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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
f r Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg i lnderfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul Shear Wall Gyp. Bd. -Elect.
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Date Requested: ( Time: AM PM
Address: � C� '�'Z 1 E YGo C--'L�c d'` '. _
�4= z_U �`I -7 k, Permit ft: �(ci �l�P UC70
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector.
,APPROVED __DISAPPROVED APPROVED SUBJ�-:CT TO ABOVE n
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_Call For Reinsp.
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Y Of TIGARD BUILD1N_a7 pECTION NOTICE �r�;
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�a Inspectio Fine (Rec-O-Phone): 639-417"usiness Phono: 639-4 171
u p Insp9ction: _ ' `✓+`�n4j xpr
Va ' �, , Footing Susp. Ceiling Sprink. Rough-ir. Appr/Sdwlk011
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Foundation Plbg. Underslab Mech. RourJ;i-in Fireplace
:vr Sg p5{ ,�fy{ V�1914)
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
J + I a)�� 7f n �rt•�' I filth t;�
PostJBeam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain f=raming -Plumb. 'rr
Alarm Water Line Insulation -Mech.
Underilr. Insul. Shear Wall Gyp. Bd. -Flect.
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} Date Requested: 1 I I q Tlme M PMt rz r
Address: J 2 6, U U-) Q'•a' I .,t r yr, f�
UG GjBuilder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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s Inspector: Date:
t4a k��� y"y4 APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Relnsp.
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CITY OF TIGARD RUftVTIW7t45RI,CTION NOTICE
Inspection Line (Roc-O-Pie): 639-4175 Business Phone: 639-4171
Inspection:—
Footing Susp. Ceiling Sprink, Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct- Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb. 1
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: ( Time: AM PM
Address: I IS C-4
BaildBtt]ZC,h,LI ,, �7 1_ , Permit #:LL_rZ - `')D 3
THE FOLLOWING, CORRECTIONS ARE REQUIRED: r
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Inspector: /
---I-z _ Dater
—APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
call For Reinsp.
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j CITY GF TIGARD ELECTRICAL PERMIT -
COMMUNITY DEVELOPMENT DEPARTMENT RESTRICTED ENERGY
:•x 13126 8W Hall Blvd.Tigard,Oregon 97223.8199 (503)839.4171 PERMIT #- E L.R96-0003
TATE ISSUED:
PARCE•:L.: 2S 1 10DD--00900
91'TE ADDRL:. S. . — 15960 SW GREENS WAY
SUBDIVISION. . . . : SUMMERFTrLn ZpNING: R- 12
SL_OCK. . . . . . . . . . LOT. . . . . . . . . . . . . :91
f. Pr^ojer_t Description :
A, REfSIDCNTIAL ----- _ P. COMMERCIAL._.______
AUDIO & STEREO. . . AUDIO K STEREO. . : INTERCOM & PAGING— -
BURGLAR
; ,
BURGLAR ALARM. . . . : X BOILER. . . . . . . . . , i._PiNDSCAPE/IRRIGAT,. . �
GARAGE OPENER. . . . : CLOCK. . . . . . . „ . . . . MEDICA1.. . . . . . . . . . .. . .
1AVAC. . . . . . . . . . . . . . DATA/TELE COMM. . NURSE COLI.... . . . . . . . .
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VACUUM SYSTEM. . . . FIRE ALARM. , . . . . : OUTDOOR LANDSC LITE:
OTHER: . . HVAC- PROTECTIVE: SIGNAL . . s
INSTRUMENTA rIOhI. OTHER. . :
TOTAL_ # OF '3,YSTE:=MS: 0
Aprl i rant : __._.._._._____.______._________.___.__._._.---__.--- ._._....___._.- FEES
Mr4SEL_ 0' DRISCOLI_ type amo1_int by date rec'pt
L5960 SW GREENS WAY [:SRM T $ 41. 00 CJS 01 /03/96 96--274536
5F,c-r $ 2. 00 CJS 01/03/96 96-274536
TIGARD OR 97223
Phone #: 503-620--4E376
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Contractor.
CI.01TRACTOR NOT ON FILE ! 4."'. 00 TOTAL �
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REQUIRED INSPEC"T IONS
C.eili.rig Cover Elect' 1 Service
F=l�c�ne #: Wall Cover Flpct? 1 F"i.nal
Re❑ #. . .
