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CITY OF TIGARD BUILDING INSPECTION NOTICE /-a
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-� 171
Inspection: '�( ��r�► �.-,� Cx_
Footing Susp. Ceiling Sprink, Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post!Beam Struct, Plbg. Top Out Elec. Rough in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -plumb.
Alarm %' iter Line InFulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. �`)
Date Requested:__ h /2 �'-5_Time: —AM __PM
Address: j I .S
Builder:-AJ)i . V Permit
THE FOLLOWING: CORRECTIONS ARE REQUIRED:
Inspector:, �r
APPROVED _DISAPPROVED _APPROVED SUBJECT O ABOVE
—Ct" For Reinsp.
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TIGARD ELECTRICAL PEQMITCITY OF RESTRICTED ENERGY
-
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COMMUNITY DEVELOPMENT DEPARTMENT PERMIT 4: ELR95--0235
13125 SW Hall Bbd.Tigard,Oregon 972239199 (503)639.4171 GATE ISSUED: 1 2/ 14/ )
PARCEL: 17'S110DC-00400
SITE ADDRESS. . . 11545 SW DURHAM RD #B-1
SUPDIVISION. . . . : WILLOW BROOK PARK ZONIIVG:C-C
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 16
Project Descriptions Install pr-otechtive signaling.
A. RESIDENT IAL_____-•_-- B.
AUDIO A STEREO. . . : AUDIO & 4)TERE0. . : INTERCOM & PArTNG. . :
BURGLAR ALARM. . . . : BOILER. . . . . . . . . . : LANDSCAPE/IFRRTGAT. . :
GARAGE OPENER. . . . : CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . .
HVAC. . . . . . . . . . . . . . DATA/TEL.E COMM. . . NURSE CALLS. . . . . . . . s
VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : CJuFDOUR LANDSC LITE:
OTHER: s : HVAC. . . . . . . . . . . . t PROTECTIVE SIGNAL. . s X
INSTRUMENTATION. : OTHER. . : : :
TOTAI... # OF SYSTEMS: 1
Applicant : _-...___.._..____________.____.._.______...___.._.___._._._._.____-- FE=ES
ADT SECURITY type amount by dat a r-ecpt
703 NE HANCOCK PRMT 1i 40. 00 CJS 12/14/95 95-•i-27390B
5PC-F 4 ,x. 00 CJS 12/14/95 95-273908
PORTL.ANI) OR�. 97212
Phone #: 503'-G 3E'65
Contractor-:
CONTRACTOR NOT ON FII__E 4"-'. 00 TOTAL_
- ------ RED'J I RED INSPECTIONS
Cei1. ing Cover- Elect, I Service
PI- rrr,e #: Wall Cover Elect' 1 Final
Her) 0. . _
This permit is issued subiect to the requlattons contained in the _ _
Tigard Municipal Code. State of Ore. Specialty Codes and all other F'ermitee F-3__gnr_at___r.1re _ -_ __
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 100 days of issuance, or it work is suspended for more
than IN days. I s s i.t a d By
INSTALLATION ONLY---------------------------------
The installation is being made on property I own which is not intended for
w�alp, lease. ar• r-o"t.
OWNER' S SIGNATURE :
DATE.
INSTAI_I--ATTON
SIGNATURE OF SUPFt. ELEC' IV; �h Gr��. .. ._.. DATES [� �f!-...Q,S
LICENSE NO:
Call for inspection - 639-i1Y5
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Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
1311_.`i SW Hall Blvd. PERMIT# – a 3 E
Tigard,OR ,7223 ff/?9�
Phone(503)639-4171
FAX(503)684-7297 DATE ISSUED /,4
TDD No. (503)684-2772
CITY OF TIGARD Inspection (503)639-4175 ISSUED BY
PLEASE COMPLETE ALL SECTIONS
I. LOCATION OF ISTALEATION 4. TYPE OF WORK
dRESIDENTIAL—Restricted Energy Fee. . . . . . . . .,IurlaAA $40.U0
J ��� _ (FOR Al SYSTEMS)
City 1 State Zip Sheck ty$e�f�liork Involved:
PERMITS WE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems"
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR
180 DAYS. ❑ Burglar Alarm
El Garage f")nor Opener*
2. CONTRACTOR APPLICATION ❑ Heating,Ve:.tilation and Air Conditioning Systern"
Contractor _Type ❑ Vacuum Systems'
C ❑ Other
Address L
Date � _ COMMERCIAL—Fee for each system . . . . . . . . . 140.00
c (SEE OAR 918-260-260)
Property Owner Check Type of Work Iny hgO;
Contractor's Board Reg.No, Sg_q — ❑ Audio and Stereo Systems'
❑ Boller Controls
Phone# J`� �� ❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
❑ Fire 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
restricted energy Installations(too volt amps or less)under this permit and to do the ❑ 9mmoor Landscape Lighting'
following:
1. Only use electrical licensed persons to do installations where required.(Certain Protective Signaling
residential ani other transactions are exempt from licensing.These have ❑ Other
asterisks(•).At others need licensing).
2. Call for an Insp.+clion when all of the Installations under this permit are ready
for inspection at 503.639-4175.
❑ Number of Systems
3. Purchase separate permits for all Installations that are not ready for inspection
when the inspector Is out M Inspect under this permit No licenses are required. Licenses are required for all other Installations.
4. Assume responsibility for assuring that all corrections required by the Inspector
are done,and
I 5. Assume responsibility for call r a final inspection when all of the corrections S. FEES
are completed.
The person ' Hing ,r hi permit m��st he the applicant or a person 8, Enter Fees $__�TU.L(�
Rut t ti n I plicant.
b. 5% Surcharge(05 x total above) $ a 0 U
Signature
TOTAL $ `fc►� G (�
Authority if other than applicant
ENERGARCHP
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