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13152 SW CGc;AAVIOW WY
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CITY OF TICARD BUILDING INSPECTION DIVISION
24-Hour inspection Linc: 639-4175 Business Phone: 6394171
Date Requested: ` ` ` A.M. 1'M.
Location: - 13! � Z 0.2 � � � ------- MST.
Ane D e tiC J _ BUR
Tenant:_ —.---
g MEC:
Contractor: /
--�.-- —_ hone: ��� Pt M:
()wnw:_ Phone: _ FLC: _
ELR:—L/ - -
BUILDING BLDG(coni) PLUMP,iivG_ MECHANICAL ELECTRICAL SIT: SITE
Site PosUlicam Post f zm Post/lieam Cover/Service Sewer/Storm
Footing Roof UndFi/Slab Rough-In Ceiling Water Line
Slab Framing 'fop l-All Gas line Rough-In UQ Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service WK.
W(osnTuy Ceiling Rain Thain A/C UG Slab
Sly�r/Sizeath Fire Spklr/Alm Crawl/1'ound Dr Beat Pump Low oto
Approved Approved ApprovedC�App�mv Approved — -
Appr/Sdwlk Not Approved Not Appn vat Not Approved of ved Not Approved
FINAL FINAL FINAL FMA,
O Call:or reinspection D Reinspe tion fee of S requiral before next inspection O Unable to inapeco
In.4pactor: _ Date: '- /
_G�_.�.�' Page_—�of—L
CITY OF' TIGA71D
DEVELOPMENT SERVICES
ELECI'RICAL PERMIT'
13125 SW Holl Blvd., Tigard,OR 97223 (503)639-4171 RESTRICI'ED ENERGY
PERMIT #: ELR96-0319
DATE ISSUED: 10/18/96
PARCEL: 25I.04DC--03800
STI'E ADDRESS. . . : 1;315`
'3152 SW CLE(IRVIEW WAY
f16rADIVISION. . . . : BENCHVIEW ESTATES ZONING.-R-4. 5
BLOCK. . . . . . . . : LOT. . . . . . . . . . . . . :38
Pt-oJect Descr-iption:
_____—_—___
A. RESIDENTIAL------------ B. COMMERCIAI_
AUDIO & STEREO. . . : AUDIO & F f*EPEO. . : IN7'ERCPM & PACING. . :
BURGLAR ALARM. . . . :X BOILER. . . . . . . . . . LANDSC(IPE/ I R,rl T GAT'. . :
GARAGE OPENER— . : CLOCK. . . . . . . . . . . . MEDICPL. . . . . . . . . . . . .
HVAC. . . . . . . . . . . . . DA*TA/TEI-.E COMM. . : NURSE CALLS. . . . . . . . :
VACUUM SYSTEM. . _ . : F I RE ALARM. . . . . . : OUTPJOR LANDSC LITI':
OTHER: HVAC. . . . . . . . . . . . : PRFiTECTIVE" SIGNAL. . :
INSTRUMENT*ATTON. : O ,HER. . :
TOTAL # OF SYSTEMS: 91
Owner-: FEES
JOHN DARBY type ainol-olt by date r,eept
1315:_' SW CLEARVIEW PRMT $ 40. 00 T`kT 10/ 18/96 96-285370
5PCT $ c:. 00 'rAT 10/18/96 96--2853'70
11GARD OP 97223
Phon,% V,: 646-2700
Contt^actor:
AAA ALORM CO OF nREGON $ 42. 00 TOTAL
7865 SA CIRRUS DR REDUIRED INSPECTIONS
BEAVERTON OR 97008 Ceiling Covet, Elect' l Final
Phone #: 771-7572 Wall Covet-
93892
This aeroit is issued subject to the regulations ioptained in the
' ard Municipal Code, State of Ore. Specialty Codes and all other Plet-mitgp_ Signati-tt-e
applicable laws. All work will be done in accordance with
approved plans. This persit will expire if work '� not started
within 189 dpys of issuance, or if work ii suspended for sore
than 188 days, Issued
—OWNER INSTALLATION ONLY-!Y
_
The installation is being made on property I own which is not intended fov•
salel lcaqe, or- t-ent.
OWNER' S SIGNATURE: DATE
INSTALLATION ONLY--------------------
SIGNt41UPE OF SUPP. ELECIN: DATE%
LICENSE NO:
Call for- inspection — 639-4175
F
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
1312`i SW Hall Blvd.
Tigard,OR 97223 PERMIT# -
�' Phone(503)639-4171
FAX(503)684-7297 DATF ISSUED _
TDD No. (503)634-2772
CITY OF TIGARD Inspection (503)639.4175 ISSUED BY
PLEASE COMPI.ETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
1 3150. SW Clear 1 a t) ___,
Address RESIDENTIAL—Restricted energy Fec. . . . . . . . . $ALM
_1 _ (j i] -143 (FOR ALL SYST AS)
City tate — Zip Check Type of Work Involud:
PERMITS ARI:NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WOPK ❑ Audio and Stereo Systems
IS NOT STAF'TED WITHIN 180 DAYS Of ISSUANCE OR IF WORK IS SUSPENDED FOR
180 DAYS. 14 Burglar Alarm
2. CONTRACT OR APPLICATION ❑ Garage Door Opener*
'XIT
❑ Heating,Ventilation and Air Conditioning System'
ContractorAM�(ir lI) `-�_ i,pe— n1_ Ll ❑ Vacuum Systems*
"—�
Aldress78b SVA C1 Cru.S br ❑ Otherl 9 e- ------ -
41Y4vrN 0R CA-7 009
Date COMMERCIAL—Fee for each system . . . . . . . . . S40.00
-------------- -----------
1 (`FF OAR 918-260-260)
Property Owner—L .!9 h 1 Cock Type of Work Involved:
Contractor's Board Reg. No. —�� 9 91 ❑ Aud'o and Stereo Systems
EJ Boiler Controls
Plrnnr# In _ j (� _ ❑ Clock Systems
3. OWNLR API'LI(A[ION ❑ Data Telecommunication Installations
❑ Fire Alarm Installation
El HVAC
°pint Owner's Namc Phone No
❑ Instrumentation
Address ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
City State Zip ❑ Medical
This permit Is issued under OAR 918.320.3711.this applir ant agrees In make only ❑ Nurse.Cells
restricted energy installations(100 volt amt%or less)under this permit and to do the ❑ Outdoor:andseape Lighting*
following
El Prote vve Signaling
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 licemirtt). --- _
2. Call fnr an inspection when all of the installations under this permit are ready
for inspection at 503.039.4175.
❑ Number of Systems
3. Purchase separate permits for all instapWlons that are no ready for inspection
when the inspector is out to inspect under this permit. No lir eases 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 Brat Intinwtion when all of the S. FEES
corrections are completed.
The person signing for this,permit muet he the applicant or a person a. Enter Fees S 4 D•
authorized to hind the irpplicanl. — —
b. 5%Surcharge(.05 x total above) $ 07. 00
Signature
TOTAL $ 4a -cr)
Authority if other than applicant
ENERGAP.CHP
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