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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phons 639-4171
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Inspection:
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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. Spwer Gas Line -Bldg.
f;bg. Underfloor Rain Drain Framing -Plumb.
Alarm `Nater Line Insulation -Meeh. •
Underflr. Insul• Shear Wall Gyp. Bd. ect. ti,
Da,3 Requested: Z�-�C-� Time:: AM PM
Address: 5 1
Cf
Permit #:1� -Cc' (y UC)0
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: .O� Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
„Call For Reinsp.
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CITY F TIGARD EIECTRIAn
c PERMIT (�
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #: ELR96-•0009
13' 'S SW Hall Blvd.Tigard,Oregon 87223.8190 (5031639-4171 DATE ISSUED- 01/1713/96
• PARCEL: 2S111DC--1: 300
SITE ADDRESS. . . .. 150,211 SW CLAN. MEADOW LN
3UBD 1 V!61 ON. . . . t SUMME RF I E:LD NO. 1 1 Z ON I IJG: R--7
RLOCIi. . . . . . . . . . . LOT. . . . . . . . . . . . . :619
Projer.-'t Descr-iption:
ii.
RESIDENTIAL-_----_._.__. _ B. COMMERCIAL__._------_
AUDIO & STEREO. . . AUDIO & STEREO. . : INTERCOM & PIAG I NG. . :
BURGLAR ALARM. . . . IX BOILER. . . . . . . . . . I I-ANDSCAPE/IRRICAT. . : a
UARAbE OFTENER. . . . I CLOCK. . . . , . . . . . . . MEDICAL. . . . . . . . . . . . t
HVAC. . . . . . . . . . . . . . DATA/TrLr COMM. . NURSE CALLS. . . . . . . . .
VACUUM syc;TFM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE:
OTHER: : : I-iVAC. . I I . . . . . . . . .. PROTECTIVE SIGNAL. . : ..
INSTRUMENTATION. : OTHER. . : " I
TOTAL. # OF SYS•1'EMS: 17,
rdpplickant : __.___. _._____----_______ _.___.....___.__. -_-.____ _._.__._ FEES
LIMY SCHAE:FER tvpe amol_Int by date recpt
„_�' SW C"IK MEO DOWS LN PRMT $ 40. 00 CJS 01/03/91, 136....274541
5F'TC,T $ ::'. 00 CJS 01/03/96 96--274541
rIG0RD OR 9 ;,=, 4
Phone #:
t:ON 1 EZACTOR NOT ON FILE $ 42. 00 TOTAL.
REUU I RED INSPECTIONS
--
C:eiling Cover f lett' I Sa_r•vicc
111 rrre #: Wall Cover- C_lec,t' I Final
flr-rl it. . .
This oersit is issued subiect to the regulations contained in the
'icard Munici,,al Code, State of Ore. Specialty Lodes and all other 141 r in i t;e e Si gnat lAt^e
aoolicable laws. All work will be done in accordance with
approved plans. This oers;t will expire if work is not started
within 188 days of issuance, or if work is suspended for sore
than 188 days. T G'rerl Ay
INSTAI_.L_PTION
the insta.tantion is beinc( made on proper-ty I own. which i.s not intended for
,ale, lease, or• rent.
I.JWNLRI S S 1 UNA TURL DATE:
INSTALLATION
'_IIGNATURE OF SUPIR. E=LEeC' Nt / Cnr/y, / �.w DATE:
I I C NSE NO:
Call for- inspectinn 639-•4175
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Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
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Tigard,OR 97223
gPERMIT# �Z a6-Q00 4 — ------. }
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Phone(503)639-4171
FAX(503)684-7297 DATE ISSUED /- ? 96 _
TDD No. (503)684-2772
CITY OF TIGARD Inspection (503)639-4175 ISSUED BY
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INS/TALLAATIIO�N,• 4. TYPE OF WORK •
AA l�, , RESIDENTIAL—Restricted Energy Fee. . . . . . . . .
�ZZLl (I OR ALL SYSTEMS) ar
( ity State Zip
heck Type of Work involved:
PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems*
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR J y
180 DAYS. Aburglar Alarm ..
' U Garage Door Opener-
7. CONTRACTOR APPLICATION ❑ Heating,Ventilation and Air Conditioning System'
onor N►tQ. ype f/ %_lJr,4911P4yl ❑ Vacuum Systems"
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Address U_GU6Cl_ fi(� . �tLllit.f.17 �jr ❑ Other_
Date COMMERCIAL—Fee for each system . . . . . . . S40.M
/ / f (SEE OAR 918-260-260)
Property Owner��f /L ( /i�1 Check Type of_Work Involved:
-
Contractor's Board Reg. No. �`�� ❑ Audio and Sterno Systems*
n�' ❑ Boiler Controls
Phone# _�l '�`�
— -- — ❑ Clock Systems
3. OWNER At'Ni IC.A'`ION ❑ Data Telecommunication Installations
❑ Fire Alarm Installation
r_..___ . _
El HVAC
Print Owner's Nam^ Phone No ❑ Instrumentation
Address ❑ Intercom acid Paging Systems
❑ Landscape Irrigation Control'
City State Zip ❑ Medical
This permit is issued under OAR 918.320-370.This applicant agrees to make only ❑ Nurse Calls
restricted energy installations(100 volt amps or less)under this rermit and to do the ❑ Outdoor Landscape Lighting'
following:
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1. Only use electrical licensed persons to do installations where required.(Certain ❑ Protective Signaling
residential and other transections are exempt from licensing.These have ❑ Other
asterisks(•).All others r,ed 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 for all Installations that are not ready for inspection
when the inspector Is out to inspect under this permit. •No licenses arc required, licenses are required for all other installations.
4. Assume responsibility for assuring that all corrections require(!by the inspector
-- -
are done,and
5. Assume responsibility for calling for a final Inspection when all of the corrections 5. FEES
are completed.
The person signing for this permit must be the applicant or a person a. Enter Fees $
authorized to bind the applicant.
Y
b, 5% Surcharge(.05 x total above) $_
Signature
TOTAL $ --J t,
Authority if other than applicant
ENERGAP.CHP i
IN NA
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