Permit CITY OF TIGARD ELECTRICAL PERMIT
e . '
PERMIT #: ELC2008 -00506
° COMMUNITY DEVELOPMENT DATE ISSUED: 9/4/2008
19.AIRD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
'' PARCEL: 2S102CB -03200
SITE ADDRESS: 09975 SW FREWING ST 1020 ZONING: C -G
SUBDIVISION: MASSIH OFFICE BLDG LOT : 021 JURISDICTION: TIG
PROJECT: VISION WORLD
Project Description: TI.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HM/ SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 3 IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
MASSIH LLC TIMBERLINE ELECTRICAL CONTRACTORS
PO BOX 108 PO BOX 918
BEVERTON, OR 97075 LAKE OSWEGO, OR 97034
Phone: Contact #: PRI 503 - 459 -4089
FAX 503 - 254 -4227
FEES
Description Date Amount Reg #: ELE 26 -121 IC
[ELPRMT] ELC Permit 9/4/2008 $66.80 L[C 160037
[TAX] 12% State Surchar 9/4/2008 $8.02 SUP 4957S
Total $74.82 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification C nter. Th• e rules are set forth in
OAR 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copies of these rules or direct questions to OUN 03. • • :•99 or 1.800.332.2344.
C
Issued By ,/ �� __..- Permittee Signature: !�rJ
OWNER INSTALLATION ONL
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
. _.
D .:
Electrical Permit Application EiN
!( 01 l:'1 1 ON 1.1
City of Tigard __
Received
Date/B : Mirnill= Permit No.: ',Gar—U/94
• 13125 SW Hall Blvd., Tigard, OR 9 2 Plan Review
•
.7111
. ', I Phone: 503.639.4171 Fax: 503.598.1960 sE? - (120 Date/By: Mel' Pennt
c „ A RD Inspection Line: 503.639.4175 ,., hop Date Ready/By:
1711ti la See Page 2 for
0 , i
Internet: www.tigard-or.gov t ,,.,,,,„„„ Olottfied/Method. .
Supplemental Information
_': .....:1; ,........'-... •- :'.'.,..', :' ;:. "--:", .,'..:,. : ..„ ' , iiirt.."(*:,:2 tti\MOO . . :: - . ,:. ' .1 , . -: ; '. 1 ' " ' :',...',.. -.' PLAN .. NY;
,. ... .. , . . . - "r ,- : ' ' • ' ..',' - ' - ,
1:3 New construction OAddition/alt 6 replacement Please check all that apply (submit 2 sets of plans w/items checked below):
0 Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards.
'' ' ' OATEGOki OF CONSTRUCTION ' - - - = - — :. - exceeds 10,000 amps at 150 volts or 0 Floating buildings.
less to ground, or exceeds 14,000 0 Commercial-use agricultural
El 1- and 2-family dwelling , Commercial/industrial 0 Accessory building amps for all other installations. buildings.
El Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 75 KVA or
0 Emergency system. larger separately derived system.
JOB : Wt. INFOR14/411&,:ANIi'LOCATIO1N,i ...''.. ', , r. : '. .' - . In
L.., Addition of new motor load of
.
Job no.: r)..
Job site address: 0# if - IL} • igge-r-Kr6 -. 9 Rs . , 100HP or more. occupancy.
0 Six or more residential units. 0 Recreational vehicle parks.
City/State/ZIP: 716.4.,e Ok. 223 0 Health-care facilities. 0 Supply voltage for more than
0 Hazardous locations. 600 volts nominal.
Suite/bldg./apt. no.: I Project name: ve, tot'-,b 0 Service or feeder 600 amps or more.
... ..'' ' - . . •:,-:, FEE- titElittF
Cross street/directions to job site: Description 1 Qt I Fee. I Total 1 .
New residential single- or multi-family dwelling unit.
Includes attached garage.
