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CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 639.4171 MST ---- —
BDP
_—� Date Requested ?--7 —?q AM _PM BLU
Location_ Suite MEG _
Contact Person T6 W — Ph SgGI' t��a PLM — —_
ContractorfT L� Ph SWR
BUDING giant/Owner �� �(,( f.1 Ltdi'1 ELC
IL
Retaining'Wall I ( n ELR rr''
Footing �_/--00� V
Foundation Access FPS
Fig Drain SGN
Crawl Drain Inspection 'Votes: �— ---- -
Slat) e-
Post& Beam --
Ext Sheath/Shear
IInt Sheath/Shear --- —
Freming
Insr,latior
Drywall Nailing -
-
Firewall /J
Fire Sprinkler
-�
Fire Alarm '
Susp'd Ceiling
Roof
Misc:
Final - --- -- _ -- -
PASS PART All
PLUMBING --
Post&Beam
Under Slat
Top Out
Water Service
Sanitary Sewer - ---- - ._ -_ -- -
Rain Drains
Final -_ - -
PASS PART FAIL
MECHANICAL_ ----
Post& Beam
Rough In -
Gas Line -- - - - - -
Smoke Dampers
Final
PASS PART FAIL
ECTRICR__
Service
Rough In
LIG/Slab
Low Voltage —
Fir:Alarm
Fi
AS, PART FAIL �- - --- -- - -- ------- --- __
t
Backfill/Grading ---- ------ ---- - - - --
Sanitary Sewer
Sto..n Drain [ )Reinspection fee of$ _-_required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ )Please call for reinspection RE ___ _ [ ]Unable to inspect no access
ADA
Approach/Sidewalk pate
Other _ Inspector
Final
PASS PART FAIL DO NOT '21-MOVE this inspection record from the job site.
�\ ELECTRICAL PERMIT-
C`TY OF TI GAR D
� RESTRICTED ENERGY
DEVELOPMENT SERVICES PERMIT#: ELR1999-00190
13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-417,; DATE ISSUED: 8/9/99
SITE ADDRESS: 07035 SW HAMPTON ST PARCEL: 2S101AC-01100
SUBDIVISION: BEVELAND NO. 2 ZONING: MUE
BLOCK: LOT: 017 JURISDICTION: 'FIG
Proiect Description: Protective signaling
A.RES'DENTIAL _ B.COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR AL"RM: BOILER: LANDSCAPE/IRRIGAT:
GARAGE OPLNER: CLOCK: MEDICAL:
HVAC: DATA/TELE COM'11: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR I_ANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL: X
INSTRUMENTATION- OTHER:
TOTAL# OF SYSTEMS:
Owner: Contractor:
JOSEPH HUGHES ADT SECURITY SERVICES, INC
7035 SW HAM TON 703 NE HANCOCK
TIGARD, OR 9722.3 PORTLAND, OR 97212
P'tone: Phone: 503-284-3265
Reg #: LSC 005994
ELE 26209CLE
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRMT BON 8/9/99 $60.00 99-317499 Elect'I Service
5PCT BON 8/9/99 $4.20 99-317499 Elect'I Final
Total $64.20
ORIGINAL
this Permit is issued subject to the regulations contained in the Tigard Munidpal Code, State of OR. Specialty Codes
and all otlher applicable laws All work wi i be done in accordance with approved plans. This permit will expire if work is
not stated within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law
requires you to follow rules adopted by the Oregon Utility Notification Conter. Those rules are set fcith in OAR
952-001-0610 through CAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at (503)
246-1987.
Issued by � C �C�c t Permittee signature y �� 4 , �J�L!�C.Q{(�
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale. lease, ur rent.
OWNER'S SIGNATURE: DATE.
CONTRACTOR INSTALLATION: ONLY _
SIGNATURE OF SUPR. ELEC'14 _ DATE: `
LICENSE NO:
Call 639-4175 by 7:00 P.M. for an inspection needed the next business day
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPY
�N Recd by ✓�
13125 SW HALL BLVD �f Gt Date Recd_h__�
TIGARD OR 97223 il:�rf�f�"I �S `'"PRINT OR TYPE
V=503-639-4171 X304 `: Alit ly`:'` Permit#
F -503-598-1960 �IwogLETE OR ILLEGIBLE APPLiCp,TIONS Cust.Call'd:_
WILL. NOT BE ACCEPIPMUNIIY ul
Name of Development Project TYPE OF WCAR.K ;NVOLVED-RESIDENTIAL ONLY
Restricted Energy Fee...................................... $6000
E_gurol+ eflAOUS 1 ("f/� (FOR ALL SYSTEMS)
JOB Street Addressec .) ate#
ADDRESS 7 3S J�4MMA)' 1• Check Type of Worn Involved:
/State Zia. Audio and Stereo Systems
Name� � Burglar Alarm
---� lG� --- FJ Garage Door Opener'
OWNER Mailing Address
II--11
City'State Zip I Phone# l] Heating.Ventilation and Air Conditioning'jystem'
- — � ^I � Vacuum Systems'
Name
ADT SECURIT'!SLRVICES,INC. F-1 Other
CONTRACTOR Mailing Adfl@l6S.VJ 153rd Uht.
BEAVER10N.OR 97006 TYPE OF WORK INVOLVED -COMMERCIAL ONLY _
(Prior to issuance a City/State (503)469-7 051p Phone# Fee for each system.............................................. $60.00
copy of all licenses (SEE OAR 918-260-260)
are required if Oreo C n d Lic.# Exp. ate
expired in C.O.T. Check Type of Work Involved
data base). Ele r al 41` is # Expf ❑
Audio and Sterno Systems
C.O T or Metra Lic.# Ex Date
Boiler Controls
Owner's Name
❑ Clock Systems
OWNER - Mailing Address
APPLICANTData Telecom;nunication Installation
City/State Zip Phone#
ane Alarm Installation
This permit is issued under OAE 918-320-370 This applicant agrees to ❑
make only restricted energy installations(100 volt amps or less)under this HVAC
permit and to do the following
Instrumentation
1 Only use electrical licensed persons to do installations where required.
Certain residential and other transactions are exempt from licensing. F-1 intercom and Paging Systems
These have asterisks(') All others need licensing,
Landscape irrigation Control'
2. Call for inspections when installation under this permit are ready for
Inspection at 603.6394176; Medical
Purchase separate permits for all installations that are not ready for an f Nurse Calls
inspoction when the inspector is out to inspect under this permit; `--�
4 Assume responsibility for assuring that all correctioi 3 required by the utdoor Landscape Lighting'
Inspector are done,and; Vprotective Signaling
5 assume responsibility for calling for a final inspection when all of the
corrections are completed Other
Permits are non-transferable and non-refundable and expire if work is not
started within 180 days of issuance or if work is suspended for 180 days Number of Systems
The person signing for this permit must be the applicant or a person No licenses are required Licenses are required for all other installations
authorized to bind the applica .
�/I FEES:
h
ature ENTER FEES E
S nv-
5%SURCHARGE(.05 X TOTAL ABOVE) E
Authority if other than Applicant TOTAL $ '
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