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! CITY Or TIGARD BUILDING INSPECTION NOTICE
Inspection Li�n`e',�(Roc-O-Phone): 639-4175 Business Phone: 639-417
InsFec tion: 1�� ALJ Vii' [V t,, / /uv
Footing Susp. Ceiling Sprink, Rough-in Appr/Sdwlk s.
.a
1 Foundation Plbg. Underslab Mech. Rough in Fireplace
Post/Beam Struct. Plbg. Top Out ec. Rough-in FINAL: �
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
•
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested:_ "T�/ -b tc _—Time. AM PM
Address: _7 Ne- ,X -Z- �e,.f , —
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Builder��� � Z Z- "�— G S 71 Permit q: JZ
THE FOLLOWING CORRECTIONS ARE REQUIRED:
v
Inspector / ' c-. / � _ t C"� Date:
-2-�PPROVED _4DISAPPROVED _APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
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Community DevelopmentRESTRICTED ENERGY ELECTRICAL APPLICATION I/
' t 1317.5 SW Hall Blvd.
Tigard, OR 97223 PERMIT#�L/�Q,�-Q_�7
•
F (503)639-4171
FAX( DATE ISSUED 57- d4- VS-
TDD r
FAX(503)6134-7297 _
No. (503)684-2772
I CITY OF TIOARD Inspection (503) 639-4175 ISSUED BY �[
Schir�iL----- ---- y
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
Address RESIDENTIAL—Restricted Ener Fee. . . SAM
t �y `
y2'2- (FOR ALL SYSTEMS) S
i City State Zip
Check Type of Work Involved:
PERMITS ARE NONTRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK El Audio and Stereo Systems*1715"
I�NOT STARTED WITHIN 180 DAYS OF ISSUANCE )R IF WORK IS SUSPENDED FPR y
{ 180 DAYS. ❑ Burglar Alarm I iw
{� ElGarage Door Opener"
2. CONTRACTOR APPLICATION
El(7 Heating,Ventilation and Air Conditioning System"
jContractor 1 NI�1 ; is�4 . Type 141 cJ S,4SAe::. F1 Vacuum Systems* d
an t✓S — ElOther
Address_ I I U !mow �1y S� . Pun} . f�2,'1 -- - --
i 1
Date_ c'-I_I�^'� _^ COMMERCIAL—Fee for each system . . . . . . . $40.00
(SEE OAR 918-260-260)
Property Owner Cc, N�"' _ Check Type of Work Involved:
Contractor's Board Reg. No. ❑ Audio and Stereo Systems'
EJ Boiler Controls
Phone#E _Z2"►-c�S']x _ _ ❑ Clock Systems
3. OWNER APPLICAT ION ❑ Data Telecommunication Installations
❑ Fire Alarm Installation
❑ HVAC
Print Owner's Name Phone No ❑ Instrumentation
Address ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control"
Cit; State Zip ❑ Medical
jThis permit Is Istued under OAR 918-320.370.This applicant agrees to make only ❑ Nurse Calls
I restricted energy installations(100 volt amps at less)under this permit and to do the ❑ Outdoor Landscape Lighting"
following:
1. Only use electrical licensed persons to do installations whew required.(Certain ProtectfvE Signaling
residential and other transactions are exempt from Iicensh.g.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
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 required. Licenses are required for all other installations.
4. Assume responsibility for assuring that all corrections required by the inspector -
- -- --
are done,and
5 5. Assume responsihilitynr calling for a Anal 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 $ 0 t��)
authorized to hind the applicant.
c� Cyi[ b. 5 io Surcharge(.05 x total above) $ 1 . o
Signature -
t TOTAL 02 00
i
Authority if other than applicant
ENERGARCHP
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INSPECTION NOTICE •
Clty of Tigard Building uepartaent
1312S SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Businoos Phone: 639-4171
Inupoction: Z "
Footing P1 re,ab Mach. Rough-in Appr/Sdwlk
Found. Plbg Top Cut Gas Line FINAL: S
Post/Beam .'tract. San. Sewer Framing -Bldg.
Poet/Beam Meth. Rain Drain Insulation -Plumb. -
r
Plbg. Underfloor ester Line Gyp. Bd. -Mech.
Date kequeeted: AM _PM
44 9t
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
I
I
a
i
Inspector.
/ -APPROVED DI::APPn0'.1RD APPROVED SUBJECT To ABOVE
_ Call For Reinsp.
h�i
IIINNN
CITE( OF TIGARD
` COMMUNITY DEVELOPMENT DEPARTMENT �
13125 5VY Hall Blvd.Tigard.Oregon 97223.8199 (603)839.4171
PLUMBING PERMIT
PER111 "i- #. . . . . . . : PLM94--0062
6.39-•4171 DATE ISSUED: 04/22/94
7y�u PARCEL..: 2 S101DB--00101
SITE ADDRESS. , . : 044rrr 5W HIJNZIKER ST
SUBDIVISION. . , . : ZONING: C-p' �
BLO, '' . . . . . . . . . . . LOT. . . . . . . . . . . . . .