Subdivision: 1 Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. addl 500 sq. ft. or portion 33.40 1
Tax map/parcel no.: • Limited energy, residential
75.00 2
ItiFSPRT... ' :- • ',' , ' i - - ' ' :-` ', ;' ' 1:: '• _ (with above sq. ft.)
imited energy, multi-family
— TIT — / L
residential (with above sq. ft.) 75.00 2
9)&2641 Pg-isi,1 j D ,.sfirld tott4 Services or feeders instillation, alteration, and/or relocation
200 amps or less 80.30 2
PROPERTY OWNER ::.; , ' -. d '.. - .. . : - - '' CI- TENANT '''_ , `;', •• ' . : : 201 amps to 400 amps 106.85 2
Name: 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City/State/ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) I Fax: ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Branch circuits - new, alteration, or extension, per panel
Owner signature: Date: - A. Fee for branch circuits with
. .. .. 2, :::: AZ
APPLICANT ::::::;:f , F• '.;-' [ , .'::'' 1 : -,. . ., . 0 .cONTAcT.:PElksorr-:•".::;.,.- above service or feeder 6
fee,
6.5 2
each branch circuit
Business name: B. Fee for branch circuits
without service or feeder fee, /
'lip
Contact name: first branch circuit 46.85 2
Address: Each add'I branch circuit 3 _ 6.65 /9, _5 2
Miscellaneous (service or feeder not included)
City/State/ZIP: Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Phone: ( ) i Fax: : ( ) Reconnect only 66.85 2
E-mail: Pump or irrigation circle 53.40 2
c9Ntim.leroR.: '-- . : ,:- -...:- -.- -, .- - -.: Sign or outline lighting . 5340 2
Signal circuit(s) or limi ted-
Business name: 77,,,,e,,, a6 op)*,4610t..5- energy panel, alteration, or
Address: p 0 eoK C 2/ S extension. Describe: Page 2 2
City/State/ZIP: 414 0,54o-e? o 9 6,3/-/ Each additional inspecdon over allowable in any of the above
Phone: (56 - 1 Vax: (50 ) (95q I /227 - Per inspection
Investigation per hour (1 hr min) 62.50
62.50
CCB Lic.: / 003 7 Electrical Lic.: ji — ,-- i Suprv. Lic.: Li q 6.7 Industrial plant per hour 73.75 LECRICAr
Suprv. Electrician signature, required:
. f ,
:,.:-.. , ,:- , ,.. , :-,, , .: , :-....:ET4,1%.440:04S;.3t , tr-1,,t:ft.
Subtotal: V
Print name.
• c Ct, L j . A C,(At. It Date: 4.... 3 - 0 g Plan review (25% of pennit fee): il‘
State surcharge (12% of pennit fee): ir. 02
Authorized signature: TOTAL PERMIT FEE: ZI
This permit application expires if a permit is not obt a ed within 180
Print name: Date: days after it has been accepted as complete.
- ;-""Electrical Permit Application
1- ()rift" (.siz () N 1 .1 •
Supplemental Information
,,.,%,, \\ Received
City of Tigard Datemy: .7 d_3. )r 6P ------ Permit No.:
. • 13125 SW Hall Blvd., Tigard, OR 97223 \--,' 4 Plan Review
. . Other Permit:
' • Phone: 503.639.4171 Fax: 503.598.1 - k 0 • al: Y:
Inspection Line: 503.639.4175 -, 1., *, am,/By: kris: el See Page 2 for
• l'ICiARD
Internet: www.tigard-or.gov c r • ' - , ' .. 7
, . . - r.....4
..; c ‘5 e‘• $
i-!;:: ttiotnijii*okK :',:,:-,..:,' '-': '' . f.-rk -, ',... i .4" -, :- - ,'' , -, - ;: f, : - :i- ' '...': --''-'''," .4,1;AN
.-.,..;, ,.... , :v.... .., -.., .. , ., ..." -c . • -
11 New construction %Addition/alteration/repll , I■ llN\ Please check all that apply (subnut a sets of plans w/items checked below):
, 0 Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition 0 Other: 7 -- where the available fault crftrent 0 Marinas and
kT boatyards.
