12149 SW MILLVIEW COURT-1 �� �
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 {
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Inspection:_�i.l-'Vl.��
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk At1{ fa r
Foundation Plbg. Underslab Mech. Rough-In Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
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Post/Beam Mech. San. Sewer Gas Line -Bldg. gt
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
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Underflr. Insul, Shear Wall Gyp. Bd. -Elect.
Date Requested: Time: AM PM
Address:
600de -rL_- Permit #: _C C) c:-j,
THE FULLOWING CORR' -TIONS ARE REQUIRED:
"
Inspector. � Date:
APPROVED _DISAPPROVED _APPROVED SUBJECT TO ABOVE
_ —Call For Reinsp.
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phonr4: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace w '
Post/Beam Struct. Plbg, Top Out Elec. Rough-in FINAL:
A
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. 'Jiderfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wal Gyp. Bd. -Elect.
Date Requested: // Time: AM PM
Address: '1 /�C_>` ���,t- b
Build _ . 'y � Permit #: �
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: � � rate:
,APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
i _Call For Reinsp.
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CITY OF TIGARD ELECTRICAL PERMIT -
RCSTRICTED ENERGY
COW" .41TY DEVELOPMENT DEPARTMENT PERMIT #: ELR96-0026
131 ,iW Hall Blvd.Tigard,Oregon 97223.8109 (503)039-4171 DATE= ISSUD: O1/19/96 '
PARCEL: 1 S 134 CB--1;2100
s STTEW VX)DRESS. . . : 12141) 'SO MILLVII=-W C:1 '��`�' •
SUBDIVISION. . . . : MILL.VIrw'W 7.ONIN03:R-4. 5
131-..00N.. . . ,. . . . . . LOT. . . . . . . . . . . . . : R1.
Project Des, �otiona Intall burglar alarm.
AUDIO 8 f3TEPIEO. , . AUDIO R STEREO. . : :hlTrPCOM & PAGING. .
BURGLAR ALARM. . . . : X BOILER. . . . . . . . . . : LANDSCAPE/IRRIGAT. . :
GARAGE OPENER. . ,. . CLOCK. . . . . . . . . . . . MF_DICAL . .. . . . . . . . . . . ••
HVAC. . . . . . . . . .. . . . . DATA/TELT COMM. . . NURGE CAL.LS. . . .. . . . .
VACUUM SYSTEM. . . . : r IRC ALARM. . . . . . : OUTDOOR L_ANDSC LITE:
OTHER: : : HVAC. PPOTFC:TIVE SIGNAL. .
INaTRUMrNTATI(]N. O T HFR. . : . .
TOTAL # OF SYSTEMS: 0
Araplil_ant : ___.__ __.__ .__..__._____.__.._.__.____.___.__....__.___ _-___.._. __.__. .___-.-- F'ppC' ...._...... _.__,__._.. _._.___.
JOHN RICE. type amor_rnt by date recpt '
159i�'/+ SW TrAI BLVI) PRMT $ 40. 00 CJS Ol/1.9/236 96•-2751O6
SPCT $ 00 CJS 01 /19/96 96•-2751O6
TIGARD OR 97223
Phone #
Cuntractor:
C0N1'Rl'ar.T(3r NOT ON F"II_E $ 42. 00 TOTAL_
,K"1/7k- /-/oMe seew r lr'�
R0-C'9Sw u
Ciri „C J)/" _.____..__ REWIRED INSPECTIONS ----- -
&1aver,too,, d/,,, V boo Cei 1 ing Coven Elect' 1 13ery ic:e
phrInp #r WaI I C'ove+- F'1 cert' 1 Final
ppo #. . .
This permit is issued subiect to the regulations contained in the
Tigard Municipal Code. State of Ore. Specialty Codes and all other germ i tee 5i gnalt ure
aoolicable laws. 1111 work will be done in accordance with
approved plans, This persit will eyDire if work is not sta,,ted
within 180 days of iss+aance. or if work is susnerded for sore C1ar!ed- XCAofId}-
than IN days. I s E--'used By
__.,.___._._._.._...___ __.............._.__.._._ ._. .-OWNER TNSTPI-I_.ATION
The installation is being made on procerty I own which is not intended for
sal ].ease. o�- rer,t.
OWPiER' .S SIGNATLI.OrE DATE:
.____47ONTRACTOR INSTAL.L_ATION
SIGNATURE OF SUPR. ELEC' N: DATE
LICENCE NO:
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C a I I for inspection 417:5)
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Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall Blvd.
Tigard,OR 97223
Phone(503)639-4171
FAX(503)684-7297 DATE ISSUED
TDD No. (503) 684-2772 --` -
CITY OF TIGARD Inspection (503)639-4175 ISSUED BY
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF INSTALLATION 4. TYPE OF WORK
21 C17 I
Add RESIDENTIAL—Restricted Energy Fee. 640.00
r (FOR ALL SYSTEMS)
City State Zip Check TyRs;�(yyork Involved:
PERMITS ARE NON-TRANSFERABLE AND NC-4-REFUNDABLE AND EXPIRE IF WORK EJ Audio and Stereo Systems
IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK 15 SUSPENDED FOR Y
180 DAYS. -&,4urglar Alarm
2 CONTRA TOR APP (CATION ❑ Garage Door Opener*
El Heating,Ventilati• n and Air ConditioningSystem*
(u Irach�r� l Type�TG� T �- �jJy� ❑ Vacuum Systems"
)
Address �s El Other— --- __
Datel_l COMMERCIAL—Fee for each system . . . . . . . 140.OQ N
t (SEE OAR 1)18-260-260)
j Property Own/ard
Chrsk Tl=of WorkInvolved@
Contractor's Beg. No,r3 ❑ Audio and Stereo Systems
Phone# C � 1Z _ ❑ Boilcr Controls
❑ Clock Systems
3. OWNER APPLICATION 11Data Telecommunication Installations
❑ Fire Alarm Installation
❑ HVAC t,
Print.Owner's Name Phone No ❑ Instrumentation
' Address — ElIntercom and Paging Systems
❑ Landscape Irrigation Control* C„
City State Zip ❑ Medical
This permit Is issued under O;1R 918.320 370.This applicant agrees to make only ❑ Nurse Calls
restricted energy invallatinns(100 volt amps or less)under this permit and to do the ❑ Outdoor Landscape Lighting*
following: 1'
1. Only use electrical licensed persons to do installations where required.(Certain ❑ Protective Signaling
residential and other transactions are exempt from licensing.These have 0 Other
asterifWO).All others need licensing).
2. Call for an inspection when all of the installations under this permit are ready u
for Inspection at 303-639-4175, ❑ Number of Systems
3. Purchase separate permits for all installations that are not ready for inspection
when the Inspector Is out to Inspect ander this permit •No Ilcen!u s are required. Licenses are required for all other installations.
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4. Assume responsibility for assuring that all corrections required by the inspector
arc done,and --
5. Assume responsibility for calling for a final inspection when all of the 5. FEES
corrections are completed.
1
The person signing for this permit must be the applicant or a person a. Enter Fees $4/y
l authorized to hind the applicant.
b. 5%Surcharge(05 x total above) $
Signature 1
AALM TOTAL )
Authority if other than applican
ENERGAP.CHP
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