10525 SW CLYDESDALE PLACE ADDRESS :
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Toa Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Snear Wallp Gyp. Bd. -Elect.
Date Requested: 0 Time: AM PM
Address- S ��
suweglj:i l&1.— Permit #tz 006)C;�--
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Dater
APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp. � �
CITY OF TELECTRICAL PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT RESTRICTED ENERGY
13125 SW Hall Blvd.Tlgaed,Oregon 97223.8199 (503)839-4171 PERMIT #: ELR96-0002
DATE ISSUED: 01/03/96
PARCEL: 2S103AA-02500
ITE ADDRESS. . . : 10525 SW CLYDESDALL PL
SUBDIVISION. . . . : CLYDESDALE ZONING.- R-4. 5
EALOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :6
Project De%Cription:
A. RESIDENTIAL--------- B. COMMERCIAL--------------------------------------------
AUDIO & STEREO. . . : AUDIO & STEREO. . : INTERCOM & PAGING. . :
BURGLAR ALARM. . . . : X BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT'. . :
GARAGEOPENER. . . . : CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . .
HVAC. . . . . . . . . . . . . . DATA/TELE COMM. . . NURSE CALLS. . . . . . . . .
VACUUM SYSTEM. . . . : FIRE ALAKM. . . . . . : OUTDOOR L.ANDSC LITE:
O'TI,ER: : : HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . :
INSTRUMENTATION. : OTHER. . : : :
TOTAL # OF SYSTEMS: 0
Applicant : _.______.-----•---_-.__._--------.__.--------__.___..__._---•-.-- FEES
BRINKS HOME SECURITY type amount by date recpt
8059 SW CIRRUS DR PRMT $ 40. 017.1 CJS 01/03/96 96-274734
5PCT $ 2. 00 CJS 01/03/96 96-2174534
BEAVF_RTON OR 97007
Phone #: 503-641-0574
C'nritractor: _--.-_--.--__--___---.-------------------_.-..-_----_--_-_-______- _-_--
CONTRACTOR NOT ON FII-E f 4 x. 00 TOTAL.
---- ---
REQUIRED INSPECTIONS ---------
Ceiling Cover Elect' 1 Service
Phone #: Wall Cover Elect' l Final
Req #. . :
This perait is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other Perm i t e e S i gnat Ure
applicable laws. All work will be done in accordance with
approved plans. This perait will expire if work is not started
within 181 days of issuance, or if work is suspended for sore G.�R�f~'S � ,
than 181 days. Issued By
INSTALLATION ONI__Y__________._._------•--___.___-_ ....
The installation is being made on property I own which is not intended for-
sale, lease, or rent.
OWNER' S SIGNATURE: DATE:
INSTALLAT:^!V
blbNATURE OF SUPR. ELEC' N: / �r..Iet. _. DATE: _ 1- 3- 96 _. ..-_..._
LICENSE N0:
Call for inspection - 639-4175
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 PERMIT# q$-Q Q o a
Phone(503)639-4171
FAX(503)684-7297 DATE ISSUED_/ -3 - 9,5
TDD No. (503)684-2772
CITY OF TI Inspection (503)639-4175 ISSUED BY
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
I Al
Ad ' s RESIDENTIAL—Restricted Energy Fee. . . . . . . . . 540.01Il
(FOR ALL SYSTEMS)
State Zip Check Type of Work InvQjytd:
PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK 'Audio and Stereo 5 stems'
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR. y
180 DAYS. Burglar Alarm
❑
CONTRACT R APPL TION /_ / //� Garage Door Opener"
I ;��,�j ❑ Heating,Ventilation and Air Conditioning System
r b�t t 1'
n ra_o � e _� El Vacuum Systems"
Address �_ f (�C,/ ,�(Q_ o,.,- 11 Other
Date o��� --_ COMMERCIAL--Fee for etch system . . . . . . . 140.00
(SKF UAR 918-260-260)
Property Owner Check Type of Work Involved:
Contractor's Board Reg. No._ ��Z� ❑ Audio and Stereo Systems'
❑ Boiler Controls
Phone# V/—. :G_ ❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
❑ Fire Alarm Installation
❑ HVAC
Print Owner's Name Phone No ❑ Instrumenlation
Address ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control'
City State Zip ❑ Medical
This permit is Issued under OAR 918.320.370.This applicant agrees to make on!� ❑ Nurse Calls
restricted energy installations(100,oh amps or Less)under this permit and to do the ❑ Outdoor Landscape Lighting*
following:
1. Only use electrical licensed persons to do installations where required.(Certain ❑ Protective Signaling
residential end other transactions are exempt from licensing,these have 0 Other
asterisk!;(*).All others need licensing). —
2. Call for an inspection when all of the installations under this permit are ready
for Inspection at 503-+39-4175. ❑ Number of Systems
3. Purchase 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. Assume responsibility for calling for a final inspection when all of the corrections S. FEES
are completed.
The person signing for this permit must he the applicant or a person a. Fnter Fees $
authorized to bind the applicant. --f—
b. 5% Surcharge (.05 x total above) $ '�
Signature
TOTAL
Authority if other than applicant
ENERGAP.CHr
Ll I Y Of TIUAND RECILIPI Uk PA'(MF N I H I--1-t I P I NI). a 9b--k:'/45.54
GHELK foMUUNI i Ods. IdW
NAME: MOCFARLAND, ELSA L148H kMUUN I 1 0. kifa
ADDRESS. e 105eb SW CLYVEW)ALL PL. Pf4yMl.-,pl*l DA i a (ft I 'A.;l 96
T I UARD OR SUBDI V t 81 UN
PURPOSE OF PAYMENT AMCIUN'T FIAI 1) r-"URPOSE OF ClAymh-N I AMOUN I PA I L)
L-1.1-l"'IRIUAL PFRMIT 40. 00 ST. BUILD Pi,.14 P. 00
)t.)WL 101t)(IN1 1.'. 00