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CITY OF'*:aARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171 I
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>: Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling Plumb. 1 ,
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Post/Beam Mech. Shear/Sheath Framing
PIbg.Und/FIr/Slab Pibg.Top Out Insulation 49ZbI it
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AM. P.M. Entry:—
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Date.
Address:
4r1 , Tenant: _ —- — Ste:
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P Y 'r 1'"h. Con/Own: PLM:
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THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:C
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tr Inspector:��Lf�- lot Date ���''
APPROVED —DISAPPROVED/CALL FOR REINSP. CF CO
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CITY
OF TIGARD RESTRICTED PERMIT RESTRICTED ENERGY
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #: LLR96-0203
13125 SW Hall Blvd.T'gard,Oregon 97223.8109 (503) 139-4171 DATE ISSUED: 06/18/96
w aL PARCEL: 16135DD-04400
SITE ADDRESS. . . : 11900 SW GREENBURG RD
SUL;D1:V I SION. . . . : :CONING:C- P'
LSI. "CK. . . . . . . . . . . LOT. . . . . . . . . . . . . .
P, : Jr-ct Descr^iption. Installing pr^otecti-se signaling.
A. RESIDENTIAL--------- B. COMMERCIAL------------------------------------------
AUD
;OMMERCIAL-------------------.---------_.-------___-
AUDIO & S TEPEO. . . : AUDIO & STF_REO. . : INTERCOM & PAGING. .
BURGLAR ALARM. . . . : BOILER. . . . . . . . . . : LANDSCAPE/IRRIGA-r. . :
GARAGE OPENER. . . . . CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . .
HVAC. . . . . . . . . . . . . . DATA/TELE COMM. . . NURSE CALLS. . . . . . . . .
VACUUM SYSTE.M. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE:
OTHLR: : : HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . : X
X INSTRUMENT'A'TION. : OTHER. . : : .
TOTAL # 01. SYSTEMS: 1
Ownet-: ---.__.._.__________.__._____.______.__..__..._.._._.____________-- FEES
1'.. B & B LITHO (MIKE STEVENSON) type amot.lnt by date r-ecpt
8849 SW CENTER STREET PRMT $ 40. 00 CJS 06/18/96 96--x:80690
5PCT $ 2. 00 CJS 06/18/96 96-280690
TIGARD OR 97223
Phone #:
Contractor:
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W I LSON V I LLE LOCI'. & SAFE $ 4;:-'. 00 1 01
PO BOX 517
- ------ REQUIRED INSPECTIONS --- ----
WILSONVIL.LE OR 97070 Wall Cover- Elect' 1 Final
r. Phone #: 50.3-C,82-2323 Elect' i Bev-vice
Reg #. . : 49329
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other Permitee Signat _Ire
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 issuance, or if work is suspended for more
than 180 days. Issued By
.._..._.OWNER I NST ALLAT I ON ONLY-_-.----.-_.___•---•--_.___________.._.
The installation is being made on pr-operty I own which is not intended for^
sale, lease, or rent.
OWNER' S SIGNATURE:
_-_-.---.___.________ _._.._._._._..--•-C.ON7 RACTUR I NST AL_LA T I ON
S 16NATURE OF SUP'R. E LECN: DATE:
LICENSE NO:
4
Call for inspection - 639--4175
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Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd,
R Tigard,OR 97223 PERMIT# El RDE-0 10 3
Phone(503) 639-4171 DATE ISSUED 6j— 1 J"Q6j
FAX(503) 684-7297 —�_
TDD No. (503)684-2772
CITY OF TIGARD Inspection (503)639-4175 ISSUED BY C.
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PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK r
11900 .��1.�� CS�C'rl�n c_�X�� IPA.
Addw ss RESIDENTIAL—Restricted Energy Fee . . . . . . . . . 140.00
" I I COle C1 �� T7 3 (FOR ALL SYSTEMS)
City J State Zip Check Type of Work Involved:
PERMITS ARE NON-TRANSFERAHLE AND NON•REFUNDAHLE AND EXPIRE IF WORK
IS NOT STARTED Wlll iIN 1 HO DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR El Audio and Stereo Systems
180 DAYS. r.J Burglar Alarm
El Garage Door Opener'
2. CONTRACTOR APPLICATION ❑ Heating,Ventilation and Air Conditioning System'
Contractor WILbONY1LlE IOCKiEECr I ❑ Vacuum Systems'
Address
`1 U COX. 611 U))16C1U► 1-e Cite 'Mno El Otheri
.yr —
Date ecl COMMERCIAL—Fee for each system . . . . . . . 1•¢0,00
(SEE OAR 918-260-260)
Property Owner .-------____-- __. S.hsSk.Iyp�9LYY9Ik1nvolved:
II II( El Audio and Stereo Systems
Contractor's Board Reg. No._`� �� � I
ElBoiler Controls
Phone# 0?),Q-,Vn 3�3
) _---_ ❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
❑ Fire Alarm Installation
— El HVAC
Print Owner's Name Hione N-u
❑ Instrumentation
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Address - ElIntercom and Paging Systems
❑ Landscape Irrigation Control'
City State Zip ❑ Medical
This permit is issued under()AR918-320-M.This applicantagrees to make only ❑ Nurse Calls
restricted energy Installations(100 volt amps or less)under this permit and to do the ❑ Outdoor Landscape Lighting'
following:
1. Only use electrical licensed persons to do instillations where required.(Certain Prolective Slgnaiing
i resi•fential and other transactions are exempt from licensing.These have ❑ Other _
ast,risks(•).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(or 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 responsihility for assuring that all corrections required by the Inspector
are done,and
5. Assume responsibility for catling for a final inspection when all of the 5. FEES
corrections are completed.
The person signing for this permit must be the applicant or a person a. Enter Fees $ 4 «�
authori o hi d ILPa licant.
I ✓ L_� b. 5% Surcharge(.05 x total above) $-OZ
SIRnaturt, — L4,9n�
TOTAL $
A tthority if other than applicant --
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