7475 SW VARNS STREET ADDRESS:
is\records\rnicroflm\targets\buildir q.doc
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: X39-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing -Mach.
Plbg.Und/Flr/Slab Plbg, Top Out Insulation Elec.
Post/Beam Struct. Mech. Rough-in Gyp. Bd. Idg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other ---- ----
Date: �— f— `��' A.M. P.M. Entry:.—
Address: ��--� 7 5 s Lo �'r"�'�
pyt!yT32i U IC$ Ste:___._ MST:
BLIP:CoOw MEC:
G, �j y PLM: —
ELC.
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: �_QL
Ins sector: Dater` _
APPROVED _DISAPPROVE D/CALL FOR REINSP.— — CF CO
CITY OF TIGARD
ELECTRICAL PERMIT —
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT TED ENERGY
PERMIT #: El_R96--0193
13125 SW Hall Blvd,Tigard,Oregon 97223.3199 (503)839.4171 DATE ISSUED: 06/11/96
VIARCE.L: 2S 101 DN-00705
.,:LTE ADDRESS. . . : 'J7475 SW VAkNS ST
SUBDIVISION. . . .. : ROLLING HILLS Z ON I NLS . R-3. 5
BLOCK. . . . . . . . . . . LO).. . . . . . . . . . . . . :5
Project Description :
A. B.
AUDIO & STEREO. . . : AUDIO & STEREO. . : INTERCOM & PAGING--
BURGLAR
AGING. . :BURGLAR ALARM. . . . :X BOILER. . . . . . . . . . 3 LANDSCAPE/I RR I GAT. . :
GARAGE OPENE=R. . . . . CLOCK. . . . . . . . . . . . MEDICAL.. . . . . . . . . . . . .
1-1VA1:. . . . . . . . . . . . . .. DATA/TELE COMM. . . NURSE CALLS. . . . . . . . .
VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE:
OTHER: : : HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . :
INSTRUMENTATION. : OTHER. . : s 1
TOTAL # OF SYSTEMS: 0
Owner. ---------------------------------------------------------- FEES
MILLER, ROBERT type amoi.lnt by date recpt
7415 SW VARNS ST PRIIT `l 40. 00 CJS 06/1. 1/96 96-2804tj,,
OF'CT $ 00 CJS 06/11/96 96-280453
TIGARD OR 972c:3
Phone #:
BRINKS HOME SECURITY 4,::,. 00 TOTAL
8059 SW CIRRUS DR
RLQUIRED INSPECTIONS ----__.
BEAVE:.RTON OR 97008 Wall Cover Elect' 1 Final
Phone #: 503-641—•0574 Elect' 1 Service
Rey #. . 444:211
This permit is issued sub}ert to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other Perm i t ee iii gnat ilre
appllcabl� laws. All work will be done in accordance with
approved plans. This permit will expire of work is not started
within 18@ days of issuance, or if work is suspended for more .�,C� ._. .__^_�
than 180 days, I9sa.led By
INSTALLATION ONLY._.—__._—_--.__________________....
The installation is being made on property 1 own which is not intended for
sale, lease, o.- relit.
OWNER' S S 1 GNAY URE,: DAT F::
CONT RACTOR INSTALLAI ION
31UNA-PURE OF SUF'R. l.l_E_C' N: _�_f} �iC�1%Qd_ WITE:
LICENSE NO: ] I
Call for inspection •- 6:39-4175
M
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
t 13125 SW Hall Blvd. PFRMIT# O 14
Tigard, OR 97223 � 9�=--� —
Phone(503)639-4171 PATE ISSUED �– 11
FAX(503)684-7297 —
TDD No. (503) 684-2772
CITY OF TI kxARD Inspection (503)639-4175 ISSUED BY j f&, Sclj0„�c�f
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF IN TALLATIO 4. TYPE OF WORK
7 57.. 7
r RESIDENTIAL—Restricted Energy Fee. . . . . . . . . 540.00
Addr (FOR ALL SYSTEMS)
City State Zip check LyR of Work Involved:
PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ Atl and Stereo Systems
IS NOT STARTED WITHIN 180 DAYS Of ISSUANCE OR IF WORK IS SUSPENDED FOR
180 DAYS urglar Alarm
❑ Garage Door Opener'
2. CONT ACTOR APPLICATI N ❑ Heating,Ventilation and Air Conditioning System*
Contr or_ pe_ _ [:1 Vacuum Systems"
_. = '�—
�
,�
7_le,). ❑ Other_ ---
Address �
Date`96 COMMERCIAL—Fee for each system . . . . . . . . . 1!40.00
1 (SEE OAR 918-260-260)
Property Owner • d:
Check Type of Work Involve
Contractor's Board Reg. No. 7"'� Y�I _ ❑ Audio and Stereo Systems
❑ Boiler Controls
Phone# i W_77 c _ _ ❑ Clock Systems
❑ Data Telecommunication Installations
3. OWNER APPLICATION ❑ Fire Alarm Instal!ati
_ ❑ HVAC
Print Owner's Name Phone No ❑ Instrumentation
i] Intercom and Paging Systems
Address
❑ Landscape Irrigation Control*
City State Zip ❑ Medical
❑
TWpermit is issued under OAR 918.320-370,This applicant agrees to make only Nurse Calls
restricted energy Installations(1(X)vnit.imps or less)under this permit and to rlo the ❑ Outdoor Landscape Lighting"
following; ❑ Protective Signaling
1. Only use electrical licensed persons to((n installations where required.f._ertain C3 Other
residential and other transactions are exempt from licensing.1 hest,have
asterisksM,All others need licensing).
2. Call for an inspection when all of the installations under thi.,permit are ready
for Inspection at 503639.4175. ❑ _— 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 respon0hility for assuring that all corrections mquired by the inspector
are done,and
5. Assume responsibility for calling for a final inspection when all of the 5. FEES
corrections are completed.
The person signing for this permit must he the applicant or a person a. Enter Fees $
authorized to hind the applicant.
h. 5%Surcharge(US x total above) $_ ✓-_-
Signature TOTAL $ —/
Authnri.y if other than applicant W,/ —
—
ENERGAP.CHP