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r CITY OF TIGARD BUILDING INSPECTION NOTICE
4 Inspectw-1 Line: 639-4175 Business Phone: 639-4171 3r^{ w
t' Footing Rain Drain Cover/Service FINAL
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing -Mech. k.
k Plbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect. '
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
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Date: _ A.M. T.P.M. Entry:
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THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: , � i M.0
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Inspector, _ Date.,
APPROVED e_DISAPPROVED/CALL FOR REINSP. CO ''� -
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CITY CSF TIGARD ELECTRICAL PERMIT -
REST-RTCT: D ENERGY
COMMUNITY DEVELOPMENT DEPARTMENT
PERMIT' #: ELR96 0194
13126 SW Hall Blvd.Tigard,Oregon 97223.6199 (503)639-4171
DATE ISSUED: 06/11/91;
PARCEL: i:'S 1 '10DD--10000
SITE- ADDRESS. . . : 15735 SW HIGHLAND C1
SUBDI' 310N. . . . : SUMMERFIELD N0. 6 ZONING: R--7
BLOCF . . . . . . . . . l_O1.. . . . . . . . . . . . . ::316
Pr^o.aect Descr^iption:
--------------------------------
A. RESIDENTIAL---- _..____ B. COMMERCIAL---------------------------------------- ---
AUDIO & STEREO. . . : AUDIO & STERE:O. . : INTERCOM & PAGING. . ;
BURGL.AF2 ALARM. . . . :X BOILER. . . . . . . . . . : LANDSCAf-''E/IRRIGAT. . :
GARAGE OPENER. . . . . CLOCK. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . .
HVAC. . . . . . . . . . . . . . DATA/TELL: (:OMM. . . NURSE CALLS. . . . . . . . .
VACUUM SYSTEM. . . . : FIRE: ALARM. . . . . . : OUTDOOR LANDSC LITE.-
OTHER:
ITE:OTHER: . „ 11VAC'. . . . . . . . . . . . . 1--'ROT'ECTIVE SIGNAL. . :
INSTRUMENTATION. : OTHER. . :
TOTAL # O1= SYSTEMS: 0
Owner: -__.______._.__.___._---_.________.________.________.._..____._ FEES
BILLY GILLIAM type zmo�.Int by date rec•pt 1.
15735 SW HIGHLAND C'T' F'RMT $ 40. 00 CJS 06/11/96 96-2804'156
5PCT $ 2. 00 CJS 06/11/96 96-280456
I IGARD OR 9722,23
Phone #: 684-1268
Contr-actor: __.____.._._____.___..___._____..____.________.____.._..__.__.____.._._ ______.._.______._.-_---------__.-.-. _.
BRINKS HOMES SECURITY $ 4=. 00 TOTAL
8059 SW CIRRUS DR
REQUIRED INSPECTIONS
- -- -
BEAVERTON OR 97008 Wall Covet, Elect' l Final
Phone #: `,03--641•-0574 L.ler..t' i Service
Reg #. . : 44421
This permi� is issued subject to the regulations contained in the
Tigard Municipal Code, State of lire. Specialty Codes and all other Perm i t e e Si gnat ure _ -v
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 18N days of issuance, or if work is suspended for tore —CAC'L.c1��_.Sc�irra�clz
than 188 days. ISSUed By
INSTALLATION
ONLY--_- -- - - - ---------------- _
The installation is being made on property I own which is not intended for
sale, lease, or- rent.
OWNER' S SIGNATURE: DATE,
INSTALLATION
SIGNATURE= OF SUPR. ELE_L:' N: 0() _.�p�1t.CC�-fCL�.�..--_—__ DATE:
LICENSE NO: 7
Call for inspection - 639-4175
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Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd.
Tigard,OR 97223 PERMIT#jE4/7?96-0.1
Phone(503)639-4171
FAX(503)684-7297 DATE ISSUED_6 -/) - 46
TDD No. (503)684-2772 -�-�
CITY OF TI®ARD InFpection (503)639-4175 ISSUED BY
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PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
{ �s RESIDENTIAL—Restricted Energy Fee . . . . . . . . . $40.00
�lC��.., (FOR ALL SYSTEMS)
MS)
ity State zip -Check Upe of Work Involved:
PERMITS ARE NON-TRANSFERABLE AND NON-REFUNDABLE AND EXPIRE IF WORK
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK 15 SUSPENDED FOR ❑ Audio and Stereo Systems
180 DAYS. � Burglar Alarm
2. CONTRACTOR APPL.ICATI�N hFl_—l��G- e Door Opener*
Garage
13�_�•CG� i1Y1 Heating Ventilation and Air Conditioning System"
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Cor,u IN, C Q L Type ❑ Vacuum Systems*
Addressf/j�f,�L� _ ❑ Other------
Date
ther_ —Date �j/ COMMERCIAL—Fee for each system . . . . . . . . s40,00
,y r (SEL OAR 918-260-260)
Property Owner
Check Typc of Work Involycif;
Contractor's Board Reg. No." ) ❑ Audio and Stereo Systems
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Phone ���/_ �j El Boiler Controls
# � t—I —
❑ Clock Systems
3. OWNER APPLICATION ❑ Data Telecommunication Installations
❑ Fire Alarm Installation
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Print Owner's Name HVAC
Phone No
` ❑ Instrumentation
+ Address ❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
City State Zip ❑ Medical
This permit Is Issued under OAR 918-30-370.This applicant agrees to make only ❑ Nurse Calls
restricted energy installations(100 vu.:amps or less)under this permit and to do theA
following: ❑ Outdoor Landscape Lighting'
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1. Only use electrical licensed persons to do installations where required.(Certain ❑ Protective Signaling 4
residential and other transactions are exempt from licensing.These have ❑ Other f
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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. ❑
3. Purchase separate permits for all installations that are not ready for inspection — Number Of Systems
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 the inspector
are done,and
5. Assume responsibility for calling for a final Inspection when all of the S. FEES
corrections are completed. )
The person signing for this permit must he the licant or person o�
p g g p pP P a. Enter Fees $
authorized to bind the applicant.
b. 5%Surcharge(05 x total above) $
Signature
TOTAL $
Authority if other than applicant
ENERGAP,CHP
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1 .1.E?M, b r 1-4) H AMOUNT
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AMOUNT raF1.11.1 Of l-'WIYr'Il-rrl
PE'a.l`1M1'1 ......,,�..,. 40. 00 1,151'r.. .F►Lt
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