13185 SW TAMERA LANE-1 r r
ADDRESS.
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CITY OF TIG,4R0 BUILDING IN NOTICE -
Inspection Line: 639-4175 Business Phone: 639-4171
[Foundation
ooting Rain Drain Cover/Service FINAL:
Water Line Ceiling Plumb,
Post/Beam Mech. Shear/Sheath Framing -Mach.
Plbg.11nd/Flr/Slab Plbg, Top Out Insulation -Elect.
Post/Beam Struct. Mech. Rough-In Gyp. Bd. -Bldg.
San. Sewer Ga;, Line Appr/Sdwlk Reins.
Other-
Date: ! " _ A.M.
Address:
Tenant: ----- Ste: MST
Con/<Own (� ''� - `{ c� BLIP: -- --
— � � i1EC: _
THE FOLLOWING CORRECTIONS ARE REQUIRED: 91- _
- I
Inspector c`_ 40y�/ Dater
APPROVED _ _. DISAPPROVED/CALL FOR REINSP. tl CF ;O
ELECTRICAL. PERMIT
CITY QF TIGARD RESTRICTED CNE:RCY
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #: ELR96-002 4
13126 SW Hall Blvd.Tigard,Oregon 9722398199 (503)839-4171 DATE ISSUED: 01/16/96
F,ARC;FL.s iS13313C--14900
i r1=, ADDRESS. . . : 13185 SW l AMERA LN
iUDDIVISION. . . . : VILLAGE I, SUMMER LAKE PARK ZONING% R-12
5LOCK. . . . . . . . . . . LO'• . . . . . . . , . . . :4
-,ro,ject Description :
1. RESIDENTIAL---- -__- R. COMMERCIAL•--
AUDIO & STE REL'. . . s AUDIO R STERE:O. . a INTERCOM & PAGING— :
BURGLAR ALARM. . . . : X BOIL-ER. . . . . . . . . . : I_ANDSCAGF/TRRICAr. . r
GARAGE OPENER. . . . . CLCICK. . . . . . . . . . . . MEDICAL.. . . .
HVAC. . . . . . . . . . . . . . DATA/TF_L.F COMM. . : NUR5E
VACUUM CYSTEM. . . . : FARE ALARM. . . . . . : OUTDOOR LANDSC LITE. -
O''HE"R: : : HVAC. . . . . . . . . . . . . PROTECTI'V'E SIGNAL. .
IN5TRUMCNTRiION. : OTHER. . .-
TOTAL
THER. . :TOTAL # OF SYS•T'EM'3: 0
'IPpl i.cant : r-F1:-::i
-IAO WU _..._...__.___._.._._..._ _. tyre amot_1nt by date recpt
1.3165 SW TAMI=Rra PP11T $ 40. 00 CJS 01 /16/96 96--,7:74930
5PCT $ 2. 00 CJS 01/16/96 96--E:74930
, - RD OR 97223
•Ihone #:
l.'ontr~actor:
�:,ONTRACT(IR NOT ON rI1 r � 4 '. 00 TOTAL
-- .._.-....- RFOU T RED I NSPFCT T nNS - _ -
-
Ceilino Cover Elec:t, I Service
r'ItonF #: Wall C.]Ver` Elect' 1 Final
Rea #. . .
This perelit is issued subject to the regulations contained in the _.._....______.___.. .- -. .._.._ __. ._ _ . ........__
igard Municiral Code. State of Ore. Specialty Codes and all other Perm it ee Epi gnatt etre
apolirable lab- All Mark will be done in accardarco , .th
aaoroyed plans. This permit will expire if work is not started /
within 180 days of issuaAce, or if work is suspended for aore
than 150 days. I s sued By
Ot•WNLit IN)TALL.ATION ONLY—
rhe
NLY _.The instal let ion is beiiq made on property I own which is not intended for
Beal c . 1 Pi sR, tit- rent.
3WNE:R' S S T GNATURFr: nATF e
__...--•_-__-_----- -_-- .. ...._._-Cgh1TRGrTOf' I1s15TA1...L.ATT01\1 ONL.Y.•_____.______. ._______.._._._._.___.___.
G I GNATURE OF SUPR. ELEC' N: 070,lope _. DATE-. ! Y�
LICENSE NO:
Call for inspect ion - 6.�9 41 i5
Community Development RESTRICTED ENERGY ELECTRICAL.APPLICATION
13125 SW Hall Blvd. LiP�
Tigard,OR 97223PERMIT# _6_Go9,/
Phone(503)639-4171
FAX(503)634-7297 DATE ISSUED /- /6- 9e6
TDD No. (503)684-2772
CITY OF TIOARD Inspection (503)639-4175 ISSUED BY
PLEASE COMPLETE ALL SECTIONS
1. L/O,CA1TIIOON OF INSTALLATION 4. TYPE OF WORK
Addresss, a _ RESIDENTIAL—Restricted
ALL SYSTMS)� 14
rr
Ciry / State Zip Check Tyne of Work Involved:
EIV`IITS ARE NON "AN SNOT STARTED WifH N ISOALAND
YS OFISSUANCr Oi IIF WORK S SUSPENDE13 OR ABLE AND EXPIRE IF WORK o �dict and Stereo Systems*
180 DAYS. �' Burglar Alarm
2. CONTRACTOR APPLICAAPPLICATION ❑ Garage Door Opener'
❑ Heating,Ventilation and Air Conditioning Sy:tem•
Contractor�ADT$ECS€$1'$1f 11ype� _ '.yl�, ❑ Vacuum Systems'
Address 11ORRANO,OR 91Z11 ❑ Other
Date
! — / COMMERCIAL—Fee for each system . . . . . . . . $40,00
(SEE OAR 918-260-260)
Property OwnerCheck Tae of Work Involved:
Contractor's Board Reg, No. ❑ Audio and Stereo Systems'
U ❑ Boiler Controls
Phone# �a �� � — ❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
❑ Firr Alarm Installation
❑ H VAC
Print Owner's Name Phone No
❑ Instrumentation
Address — — ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control'
City State Zip ❑ Medical
this permit is issued under OAR 918.310.370.This applicant agrees to make only ❑ Nurse Calls
restricted energy installations 1100 volt amps or less)under ii,u prnmt and to do the ❑ Outdoor Landscape Lighting'
following:
1. Only use electrical licensee!persons to do installations where inquired.(Certain C1 Protective Signaling
residential and other transactions are exempt from Ikensin&These have ❑ Other
asterisks)•).All others need licensing),
2. Call for an inspection when all of the hntallations under this permit are ready
for inspection at 503-639.4175.
❑ Number of Systems
1. Purchase separate permits for all installations that are not ready for inspection `
when the inspector Is out to inspect under this permit. •No Ikenws are required. Licenses are required for all other installations.
4. Assume responsibility for assuring that all corrections required by the Inspector
are done,and
5. Assume responsibility for calling fort final inspectinn when all of the corrections 5. FEES
are mmpleted.
rhe person signing for thi;permit must he the applicant or a person a. E:nTer Fees $ L (jl
authorized to hind d4e a0plicant.
b. 5%Surcharge(05 x total above)
Signature
TOTAL
Authority if other than applicant
ENERGARCHP