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15605 SW 72ND AVENUE ,p ADDRESS: 15 7, c2u lArecordsVnicrofHAW rgets\bullding.doc f / 2 $ § $ § $ CL \£ i § CL e e r :3 }/ � � C*4 C) 0 0 2 7 \ C o ƒ ± y ƒ � � £ � ( 5 § n W c o o le d � f y @ ) � # 7n c 0 3 3 S G S $ @ .> u � § 2 % � 2 � � $ 2 � 2 § e 7 $ \ \ ƒ ) k LL $ 2 # I ul E 0 ƒ § 2 2 § \ \ 0 0 0 o q CD 2 ] ] ] j j N d O 2 a n.. a a a n LL R M �, a> =J CD 0 U V to G Lq v z n cn C? o a a d LO C" cn 0 m m m W a r O o _ N Q (U V) U a w oim V1 N d t+ O a IT c ;, € a U U > NCL) c 8 c b U rn 0 r O a, 0 0 Cl) (1) > U c U UU U V U U W W W l W W W W CITY OF TIGARD P'JILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone). 639-4175 Business Phone: 639-4171 11 Inspection: c i� � , Footing Susp. ailing Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mach. Rough-in Fireplace Post'Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mach. Underflr. In Shear Wall Gyp. Bd. EI t. e( O In Rp sted:_ 7 �� S Time: AM PM l Address:. l"1j.1. ' .!� : - Permit 11, _�1F C/ THE FOLLOWING CORRECTIONS ARE REQUIRED;, , 9 t' t �•/ sx� % v c r c1 f- N J .-r G7 It I .J 7 T lor C d Date: GPROVED —DISAPPROVED APPROVED SUBJECT TO ABOVE —Call For R ainsp. CITY CSF TIGARD DEVELOPMENT SERVICES ELECTRICAL. PERMIT 13125 SW Vill Blvd,, Tigard,OR 97223 (503)639.4171 RESTRTCTED ENERGY PERMIT 4: ELR97-0056 DATE ISSUED. 02/e--,6/97 PARCEL: i-S112:,DC---00100 ! TE nDDRESS. . . - 1.5(-,0' SW 72-INT) AVE SUBDIVISION. . . . : SP TIGARD INDUSTRIAL PARK ZDNING: I-L BL OCV.. . . . . .. . . . . : LOT. .. . . . . . . . . . . . .1-2- Pt-oject Description: INSTL PROTECTIVE SIGNALING A. REGII)ENTT.At---------------- B. AUDTO & STEREO. . . : AUDIO P. STEREO. INTERCOM & PAG TNG. . BURGLAR ALARM. . . . : BOII-!:(t. . . . . . . . . . LANDSCAPE/TRRTGAT. . : GARAGE OPENER. . . . : CLOCV- . . . . . . . . . . . mr--DT.r-'n1.. . I. . . . . . . . . . . : HVAC. . . . . . . . . . . . . DATA/TELE COMM. . NURSE CALIS. . . . . . . . : VACUUM SYSTEM. . . . FIRE OUTDOOR LnNDSC LITE: OTHER: HVAC. . . . . . . . . . . . PROTECTIVE SIGNAL. . : X TN93TRUMENTn"I'TON. : n'rt1FR. , : : 1. To'rAL # OF SYSTEMS: I Owner.: FEES PPOGRESSIVE INSURANCE type amount by date r-eept t9605 53W *72ND AVE PRMT $ 40. 00 TAT 97--290(177 `:,PCT $ 2. 00 TAT 02/216/97 97--290877 I-T-30PI) OR 97224 Phone -*-. Cont!,actot•: -------------------------------------- - ----_------------_.--------------_.. nDT SECLIRTTY ALARMS $ 42. 00 TOTnt- 703 NE HANCOCK REQUIRED TNSPECT IONS -------- POPTI-AND OR 9721.'2 Ceiling Cover Flert' I Sp-,-vice PhDT'le #.' 503-284-3265 t :III Cover- Elect' l Final R-r g 000599 It s persit is issued subject to the regulations contained in the lua-12. -ard Municipal Cede, Stato of Ore. Specialty Codes and all other F'r>rmi Ci g na JV I-licable laws. P,! work will be done in accordance with ,roved plans. This pervit w,11 expire if work is not started hir 180 days of issuance, or if warIf is suspended for eare IN days. I s s 5 P.d TN1jTAL1.-n*TTON ONI-Y e installatic-i is being made on property I own which is not intended for Je, lease, or rent. lNrRIS S)IS'NATLIRF! DnTE: .............._.._.. .._....-_.-.CONTRACTOR TN'1')TAI-LATTnN '1,JnT1JRE (IF SUPR. ELEC9Ni DATE: -J CO 'CENSE 1\10: LLJ Call for inspect : on - 639-4175 L CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by: 13125 SW HALL BLVD Date Rec'o: TIGARD OR 97223 PRINT OR TYPE V- 503-639-4171 X304 Permit#: 61l79 LL� F -503-684-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:_ WILL NOT BE ACCEPTED Name of Development Project TYPE OF WORK INVOLVED -RESIDENTIAL Restricted Energy Fee........................................ ;40.00 (FOR ALL SYSTEMS) ,JOB Street Addr s Str# 5 :heck Type of Work Involved: ADDRESS 1� C` y/ ate Zip Phone# ❑ Audio and Stereo Systems 4. _ Name ❑ Burglar Alarm ' >r2i' r Garage Door Opener* OWNER Mailing Address L� City/State Zip Phone# ❑ Beating,Ventilation and Air Conditioning System' Name ❑ Vacuum Systems• to Intl MR1111111111i,W, M3 lWarA ❑ ^ther CONTRACTOR Maiting Address WMAW UK 11111111 amm3m TYPE OF WORK INVOLVED -COMMERCIAL _ (Prior to is9ue ice a City/State Zip Phone# Fee for e:-,:h system.............................................. $40.00 copy of all licenses (SEE Ol,R b!Q•260-260) are required if Oregon C..ntr Brd Lic..