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Spe:ialty Codes and all other Perm i t ee Si gnat�_me
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 198 days of issuance, or if work is s'jspended for more �icr r
than 180 days. 1 s s li e d By
I NST ALL AT I ON OIVI-`r• -
The installation is beinq made on propprty I own whrich is not intended for
sal a. leas-. o,^ rent.
OWNE=141 S SIGNA*rURE: DATE ----------------:
INSTAI_.I ATION ONLY--------------------.-_---_-----_-
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5 r GNIa"rURE OF SUPR. F.I_ECN DATE a
t.
` LICENSE NO:
Call for inspection 639--41'7 :'.
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Community Development RESTRICTED ENERGY ELECTRICAL APPLY ATION
13125 SW Hall Blvd. PERMIT# 9L�q5_-000'-
Tigard,OR 97223 1--
Phone(503)639-4171
FAX(503) 684-7297 DATE ISSUED
TDD No. (503)684-2772
CITY OF TIOARD Inspection (503)639-4175 ISSUED BY
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PLEASE COMPLETE ALL. SECTIONS
1. LOCATION OF INSTALLATION r� 4. TYPE OF WORK
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Ad8 rl RESIDENTIAL—Restricted Ener�ry Fee.
iiil r �J Z (FOR ALL SYSTElv15) ,
City Slate Ltp Check Type of Work Involved:
PERMITS ARE NON-TKANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems* '{
IS NOT ST 1RTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR
180 DAYS. Burglar Alarm
Garage Door Opener'
CONTRACTOR APP ICATION
J ❑ Healing,Ventilation and Air Conditioning System*
07omtra /l�'l�Q, T e_l.'�i �/�-"' Q� ❑ Vacuum Systems*
❑ Other.
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Address �
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COMMERCIAL—fee for each system . . . . . . . . . 540.00
(SEE OAR 918-260-260)
Property Owner' 1/�� � hock Ty�f Work Involved:
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Contractor's Board Reg. No. � eVZ ❑ dio and Stereo Systems*
U Bits •r Controls
Phone# '�: �S� .__ _.-.. -- ElClock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
❑ f ire Alarm Installation
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❑ HVAC
1+ Print Owner's Name Phone No ❑ "
Instrumentation
Address – ❑ Intercom o:lrl °,,ging Systems
❑ Lar dscape Irrigation Control*
City State ZIP ❑ Mc lical
This permit is issued under OAR 918.320.370.This applicant agrees to make only ❑ Nu'Se Calls
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restricted energy installations 000 volt amps or less)under this permit and to do the ❑ Outdoor Landscape Lighting*
following:
A1. Only use electrical licensed persons to do installations where required.(Certain El Protective Signaling
". residential and other transactions are exempt from licensing.These have El Other
t � asterisks(*).All others need licensing). —� —
; 4) 2. Call for an inspection when all of the installations under this permit are ready
(t for inspection at 503.639-4175. ❑ Number of Systems
3. Po,-chase separate permits for all installations that are not ready for inspection -—
j when the inspector Is out to inspect under this permit.
.^, •No licenses are required. Licenses are required for all other Installations.
t 4. Assume resprosibility for assuring that all corrections required by the Inspector
are done,and
5. Assume responsibility for calling fo-a final inspection when all of the corrections .5• FF FS
are completed. r
The person signing for this permit must be the applicant or a person a. Enter Fees _ �{
authorized to bind the applicant
�A- b. 5% Surcharge (.05 x total above) $
Signature
rid
TOTAL $_ �
4
v Authority it other than applicant '
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CITY OF TIUAPD K'C:F_IPT OF PAYMENT R ("U 'Il.'T NO. 1��• � Itr. ;E•
0.4141 UN'T 1 poi , 00
k`. NOWE 1 HF'RR DONALD (:Abfl AMOUNT s k7» 0 t
fat) mu.,:M-i a 1.0430 (.3W V J U W 1 F P(,, PHYMI-N I 1.1W l L e O 1/ M/96
{ ICiARD OR
F'(_IFit'`''OSE OF' PO4Yh'Ih.N I WWUI..IN 1 P$-I 1.1) t••'IJHPI1l+F LIF PNYhir N1 I IVI(l(#N I PlAJ!j
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El.+-(A H 1041, PE.'FIM I 1 0. LA 1{l1 1 1 1.) PI. 1 P. MIA
a
10450 5W H.I U MLAND DTA
TOTAL. AMOUNT I'A l l.)
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