8301 SW DURHAM ROAD I �
E
i
.�T
...�. 8301 SOP E1IM1AM ROiAD,
Feuruary 26, 1996
5
William C. Reed Company
R 8 R Energy Resources T
OF Y CITIGARD
P.O. Box 12564 CITY f 1
Portland, OR 97212
OREGON
ReReed Apartments
Durham Avenue
In a routine inspection of the abcve referenced project, the City of Tigard's electrical inspector, r ichaeI
Rudd, discovered a fee calculation error based on the project type and work performed for the following
permits:
MST95-0073: 8273 SW Durham Rd. Apts. 4 - 6
MST95-0074: 8289 SW Durharr Rd. Apts 7 - 9
,/MST95-0075: 8301 SW Durham Rd. Apts. 10 - 12
MST 95-0076, 8317 SW Durham Rd. Apts. 13 - 15
While Multi-Family dwellings are classified as commercial projects for building code review requirements,
they are a residential occupancy group R-1. The Commercial Plans Examiner calculated the electrical fees
based on the total square footage of the 3 unit buildings as follows
(1) at $110 00 for 1000 sq. ft. _ $110.00 + (7) for @ addt'I 500 sq. ft = $175 00 =
SUBTOTAL: $285.00 x 5% tax = $14.25 = TOTAL $399 25
'The correct calculation of electrical fees should be based on each residential unit as follows per each 3
unit building
(3) at $110.00 for 1000 sq. ft. _ $330 00 + 13) for @ addt'I 500 sq ft = $75.00 =
SUBTOTAL $405.00 x 5% tax. = $20.2.5 = TOTAL: $425 25.
ADDITIONAL FEES DUE PER PERMIT ABOVE.
Electrical permit $405 00 - $285 00 = $120.00
5% Tax: $ 20.25 - $ 14 25 = _6_.0.0
Toil. _ $126.00
Limited Energy was charged in error on a permits ($25.00 + $1.25 tax) which represents
the following credit
Electrical permit: $120.00 - $25 00 - $ 95 00
50,16 Tax. $ 6.00 5 1 25 = $ 4 75
F OTAL. = 3 99.75
Please remit $399 00 (599.75 x 4) to the City of Tigard immediately to rectiFy thi; error and bring your
account into compliance. Permit MST95-0072 for Unitc 1 at 8265 SIN Durham is ready for pick-up.
Fees due for this permit reflect the electrical permit recaiculations. If you have any questions, plesee
contact me directly at 639-4171, extension #322.
Sin rely, /
Jilldnc
Co munity Development, Customer Service Manager
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772
CITY OF T I GARD DATTISSUED: . 12.-�..'/18/95t; -01ZI
E=
COMMUNITY DEVELOPMENT DEPARTMENT PARCEL.: 2=S 1 12='CC--01700
13125 SW Hall Blvd.Tigard,Oregon 97223+8199 (503)839.4171
SIT[
SIT[ , , 1
SUBDIVISION— . : ZONING: R-12
T3,_OCK. . . . . . . . . . .. I__G I . .. . . . . . . . .
Remarks: Construct three-unit apartment building.
