13165 SW FALCON RISE DRIVE-1 ADDRESS:
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone:639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Calling -Plumb.
Post/Beam Mech. Shear/Sheath Framing -Mach.
PIbg.Und/Fir/Slab Plbg.Top Out Insulation lec
PosVBeam Struct Mech. Rough-in Gyp.Bd. bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other: _ ��, �,
Date: Ll J�=1—�E? A M. —P.M. Entry:
Address: _
nt:___—._ _- __ Ste: MST:
Tbna _
BLIP:
MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
Inspector��
APPROVED —_DISAPPROVED/CALL FOR REINSP. CO
CITY OF TIGARD ELECTRICAL PERMIT -
COMMUNITY DEVELOPMENT DEPARTMENT RESTRICTED ENERGY
13125 SW Hall Blvd.Tlgard,Oregon 97223.8199 (503,839.4179 PERMIT #: ELR96-01 15
DATE ISSUED: 04/10/96
SITE ADDRESS. . . : 13165 SW FALCON RISE DR PARCEL: i S 133DC -01400
SUBDIVISION. . . . : MORNING HILL N0. 1 ZONING: R-..•7
BLOC �. . . . . . . . . . . LD1'. . . . . . . . . . . . . .42
Project Description: Install bur-glar alarm.
A. RESIDENTIAL----- B. COM. .E RC I AL-- -------- ----- -------------- - ------ ......
AUDIO d• STEREO. . . : AUDIO R STEREO. . : INTERCOM 8. PAGING. . :
BURGLAR ALARM. . . . : k BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . :
GARAGE OPENER. . . . . CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . .
HVAC. . . . . . . . . . . . . . DATA/TELE COMM. . . NURSE C:ALLS. . . . . . . . .
JACUUM SY51-EM. . . . : FIRE ALARM. . . . . . : L JTDOOR LANDSC L.I"fE:
OTHER: : : HVAC'. . . . . . . . . . . . : PROTECTIVE SIGNAL. .
INSTRUMENTATION. : OTHER. . :
TOTAL # OF SYSTEMS: 0
Applicant : -----.__._._..--------..____
FEES
PHOEBE BRIELOFF type amount by date r-ecpt
1133165 SW FALCON RISE DR PRMT 40. 00 CJS 0dl/10/96 96-278000
5PCT 2. 00 CJS 04/10/96 96--278000
TIGARD OR 97 :23
Phone #:
Contractor: -•--.____.__.----.______.....___._.._ ______---.._-__.._._._._______.__.___._._.___-----._________________•-
B(AWiAWPQR NOT UN ,f1f-lA 412'. 00 TOTAL
,4QT Sec v-i l�
703 A/F No-iLou� ---- -- REDU I RED INSPECTIONS
'/a,)d, or•. V,- Wall Cover Elect' ). Final
Phone bks 9X/v-3a/5 Elect' l Ser•vi.ce
Reg M. . s 5Wyy
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 e e 5 i gnat Ltre
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 180 days. I s si-ted Py
---------.-OWNE_P INSTALLATION ONLY----
The installation is being made on proper-ty I own which is not intended for,
sale, lease, or rent.
OWNER' S SIGNATURE: DATE:
______CONTRACTOR INSTALLATION
AUTHORIZED SIGNATURE: pre c;ofl/,�/�,� DATE
LICENSE NO:
Call for- inspection - 639- 4175
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd.
Tigard,OR 97223 PERNitT# GIT96 0115
Phone(503)639-4171
FAX(503)684-7297 DATE ISSUED96 _
1 DD No. (503)684-2 77 2
CITY OF TIOARD Inspection (503)639-4175 ISSUED BYr/e
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF,IN51'ALLATION�J � 4. TYPE OF WORK
Ad�c[ass - RESIDENTIAL—Restricted Energy Fee. . . . . . . . . 140.00�✓` '7 �� (FOR ALL SYSTEMS)
City State Zip -Check Tyne of Work Involved:
PERMITS ARE NON-TRANSFER,SLE AND NON-REFUNDA"LE AND EXPIRE IF WORK
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR If WORK IS SUSPENDFD FOR ❑ Audi nd Stereo Systems
180 DAYS. 'Jrglar Alarm
2. CONTRACTOR APPLICATION ❑ Garage Door Ortener'
two ❑ Heating,Ventilation and Air Conditioning System'
Contractor Am SICLIMfi", _ Typ ❑ Vacuum Systems"
WTLAND.OY 91212 ❑ Other
Address Wa 291.3265 --- -- -- -
Date �� `— COMMERCIAL--Fee for each system . . . . . . . 140,00
(STF OAR 918-260-260)
Property Owner �' �'P
Check Type of Work Involved:
Contractor's Board Reg. No. El Audioand Stereo Systems
❑ Boiler Controls
Phone# ❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecomnnmicaticn Installations
❑ Fire Alarm Instal!a;lrat
❑ HVAC
Print Owner's Name Phone No r—
.-j Instrumentation
Address ❑ Intercom and Paging Systems
❑ landscape Irrigation Control'
City State Zip EC Medical
This permit is issued under OAR 918 120.370.This applicant agrees to make only L-1 Nurse Calls
restricted energy installations(100 volt amps or less)under this permit and to do the ❑ Outdoor Landscape lighting'
following.
1. Only use electrical licensed per-ons to do installations where required.(Certain
EJ Protective 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 ander this permit are ready
for Inspection at 503-639-4175.
❑ Number of Systems
3. Purchase separate permits lot all installations that are not ready for inspection —when the inspector is oul to 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
5. Assume responsibility for calli*or a final inspection when all of the 5. FEES
corrections are compl t /)
The person sig in . permit must be the applicant or a person a, Enter Fees
authorized t in , ;h applicant.
b. Vii% Surcharge (.05 x total above)
Signature
TOTAL $
Authority if other than applicant
ENFPGAP,CHP
L;I I Y UP TIOARD W- PHYMEN) REEE IP) NO.
(I'lit-AlK AMOUNT
NAME a ADI' SkLOUR ITY
RUVRESS a 70,E Nk li(4N(,:U(,Il, DAIV,
PORI'LAND ON A.NU V)16 1 ON
4 7 in"I i?-
pj.JRP()SW. Ot' PRYMEN I AMI JON I 'PH 11) PURPO"It llv POVIIII. Ill
ELFUTRICAL PH.f2M
i I A 0.ode i
Of
13165 SW FOLCON RISE, DR
TOTAL AMUUNr PAID