10650 SW RIVER DRIVE-1 ADDRESS:
i:\records\microflm\targets\building,doc
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/S6rlice FINAL:
Fou-datior Water Line Ceiling -Plumb.
Post/Beam Mach. Shear/Sheath Framing -Mech.
Plbg.Und/Fir/Slab Plbg.Top Out Insulation le .
Post/Beam Struct. Mech. Rough-in Gyp. Bd. Idg.
San, Sewer Gas Line Appr/Sdwlk Reins.
Other:
Date: A.M. —P,N. Ent :
Address:
Tenant: Ste: MST:
Can/Own 8UP
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PLM:
FLC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
Inspector: � � E' er_ Date: �l fir:
APPROVED .__._DISAPPROVED/CALL FOR Fi."INSP. CCF CO
5CITY OF TIGARD -�CCTR`C1 r,�I• ,a
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW Hall Blvd.Tlgmrd,Oregon 07223.8190 (503)639.4171 DnTC I'7,7AJ'EV: OZ7',10-5,
PARCEL: "'3115AD 0`5160 's
CITE` ADORES"-. . . d 1.0C,` w C3W 1,111VER f
SUBDIVISION. , „ . DOVER L,nNDING ZONINI.
"�-_OCK. . . ,r . . . . „ . . LOT„ . . . . . . . . . 719
^ojEct lleser~iF�ti�n; Inst�11 t:+ti �i�tr -►latrm.
A. RES IDENT IAL_. ._.._..._ .___.... D. C0Mh1Ef3w1AL. _..__._.. _.._._.. .
ALJDI':) 1 071-"Ri'0. . . : (-Y."T�IO FV ^T!':f'rr! w . : INTERCOM a I''f mic. .
BURGLAR tnl_.(1RM. . . . : ! DOILER. . . . . . . . . .
. LAND^CFI�'C!iFRIGf7T. .
GAM-)OC OPENER. . . . MCDICAL. . - . . . . . . . ..
HVAC. . . . . . . . . . . . . . 0ATI;,'7C:_r- COMM. . . NURCE Cn' '_3. . , . . .
VACUUM aY TCM. . . . : rIRC AL.At2M. . . . . . : OUTDOOR '-A-
OTHER:
-A ,OTHER: . . I-3VAC. . . . . . . . . . . . . PROTECTIVE SIO-NIL. .
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i_t/�J�rRh4A71 MILLER t y� 4 ��r!a . t by d„te re
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This permit is issued subject to the •equlatior.s contaired is the
Tigard MuniciFal Code, State of 're. Specialty codes and all tither
applicable laws, All work will be dine in acco•daice pith
approved plans. This permit w' ! expire if Mork is not started
within :80 days of issuance, or J work is suspended f r more
than 180 days, - _ ed U.
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The it;5tallii , ion i5 bvir,fj 171i;1LIV urt c;wri whi rc-t intended 'f.. .
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OWNER" i3 S I ONnTUR.L. 00TC_:
AUTHOP' 1D cJI�iNf1 11.43l�+�1� 1';'�' 3 - 96
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd,
Tigard,OR 97223 PERMIT# E4/?96 0079
Phone(503)639-4171
FAX(503)684-7297 DATE ISSUED
TDD No. (503)684-2772
CITY 4F TI Inspection (503)639-4175 ISSUED BY �,���/tel 5��.►. . /
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
PJdress ..L/��� RESIDENTIAL —Restricted Energy 1 ee. . . . . . c
City _ L�State �Z��, (FOR ALL SYSTEMS)
Zip Check Type of Work Inyg ved:
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
180 DAYS, Burglar Alarm
2. CONTRACT-OR APPLICATiU►N ❑ Garage Door Opener*
r %p ❑ Heating,Ventilation and Air Conditioning System*
Contractor _f!�t—`—L—L �" Type iC < l ❑ Vacuum Systems'
�� i /, 7 ❑ tether
Address
Date� COMMERCIAL Fee for each system . .
(SEE OAR 9111-260-260)
Property Owner / 06 = �- _— -_ Work In my d:
Check
Contractor's Board Reg.No. � �_ ❑ A idio and Stereo Systems
❑ Boller Cc 7trols
Phone# Z-_� 1- . 1 7 _--_—� C1 Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication installations
❑ Fire Alarm Installation
❑ HV 1t
Print Owner's Name Phone No
❑ Instrumentation
Address ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
City State Zip Q Medical
This permit Is Issued under OAR 918.3211-370.This applicant agrees to make only IJ Nurse Calls
nt-uricted energy install•'ons 1100 volt amps or less)under this permit and to do the ❑ Outdoor Landscaper Lighting'
following:
1. Only use electrical licensed persons to do Installations where required.(Certain ❑ Protective true Signaling
residential and other transactions are exempt from licensing.These have ❑ Other
asterisks(').All others need licensing). -
2. Call for-in Inspection when all of the installations under this per mit are ready
for insprrction at.503.639-4175.
❑ A Number of Systems
3. Purchase separate permits for all installations that are not ready for inspection
when the inspector -ret to inspect under this permit •No Ik-enses are required. Licenws at.,required for all other Instal4tlons.
4. Assume w"'onsihility for assuring that all corrections required by die inspector
are done,and
5. Assume responsibility for calling for a final Inspection when all of the 5. FEES
corrections are completer).
i
` The person signing for this permit must be the applicant or a person a. Enter Fees
r authorized to hind the applicant.
b. 5%Surcharge(.05 x tote►'above) $ l _
Signature
TOTAL $_� 7,11-
Authority
,11'Authority if other than applicant
ENERGAP.CHP
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