15905 15915 15925 15935 15945 15955 SW GREENS WAY-1 i,
x
ti
ADDRESS:
Y. yl
�fr r 7
fF iii
i
I
� F
is\records\rriic roflm\ta rgets\bu ilding.doc
i
r tl
t.
,r ry�;ASYfisiw, r 11.+r}{:.'::, ..,,.,. .. •:,._ _,pr _.. - W'nr,r
�,�` "tet,. 'tor.?n•.., ,
�{ kOr,1, t -
t � R C 1 .:::r� t ! n •�a r f �a
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171 7t� 'w
Footing Rain Drain Cover/Service FINAL: '+
Foundation Water Line Ceiling -Plumb. `4y \ `
Post/Beam Mech. Shear/Sheath Framing -Mach.
Pibg.11nd/Flr/Slab Plbg.Top Out Insulation le 'k"��
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg,
San. Sewer Gas Line Appr/Sdwlk Reins. Ypt;"
Other:
r < -
Date: A.M.—P.M. Entry:
,
Address: S C� � M1,,, ^r A..
Tenant: Ste: MST: j
BLP:
Con/Own: �—Z s� ( MEC:_ 'r"t rr1f ni
Q PLM: ra I y1
uu I t i�4�� w 9CMMY �7'
ELC:
THE FOLLOWING CORREC IONS ARE REQUIRED: ELR: Ifn
I•�� r,r ��+7 if�,Ca
r {
L
r '
�r
Inspector: / -e Date: T�_
, ' APPROVED —DISAPPROVED/CALL FOR REINSR CF CO
� 4
1
44'C,Nr x, L
�y.
'•� 1 ~ 't�r it 11t U t�Irr�y�t I LI fi aV 4 �..i tr
iAi
"
r
t A
L,.
CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT REOTR Ir.Trr ENERGY
13126 SW Hall Blvd.Tigerd,Orogcn 97223.81N (603)630-4171 PERMIT #: ELR96~009 rr
DATE ISSUED: E
PARCEL: 251I1CC 07200
i "ITC- ADDRESS. . . ; 1'005 SW GRr rr40 WAY
?i.1PDIVIEION. . . . : OUMMERrICLD NO, 7GNIRIG:R -1
r,LOCK. . . . . . . . . . . LOT. . . . . . . . . . . :97
jro.ject Description: Install burglar alarm '
A. Rr!)i DENT 1 AL. --_�_..___.._ B. COMMS RC I AL—
AUDIO
L--
AUDIO & STEREO. . . AUD T O & STEREO. . : INTERCOM & r AG I NG. . :
BURGLAR ALARM. . . . : X BOILER. . . . . .. . . . . .. LANDSCAPE/IRRIGAT. . : �
GARAGE OPENER. . . . . CLOEK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . .
HVAC. . . . . . . . . . . . . ,. DnTA/Tl-l_E CC]Mht. . . NURSE CALLS. . . . . . . . . I
VACUUM S 03TCM. . . . : r•IR[ ALARM. . . . . . : OUTDOOR LANDSC LITE-
OTHER: 11VAC. . . . . . . . . . . , : PROTECTIVE SIGNAL.. . : 4
T NSTRUMCIJTAT I Ohl. : OT1117R. . : . .
TOTAL. # Or SYSTEMSc 0 !
nppl :icant : _.._...____..__._...._._..___... ..._._...___..._._. ._......_._..._......_. _..._....___.._ FEED .__.._..._...._.......__.-._._.__._.
DOWMPN DONA'_D type amount by date recpt
1.!7)05 s._:W GREENS WAY r,RI�T t 413. 00 CJS 0 /10!'35 9E�- 2'770'1:::
51PCT $ 00 CJS 03/18/96 96-.2,7709"
TIGARD OR 97223
i P1innE. #:
contr-ac~tor,.
