16770 SW 72ND AVENUE BLDG 14 ADDRESS:
a
SW 7ANIAIV
'2
J�
Y
J
G]
C9
W
J
I:VecordsVnicrotlm\targets\building.doc
r CITY OF FIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-471
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach. Shear/Sheath Framing -Mach.
Plbg.Und/Flr/Slab Plbg.Top Out Insulationlec
Post/Beam Struct, Mach. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other: ._ —
Date: _` A.M. ___P.M. — Entry:
Address:
Tenant: _ Ste MST:
BUP:
Con/Own:_ � _ MEC: _
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
F--
Un
J
ca
C,
OC
lt1
Inspector: e4l _ Date:
APPROVED `DISAPPROVED/CALL FOR REINSP. C C0
CITE' OF TIGARD
DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard,OR 57223 (503)639.4171 rl FCTP1,Cr41- PERMT
PFR.MTT
DPTE 71,7MRJET):
-if P.- .1 ZA
0,rRF TRACTF 7 ON T K19- T—L
1)T'%J T T r�
Iry. . . . .. . . . . . . . . . . . T1jRTc�'nTCTN. TT('-
)Jk-rt Des,cri pt i cm inst' i atective signaling
rk T.1)F;NT T n L n., r'0 M M F P.C T A L
n! !r)Tn ? 53T1--YRrr. ','-1r)TQ t '-")TFPEO. . Tw,'rprnm A r,A(j'TNC';,.
PUP.G�.-AR 01-PPM. . MITI. FRF . !.A1\1D9CArE/TRRT17,j--)T,
GORA&r OPENFP. . . . - ri...ncv. mr.-DIC-A., ., . . " . . I I
HVAC. . . .. . , . . . . . . . . DATA/TE.L.A.7" r7nMM. NLJRSE� CColi.J.'"i. .
F T RF nL P My' Cl ITPOO
. K I I ""F
HvAc. . . . . . . . . . PpnT'.7r:TTVF 1=T(-,N,-4[
Tj,1qTr-.JMFNT0"r1nN. 0711ER,
TnTAL. OF FIN't%7,71y",
rFES
type I m 0 u 4: lay date t-r,r p t
r,P M'*! t 40. eNA T P T 0 /?1 /rye' n"17,
4i!.'. 00 TnTA'
REPUTRED TNSPFC1'TONS
4 Elect-', I rillill
1"J
pewit it 4suite. vt-ect to the rtplatirps Lontained in the = �/1. ~�.�
.ird Muniriul Code, St-pt? of 01-F, ;pfcialtV Cldee ;t4d All othet'
-licAle laws. Ali w^-L will be evil it accordarcR with
-oyel clans. This ovvit will eynirt JA war, is nit started
iie) 181 days miislienre, �r J wir� is s- Wee fir *Oro V
180 days,
r P I T 1, 1
A.T.T r.;
T
• Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd,
Tigard, OR 97223 PERMIT# L —b
Phone(503)639-4171 J
FAX(503)684-7297 DATE ISSUED
TDD No. (503)684-2772
CITY OF TIGARD Inspection (503)639-4175 ISSUED BY
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
1070 6W 7,41U AGS
Address ' RESIDENTIAL—Restricted Energy Fee. . . . . . . . . $40.00
(FOR ALL SYSTEMS)
City State Zip Check Type of Work Involved:
PERMITS ARE NONTRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems 6��' '
15 NOT 5TARTF.D WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR
len DAYS. ❑ Burglar Alarm
2. CONTRACTOR APPLICATION ❑ Garage Door Opener'
k % ElHeating,Ventilation and.Air Conditioning System'
Contractor cr_,Vrt1 (�) kType i G E3 Vacuum Systems"
Address I5 C7 "" t (, q I ❑ Other
Date `I Q COMMERCIAL—Fee for each system $40.0Q
,•/ (SEE OAR 918-260-260)
V1I
Property Owner T tItCheck Tvpe of Work Involved:
Contractor's Board Reg. No. 35 ❑ Audio and Stereo Systems
^� ^� El Boiler Controls
Phone# _ �(t�L� J(t� ❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
❑ f=ire Alarm Installation
❑ HVAC
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 918.320-370.This applicant agrees to make only ❑ Nurse Calls
iestricted energy Installations(100 volt amps or less)under this permit and to do the ❑ Outdoor Landscape Lighting'
fnllowing:
Protective Signaling
'91
1. Only use electrical licensed persons to do installations where required.(Certain
residential and other transactions are exempt from licensing.These have Other
a'
asterisks(•).All others need licensing).
r— 2. Call for an inspection when all of the installations under this permit are ready
for Inspection at 503-639-4175. l� Number of Systems
3, purcaaw separate permits for all Installations that,tre not ready for inspection J
►~. when the Inspector is out to Inspect under this permit. •No licenses are required. licenses are requireu for all other installations.
J
A. Assume responsibility/or assuring that all corrections required by the Ins,rector
U0 are done,and
w5. Assume responsibility for calling for a final inspection when all of the 5. FEES
J corrections are completed.
The person signing for this permit must be the applicant or a person a. Enter Fees $
authorized to hind the applicant.
b. 5%Surcharge(.05 x total above) $
Signature TOTAL $
Authority If other than applicant
ENERGAP.CHP