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15555 SSV ALDERBr:A)K CIRCLE fie,
CiT Y nF 7 iGARD BUILDING INSPECTION DIVISION
24-Hour Inspection 1-ine. 639-4175 Business Line: 639-4171 MST
V c. BLIP_ — Date Requested �'_��' AM PM —
�1 A �___ _ ELD
Loca,lon
-- SS l�lY/1 � '��— Suite MEC ----
Contact Person lt. (j _�t � ✓\ - Ph �' p' (�� `5/Cl PLM -- -
Contractor _. � '� t ��� , Ph1- ��
' -_ -7-2 7/-v SWR ----
BUILDING � Tenant/Owner ELC I —
Retaining Wall ELF%
Footing Acce.qr:
Foundation EPS
Ftg Drain ___
Crawl Drain Inspect ,, Notes: / SGN
Slab ----------'�'t f Ip'ySIT
Post& Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation --- - ----~ -,^_--'/7�
Drywall Nailing _...._ �.�_� _-_-_- - /`• s�J!}L f)
Firewall —- T---
Fire Sprinkler
Fire Alarri --`--�—
Susp'd Ceiling
Hoof ----- ---
Misc
Final --_-- ----------------__^__.__._.�____-- --- — -
PASS PART FAIL - - -- --- --- -------- - ... — ----
rLUMBING
ns:& Beam
Under Slab
Top Out _--_-.--
Water Service
Sanilary Sewer -- --- -- -------- -- ----- -- -- - -- - _`
Rain Drains
Final - -----
PASS PART ':All-
MECHANICAL - -`
Post U' Beam
Rough In
Gas Line -- - -
Smoke Dampe•s — -- - - - --- -- -Final
PASS
--- - ----------
PASS PART FAIL
Service
(lough in ------ ------------ ----- __
UG/Slab
�4G�/stieg�'
Fire Alarm _
F0' :-
"<P A E PART FAIL_ --__ — --
- - --- --- --
Bpckfill/Grading ------- - — --_ -- --
Sanitary Sewer
torm Drain ( ] Reinspection fee of$ - _ _ requlired before next inspection. Pay at City Hall, 13125 SW Hall Blvd
catch Basin
Fire Supply Line ( ►Please call for reinspection RF. —_ —�-`- _ _ [ ] Unable to inspect-no access
ADA
Approach/Sidewalk
Other — - Date Insp9ctor Lei�- Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
I
CITY OF TIGARD 71
DEVELOPMENT SERVICES ELECTRICAL PERMIT
13125 SW Hall Sivd., Tigard,OR 97223503 63')-41
631)-4171 RESTRICTED ENERGY
PERMIT #: ELR98-0219
DATE ISSUED: 08/13/98
PARCEL: 2SI11I)B-02000
SITE ADDRESS. . . : 15555 SW ALDERBROOK CIR
SUBDIVISION. . . . -.SUMMERFIELD NO. 8 ZONING:R--7
BLOCK. . . . . . . . . . . LOT. . . . . . . .. . . 19 JURISDICTN: TIG
ProJ ect Description: Add burglar alarm to an existing single family dwelling.
-- -------------------------------------------------------------------------
A. RESIDENTIAL.--_-___-_ B.
AUDIO & STEREO. . . : F,IMIO & STEREO. . : ItITERCOM & PAG Ii-46. .
BURGLAR ALARM. . . . : X BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . :
GARAGEOPENER. . . . c. CLOCK. . . . . . . . . . . : MEDICAL. . . . . . . . . . . . .
HVAC. . . . . . . . . . . . . .0 DATA/TELE COMM. . : NURSE CALLS. . . . . . . . : i
VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE:
OTHER: HVAC. . . . . . . . . . . . .. PRE FCTIVE SIGNAL. . :
INSTRUMENTATION. : OTHt-R. . -.
