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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rer.-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mach. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL.:
Post/Beam Mach. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Pl mb.
Alarm Water Line Insulation -Mach. U
Underflr, Insul. S1,ear Wall Gyp. Bd. -Elec y �3
Date Requested: I Iv Vl�l Time: AM V P
Address (E K, C �,rrZ
Permit #: Lxx��L R
THE FOLLOWING CORRF..(�IONS �RE REC)IJfAC:D/--) ��
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Inspector—
APPROVED ` DISAPP;�OVED ,APPROVED SUBJECT TO ABOVE
_Call For Reinsp. 7 11T
ELCTRICAL PERMIT
CITY OF TIGARD RESTRICTED ENERGY _
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #: EL R95-0220
13125 SW Hall Blvd.Tigard,Oregon 97223.6199 (503)639-4171 DATE ISSUED. 1. 1/21/90
PARCEL: 251 1 S BD-•0;?500
SII ADDRESS. . . : 15168 SW 96TH AVE
SUBDIVISION. . . . : PARTITION FLAT 1990-038 ZONING: R-3. 5
SLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :
L'r o.ject Description:
P. RESIDENT IBI_--____.. .___ S. COMMS RCIAL
AUDIO R STEREO. . . : AUDIO R STEREO. . : INTERCOM & PAGING. . :
BURGLAR ALARM. . . . : X LAO ILER. . . . . . . . . . : LANDSCAPE-_/ IRRIGAT. . :
GARAGE Or'ENER. . . . . CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . .
HVAC. . . . . . . . . . . . . . DATA/TELE COMM. . . NURSE CALLS. . . . . . . . .
VACUUM SYSTEM-- : FIRE; ALARM. . . . . . : OUTDOOR LANDSC LITE:
OTHER: . . HVAC. . . . . . . . . . . . . PROTECTIVE SIGNAL. . .*
I NSTRUMENTAT ION. OTHER. . : . .
TOTAL. # OF SYSTEMS: 0
Applicant : -._.-___________.________..._____.___ __ __.__..... ._ _.____._.__.__. FEES
ADT SECURITY type amoi_rnt by date r-ecpt
703 NF_ HANCOCK PRMT $ x{0. 011) CJI 11/21/95 93- .:'7:3091
0F'CT $ 2. 00 CJS 11/21/95 95-273091
PORTLAND OF 97C.12
Phone #:
Contr-a for .
:i:]NTRACTOR NOT ON 1= T1_E $ 4,2. rho TOTAL
_------ REQUIRED I NSPE:CT I ONEi -- ---
Ceilinr Cover- Elect' 1 Ser^vic:e
Phone #: Wall Cover Elect' l Final
Reg 0. . .
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore, Specialty Codes and all other Perm i t ee Si gnat ur^e
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
than 188 days. Issr.red By
INSTALLATION UNl_'f ___._.____.___....--_-__--•--....---.__.____
The installation is; being macip on proper-ty I own which is not intended for
sale, lease, or, rent.
OWNER' S SIGNATUPE: DATE- •
.
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INSTALLATIOhI ONLY---- ----_- ---- -------_.___..__
> `::i I GNATURE: OF SUF'R. FLEC' N: 1/ _ .. _ __.._.... DATE:
I_.I CENSE NO.
Call for, inspection - 633-4175
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd. PERMIT# ���S" DaoZO
Tigard,OR 97223 --
Phone(503)639-4171
FAX(503) 684-7297 DATE ISSUED
TDD No. (503)684-2772
OITY OF TIGARD Inspection (503)639-4175 ISSIJED BY
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLA310 4. TYPE OF WORK
RESIDENTIAL—Restricted Energy t . 540.00
r (FOR ALL SYSTEMS))
City U State Zill Check Tyne of Work Involved:
PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo Systerns'
IS NOT STARTED WITHIN 180 DAYS Or ISSUANCE OR IF WORK IS SUSPENDED FOR
180 DAYS. Urglar Alarm
El Garage Door Opener*
2. CONTRACTOR APPLICATION ❑ Heating,Ventilation and Air Conditioning System*
LaEContractor_ ypE El Vacuum Systems*
_ El Other____
Address t
Date iIII r—) ___ COMMFRCIAL—fee for each system . . . . . . . . . 540.00
(SEE OAR 918-260-260)
Property Owner _ i � a 4 _ _ Check Type of Work Involved:
Contractor's Board Reg. W. ! ❑ Audio and Stet,o Systems*
El Boiler Controls
Phone# �� ❑ Clock Systems
❑ Data Telecommunication Installations
�. OWNER APPLICATION
❑ Fire Alarm Installation
— / ❑ HVAC
F,int C,vner'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
restrided energy installations(ion volt amin or less)under this hermit and to do the ❑ Outdoor Landscape Lighting*
following:
1, Only use electrical licensed persons to do installations where required.(Certain El Protective Signaling
residential and other transactions are exempt from licensing.These have ❑ Othei
n asterisks(•).All others need licensing).
rc 2. Call for an inspection when all of 2 ie installations under this permit are ready
N for inspection at 503.639.4175. El — Number of Systems
3. Purchase separate permits for all installations thou art,not ready for inspection
' when the Inspector is out to inspect under this permit.