#, Exp. Datc expired in C.O.T. _V Check Type of Work Involved: data base). Electrical Contr.LIC.# Exp Date ❑ Audio and Stereo Systems C 0 or Metro Lic.# Exp. Date .�� ❑ BOiIcr r�rlfr^IE Owner's Narre ^7 " .�� L% )l i-+�� ❑ Clock Systems OWNER - Mailing Address APPLICANT ❑ Data Telecommunication Installation City/State Zip Phone# + Fire Alam)Installation This permit is issued under OAE 918-320-370.This applicant agrees to __X make only restricted energy installations(100 volt amps or less)under this ❑ HVAC permit and to do the following. ❑ Instrumentation 1. Only use electrical licensed persons to do installations where required. Certain residential and other transactions are exempt from licensing. ❑ Intercom and Paging Systems These have asterisks(*). All others need licensing; ❑ Landscape Irrigation Control' 2. Call for inspections when installation under this permit are ready for inspection at 603-639.4176; LJ Medical 3. Purchase separate permits for all installations that are not ready for an ❑ Nurse calls inspection when the inspector is out to inspect under this permit; 4 Assume responsibi!ity for assuring that all corrections required by the ❑ Outdoor Landscape Lighting' inspector are done,and; UjProtective Signaling 5 Assume responsibility for calling for a final inspection when all of the corrections are completed. ❑ Other —' Permits are non-transferable and non-refundable and expire If work is not C-1 st^rted within 180 days of issuance or if work is suspended for 180 days ,_ Number of Systems u' The person signing for this permit must be the applicant or a person • No licensee are requl ea Licenses are required for all other installations authorized bind the applicant. _ 1 EFF.Ig: ENTER FEES Sig a re 5%SURCHARGE(.05 X TOTAL ABOVE► Authority If other than Applicant TOTAL tre,ele doc 12196 — Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION 13125 SW Hall Blvd. PERMIT# I- Tigard,OR 97223 r I �* Phone(503)639-4171 FAX(503)684-7297 DATE ISSUED �-2-� TDD No. (503)684-2772 M I CITY OF TI©ARD Inspection (503)639-4175 ISSUED BY j 1 t7 ��' PLEASE COMPLETE ALL SECTIONS 1. LOCdATION ,INS LLATION 4. TYPE OF WORK AdAmks RESIDENTIAL—Restricted Energy(FOR ALL SYSTEMS) tree. . . . . . . . . $40.00 f�,2 r ^� .�-�- ?vl C..J l/ 5) city State Zip Check Type of Work Involved: PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo ivstems* IS NOT STARTED'UITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR 180 DAYS. ❑ Burglar Alarm El Garage Door Opene•* 2. CONTRACTOR APPLICATION ❑ Heating,Ventilation aid Air Conditioning System* Contractork v a-� _Type (/11/l{ �1 _ ❑ Vacuum Systems* C-1,�, �' T--, / ❑ Other -- Address �S 7th L Date COMMERCIAL—Fee for each system . . . . . . . . . 540.00 -� (SEE OAR 918-260-260) Property Owner / �( �5/V I✓ �+ s S Check Tyne of Work Involved: Contractor's Board Reg. No. � (l' _ El Audio and Stereo Systems* El��� �� � Bailer Controls Phone# _ — dock Systems Data Telecommunication Installations 3. OWNER APPLICATION ❑ Fire Alarm Installation ❑ IIvAc Print Owner's Name Phone No ❑ 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,xrmit and to do the ❑ Outdoor Landscape Lighting: following: 1. Only use electrical licensed persons to do installations where required.(Certain El Protective Sigudling residential and other transactions are exempt from licensing.Thrse 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 n; 1. 11urct,mv separate permits for all installations that ate not ready for inspection 2 when the inspector is out to inspect under this permit. •No licenses are required. I k rnw%are required for all cdher installations. F— tn 4. Assume responsibility for assuring that all mrmctions rerntirrd by the Inspector y arr done.and 5. Assume responsibility for calling for a final inspection when all of the corrections 5. FEES .