---------------------------------------------------------------- BUILDING ----------.-----_.._----------------------------------------------
REISSUE: STORIES.......: 2 FLOOR AREAS---------- BA)MT...: 0 sf REQUIRED SETBWKS---- REOUIRED------------
4SS OF WORK.:NEW HEIGHT........: 23 FIRST....: 2028 sf GARAGE.....: 1440 sf LEFT..,.......: 0 SMOKE DETECTRS: Y
IPE OF UK...:MF FLOOR LOAD....: 40 SECOND...: 2028 sf FR(AT.........: 0 PARKING 71pCES:
TYPE Or CONST.-5-,HR DWELLING UNITS: 3 FINBSMENT: 0 sf RIGHT.........: 0
OCCUPANCY GRP.:R1 BDRM: 9 BATH: 9 TOTAL---- 4056 sf VALUE..$: 197148 REAR..........: 0
--------------------------------------------•--------------------- PLUMBING -----------------------------------------------------------------
SINKS......... 3 WATER CLOSETS.; 9 WASHING MAGI..: 3 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS.........: 0
LAVATORIES....: 9 DISHWASHERS...: 3 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 0 CATCH BASINS..: 0
TUB/SHOWERS... 6 GARDAGE DISP..: 3 wArF.R HEATERS.: 3 WATER LINE ft: 0 BERFLW PREVNTR: 0 GREASE TRAPS..: 0
OTHER FIXTURES: 0
--------------------.._------..------------------..------------ MECHANICAL ---------------------------- -____- _ -- - -•-.---__----------
FUEL TYPES---------- FURN ( 100K .. ; 0 BUIL/CMP ( 3HP: 3 VENT FANS.....: 0 CLOTHES DRYERS: 0
/ELE/ / / FURN )=,W ..: 0 UNIT HEATERS..: 0 HrOODS.........: 0 OTHER UNITS...: 0
MAX INP.: 0 BTU FLOOP, FJRNACES: 0 VENTS.........: 18 WOODSTOVES...... 0 GAS OUTLETS...: 0
-- --------------------•---------------------------.-------------- ELECTRICAL -•-- ---- -...------------
-RESIDENTIAL
------- ---RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC!FF.EDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIONS--
1000 SF OR LESS: 1 0 - 200 amp.. : 0 0 -00 amp..: 0 W!SVC 09 FDR..: 0 PUMfilIRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 50PSF.: 7 201 - 400 amp..; 0 201 400 amp..: 0 1st W/O SVC/FDR: 0 SIGN/OUT LIN LT: 0 PER HOUR...... : 0
LIMITED ENERGY.: 1 401 - 600 amp..: 0 40, 600 amp..: 0 EA ADDL DR CIA: 0 SIGNALiPANEL ..: 0 IN PLANT......: t'
MANE 4M/'VC/FDR: 0 601 - I000 amp.. % 601+amps 1000 v: 0 MINOR LABEL -10: 0
1000+ amp/volt.: 0 ----------------------------------- PLAN REVIEW SECTION -----------------------__ ------
Reconnect only.: 0 )=4 RES UNITS-: SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC:
-------------------..------------------------------ EIECTRICAL - RESTRICTED ENERGY -- -------- .-...---------------------------------------
A. SF RESIDENTIAL--------------------------- B. COMMERCIAL--------------------------------------------------------------------------------
AUDIO & STEREO.: VACUUM SYSTEM..: P'JDIO 6 STEREO.: FIRE ALARM.....: INTERCOM%PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0TH: :: BOILER.........: HVAC...........: LANDSCAPE/IRR1G: PROTECTIVE SIGN:
GARAGE OPENER..: X CLOCK..........: INSTRUMENTAI:'IN: MEDICAL........: OTHR:
HVAC...........: DATAi,ELE COMM.; NURSE CALLS....: TOT41. A SYSTEMS: 0
Owner: -___... -----.. ---...----..----Contractor: -- ---- -------- - -- - --- TOTAL FEES:$ 3379.30
WILLIAM REED R I R ENERGY RESOURCES
PO t'lX 1,564 10355 SW PORTER
'"RTLAND OR 9722212 PORTLANI OR 97225
-me 0: 249-7375 Phone N: 292-50!1
Reg A..: 71U5
-is permit :s issued subject to the regulations contained in the Tigird Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started withir '"l?
days of issuance, or if work is suspended for more than IN days.
------ -- - --- ---...._ ---
-------------------------_-1 RFOUIRFD INSPECTIONS -----------------------------------------------
-�otinq Insp Post/Beam Meehan Plumbing Top Out Shear Wall Inso Water Line Insp Building Final
