11100 SW NORTH DAKOTA STREET-1 r
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb. 00p
Post/Beam Mech. Shear/Sheath Framing -Mach. rf
Plbg.Und/Flr/Slab Plbg.Top Out InsulationElect.
Post/Beam StrUCt, Merh. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk ems.
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Other:
Date: A.M. P.M. Entry:
Address: ) U
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Tenant: Ste: MST:
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Con wn: BUP:MEC:
PLM:
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspe tor: _ Date: � _ —
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APPROVED —DISAPPROVED/CALL FOR REINSP. CF CO
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! CITY OF TIGARD BUILDING INSPECTION NOTICE
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Inspection Line: 639-4175 Susiness Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach. Shear/Sheath Framing -Mach.
Plbg.Und/Flr/Slab Plbg.Top Out Insulation
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Post/Beam Struct. Mech. Rough-in Gyp. Bd. Bldg
' San. Sewer
Gas Line Appr/Sdwlk Reins.
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E Other: d
' Date: — A.M. P.M.
En;ry:
Address: �✓ �� ��
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Tenant: -----T — - ___ Ste:—_ MST: _
Con wri �o �(-��— BLIP: I
MEC•
PLM:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: r
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Inspector:
Date: l!7
__APPROVED ._DISAPI ROVED/CALL FOR REINSP. {
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CITY OAF TIGARD
ELECTRICAL PERMIT —
MMUNITY DEVELOPMENT DEPARTMENT
RESTRICTEDRMI #: ENERGY
' � PERMIT #: ELR96-005 ;
13126 SW Hall Blvd.Tigard,Oregcn 07223.81995031 W40-4171
PARCEL: iS134DB-07300
SITE ADDRESS. . . : 111100 SW NORTH DAKOTA ST
SUBL;I V I .•;I ON. . . . : TORLAND ESTATES ZONING: R'•-4. C
SLOG.. . . . . . . . . . . LOT. . . . ., . . . . . . . . ..W)1 1
Project Description: In5tall. b,_trylar, alar-in. }
A. RESIDENTIAL—---- B. COMMERCIAL-----------------------------------------
AUDIO
OMMERCIAL•-----__--____—_____—...---------------------
AUDIO & STEREO. . . : (IUDIO 8, GTE'PEO. . : INTERCOM a• PAGING_ :
:
BURGLAR ALARM. . . . :X BOILER. . . . . . . . . . : LANDSCAPE:/IRRIGAT. . :
GARAGE OPENER. . . . : CLOCf;. . . . . . . . . . . MiED I CAI_. . . . . . . . . . . . .
HVAC. . . . . . . . . . . . . .. DATA/TELE COMM. . . NURSE CALLS. . . . . . . . .
VACUUM 3Y STCM. . _ . FIRE nL.ARM. . . . . . : OUTDOOR LANDSC LITE
OTHER: . . HVAC. . . . . . . . . . . . . PROTECTIVE SIGNAL_. . .
II\V- TRLIME NTATION. : OTHER. . : . .
TOTAL # OF SYSTEMS: 0
Applicant . _________________.___...._________..__.___________•._.___—• FEES
JULIAN TORLAND type amount by slate r^ecpt
1. 1100 SW NQRTH DAhiOTA PRMT $ 40. 00 CJ5 0'151/05/96 96•-•27561. -
.5PCT $ 0Q, CJS 02/05/96 96-275&:
TIGARD OR 97Z.x3
Phone #:
ti��� tdf3T-0t+ f E. $ 4'""'. 00 TOTAL
Ph i ll i pS E1ec lYbrt,CS
///0 /VW i'lo"0(p it ---- REQUIRED I NGPECT I ONS --
po r ilon d, E t e c:t' l S a r,v i c_-a
Phone 1#: E 1 r-rr t' l Final
Reg #. . .
This permit is issued subject to the regulations contained in the �_•___._�__ _._._..�__.�___.._._.._�� .._. _____.___ __.___
Tigard Municipal Code, State cf Ore, Specialty Cedes and all cthor F"e r•m it e e fa i gnat Ltt-e
applicable laws. All work will be done it accordance with
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more G'�G_� � _ : 1 _•._�.____ __•._
than 180 days. Is;s"_ted By
OWNE=R I N GTAI_,LA T l ON O!A_le __..______.... ..._.....__._..___._._ . .
The installation is beinq made on property I own which is not intended for-
s a I e,
orsale, 1ease, or rent.
OWNEER' S 5IGNATURE: DATEt
INSTALLATION t�IlLY-_..___.___,_ __._..__.._.__...__.....__._._•--
ti141"f I IOR I ZED :a 1 Gl4aTLIRC _.__.1 �►�_led DATE s
L I[:TENSE: NO
CEa.l 1 for, inspection 639-4175
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Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd.
Tigard,Ok 97223 PERMIT# �1.
Phone(503)639-4171 DATE ISSUED S 96
FAX(503) 684-7297 --- ---
TDD No. (503)684-2772
CITY OF TIGARD Inspec"m (503)639-4175 ISSUED BY sr�,���f
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
11 ��w �p �ATo�c.
woo RESIDENTIAL—Restricted Energy Fee. . . . . . �.` $40.00
\ (I"G� --A c:f.I L2 3 (FOR ALL SYSTEMS)
(, �, i
City State Zip Check T,,ne of Work mQ1y-ed.
PERMITS ARE NON-TRANSFERABLE AND NON-REI UNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems'
II IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR
180 DAYS. Burglar Alarm
El Garage Door Opener'
2. CONTRACTOR APPLICATION ❑ Heating,Ventilation and Air Conditioning System'
Contractor flIln,,1�� � �1 tc� •Type r�C Sys �M ❑ Vacuum Systems'
G`120 ❑ Ulher_- --
Address `1
Date \ 12 ro�q _ ' _ COMMERCIAL—Fee for each system . . . . . . . . . $40.00
t (SEE OAR 918-20-260)
Property Owner 0' C.-ti j,,�'C" heck Type of Work Involved:
33�
El Audio m
dio and Stereo Systes'
Contractor c Boar' Reg. No. _�_
❑ Boiler Controls
Phone# `7�� . 77 1 — ❑ Clock Systems
❑ Data Telecommunication Installations
3. OWNER APPLICATION ❑ Fire Alarm Installation
❑ HVAC
Print Owner's Name Phone No ❑ Instrumentation
Address _ ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control'
City State Zip ❑ Medical
This lx,nnit Is issued under OAR 918.320.370.This applicant agrees to make only ❑ Nurse Calls v
restrided energy installations(too volt amps or leol under this permit and to do the ❑ Outdoor Landscape Lighting*
I following:
1. Only use electrical licensed persons to do installations where required.(Certain El Protective Signaling
resictentlal and other transactions are exempt from licensing.These have ❑ Other
asterisksM.All others need licensing).
2. Call for an inspection when all of the Installations under this permit are ready
Im 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 are required. Licenses are required for all other installations.
4. Assume resl)ons;hility for assuring that all corrections required 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 roust be the applicant or a person a. Fnter Fees $ UO
n. authori7vd to hind the applicant.
b. 5% Surcharge(.05 x total above) $ "do
Signature TOTAL $ (-f I - 00
Authority if other than applic ani----
ENERGAP.CHP
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