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CITY OF TIG",-.0 BUILDING INSPECTION NOTICE
Inspection(Line ;Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspbction: �-
Footing Susp. Ceiling Sprink. Hough-in Appr/Sdwlk
Foundation Plbg. Undorslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out ec,Hough-;n FINAL:
P(,,t/Bean Mech. San. Sewer Gas Line -Eidg. '
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarrr Water Line Insulation -Mech.
Underflr. Insul. Shear Wall ( Gyp. Bd. -Elect.
Date Requested: ( lB 1�j G� Time: AM PM
Address: U
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Builder. Permit #: c" , D c)6)
THE FOLLOWING CORRECTIONS ARE REQUIRED:
— —err
Inspector:-_�� —l.1 c'!'�'' L{c�� ' Date:
�AFPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
4 C Al For Reinsp.
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.CITY ®F TIGARD
l` ELECT R I CAL PE'RM I T -
;f COMMUNITY DEVELOPMENT DEPARTMENT PERMIT
IR IRICTCD L.R96--0 �
i 13126 SW Hall Blvd.Tigard,Oregon 07223»8108 (503)630-4171 F�ERM I Tc#. EL.R96--0007
-Q�07
DATE T,.,SUED: 01/03/96
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p�Al?f'EL.r ='�1 1 1 CC-212:100 �
GITF ADT7RFiCi. SW (jRF. NI..FAF TFRR l
SUBDIVISION. . . . : SUMMERFIELD NO. 5 ZONING: R--12 Pl)
SLOCK. . . . . . . . . . . I_OT. . . . . . . . . . . . . :270
Project Descriptiofi :
---------------
A, F?F_SIDCNT'IAL _.........-__._ B. COMMERCIAL----._.-._- -.__________._._..___..____.__._______._.. ..
AUDIO & STEREO. . . AUDIO & STEREO. . : INTERCOM & PAGING. . :
1711RG1_AR AL-ARM. , . . : X IAn I I...FR. . . . . . . . . . t I_.ANDSCAPE/T RR T GA 1%
GARAm, nPFNER. . .. . CLOCK. . . . . . . . . . . . MEDICAL_. . . . . . . . . . . . .
HVAC. . . . . . . . . . „ . . . DATA/TELT COMM, ,. NURSE CAL._1__a. . . . . . . .
VACUUM SYSTEM. . . , . FIRE ALARM,. . . . . . : OUTDOOR LANDSC LITE:
OTHER: , ; I{tlAf . . . . . . . . . . . . : PROTECTIVE SIGNAL.. . : �
IN;i'I"rIUMENTA7ION. : OTHER. . : t :
TOTAL # OF SYSTEMS: 0
Applicant : ______._________:_____.____..__.________._._-------__.___._- FEES
11ABE_t. ;;ABEL type amolint by dente recpt
1121240 SW GREENL.FAF TcRE2. PRMT t 40. 00 C.T y 01 /03/96 96- '74033
FjPCT 4+ =:. 00 CJ's 01 /03/q6 96-•274539
'T I GARD OR 971123
Phone #: 503--639-•1985
Contractor-:
CONTOACTnR 1V(7T ON FILE `b 41.721. 00 TOTAL
I
---•------- RFl?I I T RFD T Nc t,F("T T nNS __....__.._...
Ceilinq Cover Elect' l Service
PIone #: Wall Cover G:lect1 Final
Req #. . .
This permit is issued subiect to the regulations contained in the
Tigard Municipal Cade, State of Ore. Specialty Codes and all other Perm i t ee Signature
8oplicahlp. law;. All work will be done in accordance with
approved plans. This nermit will expire if work is not started /
within 100 days of issuanre, or if work is suspended for tore
than 1P,0 days. I s s L1ed By
OWNE=R INTALLAT •:Jh,l
'The installation is; being made on property I own which is not intended for
sale, lease, or rent.
OWNER' S SIGNATURE: DATf-
_.____.___.._.___._. IMSTAI_1-ATION
S I GNA''URE OF 4UF'R. EL.EC' N: /nG��CP�-_.._...�._..__......-.._....__ DATE:
LICENSE NO:
Call for inspection - 639--4170
T 11,411
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Community Development RESTRICTED ENERGY ELFCTRICAL APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 PERMIT# , Za 96 - ocsc 7
Phone(503)639-4171
FAX(503)684-7297 DATE ISSUED ! 3
TIM No. (503) 684-2772 !
CITY OF TIOARD Inspection (503)639-4175 ISSUED BY1,
I
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION ' 4. TYPE OF WORK t
Addr ) RESIDENTIAL—Restricted Energgyy Fee. . . . . . . . . S4t)•QO
6-00�' . - r? (FC)R ALL iYSTEMS)
_-1� —
'� City State Zip Check Type of Work Involved: ,
PERMITS ARE NON-TRANSFERABLF.AND NON-REFUNDABLE AND EXPIPE IF WORK ❑ Audio and Sterec ones•
IS NOT STARTED WITHIN 100 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR , "'
180 DAYS. rglar Alarm
❑ Garage Door Opener'
2. CONTRAC OR APPL CATION
fir ` t / i . ,,2 ❑ Heating,Ventilation and Air Conditioning System"
C tr:tr o ype Av_ �0 Q !� Zria, ElVaculim Systems'
0 �K-2uo Oar" ❑ C` ler
Address�s r�
Date COMMERCIAL—Fee for each system . . . . . . . S,40.00
(SEE OAR 9115-260-260) i
Property Owner �� Check Type offf9tk Involved: i
Contractor's Board Reg. No. '�.�� ❑ Audio and Stereo Systems'
❑ Boiler Controls
Phone# � _ —__ ❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
❑ Fire Alarm Installation
—_ _ ❑ t-IVAC
Print Owner's Name Phone No
❑ Instrument-rtion
W< Address — ❑ Intercom and Paging Systems
❑ Landscape Irrigation Contrnl•
q City State Zip J Medical
r This permit Is Issued under OAR 918.320.370.This applicant agrees to make only ❑ Nurse Calls
restricted energy inslallations(100 volt amps or less)under this permit and In de the ❑ Outdoor Landscape Lighting*
following:
1. Only use electrical licensed persons to do installations where required.(Certain ❑ Protective Signaling
' residential and other transactions are exempt from licensing.These have ❑ Other
,.
asterisks(*).All others need licensing). —
1 2. Call for an inspection when all of the installations under this permit am ready
for inspection at 504-639-4175. ❑ Numher of Systems
3 Purchase set,irate permits for all installations that are not ready for Inspection
when the inspector is out to inspect under this permit. •No licenses are regtired. Lictnses are required for all other Installations.
II : 4 Assume responsibility for assuring that all corrections required by the Inspector
are done,and "-
5. Assume responsibility fe o it for a final inspection when all of the corrections S. FEES
am completed \
f The person signing for this permit must he the applicant or a person a. tinter Fees $ �� y
authorized to hind the applicant. -- `
— _ h. 5% Surcharge(05 x total above) $
Signahtre —
TOTAL $
N � -
Authority if other than applicant
F.NERGAP.CHP
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