• kty.,.•;91r.;c9N snwcy19/N„L .,..„. .., ,,, ,,,..
t ess ex ceeds at 14 ,000 or E l Fl b c
El 1- and 2-family dwelling Commercial/industrial 0 Accessory building amps for all other installations. buildings.
El Multi-family 0 Master builder Lcie kti Other: 0 Fire pump. 0 Installation of 75 KVA or
` 14: ;61i LOCATION • -: : - - :-- , •
- . ....- - - . 0 Emergency system. larger separately derived system.
JOB S1TE iWcitzmAii6
100HP or more. occupancy.
Job no.: Job site address:
El Six or more residential units. 0 Recreational vehicle parks.
City/State/ZIP: 0 Health-care facilities. 0 Supply voltage for more than
0 Hazardous locations. 600 volts nominal.
Suite/bldg./apt. no.: Project name: U /515y\ k . 1) tya3 0 Service or feeder 600 amps or more.
-2.1 ' ',:i..;,'"i'-': •:::: 1 . 7. :
Cross street/directions to job site: Deseripdon I Qty. I Fee. 1 Total 1 •
New residential single- or multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'I 500 sq. ft. or portion 33.40 1
Tax map/parcel no.: • Limited energy, residential
:;,• ',,iP:•. (with above sq. ft) 75.00 2
Limited energy, multi-fainily
0,63 -a c) (c: - c„:0,-,,, JO e, residential (with above sq. ft.) 75.00 2
Services or feeders instillation, alteration, and/or relocation
/.- Vi'''■ fl 200 amps or less / 80.30 S 0, .30 2
. 1' , ' ; .? , T" ' 4 ,t i....!. 61 .•=t 1 Mileffq...Yi.', - - - 0 1 Y 1 `m 1 1;; ', '-%i j' ":-. - , .. --, .1:;1=IcglYrAr...ir- ‘... , : : 201 amps to 400 amps 106.85 2
Name: 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: ' Over 1,000 amps or volts 454.65 2
City/State/Z1P: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Branch circuits - new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuit with
s APPLICANT
. . . . -,., , ,
1.-;;;5-gi.si,..,'.,. r:,..7 ,.-..., 0 .,,.: above service or feeder fee, _D /
C/ f 6.65 1 0 2
each branch circuit
Business name: B. Fee for branch circuits
without service or feeder fee,
Contact name: 46.85 2
first branch circuit
Address: Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/State/ZB': Each manufactured or modular
'
dwelling, service and/or feeder 90.90 2
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E-mail: . Pump or irrigation circle 53.40 2
....:':.-; CONTRACTOR - ''' , ':::. '• - * .•-•: : .:',.': :'-: •'•.i: • : ' : -'-;:, :•:-;t : Sign or outline lighting . 5340 2
iS gnal circuit(s) or limited-
Business narne: „,
,i,
energy panel, alteration, or
Address: PO e b kl 6i/5 extension. Describe: Page 2 2
City/State/ZIP: Liq--76 Ct.()E6D ( 0 _ c ) 7d,.51/ Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (54,3) 2/, - 4 - / D S' lax: (5D5) 2Lt--4-t-2.27 - Investigation per hour (i hr min) 62.50
CCB Lic.: ( 6 67 Electrical Lic.: Suprv. Lic.: LI GI y.- i Industrial plant per hour 73.75
.1 _
Lic.:/ ,
:. .-,. , g .;,.
Suprv. Electrician signature, required: j` Subtotal: epr 1 l • /-..)_,
Print name: .. 6 k, 3. A (,(ikt.(t • Date: 4. 3 Plan review (25% of permit fee):
State surcharge (12% of permit fee): c: Qb. .'
Authorized signature: TOTAL PERMIT FEE: 5 1 y . 5
This permit application expires if a permit is not obtained within 180
Print name' Date: days after it has been accepted as complete.
- 9 1/45----4IP . ,/, /0ad
This form is recognized by most Building Depa r' ents in the Tri- County area for transmitting information.
Please complete this form when submitti (7 nformation for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
�
AFrl 4J P��S dI
z; BUILDING DIVISION
t : '
TitGA:RID, TRANSMITTAL LETTER
TO: CAJA DATE RECEIVED:
DEPT: BUILDING DIV N RECEIVE*
SEP ':48,"!
