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10459 SW BONANZA WY
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 6394171
BLIP
Date Requested AM PM — BLD
Location ( 0 y �1�2 l-C�^�c�� Suite MEC
Contact Person Ph PLM
Contractor _ Ph �� � SWR
BUILDING Tenant/Owner f ugr/ - (02-4) --ZkJ3 E� ` -7_UC 5--c2
Retaining Wall fSGN
LR
Footing A cess: I. , !(
Foundation ,ax�. � S
Fig Drain /'" " "'
Crawl Drain InspeC n Ngte.s:
Slab _ L,;_> +... - 5:� a ,.: 13 ro - r� ,.vZ.4SIS
Post& Beam
Ext Sheath/Shear
Int Sheath/Shear -
Framing _
Insulation
Drywall Nailing
Firewall
Fire Sprinkler -
Fire Alarm
Susp'd Ceiling
Roof
Misc: -- - -- -- - --- - ------
Final --
PASS PART FA_II. --- - ------ --- --
PLUMBING
Post8 Beam __-_-------------- ---- _. _ ------------ --- —
Under Slab
TopOut -------------.._.._- ------ ----------------_---__--_
Water Service
Sanitary Sewer
Rain Drains _
Final
PASS PART FAIL
MECHANICAL
Post& Bearrr ------- -- -- ---- --- - -
Rough In
GasLine -- --- -- -- ------- -- -- -- .—_
Smoke Dampers
Final — - - -----
PART- AIL
Rough In — -
UG/Slab _
Low Voltage
Fire Alarm
Fi
AS PART FAIL -
Nw-
Backfill/Grading -
Sanitary Sewer
Storm Drain ( ]Reinspection fee of$-- required before next inspection. Pay at City Hell, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line I 1 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.
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 ELECTRICAL. PERMIT -
RESTRICTED ENERGY
PERMIT #: ELR97-•0050
DATE ISSUED: 02/14/97
PARCEL: E'S 1 14BC-04700
'.")ITE ADDRE_SS. . . : 104,"'.-x9 SW BONANZA WAY
iUBD I V I S I CIN. . . . : R I VF RV I EW ESTATES NO. 2 ZONING:R--7 PD
. . . . . . . . . . . I_..OT. . . . . . . . . . . . . :084
"inject Dpscr^iption: INSTL 1 BURGLAR ALARM
q. RES I DENT I AL-_.__.._--__ B. --
AUDIG & STEREO— . : AI_ID-TC) R STEREO. . : INTERCOM & PAGING. . :
BURGLAR ALARM. . . . : X BOILER. . . . . . . . . . : LANDSCAPF '--RRIGAT. . :
GARAGE OPENER. . . . . CI_.00)<. . . . . . . . . . . . MED I r,Al-. . . . . . . . . . . . .
HVAC. . . . . . . . . . . . . . DATA/TELE COMM. . . NURSE CALLS. . . . . . . . .
VACUUM SYSTEM. . . . : FIpE= ill-ARM. . . . _ .- 7UTDOOR l_ANDSC LITE::
OTHER: : : HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . :
I NSTRUMENTAT I ON. : O THEE. . : . .
T'OT'AL._ # OF SYSTEMS: 0
!_)wner^: _ __..... . _ ...._. ...__-__..._...__......__. __._.____.__.._... _.._..._.__._.....__..___.__......__--.__._.-. FEEL; _..._.__....__._._._ .._..___._.._
SLEN/LORI SMITH type amount by date r-ecpt
10'iF)9 SW BONANZA WY PRMT $ 40. 00 TAT 0`/14/17 "77 1-04c'-"
5PCT $ 2. 00 TAT 02/14/97 97-290427
ICARD OR 97223
["hone #: 620. 2833
rontractor,:
ADT SECIIR I TY ALARMS $ 42. 00 TOTAL_
703 NE HANCOCK
-------- REOUIRED TNSPECTIONS --_--
G',ORTL.AND OR 972122 Ceiling Cover Ulect' 1. Sprvir_.e
Phone #: 503-.284-3265 Wall Cover, Elect' 1 sinal
Reg #. . : 59944
This permit is issued subject to the regulations contained in the _.
Tigard Municipa' Code, State of Ore. S'vcialty Codes anw all other Permit
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 188 days of issuanrz, or if work is suspended for more 41
than 188 days.
_ . . OWNER TNS-TALI_ATION ONI...Y
The installation is; being made on property I own which is not intended for
Tale, lease, or• rent.
OWNER' S SIGNATURE: DATE:
.._....CONTRACTOR INSTALLATION ONL.Y--__._......._._-____-
S T GNATURF. OF SUPR. ELEC' N: DATE i
I_TCENSF NO:
Call for inspection - 639--4175
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd. � /,TT
Tigard, OR 97223 PERMIT# f��7--�)5
Phone(503) 639-4171 -7
FAX(503) 684-7297 DATE ISSUED___ q /
TDD No. (503)684-2772
CITY OF TIGARD Inspection (503) 639-4175 ISSUED BY
PLEASE COMPLETE ALL SECTIONS
1. LOCXrION OF INSTAUA PION 4. TYPE OF WORK
Aas r RESIDENTIAL—Restricted Enec Fee . . . . . . . . . S40.00
(FOR ALL SYSTEMS)
C" -State Zip Check Typeof Work Involved:
MI?ARENON-TRANSFERABLE PERE AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems
IS NOT STARTED WITHIN 1A0 DAYS DF ISSUANCE OR IF WORK 15 SUSPENDED FOR
180 DAYS Burglar Alarm
2. CONTRACTOR APPLICATION Garage Door Opener'
7
El Heating Ventilation and Air Conditioning System'
Contractor �> y1)v _ fit-rry ❑ Vacuum Systems'
Address
_.—_.. E3 Other
Date COMMERCIAL---Fee for each system . . . . . . . 540.00
f r - (SEE OAR 918-260-260)
Property Owner �G2l.��r�. 2111,4 Check TXpe of Work Involved:
< < E3 Audio and Stereo Systems
Contractor's Board Reg.No. �_f _
❑ Boiler Controls
Phone# ❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
❑ Fire Alarm Installation
❑ HVAC
Print Owner's Name Phone No 0 Instrumentation
Address ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control'
City State Zip ❑ Medical
Thi,uermit is issued under OAR 918-320.370.This applirant agrees to make only ❑ Nurse Calls
restri(red energy Installations 1100 volt amla nr less)under this permit and in do the ❑ Outdoor I andscape Lighting'
folhiwing:
1. only use electrical licensed persons to do installations where required.(Certain I'rsitaCtive Signaling
residential and other transactions are exempt from licensing.These have ❑ Other
asterisks(•o.All others need licensing).
2. Gall(or an inspection when all of the installations under this permit are ready
(or inspection at 50.3.639-4175. ❑ Number of Systems
3 Purrhase separate permits for all installations that are not ready for inspection
when the inspector is out to Inspect under this po.rmit. •No licenses are required. Licenses are required for all other Installations.
4. Assume respunslhihty for assuring that all corrections required by the Inspectir
are done,and
5. Assume responsibility for calling for a final inspection when all of the S. FEES
corrections are completed.
The person signin (or thi rmi ust be the applicant or a person a. Enter Fees $ `�
authorized to he plc
b. 5%Surcharge LOS x total above)
Signat TOTAL $ /
Authority if other than applicant
ENERGAP.CHP
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