CLFtioS OFrWURK. . :NEWGARBAGE_DISPOSALS. . : MOBILE: HOME SPACES. :
,
LYNt: OF USE. , . . :SF 7 WEaSHING MACH. . . . . . . : BACKFLOW PREVNTRS. . : •
OCCUPANCY GRP. . :R3 FLOOR DRAINS. _ . . . . . . TRAP'S. . . . . . . . . .
STORIES. . . . . . . . WATER HEATERS. . . . . . . CATCH BASINS. . . . „ . . . i
F"I XTURE - -- ---- -----
LAUNDRY TRAYS. . . . . . : SH RAJN DRAINS. . . . . :
SINKS. . . . . . . . . . . URINALS. . . . . . . . . . . . . GREASE TRAPS. . , . . . . .
LAVATORIES. . . . . .. 1. OTHER FIXTURES. . . , . : �
TL)B/SHOWERS. . . . : SEWER LINE (ft ) . . . . :
WATER CL_OSETS. . : 1 WATER LINE (ft ) . . . .
DISHWASHERS. . . . : RAIN DRAIN (ft ) . . . . :
Remarks : INSTALLING 1 I_AWAND ONE WATER CLOSET
Owner-.- - --.__.____-.._________._________-_.__________--- -----_.____..._. '
FEES --______.__.__._-.•--
QUANTUM COMMERICAL. MANAGEMENT type aiount by date rec.pt
7440 SW FIUNZIKER PRMT $ 25. 00 BLT 04/22/94 ,
5PCT $ 1. 25 BL•T 04/22/94
TIGARD OR 972223
Phone
• ,„� Contractor-:
V' JIM' S PLUMBING
G F'0 BOX 7160
ALCIHA OR 97007
Phone #: 649- 4Vi::air $-•-i-26, 25 TOTAL
Reg #. . : 71860
REOUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the I op-out insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All work will he done in accordance with
approved plans. This permit will expire if work is not started _
within 190 days of issuance, or if work is suspended for more
than 190 days.
Permittee Signature : �rJ
Issued By : .�
Call for inspection - 639-4175
1
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:
City of Tigard
PLUMBING PERMIT Planck/Rec. #
13125 SW Hall Blvd. ,'APPLICATION 11-cs��Orrrlit # _ •
?' Tigard, OR 97223639--4171 ' I bld __.1-�-l�a� -
/ °�" esatptton
/// „0 )IuNz, a��',� 1 ORS 814.21-610 QTY_l PRICE AMT
rE?sS t vj gaN�I�t�' FIXTURES _—
tn —
r t rri pkE. Lavatory 7, ti o
"'"" I ub or I u owo� --Tw—
.TO%N
ower ny
Water Close, 7.50
Owner Dishwasher 7,50
'
Garbage Disposig -
-WasFtng
Machine 7.50 �-
"" oor Urain v__ _ �-
I ater Vater7.50
— -- — -- —laundry oomraTa y— .5
Occupant _ nnaT— --
F' e! er Fixtures(Specify) ,g �
— i
tM ll.� 57 wtbtrvf;. as.3.9�2.0
Contractor NE 1')2 AveMISCELLANEOUS
Sewer I st 100'
Sewer—ea.Addt. 100 15.00 —
> 2
ere y
ater Service I st
ac ow c a have readtiapplication,—n,fF iF the
Water Service ea.Addit.200' 15.00
information given is correct,that I am the owner Lr authorized agent of -- _
the owner, that plans submitted are in compliance with State laws,that I Storm&Rain Drain 1st 100' 30.00
ant registered with the Const,,AAon Contractor's Board,that the number Storm&Rain Drain Addit. 100' 15.00
given it correct. (If exempt from State registration, please give reason _
below.) Mobile Home Space 25.00
Back Flowreevention-----
Device or Anti-Pollution Device 7.50
"" -----^— Any rap or Waste NotDa —
Connected to a Fixture 7.50
s«t w new a mutt all e�a'hon_ repair at assn
to be done residential O non-residential Q — --
__ Insp. of Exist. Plumbing per hr
Spe�ally Requested Inspections per hr
builddinngg use or prop"-
operttnain,sing amt ---
buy t�t 5 _ `Ra'dwellirxl 15.00
ResiFential backtk)w prevanbon
Proposed use o1 devices 15.00
building or property Cf- S.
xcept iesr entre ocWjw
prevention devices)
NOTICE 'Minimum Fee$25.00 SUBTOTAL
PERMITS BECOMU VOID IF WORK OR CONSTRUCTION r,
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5%SURCHARGE
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED —
t FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS PLAN REVIEW 25%OF SUBTOTAL
COMMENCED.
Special Conditions — TOTAL
Date issued
— —— -- by _
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tt.1ViF't, 140
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