�
FROM: _ i _ _ _ .`` CITY OF TIGARD
COMPANY: LAAJCLv L \ � El C ' 3q l�1 �¢'� � a����ICN
PHONE: 5D - e- /Sq J 'O 9
RE: 9C(7C ri-L)✓.��e�c,. -t �G(,�� de) 5
(Site Address) S P . ermit/Case Number)
0 63-r
(Project n. • e or subdivision name and 4t numb.
ATTACHED A' THE FOLLOWING ITE ..
Copies: Desc Iption: \ I opie . Description:
Ad • itional set(s) of plans. 1 - . Revisions:
Cr.:ss section(s) and details. Wall bracing and /or lateral analysis.
Floor /roof framing. Basement and retaining walls.
Be. m calculations. . Engineer's calculations.
Oth. r (explain):
REMARKS: • 2 el, : C r,,• . , 1 , b ;, 1 :. vr. ►Vl.<
I vDc w:%S 1 rJ ■-o6.166 16,
cr.,(A,,,,,- -
FOR OFFICE USE ONLY
Routed to Permit Technician: Date: Initials:
K Fees Due: ❑ Yes No Fee Description: Amount Due:
f
19,E $
p gy_Le $
Special _
torr
Reprint Permit (per PE): rd -s 1 No A ❑ Don;
e: O w ing/ - - -' • - - -. late: g a 4 1 � /;.c� w .,,.,,.� Imttal �
I: \Building\Forms \Transmittal Letter - Revisions doc 4/4/07
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC200B•00 a06
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9./4120t18
Phone: (503) 639 -4171 Akb
j �l Inspection Requests (24 Hrs.): (503) 639 -4175 : � ' ":_..
INSPECTION WORKSHEET FOR DATE: 1/9/2009 TIME: 7:01Aivi PAGE: • 32
SITE ADDRESS: 09976 SW FREWNC ST 1020 CLASS OF WORK:
SUBDIVISION: MASSIH OFFICE BLDG LOT #: 021 TYPE OF USE:
PROJECT NAME: VISION WORLD
DESCRIPTION: TI. 9/23108, ADDING (1) SERVICE AND (21) BRANCH CIRCUITS.
OWNER: MASSIH 1.1.C, PHONE #:
CONTRACTOR: TIMBERLINE ELECTRICAL CONTRACTORS PHONE #: 50w3..4 ,9- X1089
Inspection Request Scheduled For: Date: //912009 Pour Time:
Code # Inspection Description Confirm # _ Contact # Message
199 Electical final 079532 -01 50384938804
Corrections /Comments /Instructions: S WIT
.2141 AO
'- - \,
A-1`
C ii PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FTFAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
. Inspector: Cr ., N Date: 1 Il i Phone #: (503) 718- lutit
CITY OF TIGARD
1 BUILDING ICIVIgION
4110 PERMIT #: R0008.00606
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/4/7008
Phone: (503) 639-4171 . 1 t ,
Inspection Requests (24 Hrs.): (503) 639-4175 — . -.....
INSPECTION WORKSHEET FOR DATE: 1M2009 TIME: 7:01AM PAGE: 28
SITE ADDRESS: 09976 SW FREWING ST 1020 CLASS OF WORK:
SUBDIVISION: MASSIH OFFICE BLDG LOT #: 021 TYPE OF USE:
PROJECT NAME: VISION WORLD
DESCRIPTION: TI. 903/08, ADDING (1) SERVICE AND (21) BRANCH CIRCUITS.