� p � 1 •No Ilcenses am required. Licenses are required for all other Imtallations.
J 4. Assume n , risibility for assuring that all corrections required by the inspector -
�, are done.and
5. Assume responsihility for calling for a final insper tion when all•,f the corrections ..5. FEES
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are completed.
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T4person g f this permit must he the applirant or a person a. Enter Fees $and a applicant.
b. 5% Surcharge(.05 x total above) $Sgnaure TOTAL $
Authority if other than applicant
CNIERGAP.CHP
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IN$PECIION NOTICE �
\ ✓ City of 'Tigard Building Departnen J""'.�
13125 SII Ball Blvd. Tigard, Oregon 9*913
Inspection Line (Rec-O-Phone)t 639-4175 Business Phonet 639-4171
Insp,yctiont
Rooting Plug. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line INAr.s
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Roam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. ad. -Mech.
Date Requested: VJ // / 19 Timet AN PM
Address:�1 i•� -Permit 1: / `0n //y
Builders
TBE FOLLOWING CORRECTIONS ARE REQUIREn:
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ArPROVED DISAPPROVED APPROVED STIRJECT TO ABOVa
call For Reinsp.
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PORH .141'10 i4 IIAD I v 1.I.j MN
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CITY OF TIt30RD RFC:F"1r,l- C(F PAYMF^NT RF-C;EIPT NO. r93•--c'ti9176
CHECK AMDUNT 0. L40
NAME. TF Vr: F'?F;AF?GM CW31 F AMOUNT x 26.. 25
ADDRESS e 7 ,15166 C;w 967H AVF' G'4iYMEwr DATLE, 04/19/93
SUBDIVISION ;
14,IRPOSE OF C',CIYME--NT AhIQUhdT VIP,:10 F'I,MVIOSE CIF F'AYMVINT AMrJUN"i" PAID
N ME:CIAM C CAI. VIE 25. 00 ST. NU 1 LU PER
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TOTAL AMOUNT PAID _ > e'E+. 25
C1 W OF T I CARD E.Rly,I'T ✓
-COMMUNITY DEVELOPMENT DEPARTMENT PERMIT 4;k. . . . . . •
13125 SW Hall Blvd.Tigard,Oregon 97223*8199 (603)$39-4171
D P 11 1 brj�J ED, 0
L51&,6 sw 96rH AVE' PARUZL: RS111BD-- 03ffj00
s) a,
kd: i IT10ki JL.Al' 191400.� :, i(INING. RZ. 5
. . . . . . . . . . . . . ..
is i AS"3' & WURK. . :ADD FLOUR FURN. . . . LVHP COULLR6z
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'," U 3F . . . -L;F UWJ HLAI'LR16. . VENI, Flii,hii. . .
IJ,,LLPkWCY GRP— -. R3 VENTW10 APDL. VEN'{ SYSTEMS:
L,0 I L L'.'RIS CONPRZE)30ps tqoul),:, . . . . . .
F"LJEL I'Yr-'–ES 0-3 HP. . . . . 1 DOMES. INCINA
15 lqf:, CA114111L, INCIN.
MAY, INPUT .. 8TU L5 -30 Hi-
RLPAIR UNITS.
3 Q1 0 11P.
tiE .4 e. .
`5kii F,RE4SURE. . . t 50+ H.P. CLO DRYL.R6. .
Lw, AIR HANi)Li,\jG u i\j i -v s is F"H E R L. 1 1 0.
PURR i iftK BTU" 10000 cff", GAS OUTLETS.
BTU: 10000 cf1ac
Remat-koic 3 tun ;4ir v_cinditoner
owner". !:LLS
.,ILVEi PEAkUbl type :k m c)P.t rii t dateP.C:1.
1Z)168 SW 96,11A AVL 50GT 4 1. 25 jH 04/19/93
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TUnENG HTNG. AND AIR U)ND,
Wij 80A 11�)80151
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tE,Ub I RL.II I 1NW1.'JEX'TICINE
this 1.#�lit is IbSU15 sabjut to the rvgu4at:uns Contained it, the Firial Irispec-tior;
Tigard Nnicipai Code, State of Ore. fipecialty Lodes &no all other
applicitle laws. All work o,.11 tie done ir, accordance. with
Opp,,Dved plant, 7his perelt Kill expire if work is not started
IN days Dr isfiurince, ,r A oivllumndez fjr tore
%hiin 160 days.
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