TOTAL # OF SYSTEMS: 0
Owner: --------- ---------------------- FEES --- ---
ELIZABETH MATHISON type amomrit by date reept
15555 SW ALDERBROOK PRM,r s 40. 00 GEO 08/13/98 98--308236
TIGARD OR 97224 5PCT t 2. 00 GEO 08/13/98 98-308236
Phone #:
Contractor:
ALLTEC SECURITY $ 42. 00 TOTAL
PO BOX 55310 ------ REQUIRED INSPECTIONS
PORTLAND OR 97238-5310 1 ow Voltage Insp
Phone #: 331-2620 Elect' l. Final
Reg #. . - 001188
This permit is issued subject to the regulations contained in the Tigard Plonicipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plan. ir)-, ppreit will expire if work is not started within 180
days of issuance, or if work is suspended for more than IN days. ATTENTION, G-ri-yon law requires YOU to follow rule adopted by the
Oregon Utility Notification Center. Those rules are set forth in ORR through W 952-Nl-&W. Yo,i say obtain copies of
these rules or direct questions to MK t (583)246-1987.
Permittee S` giiat
Issued b ure
INSTALI-ATION ONLY--------------------------
The
NLY-------------------------The installation is being made on property I own which is not intended for
sale, lease, or rent.
OWNER' S SIGNATURE: DATES
TOP INSTALLATION
SIGNATURE OF SUPR. ELECIN: DATE
LICENSE NO:
...........................*++4................................................4-++-t
Call 639-4175 by 7:00 P. M. for an inspection needed the next business day
...........4..........1-+++4.........................A...............................
Community Development RESTRICTEI. ENERGY ELECTRIC%L APPLICATION
13125 SW Nall Blvd./ PERMIT#Tigard, OR 97223 ---
�( r Phone 1,503) 639-4171
FAX (503)6134-7297 DATE ISSUED
TDD No, (503) 624-2772
CIT', C,E 7,a AR,D Inspection, (503) 6394175 ISSUED 3Y _
,d u , r,.• `� PLE4 SE CU,',,:PLC L-ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORE;
Address RESIDENTIAL--Rest ricted Energy Fee . Si+fa.(1Q
1i d (FOR ALL SYSTEMS)
city U State Zip Check Tv1)e of Work Iny JW, :
PERMITS ARL 14ON4RANSURABLE AND NON•RErUNt)AI1LE AND FXPIRF IF WORK ❑ Audio and Stereo Systems
IS NOT START LD WII IilN IRO DAYS OF ISSUANCE OR IF%A'')RK IS SUSPENDED rOR
180 DAYS. ® Burglar Alarm
2. CONTRACTOR APPLICATION ❑ Garage Door Opener'
❑ i-icaGn�,Ventilation and Ail Conditioning System'
Contractor A11L`e!C Securi Ly Type EJ Vacuum Systems'
Address PO Box 55310 - Port-land OR 9723. 3-5210 [3 Other
Date_ � —��—: - - COMMERCIAL---Fee for each system . . . . . . . . . ��QQ
(SEE OAR 918-'26L)•26t))
Property Owner 11,ck UP ' ryo vett;
Contractor's Board Reg. r,Ic,. _ 118vs9 —�_ ❑ Audio and Stereo Systems
i ❑ Boiler Controls
Phone# 33.1.-2620 .�� ❑ Clock Systeris
❑ Data Telecommunication Installall'ons
3. OWNER APPLICATION
❑ Firr.Alarm Installation
_ ❑ MVAC
Print Owner's Narne Phone No ❑ Instrumentation
_ ❑ Intercom and Paging Systems
Address
❑ Landscape Irrigation Control'
City state Zip _ ❑ Medical
❑ Nurse Calls
?!!,%p—,,it is issued under()AR gill-120-370,This aoolicant agrees to make only
resuioed energy installations(100 volt amps or less)under this permit and to do the ❑ Outdoor Landscape Lighting'
following
Protective Signaling
1. Only use electrical licensed persons to do installations where required.(Certain
residential and other transactions are exempt from licensing.These have ❑ Other _
asterisl,W).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 ail installations that are not rr sdy for inspection
when the inspector is out to inspect tinder this permit. •No llrenses,ue required. )'cense%are required for all other installations
4. Asuune responsibility for assuring that all correctfors required by Vie inspecior ____...____----___.._ _—.--
ate done,and
5. Assume responsibility for falling for a final inspect on when a!I of the 5. FEES
corrections are cumpleted.
The person signing for this permit us,t htlthe ap:)iicant ora person a, Enter FceS w LJ�►-Lz__
authorized to bind l 113pIicalT. i<•.
( F > b. 50, Surcharge (.05 x total r b-.'),'e) s
Signature TOT\L $