10405 SW HIGHLAND DRIVE-2 ADDRESS:
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: )d – 'l 4-
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab ".tech. Rough-in Fireplace ■
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAI
i; Post/B:am Mech. San. Sewer Gas Line -Rldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
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Alarm Water Line l su1ation -Milch.
Underilr. In:ul. Shear Wall Gyp. Bd. -Elect.
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Date Requested:_ 1 �1 o Time: AM PM
Address: _—
BuilderjyLL- Permit #.-
THE FOLLOWING CORRECTIONS ARE REQUIRED:
I
IXAPPROVED
nspector.7 �. cQ�f-� _ Date:
_DISAPPROVED _APPROVED SUBJECT 1-0 ABQVE
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_Call For Reinsp.
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� TIGAR
D ELECTRICnL E•LRMIT
COMMUNITY DEVELOPMENT DEPARTM-NT RFSTRICTED ENERGY
13126 SW Hall Blvd.Tigard,Oron 97223.8199 (603)630.4171 PERMIT #: FL.R9 E� -iZ101Z�4
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I DAl•E ISSUED:
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PORC:E:L:
S I Ti":. ADDRESS. . . : 10411.15 SW P I GHLAND DR
SUBDIVISION. . . . : SUMMERFIE:LD NO. 4 IONING: R-7
BLOCK. . . , . . . . . . . I..OT. . . . . . . . . . . . . . 173
Proiec1 Description.-
AUDIO
escription:AUDIO & STEREO. . . : AUDIO & STEREO. . : INTERCOM & PAGING. . . �
BURGLAR AI.,ARIN. . . . :X PC)TI_.FR. . . . . . . . . . LANDSCAPE/i RRIGAT. . . �
GARAGE.. OPFNE R. . . . : CLOCK. . . . . . . . . . . . MEDICAL_. . . . . . . . . . . . .
HVAC. . . . . . . . . . . . . . . . . . . .. r,
. . . . . . .. . . . . . . DATA/TELE I.;nMM. . NURSE C;AI_LS. .
VAC'UUIVI SYS,TEM. . . . : FIRE ALARM. . . . . . OUTDOOR LANDSC L I i E:: �
OTHER: . . HVACC. . . . . . . . . . . . . PROTECTIVE SIGNAL. .
l IN STRUME:N CAT ION. : OTHER. . : . .
TOTAL # OF SYSTEIYIS: 0
f-�I�p1 icant : --._____..____.___._._._._.._.._..-----________._ ___._..._.._..._....___._.. _.___._.._.. (-FES) _ ..
DONALD HERR type amount by date rec.-pt
10430 SW VIEW TERR. PRMT $ 40. 00 CJS 01/03/96 96-274535
5PCT $ 2. 00 CJS 01/ 13/96 96-274535
T I GIRD OR 97223
Phone #: 503•--620--2719
Contractor: _._______________.__.._.._.___.__.____.______.___-------__..___________------_--•--
CONTRACTOR NOT ON rlL_E E 4.:. 00 TOTAL
i ------- REQUIRED INSPECTIONS
. Ceiling Cover Elect' 1 `.service
Phone #: ,4ail Cover Elect' 1. Final
Req
This permit is issued subject to the regulations cortained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other Pprm i t ee Si gnaAt ure
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started /
within 180 days of issuance, or if work is suspended for more 4t[ _..•__-?e/►�+� � _____ _ �__.
than 180 days, ISsi_ted By
INSTALLATION
The :rstallation is heinq made on pt-operty I neon which is not intended for
.. .lE. Lease. or rent.
OWNER' S STGNA1'IJRL: DATE:
---------------._-._._.___.._.-___COhdTRA(,TOR INSTAL.L_ATiON
SIGNATURE OF G<JF'R. F LEf,' N; _f?1�►!�St�____— _.___..___.. DATE:
i-I CENIIE NO:
Call for inspection - 639-4175
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Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 0ERMIT# �.--.__--
Phone(503)639-4171
FAX(503)684-7297 DATE ISSUED
TDD No. (503)684-2772
CITY OF TIGARD Inspection (503)6.39-4175 ISSUED BY
PLEASE COMPLETE ALL SECTIGNS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
rty
n ^Z2� RESIDENTIAL—Restricted Energy Fee. $40-00
(FOR ALL SYSTEMS)
I State Zip
_Ueck Tye of WorjLlnvolved:
PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK *
I,NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR ❑ Audio and Stereo Systems
1130 DAYS. t4Eurglar Alarm
t 2 CONTRACTOR APPLIC TION ❑ Garage Door Opener*
k r ❑ Heating,Ventilation and Air Conditioning System*
Ype � F3Vacuum Systems*
Address � al�h�❑ Other �.-- --------- ------------
Date� ------------------------- ----- -_ — COMMERCIAL—Fee for each system . . . . . . . . . 540.00
(SEF OAR 918-260-260)
i // CGI�sZ Ci _�
Properly Owner -_---�_t 'rte Check Type of Wyk Involved;
Contractor's Board Reg. No. _ X-_� ❑ Audio and Stereo Systems*
❑ Boiler Controls
Phone# 7 ❑ Clock Systems j
3. OWNER APPLICATION F1Data Telecommunication Installations
❑ Fire Alarm Installation
_ _ _ __ ❑ HVAC
Print Owner's Namv Phone No
❑ Instrumentation
Address —� _-- — ❑ Intercom and Paging Systems
❑ I-andscape Irrigation Control*
City State Zip ❑ Medical
This permit Is Issued under O4R 918.320.370.This applicant agrees to•take only ❑ Nurse Calls
restricted e:iergy instillations(100 vnit amps or less)under this pe,mit and to do the tJ Outdoor Landscape Lighting*
fallowing:
1. Only,tse electrical licensed persons to do installations where required.(Certain �� Prolective Signaling
residential and other transactions are exempt fmm licensing.These have ❑ Other
asterisksM.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
3. Pur�hrse 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. Licenses are required for all other instillations.
4. Assume responsibility for assuring that all corrections required by the Inspector
are done,and
! i 5. Assume responsibility for calling for a final Inspection when all of the corrections completed. 5. FEES
arc com
P
The person signing for this permit must be the applicant or a person a. Enter Fees $
authorized to bind the applicant. --
b. 5% Surcharge(05 x total above) $
Signature
TOTAL $
Authority it other than ippli(anl
ENERGAP•CHP
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