16320 SW SYLVAN COURT 1 V
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CITY OF TIGARD BUILDING IN3PECOTI N NOTICE
Inspection Line:639-4175 Business Phone: 639 4171
Footing Rain Drain Cover/Service FI
Foundation Water Line Ceiling -Plu b.
Post/Bearn Mech. Shear/Sheath Framing -Me h.
Plbg.Und/Flr/Slab Plbg.Top Out Insulation -Elect.
Post/Beam Struct. Mach. Rough-in Gyp. Bd. -Bldg
San. Sewer Gas Line Appr/Sdwlk Reins.
Other: ___--
Date: A.M. _P.M. Entry:
Address: ! 6 3 Z 0 �,..
Tenant: _ Ste:___ MST:
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{` THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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Inspe � _. Date:
_._.APF'ROVEU i DISAPPROVED/CALL FOR REINSP, CF CO
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CITY OF TIGARD
DEVELOPMENT SERVICES
ELECTRICAL PERMIT
13125 SK'Ha11Blvd., Tigard,OR 97223 (503)639.4171
RESTRICTED ENERGY
PERMIT #: EELR97-0049
DATE: ISSUED: 02/14/97
PARCEL: 2S11.4BB-024 0
ITE ADDRESS. . . : 16320 SW SYLVAN CT
SUBDIVISION. . . . : PICKS LANDING NO. 1 Z.ON I NG:R--4. 5
131_OCK. . . . . . . . . . '_OT. . .. . . . . . . . . . . .38
Project Description: TNSTL BURGLAR ALARM
fl. RESIDENTIAL--_.___—__- B, COMMERCIAt-------------------------------------------
AUDIO & STEREO. . . : AUDIO 8 STEREO. . : T.NTERCOM d PAGIN(7, . :
BURGLAR ALARM. . . . :X BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . :
GARAGE (,F'ENER. . . . . Cl-OC1!, , . . . . . . . . . MED I CAL.. . . . . . . . . . . . .
HVAC. . . . . . . . . . . . . . DATA/TELE COMM. . : NURSE CALLS. . . . . . . . a
VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : 01 1TDOOR L ANDSC LITE.
OTHE=R. It HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL.. . :
I N91'RUMENTA'T'T ON. : OTHER.. . : . .
TOTAL # OF SYSTEMS: 0
Owner ------- FEES
VICTORIA LANCASTER type amount by date r^ecpt
16320 SW SYLVAN CT PRMT $ 40. 0i,n TAT 02/14/97 07-2904,-.F,
5PCT $ 2. 00 TAT 02/14/97 97--290426
TIGARD OR 97223
Phon- #:
Cont r•act or.
ADT SE[-,t►P T 1 Y AI.-ARMS $ 4121. 00 TOTAL.
703 NE HANCOCK
--- - -- REQUIRED INSPECTIONS
j PORTLAND OR 97212 Ceiling Cover El er_t' 1. Service
Phone #: 503-284-3265 Wall Cover- Elect' ]. Final
Reg #. . `.59944
This peroit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and al l other Permit P, i gnat•i_tre ,
applicable laws. All work will be done in accordance with i
approved plans. This perait will expire if work is not started
within 10 days of issuarcp, or if work is suspended for sore � Z
than 1W days. I s s U e d By
INSTALLATION ONLY- —
The installation is being made on property I own whish is not intended for
sale, lease, or rent.
OWNER' S SIGNATURE: DATp',
CONTRACTOR INSTALLATION
SIGNATURE OF Sl1PR. ELEr' N: DATE:
LICEN9F_ NO:
Call for inspection - 639-4175
,,
1
• r Community Development RESTRICTED ENERGYELECTRICALAPPLICATION
13125 SW Hall Blvd.
k Tigard,OR 97223 PERMIT#t
Phone(503)639-4171
FAX(503)684-7297 DATE ISSUED
TDD No. (503)684-2772
I CITY OF TIOARD Inspection (503)639-4175 ISSUED BY
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PLEASE COMPLETE All SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
��3o"�D Gcl u ' --- •
Add re s RESIDENTIAL--Restricted Enemy Fee . . . . . . . . . 11n
_ (FOR ALI SYSTEMS)
I
City State Zip Check Type of Work Involved:
PERMIT. Rl 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
1 n DAYS. Burglar Alarm
Garage Door Opener'
2. CONTRACTOR APPLICATION ❑ Heating,Ventilation and Air Conditioning System*
Contractor pe _J� ElVacuum Systems'
KVM ❑ Other _
Address `_awdom
orwa
Date h COMMERCIAL—Fee for each system . . . . . . . . . $40.00
(SEE OAR 918-260-260)
Property Owner I a dLtp_ Check Tyne of Work Involved,
t Contractor's Board Reg. No. / 7 Y ❑ Audio and Stereo Systems
❑ Boiler Controls
Phone# ❑ Clock Systems
❑ Data Telecommunication Installations
i 3. OWNER APPLICAI ION
❑ Fire Alarm Installation '
i
❑ HVAC
Print Owner's Name Phone No ❑ Instrumentation kk
I
Address — El 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 El Protective Signaling
residential and other transactions are exempt from licensing.These have ❑ Other _
4 asterisksM,All others need licensing).
2. Call for an inspection when all of the installations under this permit are ready
for inspection at 503-6394175.
❑ 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. 1.1wri s aro required for a8 odler 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 5• FEES
corrections are completed.
The person signing for this permit mus he the applicant or a person I. Enter Fees $ TO'
authorized to nd thea licant.
�7
b. S"/n Surcharge(.05 x total above) $
Signature
TOTAL $,Y,:2)
Authority if other than applicant
ENFRGAP.CHP
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