3. OWNER APPLICATION ❑ Fire Alarm Installation 14den Ll & mttro -5�2'J 32y ❑ HVAC Print Owner's Name Phone No ❑ instrumentation I Address Cl Intercom and Paging Systems ❑ Landscape Irrigation Control' City State Zip ❑ Medical This permit is issued under OAR 9111.320-370.This applicant agrees to make only ❑ Nurse Calls restricted energy Installatinns H(H)volt amps of less)under this permit anti to do the ❑ Outdoor Landscape Lighting' following El Protective Signaling 1. ()n;y rise electrical licensed persons to do installations where required.(Certain ro'dentlat and other tranuctions are exempt from licensing.These have ❑ Other _ asterisks(*).All others need lirensing). 2 t all for an inspection when all,`the Installations under this permit aro ready � fnr inspection at 503.634.417.1)'. ❑ _Number of Systems 3 Purrhaso 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. Asswne responsibility for calling for a final inspection when all of the 5. FEES corrections are completed �s The person signing for thi it must he the applicant or a person a. Enter Fees s_ authorized to bin the it �Ii nt. rte, b. 5% Surcharge(.05 x total above) $ 2 t �� Sfgnat TOTAL Authority if other than applicant ENE'<GAP.CHP