9386 SW TIGARD STREET ADDRESS:
2396 6U3 714dYA SAY-te-,*-
;:\records\microflm\largets\building.doc
r
In CRY OF T!GARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639 4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in AppNSdwlk
Foundation Plbg, Underslab Mach. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mach. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect
�
Date Requested: IpG� /�o (�f S Time:
AM PM
Address:
Buildel��>� �Z Permit 49—k v
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector r ' _f'
APPROVED _._DISAPPROVED __APPROVED SUBJECT TO ABOVE
Call For Reinsp.
i
Community Development RESTRICTED ENERGY ELECTRICAL APPLICATION
i
13125 SW Hall Blvd. PERMIT#ZeAw - -Q-LS-8—- - -
Tigard,OR 97223
Phone(503)639-4171 DATE ISSUED jp 6-a5' ---------
FAX(503)684-7297
TDD No. (503)684-2772
�'
C;TY OF TIGAItD
inspection (503)639-4175 ISSUED BY
PLEASE COMPLETE ALI SECTIONS
1. LOCATION Of INSTALLAI ION
4. TYPE OF WORK
RESIDENIFIAL—Restricted Energy Fee. . . . . . . . . 1a00
Addres�s Y� ([OR At L SYSTEMS)
City
�~ / State 2Z check 1 voe of Work Involved:
NUAOLE AND EXPIRE IF WORK
❑ Audio and Stereo Systems"
PERMITS ARE NONTRANSFERABLE AND NON•REFU
IS NOT STARTED WITHIN 100 DAYS OF ISSUANCE OR IF WORK IS SUSPENDED FOR ❑ Burglar Alarm
100 DAYS.
❑ Garage Door Opener
2. CONTRA 'TOR APPLICATION / ❑ Heating,Ventilation and Air Conditioning System*
--
I ype ` / "�F-r El vacuum systems'
Contractor
�, ❑ Other , --
Address --- - - - —
COMMERCIAL—Fee for each system $40.00
Date �Q ---- (SLE OAR 918-260-260)
/ '(!j�'� :A-r of Work Invn.1Y�SL'
Property Owner
.� f � 3 � L(t" ❑ Audio and Stereo Systems"
Contractor's Board Reg. No. l�� — ❑ Boiler Controls
Phone# y2-7-�s�� ---_- -
❑ Clock Systems
❑ D,ta Telecommunication Installations
3. OWNER APPLICATION ❑ Fire Alarm Installation
❑ HVAC
Instrumentation
Print Owner's Name
Phone Na ❑
_ ❑ Intercom and Paging Systems
._----_...--------
Address ❑ Landscape Irrigation Control'
zip C1
❑ Medical
City State p
❑ Nurse Calls
This permit Is issued under OAR 910-320-170.This appliomt agrees to make only ❑ Outdoor Landscape Lighting'
reWir-ted energy installations(100 volt amps or less)under this permit and to do the protective signaling
following:
1. Only use:electrical licensed persons to do installations where required.(Certain ❑ Other --
residential and other transactions are exempt from licensing Thein have
asterisks(`).All others need licensing).
2. Call for an inspection when all of the installations under this permit are ready ❑ Number of Systems
for inspection at 503-639.4175. _ --
7 wtuchase hen the inspector permits mt to r all Iniiulllatio th hat aretnot ready for inspection .No licenses are required. Licenses are regcdred for all other installations.
4. Assume responsibility for assuring that all corrections required by the inspector
are done,and
5. Assume responsihllity for calling for a final inspection when all of the corrections 5. FEES
are completed. $ --
The person signing for this permit must he the applicant ora parson a. Enter Fees ——
authori,ed to bind the applicant.
h. 5% Surcharge(.05 x total above) S—_.__________
$ C�L-
Signature TOTAL
Authority if other than applicant ENERGAP.CHP
k