11945 SW PACIFIC HIGHWAY STE 224 ADDRESS:
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phi.ne: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mach. Shear/Sheath Framirg -Mach.
Plbg.Und/Flr/Slab Plbti.Top Out Insulation ec
Post/Beam Struct. Mech. Rough-in Gyp. Bd. Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
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Other: _ At ��
Date. _ — cl 7 ASM`. .Entry:-
Address: __1
Tenant:,rbc t. 'S�r Ste:' ��MST:
n BUP:
Con/Own:. A MEC:
/ PLM: _
FLC:
THE FOLLOWING CORRECTIONS AFIE REQUIRED: ELR��'�Qj1
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1
Inspector:�G�=F�—c-=c�r.��` --� Date,55 —
APPROVED —DISAPPROVED/CALL FOR REINSP. C.F \ CO
CITY OF TIGARD
DEVELOPMENT SERVICES EL-ErTRTCAL- PERMIT
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171
RESTRI.CTI-J) ENERGY
PERMIT #: EL.R'37003E'
LATE ISSUED: 01/31 /97
PARCEI._: IS135DD-037,01
3 T TE ADDRESS. I q45) SW PAC I F T C HWY *2'121 4 7 01\1 T NG�.C-G
SUBDIVISION. . . . :. . . . HOFFARBER TRACTS NO. t
13t.-OCK. . . . . . . . . . I-OT. . . . - .. . - - - - - - :,--'
Pr,o.ject Description: instl protective signaling
.job # 102703
A. R17S I DENT T. P.
AUDIO & S'TEREO. . . AUDTO & STFRED. . INTERC01" & PAGING. . :
B',.JRF'7L..AR AL-ARM. . . . DO T I-ER. . . . . . . . . . 1__Q►`-,DSCAPF/JRR1GAT. . :
. . . . . . . . . . . . .
3PRAGE OPENER. . . CLOCK. . . . . . . . . . . . MEDICAL
HVAC. . . . . . . . . . . . . . DATP/1'FL-E COMM. . NURSE C-Al.-L-9. . . . . . . ..
VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR LANDSC I...ITF:
07HER: iivnc. . . . . . . . . PROTECTIVE SIGNAI... . : X
I I\IE-')T'RLJMFNTAT 3 ON. - OTHER. . : 1. :
TOTAL # OF SYSTEMS: t
Owner: FEES
SPARKLE SPANGLE t y P(4 amoi-tnt by date t-eept
11945 SW P'nCIFIC HW'y P RMT $ 40. 00 TA-' 01/31,197 `37--(''B'376,
STE 224 2. 00 TAT 01 /31/97 97--17'P 9.7 F
TIGARD OR 97223
Phone #:
AAP Al.-ARIYI CO 017 OREGON 42. 00 TOTPI..
78C-,5 SW CJRtRU3 DR REQUIRED INSPECTIONS
BEAVERION OR 1 7008 Ceiling Cover Elect' 1. Service
Phone #: 646-2700 Wall Cover- Elect' l Final
Rei 0009a
This pt,rp,,it is issu�,d subjc-1. to the regulations contained in the /J,.
Tigard ilunic.pal Code, State of Ore, Specialty Codes and all nther fermi e Si El n a t,I.t r I
applicable laws. All wort,, will he done in accordance with
approved plans. This pervit pill expire if work is not started
w0dn IPA days of issuance, rr if work is suspended for sore
than IN days. Iss"Ued By
C
INSTALI-ATION ONI Y-..__-.-__-._____.____
The installation is being made on py-opet-til f own which is not intended fat,
,4I. - rant..
le, lease, at
OWNER' S SIGNATURE.- DATF:
T1JSTAIJ.ATTnN
TGNATURE OF SUPR. �L.ECIN-i DATE-
' r'F1,,11:',F. NF): ........
gall fat- inspection - 639--4175
own
Commun&/ Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd. PERMIT#
Tigard,OR 972..33 _ --
Phone(503)639-4171
FAX(503)684-7297 DATE ISSUED_
TDD No. (503)684-2772
CITY OF TIGARD Inspection (503)639-4175 ISSUFL 1 BY
PLEASE COMPLETE.41 L SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
r
Address RESIDENTIAL--Restricted Energy Fee. . . San.00
Q --1_a a 3 (FOR ALL SYSTEMS)
City State Zip Check Upe of Wgrk Involved:
PERMITS AkE NON-TRANSrERABLE AND NON-REFUNDABLE ANO MIRE IF WORK El Audio and Stereo Systems
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WO tK IS SUSPENDED FOR
180 DAYS. ❑ Burglar Alarm
2. CONTRACTOR APPLICATION ❑ Garage; ,or Opener*
OfP G'►� ❑ Heating,Ventilation and A;r Conditioning System'
Contractor Apt�r. r��0 o fype� s •QiN�W ❑ Vacuum Systems'
t ❑ Otht r
Address $6Ck✓'r kS I'I y1�C�'1 L1•j
___
Date �/a��q r] COMMERCIAL—Fee for each system . . . . . . 190.00
(SEE OAR 918-260-260)
Property Owner_ �OL1�UGW�o1_LX— -_ Check Type of Work Involves(;
Contractor's Board Reg. No. 13.8q 51 ❑ Audio and Stereo Systems
/ ❑ Bailer Controls
Phone# (�y�Q• a 700 ❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
❑ Fire AI3rm Installation
❑ HVAC
Print Owner's Name Phone No ❑ Instruunentation
Address — ❑ Intercom and Paging Systems
[3 Landscape Irrigation Conuul'
City State Zip ❑ Medical
This permit Is issued under OAR 918-32n-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
Protective Signaling
1. Only use electrical licensed persons to do installations where required.(Certain
residential and other transactions are exempt from licensing.These have Other
asterisksM.All others need licensing).
2. Call for an Inspection when all of the install itions under this permit are reedy
for im;pection at 503-6394175.
Number of Systems
3. Purchase separate permits for all installations that are not ready for Inspr:ctlon
wher,the inspector is out:o 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 the inspector
are done,and
5. Assurne responsibility for calling for a Oral Inspection when all W the S. FEES
corrections are completed.
The person signing for this permit must he the applicant or a person a. Enter Fees $ ��0 -
authorized to bind the a plicant.
b. 5s,SUrcilarAe(.05 x total ahove) $
Signature
TO'i'Ai_ $ 4 a •U Irk
Authority if other than applicant
ENERGAP.CHP