11794 SW SWENDON LOOP-1 4F�
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 '
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Inspection:___�j!--�-J YL_
• Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg. �p
Plbg. Undettloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. tad. Elect.
Date Requested: �( � Time: AM PM
Address:_ I I ! eJ,,--l -G.�L�E'� %�
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Builder: _ Permit #: 25 D
THE FC)L'_OWING CORRECTIONS ARE REQUIRED:
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Inspector://71 C
.APPROVED ,DISAPPROVED —APPROVED SUBJECT TO ABOVE
—Call For Reinsp. �? "
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Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd.
Tigard,OR 97223 PERMIT#
Phone(503)639-4171
FAX(503)684-7297 DATE ISSUED_- /Q - y$'
TDD No. (503)684-2772 /
CITY OF TI®ARD Inspection (503)639-4175 ISSUED BY cha,lr/
PLEASE COMPLETE ALL SECTIONS
1. LO N OF INS ALLA 7
ION 4. TYPE OF WORK
Ad •
�r RESIDENTIAL—Restricted Energy Fee. . . . . . . . . 14p.00
(FOR ALL SYSTEMS)
City State Zip Check Tyne of Work Involved:
PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK 15 SUSPENDCD FOR ❑ AUdi d Stereo Systems'
180 DAYS. urglar Alarm
2. CONTRACTOR AP CATION ❑ Garage Door Opener* ,
L 11 Heating,Ventilation and Air Conditioning Systems
Contractor . _ Type _ 7- ❑ Vacuum Systems*
Address U ❑ Other
Date COMMERCIAL—Fee for each system , . . . . . . . 140.00
1 (SEE OAR 918-260-260)
Property Owner Check Tyne of Work Involy!jL
Contrac3or's Board Reg.No. � / _ ❑ Audio and Stereo Systems*
Phone#
C^ ❑ Boiler Controls
— ❑ Clock Systems
J. OWNER APPLICATION ❑ Data Telecommunication Installations
91��, _ V ❑ Fire Alarm Installation
Print Owner's Name Pliunr No ❑ HVAC
❑ Instrumentation
Address ❑ Intercom and Paging Systems r,
❑ Landscape Irrigaflon Control*
Cit' State Zip ❑ Medical ,I„
This I>nrmit Is issued under OAR 918.320.370.This applicant agrees in make only ❑ Nurse Calls `� W
restricted energy installations(100 volt amps or k ss)under this permit and to do the
follmving: ❑ Outdoor Landscape Lighting*
1. Onlyy use electrical licensed persons to do installations where required.(Certain ❑ Protective Signaling V1O'
residential and other transactions are exempt from licensing.These have ❑ Other
asterisks(*).All others need licensing). ---
2. Ca9 for an inspection when all of the installations under this permit are ready
forinspection at 503-639-4175. 1:13. Purchase separate permits for all installations that are not ready for Inspection Number of Systems
when the inspector is out to Inspect under this permit.
4. Assume resptmsihility for assuring that all corrections required by the Inspector 'No licenses are required. Licenses are required for all other installations.
are done,and ---_- -
5. Assume responsibility for calling for a final inspection when all of the corrections
are completed. 5. FEES
The person signing for th' p it must he the applicant or a persona. Fees
authorized to b d cant, . Ener $ !J v
b. 5% Surcharge(05 x total above) $
Signator — —
TOTAL $ ?.Qct
Authority if other than applicant '—
ENERGAP.CHP