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CITY OF TIGARD BUILDING INSPECTION NOTICE
k '#t' Inspection Line: 639-4175�Ibusiness Phone: 639-4171 r.
Footing Rain Drain �¢
Cover/Service ` � r
FINAL:
Foundation
F, .r
Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath
�h Framing .Mech.
P q.Und/Fir/Slab Plbg.Top Out Insulation -Elec
POst/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg. r 11
San. Sewer Gas Line
+ Appr/Sdwlk H6!
Other: r����'< � +�1
Other:
Date: A.M. P.M.. ter- Entry:
Address:
Tenant: � r;i
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Con,�wr�__ � ialne
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BLIP: ---
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C��' � PLM:
THE FOLLOWING CORRECTIONS ARE RE(7UIRED EI_C:
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Inspector ,� J .1 ,w•fi
Date:
APPROVED
DISAPPROVED/CALL FOR REINSP. `r k4
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ELECTRICAL PERMIT CITY OF TIGARD
RETl71 'ED ENERGY
COMMUNITY DEVELOPMENT DEPARTMENT FE RMI-, c ELR96--0291 e
13125 SW Hall Blvd.Tigard,Aragon 07223.8109 (503)830-4171 DATE 1' "?Ulc_1): r[9/24/96
PORCE:L.: 1 S 135C:D--08300
SITE ()DDRGf:S. . . : iZ0736 bW L_(:)IgUC.Iiv i:1
ZONTMG: R-25
SUNDI V ' 7 1 ON. . . . : LONDON .'"QUARE NO.
LOCK, . . . . . . .
„ . . i_(l1". . . . . . . . . . . . . . �a
ojec•�: L'r_gc:riwtion :
RESIDENT'AL- -_._,__...____ B. C(JMihERCIW►L_ ..__._..._._.. ._._.__ __._...__ __. .___.......__.._ ........___._._____....... ._.._.
AUDIO & STERF_O. . . : AUDIO & STEREO. . : INTERCOM & PAGINr. . c
BURGLAR ALARM. . . . : X DOILER. . . . . . . . . . : I_t1NDGC0PE/IRP.IGA1'. . :
GARAGE. OPENE:R. . . . . CL.00K. . . . . . . . . . . . MEDICAL. . . . . . . . . . . . . N
HVAC. . . . . . . . . . . . . l.)(aTA/TELE-. G'01111. . : NURSE CALLS. . . . . . . . c
VACUUM SYSTEM. . . . : FIRE: ALARM. . . . . . : OUTDOOR LAND13 LITE:
01'HER: : : HVA( . . . . . . . . . . . . . 1=1ROTLC:T.IV1_ SIGNAL., .
.1NSTRUME:NTnTION. : OTHER. . :
TOTAL # OF SYSTEMS: 0
FEES
cUART ANDERSEN type Ariot.lrrt by date recpt
1318 `'iW LONDON L.T ►='RMT 4 40., 170 CJS 09/24/96 96-,284346
5PCT $ 2. 00 CJS 09/24/96 36-_•264:346
.160RD, OR 972.]:3
sone # :
ont r-act or-:
'RINKS HOME. SECURITY 4 41z�. 00 TOTAL
i059 SW CIRRUS DR
REQUIRED INSF.'ECTIONS
i5 AVERTON roll 97006 (•fall LaVev Elect' 1 Final
Fdioric #: 503-641-0574 Elect' 1 5er^vic e
I�e q 'I#. . : 444.=:1
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other e'er^mitee Signatticre
applicable lams. All work will be done in accordance with
approved clans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
than 180 days. Isslced By
j _...._._.__._._._._._._...___.....__ ..__...._...___..._.-•.OWNER IIVSTALLI4'rioi\i
The installation is being macle on pt-operty I own whtich is not intended for
SLAIe, Ieasn, or rent .
OWNER' 9 SIC3NATUR1-^ DAIEE:
_._._.._._........._.._..__._.---_.._._._.. ._..-.-•.--.--(,(]hll-RAC TOP II\I TAL1_f-1T ION CJhn...Y ___. _..__.__....._ _______._____.._........
SIGNATURE_' OF SUPR. E,LE=C' N: _.._....__._..__.._......_......-_ ..-.-_.__.._._....... DATE ii
1 CENSE NO. _ _.._.... ._. ....._ _._ ..__._ .___._......__ _..._... . _ ._.
Call far inspection - 639--4175
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Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
13125 SW Hall BlvdPERMIT# ELR 9G—Oac( 1
Tigard,OR 97223223
Phone(503)639-4171 DATE ISSUED Q-- a H — c1 b
FAX(S03)684-7297
TDD No. (503)684-2772 �"
CITY OF TIGARD Inspection (503)639-4175 ISSUED BY Cr ,,Je_$—
PLEASE COMPLETE ALL SECTIONS
1. LOCATION OF STALLATION 4. TYPE OF WORK
f �
qd RESIDENTIAL—Restricted Energy Fee. . . . . . . . . S,40,00
0 OR ALL SYSTEMS)
City _ State Zip Check Tyne of Work Involved: i
tV".,fi'1 PERMITS ARE NON-TRANSFLRABLE AND NON-REFUNDABLE AND EXPIRE IF WORK ❑ Audio and Stereo Systems
t' IS NOT STARTED WITHIN 180 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR
180 DAYS,
Ai1,�urglar Alarm
=' ❑ Garage Door Opener*
2. CONTRACTOR APPLICATION ❑ Heating,Ventilation and Air Conditioning System*
1 Contractori ype ❑ Vacuum Systems*
r';!. � _ lit�IC.A�I.� �✓_ .4Q 1 ❑ Other
Address — - _
4 �.
' I} Date----C �� -- COMMERCIAL.--Fee for each system . . . . . . . . . �MI,QQ
. � (SEF OAP.91(1-260-260)
Property Owner _
f Check TypeQ�rk Involvej-
h 4.
Contractor's Hoard Reg. No. ��'T�2. I ❑ Audio and Stereo Systems
i Phone# �s
❑
Boiler Controls
-.._ .._.� Clock Systems
+' 3. OWNER APPLICATION ElData Telecommunication Installations
❑ Fire Alarm Installation
0''�° _ ❑ HVAC
t�r+ N
Ph
N
t Owner's Name one o
❑ Instrumentation i
Address ❑ Intercom and Paging Systems
: � ❑ Landscape Irrigation Control*
' City State Zip ❑ Medical
��&t This Permit is Issued under OAR 918.320.370.This applicant agrees to make only ❑ Nurse Calls
a'b restricted energy installations(1 00 volt amps or less)under this permit and to do the ❑ Outdoor Landscape Lighting*
following:
^` <' ❑
1. Only use electrical licensed persons to do installations where required.(Certain Protective Signaling
w< residential and other transactions are exempt from licensing,These have ❑ Other
I
asterisks(•).All others need licensing).
2. Call for an Inspection when all of the installations under this permit are ready
ii for Inspection at 503-639.4175. ❑ Number of Systems
3. Purchase separate permits for all Installations that are not ready for Inspection
when the Inspector Is out to Inspect 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
ji. 5. Assume responsibility for calling for a final Inspection when all of the 5• FEES
corrections are completed.
y The person signing for this permit must he the applicant or a person a. Enter Fees $
Mauthorized to wind the applicant.
b. 5%Surcharge(05 x total above) $
Signature
.�� TOTAL $ 1/ s
Authori other than applicant
ENERGARCHP
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