undation Insp Ple/Underfloor Framing Insp Firewall Insp Water Service In
onion Control Crawl Drain Fireplace Insp Gyp Board Insp Appr!Sdwlk Insp
'r Proofing Bse Slab Insp Gas line Insp Reinforced concr Smoke Detector
;st/Beam Struct Mec,ianical Insp In ti n lose Rai rain Insp Plumb Final _ ,y�I I
c+remittee ;;iyrrat1.1:'ec ,p.1 lay : 1� " ���/"u
UaII foo- inspection - 639--4175
Commercial Building Permit Application �� J
City of Tigard
13125 SW Hal! Blvd.
Tigard, OR 97223
(503) 639-4171
�63�1
Jobsite Address:
Tenant: Suite# � Us4 Only
}
Planck/Rec
Valuation: _ 1
Permit At
Owner: IU/ (It f 0/111 ( C Map& Tl.# _
Address: C' 0X ! I Approvals Required
PfanniG,ngf�J
lI �1 �
Phone: T ,Engineering _
Other
Contractor ���L°%C'J �'I rCG'f��t!�Y(y�
Address:
! -�I��'lf Cf C 7, Type of const:
ff
Cf
Phone:
7YZ �" F, 7- (� `' ? (G, 12 �7 - -
77Occupancy class: k /,
Sprinklered? Yes CNo
Contractor's License # -5 4OS b R
/(attach copy of current Oregon license) Sq. ft. of project = 1 cr M
Contact name & phone: !(- 1'�. � �f,/ tl � /_ �_ � �,� Story (1 st, 2nd, etc.) z-
Proposed use:
Architect/Engineo,r: 1 I�� �yy sc/-
SJ�Q,l� f��1�' S 3,,—Previous use:
Address: � � `r,r
Note: Plumbing & mechanical plans
must uc: submitted a' time of
/ building permit application.
Phone: ` �' r C
JOB DESCRIPTION:
Aoplicar.t aigntture & Ph a number
i
Received by: Date Received:
/ _ I
ELZ7TP I CAL
F�I:RMJ
CITY OF TIGAR�
COMMUNITY DEVELOPMENT DEPARTMENT R3E,... "'
13126 SW Hall Blvd.Tigard,Oregon 9722398199 (603)839-4171 DATE 1::AJED. 03/,_
PAFRCLL.
14
�W "I'LlPirlm 10
7'LINING. r,
IN'Tr:_PCOM
X BOILER. . . . . . . L,1400CAPE I PR I 0;-)'r.
C pT C Mr-0 A'CAL. . . . . . . . . . .
' - " -"TELr_ COMM. . . WIRSE CtriL.L:`). . . . . . . ..
'',1'711jm !7y'Tr7m. . . . !-71 00O L..IT'
C' .LC:
P .")TECTIVE S31GNA4._. .
Of-
*A11L
I rim
40. 014
r"S P C T :`'77'/-.r,{'..
1) Orl
- 40 0
.__ _._. --
0 c"C 1(1,'1-C 11�1 4,--. �D'41 TGT.�7fl-
1 i C
Wall Cc',-
-rail is issued sd,jvit to the i-tplatioos contained in the
.:ipal tindt, State or Ore, 'pe6alty Codlls dftd all othw
laws, All or,,l wJ'.1 be done in amprdanu with
_".Qvtd plans, Thin pirsit will ixptet if work is tint itc-ted
w" Pf ,'Zv, 'f iss4mf, if stark Is -,jbppnded foo- sve
�tkj L
IN—, TALL_rnTT0t;, ONt-'i
'j
4%L#A 1 �A i o i i Luiiig oiiWe ciri p 0 p e t't T cW 1--' W
71
C
77
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 PERMIT# EU?96 00X8
Phone(503)639-4171
FAX(503)684-7297 DATE ISSUED s-Ir 46
TDD No. (503)684-2772
CITY OF TIGARD Inspection (503)639-4175 ISSUED
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION / 1 4. TYPE OF WORK
Arc w RESIDENTIAL—Restricted Energy Fee . . . . . . . . 140.00���- (POR ALL SYSTE7v1S)
City State Zip Check Type of Work Involved:
PERMITS ARI NUN-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WOKK ❑ Audio and Stereo Systems
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR
180 DAYS. '>Cj—?%urglar Alarm
2. CONTRACTOR APPLICATION ❑ Garage Door Opener*
��j� ��-�n�� �//,�/� ❑ Heating,Ventilation and Air Conditioning System*
Contractor ���y:•_� �[.t3�"iype �1LCd=-l-- ❑ Vacuum Systems'
Address_t — _ ❑ Other —
1 �
Date__ _ : ___�T_ COMMERCIAL—Fee for each system . . . . . . . . . 540.00
(SEE OAR 918-260-260)
Property Owner_ ,� tT Check Type of Work Involved:
Contractor's Board Reg. No. J El Audio and Stereo Systems
D G+�
El Boiler Controls
Phone# __` J7— ❑ 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(1(10 volt amts or less)under this permit and to do the ❑ Outdoor Landscape Ughting'
fotlmving:
1. Only use electrical licensed persons to do installations where required.(Certain ❑ Protective Signaling
residential and other transactions are exempt from licensing.These have ❑ Other__
asterisks(•).All others need hce-sing).
