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16140 SW 72ND AVENUE ADDRESS: K:ol 40 Std �� A V '�z ----------------- .J Ci L7 V.1 J i:Vecords\microflm\to rgelr.'J,t iilding.doc 09 E m d � O 21 2 a r rl- 00 Q) 07 1- � O Q = 0 O = CL J C7 U U V d � y S d" r M ,n C D c v v) U)) U,� rn AO 9, o rwr a a a a a v� m c n W v Lij o oo v v C) c o 0 r N � m m a a) m m 00 00 Cl- " I > o U v � o c a .0 €y Z u LL c d of O Cl) a �i o O d d J LL ul U rb C o N v rn u Q u a a a W LL W W W W CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspect,on Line: 639-4175 Business Line: 639-4171 �— F3UP — Date Requested _AM PM BLD Location Suite !' MEG — Contaci Person P PLM Contractor Ph 1'Z 3- _7 SWR BUILDING Tenant/Owner EL_C Retaining Wall ELR Footing Access: _ Foundation J'_ n FPS _ Ftp Drain '� Crawl Drain Inspection Notes: Slab Q_ y rr' �'/.s '.✓L SIT Post& Beam -- Ext Sheath/Shear _ Int Sheath/Shear Framing Insulation Drywall Nailing Firewall -- Fire Sprinkler -- -- -- - ----- Fire Alarm Susp'd Ceiling - - Roof Misc: Final PASS PART FAIL — - — PLUMBING Post& Beam ------------ - Under Slab Top Out -- Water Service Sanitary Sewer - Rain Drains Final ----- ---- -_. _._ PASS PART FAIL MEC'-'ANICAL Post& Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL -� Service Rough In UG/Slab Low Voltage r- Fire Alarm Ate$ PART FAIT_ - - SITE J Backfill/Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ j Please call for-einspection RE. [ ] Unable to inspect-no access Fire Supply Line --r— ADA Approach/SidewalkDate Other ' �y Inspector _Ext Final PASS PART FAIL DO NOT REMOVE th;s inspection record from the job site. CITY OF TIGARD .f, DEVELOPMENT SERVICES 13,25 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 cL H C� L^ L Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION 13125 SW Hall Blvd. GG 9 Tigard,OR 97223 PERMIT# Phone(503) 639-4171 FAX (503)684-7297 DATE ISSUED TDD No. (503)684-2772 CITY OF TI©ARD Inspection (503)639-4175 ISSUED BY PLEASE COMPLETE ALL SECTIONS 1. LGCA�N OF� N$TALLATION-� ,, 4. TYPE Of WORK Address ` RESIDENTIAL.—(FORALLRestricted Energy Fee $40.0 _ �RDF R City Slate Zip Check Type of Work Involved; �E OT STAR EDW THIN 180 AYS ORMITARE NON-TRANSFERABLE ANDSSUUANCE ORD DIF WORK 5 SUS END DOFOR ❑ Audio and Stereo Systems 180 DAYS. lirglar Alarm 2. CONTRACTOR APPLICATION 9�Garage Door Opener* ❑ Heating,Ventilation and Air Conditioning System* ContrarWL ype__ ❑ Vacuum Systems* Address_� !i D j ❑ Other Date – > -9/ _ COMMERCIAL—Fee for each system . . . . . . . . . 940.00 T (SEE OAR 918-260-260) Property Owner _ __ Check Type of Work Involved: Contractor's Board Reg. No. �� _ ❑ Audio and Stereo Systems �rg .1 ❑ Boiler Controls Phonr. # ❑ Clock Systems 3. OWNER APPLICATION ❑ Data Telecommunication installations ❑ Fire Alarm Installation ❑ HVAC Print Owner's Name Phone No ❑ Instrumentation Address ❑ Intercom and Paging Systems CJ Landscape Irrigation Control* City State Zip ❑ Medical This permit k Issued under OAR 918.720-370.This applicant agrees to make only Ll Nurse Calls resiricted eneriyy installations(loo vnit amlrs or less)under this permit and to do the ❑ Outdoor Landscape Lighting* following: 1. Only use electrical licensed persons to do installations where requlmd.(Certain El ProtecUv^5l Haling residential and other transactions are exempt Irom licensing.These have Otheril asterisks)•)•All others need licensing). —— 2. Call for an inspection when all of the installations under this permit are ready t~/1 for Inspection at 503.639-4175. r] _ Number of Systems �- 3. Purchase separate permits for all installations that are not ready for inspe-llon when th-inspector is nut to Inspect under this permit. ►-i No licenses are required. licenses are required for all other Installations. rJ, 4, Assiane responsibility for assuring that all corrections required by th s Inspector m are done,and 5. Assume responsibility for calling for a final inspection when all of the S. FEES LU J corrections are completed. J B The person signing for this permit must he the applicant or a person a. Fnter Fees $ aulhoriz to hind the a plic;ant. / X117 �`� h. 5% Surcharge(.05 x total above) $ nature TOTAL $ Authority if other than aplAcant — ENERGAP.CHP