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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line. 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
�s
Post/Beam Mech. Shear/Sheath Framing -Mach.
Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Flet
Post/Beam Struct. Mech. Rough-in Gyp, Bd. Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
11
Other: _ e
Date: S�__ A.M. P.M. Entry:—
Address: _
Tenant: ___ Ste:__._ MST:
n / BLIP: .
Con/e).�.upt r e MEG: _
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THE FOLL 1lU1NG CORRECTIO��S RF REQUIRED: ELR:
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Inspector: c��1( Date:
APPROVED _DISAPPROVED/CALL FOR REINSP. CF CO
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CITY OF TIG"AR' D
DEVELOPMENT SERV:CES ELECTRICAL PERMIT -
13125 SW Hall Blvd.,Tigard,OR 97223 (503,1 539.4171 RESTRICTED ENERGY
PERMIT #: EL R96--0395 S
DATE ISSUED: 12/31/96
PARCEL : iS136CB-04000
SITE ADDRESS. . . : O837C SW STEVE 61' �
SUBDIVISION. . . . : STEVE R• HUGHTE' S PLACE -ONIN13:R--4. 5
BLOCK. . LO f. . . . . . , . . . . . . . 12
.j
Proer_t Description: INSTALL BURGLAR ALARM
M
!1.
RESIDENTIAL--------- B. COMMERC T AI.
AUD T 0 P STEREO. . . : nUD I O R STEREO. . : INTERCOM d• PAGING— :
:
BURGLAR ALARM. . . . :X BOIL-ER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . :
GARAGE OPENER. . . . . CLOCK. . . . . . . . . . . MErjlCAL. . . . . . . . . . . . .
HVAC. . . . . . . . . . . . . 2 DATA/TELE COMM. . . NURSE CAL-1_66. . . . . . . . .
VACUUM SYSTEM. . . . : f I FSE ALARM- - . : OUTDOOR LANDSC. LITE
OTHER: . . HVAC. . . . . . . . . . . . . PROTECTIVE: SIGNAL. . :
INSTRUMENTATION. : nTHEP. . : . .
TOTAL # OF SYSTEMS: 0
FEE,
ALICE,KIRBY type amoi_tnt by date recpt
(1370 SW STE=VE ST FIRMT f i^ 00 TAT 12/31/96 96-28829C,
yPCT $ 2, 00 TAT 12/31/96 96-2882296
T'.GARD OR 97223
'-,hone #:
SRINKS HJME SECURITY t 42. 00 TOTAL
8059 SW C;T RRUS DR
_.--_--- REDUIRED INSPECTIONS ----
BE:AVERTON OR 97006 Ceiling Cover- EI er-t' I i;ervice
Phone #: V-641—O574 Wall Cover Elect' l Final
Reg #. . : 44,421 /fes
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Cme. Specialty Codes and all other Permi.,t.ese �Signatut,,
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within tele days of issuance, or if work is suspended for more
than 168 days, I s`.'.(ed By
OWNER INfiTAI.-I_f1T1ON ONLY-.---
Tha installatizn is being made on property I owii which is not intended for
sale, lea'ae, or rent.
OWNER' S SIGNATURE: _ DATE.:
--------- ------ - — -----CONTRACTOR INSTALL-ATIOhI
SIGNATURE OF SUPR. ELEC' N: DATE=
LICENSE NO:
Call for inspection 629-4175
LS
Community Development RESTk.CTED ENERGY ELECTRICAL APPLICATION
13'25 SW Hall Blvd. /j�)
Tigard, OR 97223 PERMIT # rrS7f0"
Phone(503)639-4171 (j>/
{
FAX(503)684-7297 DATE ISSUED
TDD No. (503)684-2772
CITY OF TIGARD Inspection(503)639-4175 ISSUED 9Y
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF IN TALLATION 4. -n'PE OF WORK
,; _ � .
Addre;s.7 RESIDENTIAL—Restricted Energy Fee. . . . . . . . . 140.00
�,I�3
(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
2. CONTRACTOR APPLICATION ►� Garage Door Opener•
i ❑ Heating,Ventilation and Air Conditioning System'
PRINKS HOME SECURITY ALARM
Contracto ype�� ❑ Vacuum Systems*
Address 8059 S.W. CIRRUS DRIVE, BEAVERTON 97008 ❑ Other-- — _ -- —_—_
Date
a"6r._,_ , (SEE OAR 918-260-260)
__._e _ COMMERCIAL—Fee for each system . . . . . . . . . �4�tN2
Property Owner _- _ Check rype of WQrk Inv.4lvcd;
Contractor's Board Reg. No._ 94440C1 Audio and Stereo Syl,tems
:---_—--------
❑ Boiler Controls
Phone# (503) 641-0574 _ ❑ Clock Systems
3. OWNER APPLICATt 'd ❑ Data Telecommunication Installations
❑ Fire Alarm I,;alla6,
❑ HVAC
Print Owner's Name Phone No ❑ Instrumentation
_ I
Address - ❑ Intercom and Paging Systems i
❑ Landscape Irrigation Control'
City State Zip ❑ i ' A
This permit is issued under OAR 918.320-370.this ;gree to make only ❑ Nurse Cai
rrstrlrfed energy Installations 1100 volt amps or i and to do the ❑ Outdoor Landscape Lighting*
folltwing:
I 1. Only use electrical licensed pers•- n +,6;Non! : uired.(Certain ❑ Protective Signaling
residential and other transactiow fni ;m h se have ❑ Other
asterilks(•).All others need liter — —
2. ''all For an Inspection when;dl or, 'allations url4 it are ready
lot inspection at 503-639.4175. ❑ Number of Systems
3. Purct.ase separate permits for all,ns 1y fer inspection
when the inspector is out to inspect .No licerim are required. Licenses are required fes•all other Innallatlons.
4. Assume responsibility for assuring;kat ah cam,,—tic„required by the inspector
are done,and
S. Assume responsibility 1nr calling f„r a final inspee, vhen all of the S. FEES
corrmflon!are ccmpleted.
The person signing for this permit must be the:applicant or a .erson - Enter Fees $
authorized to bind the appli-ant.
b. 5%Surcharp(.05 x total above) $
Signature
TOTAL $
Authority ill-other than afrplican
ENERC',ARCHP