2 Call for an inspection when all of the Installations under this permit are ready
for inspection at 50:.-639-4175 ❑ Number of Systems
1. 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. Llcenses era required for ah other Installations.
4. Assume responsibility for assuring that all corrections required by the inspector
arr done,and
5. Assume responsibility for catling 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 $ ,
au 1zed to H d the
MIWVFT_� i
b. 5%Surcharge(.05 x total above) $
nature TOTAL $ �/
Authority if other than applicant
ENERGAP.CHP
CITY OF TIGARD
DEVELOPMENT SERVICES
1312 SW f call Blvd., Tigard,OR 97223 (503)639.4171
CERTIFICATE UF
OCCUPANCY
PERMIT 0. . . . . . . : MST95- 007`
DATE.. IiSUED! 08/19/96
PARCEL: 251 12C;C-•01'701
SITE ADDRESS. . , t 08301 SSW DURHAM RD
SUBDI V 11,ION. . . . : ZONING:R--IP
R1_OCK. . . . . . . . . . . LOT. . . . . . . . . . . . . I
CLASP; OF WORK. :NEW
TYPE OF L1SE. . . :MF'
TYNE OF C0NSTR:5--11-18
OCCUPANCY Y CRP. :R 1
OCCUPANCY LOAD:4
Remarksl Construct three--unit apartment building. (Unita I'll- 12)
OwnersWILLIAM REED
REED
PO BOX 12564
PORTLAND OR 97:212'
Phone 0. 243--7375
C.ilrltVI&(-ItorA -__. .. ._._....._....... .._ . ._ _........__ __...._..-._. ...._._._
R & R ENERGY RESOURCES
10355 5W POP'rr-p
POPTI.,.f)ND OR 17.2,2'5
Phone ii: 292-tt'051
Reg i1. . : '71865
!hits Certificate grant% ot.-cupeney of the above referenced building or portion
Ilipt-pof and confirms that the building has been irr-;per-te(.i for, c(impliance with
i t,N �)tatF of Oregon fypacialty Codes for t-hp 9" tE), ocr.LIPAncyr and use uncier-
whic-h the ways ig%Ued.
.... _ rF T9l.IlL.lalNG INSPECTOR BUILDING
AL.
t''08*f IN CONSPICUOUS Pi.ACE
r
r L
tCITYOF TICARD c'r
#�
COMMUNITY DEVELOPMENT DEPARTMENT LvM'1T 'L R'"'' 00
13126 SW Hall Blvd.Tigsrd,Oregon 97223o8189 (503)639-4171
I V IZI I ON.
.:'jecA Desc,
PUTT)TO A S7'-"'- . . OUnTO STERCC. . :
ZURGLAR ALArUf% ; X P,01 L.C R. . . . . . . . . . .
G1'*'1!'NnCr or1rNrIll : �'L 71f�!I� . . . . . . . . . . 7 AL.. . . . . . . . .. . . . .
IVVIAC. . . . . . . . . . DArn/TCLZ COMM. . . -- -AL LC
f-IRr. ALAnM
07;ir-R; 11)C. . . . . . . . . . . . . STOW,"..
TC'TAL # Or S`1:;T[:'1'
WIL:-1111"i RCED t Y PEI t kry ;date
ric
1- 00 JSri
hT R 7 1
I n'r r L ZZ TO At.
E0 rZ F',A'23%,141
....... ''�`OUILREO INSPL-CTION
4�tll i Elect, 1,
This pe pit is isi,id subject to Ve rajjlati�" contained in t-!a
yard "�'I-ipzipal CA'E' 'State of (�-I' spbalty Codes ind all Other 4�7�! At
-1AC41i Iamt. AE wo'1 dill be dou in accorr-*Ict with
appro>id psis. ihii ptrailt 4A'11 expire if work it net started <
within 2^ 0,; wf issua-:#, if it s,,,pvr)ddd for luie
C, 44 -
TICS!
r
I I t viii ri 4 d icv, u fw i t.y I owi- owhi,:Ai i's rL)r
17
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd.
