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CITY '.F TIGARD BUILDING INSPECTION NOTICE
Inspection Line 639-4175 Business Phone: 639-4171
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Footing Rain Drain Cover/Service FINAL: ti rMu".
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Foundation Water Line Ceiling -Plumb.
Post/Beam Mach, Shear/Sheath Framing -Mach.
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CITY OF TIGARD ELECTRICAL PERMIT -
COMMUNITY DEVELOPMENT DEPARTMENT RESTRICTED ENERGY
13125 SW Hall Blvd.Tlyard,Oregon 97223.8199 (503)839-4171 PERMIT #: ELR96--01 67
DATE ISSUED: 05/29/96
PARCEL: .'?S 101 DEA--00100
sirE ADDRESS. . . 111"l��.'.Ql SW HUNZIKER
SUBDIVISION. . . . : ZONING:C—P
BLOCK. . . . . . . . . . . IOL. . . . . . . . . . . . . .
Project Description: �►
A. RESIDENTIAL__----- ___ B. L.TMMC RCIAI_AUDIO & STEREO. . . AUDIO & STEREO. . 1 r4TE ROOM & PAGING. .
BURGLAR ALARM. . . . : BOILER. . . . . . . . . . . I—ANDSCAE'E/IRRIGAI-. . : e
GARAGE: OPENER. . . . . CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . .
IAVAC. . . . . . . . . . . . . . DATA/TELE COMM. . . NURSE: CALLS. . . . . . . . .
VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC LITE.
OTHER: : : HVAC. . . . . . . . . . . . : PROTrCTIVE SIGNAL. . X �
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INSTRUMENTATION. - OTHER. . : . .
TOTAL # OF' SYSTEMS: 1
Owner: -____.___________.____•_—___._.—.--•--__________________ __ FEES
OSWEGO TECHNOLOGY GROUP type amount by date recpt
?3k. 0 SW HUNZIKF R S'I- PRM'T 3 4171. 00 CJS 05/29/96 96-279910
`DCT f 2. 1710 CJS 05/29/96 96—: 79910
1IGARD OR 97223
" Phone #: 598-1840
Contractor:
u ALL.TF_C SECURITY $ 4`. 0111 TOTAL
835 BE 17TH
REQU I REI:) t NSPECT I ON^ ----— -
1,ORTLANI) OR 97`14 Wall Cover Elect' 1 Final
Phone #: 503-232-1188 Elect' 1 Service
Reg #. . . 17177-704
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other tIermitee Signature
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. ISSUed By
INSTALLATIOt\;
The installation is being made on property I own which is not intended for
sale, le_asp_, or rent.
OWNER' S S I GNATURE: DATE: =
UNTRACTOR INSTALLATION
S
" SIGNATURE OF" SUPR. ELEC' N s �"'. >l,c: t.� :, DATE: 5- ;h/ W,
LICENSE NO:
Ca11 for inspection — 639-4175
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I Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
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13125 SW Hall Blvd. L!
Tigard,OR 97223 PERMIT#�_ t'G-Ci 1C,7 —_
Phone(503)639-4171
FAX(503)684-7297 DATE ISSUED_5 - x,17-
TDD No. (503)684-2772
CITY OF TIGARD Inspection (503)639-4175 ISSUED BY t,-c se- a�4 _
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
7320__SW Hunziker_ Rd. ,--
Address
d. ,_Address RESIDENTIAL—Restricted Energy Fee. . . . . . . . . 140.00
_Tigard 9 7223 (FOR ALL SYSTEMS)
City State Zip Check Tyne 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, ❑ Burglar Alarm rr
2. CONTRACTOR APPLICATION 13 Garage Door Opener*
❑ Heating,Ventilation and Air Conditioning System*
ContractorAllteC Seu1r], 'ty Type__CgMprcaj_ _ ❑ Vacuum Systems*
Address PO Sox 55310 - Portland, OR 97238-5310 El Other -�
Date-5122 96 _ COMMERCIAL—Fee for each system . . . . . . . 540.00
(SEE OAR 918-260-260) i
Property Owner_Qsyego Tecbno_ ogy Corp,_.__ Check Type of Work Involved:
Contractor's Board Reg. No. 077704 ❑ Audio and Stereo Systems*
❑ Boiler Controls
Phone# 331.-2620 _ ❑ Clock Systems
❑ Data Telecommunication Installations
3. OWNER APPLICATION
❑ Fi;-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(100 volt amps or less)under this permit and to do the ❑ Outdoor Landscape Lighting*
Following:
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 _
asterisksM.All others need licensing).
a,. 2. Call for an inspection when all of the installations under this permit are ready
for inspection at 503.639-4175. ❑ 1 Number of Systems
3. 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 raqulred. 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 calling for a final inspection when all of the corrections 5. FEES
are completed.
The person signing for this permit must be the applicant or a person a. Enter Fees $ 40.00
authorized to hindthe-a l/iccaant.
�� b. 5%Surcharge (.05 x total above) $ 2.00 `
Signature --'
TOTAL $ 42.00
Authority if other than applicant
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