I
1
pXpt1"101341.+ 1,0%T up F44-Irr t 41^_. 210 TOTAL
lhi1���3 E�PCfron.cj
REOU I RED INSPECTIONS
fla��pr 9ador Wal I Cover
Elect, I aerviCe
16ai3 Cl,-_
.1
This pervit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Ccdes and all other r'av-mitee SignatLo-e
applicable laws. All work will be done in accordance with
approved plans. This pereit will expire if wcrk is not started
within 180 days of issuance, at- if work is suspended for we
than IN days, 1 x 5,.t e J By
INSaTALI_ATION ONLY
' Tule installation is being oracle on property 1 own which is not intended for
sal.e, lease, o•r )-Sant.
OWNER' S SIGNATURE: DATE:
CONTri"lUQR INGTALt_ATION ONLY--._ _ . .__.. ___..._.�__...__.__._._...._
AUTI-IORIZED SIGNATLIRE: —4/ n ,. r)nTE,
L I CENSE NO.
Call for inspection - 659--4175
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATIJN
13125 SW Hall Blvd.
Tigard,OR 97223 PERMIT#
Phone(503)639-4171
FAX(503)684-7297 DATE ISSUED
TDD No. (503)684-2772
CITY OF TIGARD Inspection (.503)639 4175 ISSUED BY _ c:1,/
PLEASE COMPLETE ALL SECTION
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
.', ��L',i •.�riV� C_p/1.E'C st-t CG -- — 5
r Addres �/' G� 22RESIDENTIAL--Restricted Energy Fee . . . . . . 140.00
t P__ _�— �� --(FOR ALL SYSTEMS)
City ( State Zip Check Type of Work Involved:
PERMITS ARE NON-TRANSFERA9LF.AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems
9 IS NOT STAR TF1)WIrHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR y
18n DAYS. �Burglar Alarm
2. CONTRACTOR APPLICATION Garage Door Opener*
/�)� j / / 1:1 Heating,Ventilation and Air Conditioning System'
Contractor l '"���t/L2. i ype -1� X-C et ❑ Vacuum Systems*
Address�� , /l�Gz� r!c�tc-�E _ — ❑ Other— --
Date___.3h L9 4 _ COMMERCIAL—Fee for each system . . . . . . . . . QQ
(SEE OAR )19-260-260)
_ Cw-7 I'lc�s.
Property Owner /6` Check t ?e of Work Involved:
I Contractor's Board Reg. No. vV 2`� L ❑ Audio an,-Stereo Systems
i
❑ Boiler Cont k
d Phone#
-- -- - ❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
❑ Fire Alarm Installation
❑ HVAC
Print Owner's Name Phone Nc,
❑ Instrumentation
Address
❑ Intercom and Paging Systems
❑ landscape Irrigation Control*
City State Zip ❑ Medical
I
t his permit is issued undw OAR 918.320.370.Thisapplicant agrees to make only El 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 installations where required.(certain r-rotective Signaling
residential and other transactions are exempt from licensing.These have ❑ Other
asterisks(•).All others need licensing). -- --�—� T —
2. Call for an inspection when all of the installations under this permit are ready
for inspection at 5031-6.39-4175.
❑ Number of Systems
3. Purchase separate permits for all installatio,ts 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
S. Assume responsibility for calling for a Anal 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 $ �/7
authori;ed to hind the applicant, -
/ b. 5% Surcharge(05 x total above) $ _
Signature
TOTAL $
r
Authority if other than applicant f
ENFRGAP.CHP
N- w,Q Yi
1
_ r J
oils
,
a I
r
I
lot ! 11rI+I!lr Irl41IrPi, Ir ' 1 1•i+ i, :^''3I
Holl.
40
I'•1I11�11 1'I i I (.,l i! 'i L,:1 J .t.I I l 1 1. , r-I'r�l M I INI It IN(
1 AllI-tHE'ViLl;
i E-'1fl'�ILi-II''ILI !.tli ,IllditlEll '.� Ltil�1
!� I'1 II•'1-'1I}0 { 'I , I ' IIi I+Iy111I!!'JI 1il U 1! i {II !E It It•! r
1 1 I i. I k•'I I I it
t
K
I
1,54405 fall GHF.f-Mf:i Wkly �
f Cl'rF31_ OM01 IN 1• PO T 1> 1 1
ti
,s
r