Tigard,OR 97223 PERMIT# FL�'yl, DU 9a
Phone(503)639-4171
FAX(503)684-7297 DATE ISSUED 3— 15-416
TDD No. (503)684-2772
CITY OF TIOARD Insper*ion (503)639-4175 ISSUED BYE„/Ps
E3 / 3 S tJ�lJu e Gf�,>h &SE COMPLETE ALL SECTIONS
1. LOCATION OFASTAL / ION �L 1 ` 4. TYPE OF WORK
1
ARESIDENTIAL—Restricted Energy Fee. . . . . . . . . 140.00
d0
(FOR ALL SYSTEMS)
City Stale Zip Check Type of Work Involved:
PERMITS ARE NON-TRANSFERABLI.ANTI NON-REFUNDABLE AND EXPIRE IF WORK El Audio and Stereo S Stems
IS NOT STARTFD WITHIN 180 DAYS OF MUANCE OR IF WORK IS SUSPENDED FOR y
180 DAYS. �urglar Alarm
Garage Door Opener*
2. CONTRACTOR APPLICATION ❑ Heating,Ventilation and Air Conditioning System*
Contractor t/✓1 m 4_'yy��' Type _ ❑ Vacuum Systems*
Address_ � Qi ❑ Other
Date_�W/ r COMMERCIAL—Fee for each system . . . . . . . . $40.00
(SEE OAR 918-260-260)
Property Owner _ Check Type of Work Involved:
Contractor's Board Reg.No. ❑ Audio and Stereo Systems
❑ Boiler Controls
Phone# 2 ;:34'' A, � ❑ 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 C]lls
restricted energy Instillations 1100 volt amps or less)under this permit and to do the ❑ Outdoor Landscape Lighting*
Irllowing:
1. Only use electrical licensed persons to do installations where required.(Certain ❑ Protecl've Signaling
residential and other transactions are exempt from licensing.These have ❑ Other
asterisks(*).All others need licensing). —
2. Call for an Inspection when all of the installations under this permit are ready
for inspection at 503-639-4175.
❑ Number of Systems
1 Purchase separate permits for all installations that are not ready for inspection — �—
when the inspector is out to inspect under this permit. •No lircnses are required. Licenses are required for all other installations.
4. Assume responsibility(or assuring that all correctinns required 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 in thlOt-applicant.
b. 5% Surcharge(.05 x total above) $ z QCJ
nature TOTAL $ WA!1-
Authority if other than applicant
ENERGAP.CHP
CITY OF T I GARD EL r C 7 R"C t ^ SIT
rOMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223981997t..839-4171 7L iW';C 00ri I
7'E T U E D
fr3 01
# 4
ADJ AD R C"j r: i
'ICNINC. r%
rr,.
RESIDENTIAL
A U D I'r G T t'p C:11"). INTERCOM & PAC IN%J. .
BURGLAR ALARM. . . . ; X BOILER. . . . . . . . . . : R R I GAT.
GAPAGE Orr'r-Nr.R. : MCD I CAL. . . . . . .
HVAC. . . . . . . DATn/TELC COMM. . : NUPOPC CALLS. . . . . . .. .
. . . . . . ; GuTr,001r) LONDOC L-17
`j
071 ICR s HVAC. . . . . . . .. PROTECTIVE `IGNAL. .
I N1-,4TnUMEN 7r,7Tflt-;. [ITI I',-r\.
TOTAL # OF
plicanL : rcr7r,
I
..L.LTO M "FlErr t ype .1110ur't by date r,eLpL
J 1A ILI Y I C C 4 PI MT t 40. 00 J1,':;r, 0'>/1.ri C, 2 7 7 V
!7,r,CT 4 211. 00 j T)-j-, 03/1!71/96
ijutie #. 249-7317S
t7vm0-act cit.'s
4L"'. 1,10 TOTAL
111-j
REQUIRED 1NSPt:(7T1n1rl'-
W e r 1
V1 0 rl 4? Utz oat,I r l?k,V C e
Paw 41.
