14830 SW 72ND AVENUE r
ADDRESS:
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.72"D A viE.-IN u EN
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CITY OF TIGARD BUILPING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 — — -
BUP —
Date Requested d AM PM BLD _
Location /�p 3� -7 c2 --?cam �(i�..�_- Suite MEC
Contact Persol i Ph PLM
Contractor \._,� 1�_ � 'j / a Ph 3 SWR
BUILDING---- Tenarit/Owner ��C/Vl-�/ ��--� ELC >
Retaining Wall ELR
Footing
Foundation Access: , i Urf'C L�z� FPS
Ftg Dr-7in
Crawi Drain :nspectinn Notes: SGN --_
Slab --- SIT
Post& Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling —
Roof
Final
PASS PART FAIL �__— ___---------- - -------- --- --
PLUMBING
Post& Beam - ------ - - - --- w�
Under Slab
Top Out - ------ - -- -------------
Water Service
SanitarySewer _-_--------------_. _.__-- ---- --------------- ---_._.-------
Rain Drains
__ ---- -_ -_-- --._----------------
Final
PASS PART FAIL
MECHANICAL —
Post& Bear - -- - ---
Rough In
Gas Line --- - --
Smoke Dampers
Final - -- - -- - -
PASS PART FAIL
ELECTRICAL - -- --
Service
Rough In - __------
UG/Slap
'
Low Voltage -- -- - -
Fire Alarm
Final — -
PASS PART FhiL - —-- -------- -- ---- ----- .._
SITE
Rnckfili/Grading �--� -- - - —
Sanitary Sewer
Storm Drain ( ] Reinspection fee of$---`—required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin ( ]Please call for reinspection RE: [ J
Fire Supply Line Unable to inspect no access
ADA
Approach/Sidewalk Date Inspector
Other
_ Ext
Final
PASS PART FAIL 00 NOT REMOVE this inspection record from the job site.
J1QJ
SH T U TP)�3 r.�c 97113 RESTRICTED
D art ant of d�l eo
E5 cto I kst tl, In 4e'
ELECTRICAL EtVERC�'
i
f re 9 aj. ( ����ICMTI®1�Intormation: 3 �40- 470 ax: 5
PONTPLEASE
Permit No
completePlease sectibtfs, 1 through
1. Location of installation Date -.-7/'9_S
Address -�/ %ia .�L J �.�,.a� z C
City ( _ lip Code y�-1 2 -� 4. Type of work:
Map No. Tax Lot _ RESIL'ENTIAL Restricted Energy Fee $40.00
(for all systems)
Thomas Map Book: Page _ Section _f
Check type of work Involved:
Directions
Audio and Stereo System.'
Burglar Alarm
Commercial Residential [] _
Telephone Systems*
Tenant Name, Garage Door Opener*
r ��4 Fire Alarm
(if commercial) '
_� � r � Q_1L
Heating,Ventilation and Air Conditioning Systerxs"
2. Contractor application: acuum Systems*
1 r Other
Electrical Contractor �,w�1ra
Address 1 L COMMERCIAL Fee for each system $40.00
City +� • ,l, State 4K Zip _ ' 'dL (see OAR 918-280-280)
Date ,3 Job Number — Check type of work Involved:
Property Owner
Contractor's License No. _�� 1,��' c�(r
Boiler Controls
Contractor's Board Reg. No. -5-3fjI-- Clock Systems
Phone No. _?l 11 S id 4_ Data Telecommunications Installaboris
Fre Alarm Installation
3. Owner application: HVAC
Instrumentation
Print Owner's Name Phone No. Irtercom and Paging System
Landscape Irrigation Control*
Address Medical
Nurse Calls
City S'atr Zip eOlher
or Landscape Lighting*
This permlf Is Issued under OAR 916-320-370. The applicant agrees
tive Signaling
to make only restricted energy installations(loo volt amps or less)
under this permit and to do the following:
1. Only use electrical licensed persons to do Installations where
requirod. (Certain residential and other transactions are exempt Number Of Systems
from lireasing. These have asterisksi"). All others need licens-
ing.) "No ricens#s are required. Licenses are required for a9 other installations.
2. Call for an inspection when all the Installation.+under this permit 4 q
.- are ready for inspection.
R 3. Purchase separate permits for all installations that are not ready 5, FeNs — , 'J /•--'
n for inspection when the inspector h out to Inspect under this
Enter fees $
permit.
4. Assume responsibility for assuming that all corrections required
-. by the inspector are done,andha .05 X total above $
5% Surcharge—i 5. Assume responsibility for calling for a final inspection when all of g ( ) —
pj the corrections are comrieted.
LL The person signing this permit st be the applicant or a person Trust Account $
authorized to bind the applic Irv. c'U
'11Total $ �[X, _
Signature
Aithority,if other than applicant ___._ This permit becomes null and void If the work authorlred by the
permit Is not commenced within Iso days horn date of Issuance
ons ca!) of such permit or If the work authorized Is suspended or abandoned
For Inspect
�� 1 56 1�O � --,-J ,{ ' at any time after work Is commenced fora period of 1 s0 days.
X13 (��D Electrical Permits are no;.-refundable and non•trsnsfsrabla.
24-hour reco41r, ar.o tr'orking day in advance of need BL24-1to
�y 0-