-i are completed. The person signing for this permit must he the applicant ora person a. Enter Fees $ v W authorized to bind the applicant. b. 5% Surcharge(.05 x total above) $__Z Signature TOTAL. $ Z. .oo Authority if other than applicant ENERGAP.CHP .awr job # 3777 ewo pending r WASHINGTON COUNTY �� Department of Land Use &TransportationE LEGT� R I C / L PERMIT;RMIT 1� Electrical Inspection Section A! 155 North First Avenue,x#350-12 AP P�LI CA 1T I O Y Hillsboro, Oregon 97124 Information: (503) 640-3470 Fax: (503) 693-4412 PLEASgPRINT Permit Number Date,. s . through ("--/- ) - 1. Location of installation a. Complete Fee Schedule below AddressS .W _ 2 na _ Number of inspertions per permit allowed YrF _6&) ` - Building � Service included: Items Costiea. Sum City tiq _ Suite No. _ ) Tenant Name A. Residential- pQr unit 'it cc imercial) Progressive Insurance - 10j0 sq.ft.or less - $110.00 Map No._-..__ - Tax LUt Each additional 500 sq.ft or portion thereof ---- $25.00 -- Limited Energy $25.00 - - i Thomas Map Book. Paye: _ Section:. _- Each Manufd Home or Modular Directions Dwelling Service or Feeder $68.00 _ B. Services o Feeders Commercial Residential❑ Installation,altere.lons or re ocation 200 amps or If ss ,_- $60.00 ,__ 2 2a. Contractor installation only; 201 amps to 4110 amps $60.00 2 _ Electrical Contractor bachofner Electric $120.00 2 - 401 amps to 60u gimps 601 amps to 1000 amps $180.00 2 Address 55 S.E .Main Over 1000 amps or volts $340.u0 r ____ 2 CityPort1an State.-Q1- ZIP 97214 Reconnect only $50.00 _ Date 7-28-95 Job Number 3777 Property Owner _ C. Temporary Services or Feeders Contractor's License No. 26-451C _ Installation,alteration or relocation Contractor's Board Reg. No. 44569 - __ 200 amps or lots $50.00 ._ __ _ 2 - 201 amps to 400 amps $75.00 2 401 amps to Signature of Supt. Elec'n emps over 600 ampso 1000 volts see"e"above$100.00 - - 2 License No 2808S Phone No. 233 -2&Q6 D. Branch Circuits 2b. For owner Installations: New,alteration or extension per panel a) The fee for branch circuits with PrintOwner's ame -__PFone W6. purchese of service or feeder fee. Each brench circuit $5.00 2 Address b) The:fee for branch circuits without ___ purchase of service or fee or foo. city tate --�(p �' F;rst branch circuit $35.00 3 5• 0 2 Each add'nl branch circuit Aly $5.00 - �` 2 The installation is being made on property If own E. Miscellaneous(Service or Feeder not includedi which is not intended for sale, lease or rent. Each pump or irrigation circle $40.00 _ _ 2 Owner's Signature _ Each sign or outline lighting _�_ $40.00 2 Signal circuit(s)or a limited energy panel,alteration 3. Pla7 Review section (if required) or extension $40.00 z Please check appropriate item and enter fee rn section 58 F. Each additional Inspection over the allowable CL in any of the above 4 or more residential units in one sttuurure w Service and feeder, 800 amps or more Per inspection $ 5.00 N p Per hour $555.00 System over 600 volts nominal In Plant $55.00 - ti Classified area or Structure containing special occupancy as described In N.E.C. Chapter 5 5. Fees Submit 2 sats of peens with application where any of the AEnter total of above fees $ 85•IZQ A. -�_ 4 above apply. Not required for temporary construction 5% Surcharge (.05 X total fees) $ 4.25 _ services. Subtotal $ This permit becomes null and void If the work authorized by the permit is B. Enter 25°'0 of line A for not commenced within te0 days from date of Issuance of such permitor Peru Review if required (Section 3) $ If the work authorized Is suspenoed o. abandoned at any time after work Subtotal $ 89.25 is commenced for a period of 180 days, Electrical Permits ire non- $ -- refundable and non-transfaiable. I I Trust Account For inspections call Balance Due 6,31-3699 or 681-3698 ao--'=- 24-hour recorder, v:m working day in advance of need BL28 • 3195