This permit is iss4td subject tz t`e eeii1ations contained ir, the
Tigard M47�iciPal Cade, State ,- Ore. Spec.,alty Codes and all. other
Wli:Ablflaws. All hOrL- wil! be Inne in accordance with
Wravfd plans, nt is ptrait will expire if w4 is not started
within 10 days Of wv,v, is ;.,ap#ndfd f:-r ure
than lot dais,
1 1N 75T1 flil-I T 0,1 .1N1-Y
The iittttAl !at t)6 ahld E- u rt p u pe, ty I owri which i
OWNE P'. S' 3.1 P-i A T
D(ITC
11 Z E.LI STGNTI iJIRL IM7:-
NO
630 , 417C
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd.
Tigard,OR 97223 PERMIT#
Phone(503)639-4171
FAX(503)684-7297 DATE ISSUED .3-/S - 46
TDD No. (503) 684-2772
CITY OF TIOARD Inspection (503)639-4175 ISSUED BY
y,3,,,? S-. p u g,#inn pZPLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTA,.LA ON �rl 4. TYPE OF WORK
AdRESIDENTIAL—Restricted Energy Fee . . . . . . . . . 140.00
(FOR ALL SYSTEMS)
City State Zip Check TXtae of Work Involved:
PERMITS ARE 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. 2511 Urglar Alarm
Garage Door Opener"
2. CONT CTOR APPLICATION
❑ Heating,Ventilation and Air Conditioniry System"
Contractor irr1 MjAlype__ ❑ Vacuum Systems"
Address
` ( ►'1 ❑ Other-- --
Date COMMERCIAL— Fee for each system . . . . . . . . . 140,
(SEE OAR 918-260-260)
Property OwnerCheck Tyne of Work Involved:
Contractor's Board Reg. No. –L�=tel _ ❑ Audio and Stereo Systems
❑ Boiler Controls
Phone# — �CJ ._... ❑ Clock Systems
❑ Data Telecommunication Installations
3. OWNER APPLICATION ❑ Fire Alarm Installation
_ ❑ HVAC
Print Owner's Name Phone No ❑ Instrumentation
Address ❑ Intercom and Pagii ig Systems
❑ Landscape Irrigation Control'
City State Zip ❑ Medical
This permit is issuer)under OAR 918.320.370.This applicant agrees to make only ❑ Nurse Calls
restricted energy installations(100 volt amps or less)under this permit and to do the ❑ Outdoor Landscape lighting"
following
❑ Protective Signaling
1 Only use electrical licer+se.d persons to do installations where required.(Certain
residential and other transwictions are exempt from licensing.These have ❑ Other
asterisks(').All others need licensing).
2. Call for an inspection when all of the installations under this permit are ready
for inspection at 503-639.4175. ❑ Number of Systems
i. 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. U,-enses are requii,d for all other installations.
4. Assume responsibility for assuring that all corrections required by the inspector
are done,and
5. Assume responsibility(nr calling for a final inspection when all of the S. FEES
corrections are completrvl.
The person signing for this permit must be the applicant or a person a. Enter Fees $ �(/LOt✓
auth ' ed to bind the applicant.
IrlJr n _� b. 5%Surcharge(.05 x total above) $ 4, y�
S gnaturc ! TOTAL $ G-fL/C/
Authority if other than applicant
ENERGAP.CHP
F
2311/1 10 1 20 2
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lm5T
1301
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10(
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171 /
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling lu
Post/Beam Mach. SheariSheath Framing -45
Plbg,Und/Flr/Slab Plbg.Top Out Insulation -Elect.
Post/Beam Struct. ^A9ch. Rough-in Gyp. Bd. ,
San. Sewer Gas Line Appr/Sdwlk Rp.ins.
Other: I - -
Date: _ _1 _ A�P.,M.7_ Entry:
Address: � �.�f �yYl
Tenant: p Ste: _ MST: G0-7Con/Own:_
c
D 1 0 Z-U MEC:
PLM: _
ELC: _
THE FOLLOWING CORRECTIONS ARE HEQUIRED: ELR-
Ins ctor: .�� Clete: _
—.APPROVEDD _DISAPPROVEWCALL FOR REINSP. ct CO