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F1�� SW AVON COURT
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 _AUsiness Line: 639-4171 "AST
`) I HUP
_-- Date Rec jested_ l��'�� AM PIA BLD --- —..
Location_ ` `'� E t G$ Suite --- --
-- �. MEC _
Contact Person -__ ti Ci( , Ph U) l (- PLM — -
Contractor _ P5✓1 ri S _ Ph SWR
BUILDING --�� Tenant/O G� f (.5�.��'JCij�/�% EL^
Retaining Wall ELR 6�40
Footing /access:
Foundation FPS
Ftg Drain -
Crawl Drain inspection. Notes: ; SGN _
Slab - -- -- - t 7 r'9 �- tin-
Post& Beam SIT _ -
Ext Sheath/Shear
Int Sheath/Shear u -
Framing
insulation
Drywall Naffing
Firswall -
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
FinaPASS
SS FART FAIL -- - --- -- -. L-'� /
PLUMBING
Po;-t& Beam - ----- - --- - -- -- — -- -
Under Slab
Top Out ---u --- --- -
Water Service
Sanitary Sewer - -------
Rain Drains
Final --- -
PASS PART FAIL
MECNAyICAL _._.
Post& Beam
Rough In --. __-------- --- - --- ----
Gas Line - - - -
Smoke Dampers
Final - - - ------
PASS F,%RT FAIL.
Service
RoughIn - -- ----- - -- ------------------ -------
UG/Slab
Low Voltage - ---..--- ----- --- ----
Flre Alarm
)FrAS PART FAIL
Backfill/Grading --- - ----- ---
Sanitary Sewer
Storm Drain ( ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ )Please call for reinspection RE: --_ [ )Unable to inspect no access
ADA
Approach/Sidewalk
Other Date ctor Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection !record from the job site.
I
CITY OAF TIGARD
DEVELOPMENT SERVICES ELECTRICAL PERMIT
13125 SW Hall Blvd., Tip d,OR 97223 (503)639-4171 PE 97-P I .TED ENERGY
PERMIT #: ELR96-0388
DATE ISSUED:
PARCEL: 20-111013-02,00121
'SITE ADDRE'SS. . . . CT
riUBDIVISION. . . . : STRATFORD ZONING:R-4. 5
BLOC!,'. . . . . . . . . . . LOT. . . . . . . . . . . . . ..:8
Project Description: TNSTL PLIGi_AP. ALARM
A.. RESIDENTIAL_—_.___—__ B. COMMERCIAL--.- -------------.------.-----. —__—__----..-
A1..ID I O R STEREO. . . : AUDIO R S'T EREO. . : I NTFRCOM R PAG T NG. .
BURGLAR ALA,<M. . . . : X BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . :
GARAGE OPENER. . . . . CLOCI/. . . . . . . . . . . . MLD:'CAL . . . . . . . . .. . . . .
HVAC. . . . . . . . . . . DATA/TEI._.E C:OMM. . . NURSE CALLS. . . . . . . . .
VACUUM SYSTEM. . . . : FIRE At_ARM. . . . . . : OUTD(IOR L_.r.ND9f' I..T.TE:
OTHER: : : HVAC. . . . . . . . . . . . : PROTECTIVE SIGNAL. . :
INSTRUMENTATION. : OTHER., . :
TOTAL # OF SYSTEMS: 0
FEE.
PATTI LAMBORN type amount by date rer_pt
11925 SW AVON CT PRMT `L• 40. 00 TAT 12/31./96 `36 A80':j
SPC:T $ ":. 00 TAT 12/31/96 96-28O2s"
r I CARD OR 97224
r-hone #:
[iPINKS HOME SECURI'TY 4 42. 00 TOTAL.
NO59 SW CIRRIJ6 DR
-------- RECUIRED INSPECTIONS ------
BEAVERTON OR 97O08 Ceiling waver Elect' 1. Service
'-Tionp #: V-641--0574 Wall. Cover Elect' 1 Final
Reg it. . ,. 44421 y
'his permit is is5Ved ,ubject to the regulation; cor.taintd in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other IDer•mit7 Si.gnati.tre)
applicable la+.;. All work wil: be done in accordance with
4pproved plans. This permit will expire if wn-k is no' ctarted � {
t�within 160 days of issuance, or if work is suspended for more -
1* 180 days. T.s's�aed By
INSTALLATION nNL_Y—.-4/_—__—_—.-____—_..__.-_-_— .__
The installation is being made on pr-operty I own whir-.h is not intended for
<;ale, lease, or rent.
DWNER' S SIGNATURE: DATE:
INSTALLATION
TGNATURE OF SL.IPR. ELECT N: DATE:
l.T CENSE NO:
Call for- inspection - 639-4175
L
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW i,zll Blvd.
Tigard,OR 97223 PERMIT#
Phone(503)639-4171 �.
FAX(503)684-7297 DATE ISSUED
TDD No. (503)684-2772 /
CITY OF TI®ARD Inspection (503)639-4175 ISSUED BY i
PLEASE COMPLETE ALL SEMONS
1. LOCATION OF IN ST LLAION4. TYPE OF WORK
Ad v ! RESIDENT IAL—Restricted Ener[�y Fee . . . . . . . . . 940.0,0(FOR ALL SYSTEMS)
City State Zip Check Tvoe of Work Involved:
PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo S terns
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR
180 DAYS. Burglar Alarm
2. CONTRACTOR APPLICATION ❑ Garage Door Opener*
�RTNKS HOME SECURM ALARM ❑ Heating,Ventilation and Air(ot,;i:tioning System'
Contracto _ ype ❑ Vacuum Systems*
Address 8059 S.W. CIRRUS DRIVE, BEAVERTON 91008 ❑ Other
Date /,,;-/��—_ ______ COMMERCIAL—Fee for each system 540.QQ
—E (SEE OAR 918-260-260)
Property Owner _ _ Check Tyne of Work Involved:
Contractor's Board Reg. No —0444"1 ❑ Audio and Stereo Systems
-- —
❑ Boiler Controls
Phone# (503) 641-0574 _ ❑ Clock Systems
3. 13WNER APPLICATION ❑ Data Telecommunication Installations
❑ Fire Alarm Installation
❑ HVAC
Print Owner's Name Phone Na
❑ 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 >P ❑ Outdoor Landscape Lighting*
following!
1. Only use electrical licensed persons to do installations where required.(Certain EJ_ Protective Signaling
residential and other transactions are exempt from licensing.These have ❑ Other
asterisks(•).Ali others need licensing). ---
1. 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 —W
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 tSe inspector
are done,and
S. Assume responsibility for calling for a final Inspection when all of the 5. FEES
corrections are completed.
The person signing for this permit tr,ost he the applicant or a person a. Enter Fees $
authorized to bind the apE licant.
b. 5% Surcharge(.05 x total above) $�. `
Signature � —
TOTAL $
.0?#
Authority i other than applicato
ENERGARCHP
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