OWNER: iviASSIH LLC, PHONE #:
CONTRACTOR: TI MI3ERLI NE ELECTRICAL CONTRACTORS PHONE #: 503-459-4089
s s49 945 . 1
Inspection Request Scheduled For: Date: 11712009 Pour Time:
Code # Inspection Description Confirm # Contact # N
199 Electric:al final ', 079450-01 03-313-0331 Y
Corrections/Comment /Instructions:
( 11,•
S "(VILLA /
---' /
L 2 3
<0 YNIN/ - ‘Nr 6 ..7w , ; 6N
cs(of t4 C-- ■ 6 4s 1
I
oz, 1 .Q.rzt; imkk., 4\s FIGL
Go
.. (
,(
I
fl PASS fl PARTIAL APPROVAL El CANCEL [1] NO ACCESS
,A FAIL El CALL FOR INSPECTION 111 ADDITIONAL FEES ASSESSED
i
Inspector: q' N c_. Date: I, .9 i cr Phone #: (503) 718-
CITY OF TIGARD
'
B ilb
UILDING DIVI N
A PERMIT #: ELC2008.00506
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/4/2008
Phone: (503) 639-4171 •I I I.'
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 10/29/2008 TIME: 7:OOAM PAGE: 29
SITE ADDRESS: 09975 SW MEANING ST 1020 CLASS OF WORK:
SUBDIVISION: MASSII OFFICE: BLDG LOT #: 021 TYPE OF USE:
PROJECT NAME: VISION WORLD
DESCRIPTION: TI. 9/23108, ADDING (1) SERVICE AND (21) BRANCH CIRCUITS.
OWNER: MASSIH L LC, PHONE #:
CONTRACTOR: IIIVIBERLINF ELECTRICAL CONTRACTORS PHONE #: 503-459-4089
Inspection Request Scheduled For: Date: 10/2912008 Pour Time:
Code # Inspection Description Confirm # Contact #
Message f0;
130 Ceiling cover 077306-01 503-849-8804 '\•., Y
/lb
Corrections/Comments/Instructions: snic
Am
Cz E PARTIAL APPROVAL 0 CANCEL fl NO ACCESS
, 0 FAIL E CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: 0.1" I Date: iqv(bt Phone #: (503) 718- At_
CITY OF TipARD
BUILDING etIMION -, ,----.
t PERMIT #: ELC200800.506
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/4/2008
Phone: (503) 639-4171 i lkirle
Inspection Requests (24 Hrs.): (503) 639-4175 — ---^
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
10/15/2000 7:00AIVI 32
SITE ADDRESS: CLASS OF WORK:
09975 SW
RE - NING f 1020
O
MASSIH
SUBDIVISION: - - FFICE BLDG 021 LOT #: TYPE OF USE:
• PROJECT NAME: VISION WORLD
DESCRIPTION:
TI . 9123/08, ADDING (1) SERVICE AND (21) BRANCH CIRCUITS.
OWNER: PHONE #:
MASSIH LLC,
CONTRACTOR: — CONTRACTORS PHONE #: 503.459
TIMBERLINE ELECTRICAL
Inspection Request Scheduled For: Date: 10115/2008 Pour Time:
Code # Inspection Description 1 / " ,firm # Contact # Message
195 Misc. inspection 076720-0 503-849-8804 Y
Corrections/Comments/Instructioa
SEM 1 Clg ikfegcs)AL P ii.if6 \
N61 • ej3 Ta(2.i u./1 11
(
p. a., sci-v.is ,,,,,, - tAtkaSwpizI ARS WO. 3 CAD
t 1 ISKNO . ALL 511 S c.Muj 5 o 0 tt vpLkN
coom. Ckii&L5 o0 F2ctv -101\tv T 44. 1 ) 3 03)
. .
Li PASS APARTIAL APPROVAID 0 CANCEL 7 NO ACCESS
7 FAIL I I CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: 6Th • (,e Lk Date: 16 Phone #: (503) 718- Pl6L7
, .
CITY OF TIGABD �
BUILDING DIVI PERMIT #: EL C2008-00506
00506
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:� � Ot18
Phone: (503) 639 -4171 �u j ��
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: ���� TIME: 7 :001,AM PAGE: 25
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: 08875 S f 12EVN1VG ST 1020 LOT #: TYPE OF USE:
PROJECT NAME: MA SIF1 OFFICE BLDG 021
VISION WORLD
DESCRIPTION: 1 -
OWNER: MASSIF' LLC', PHONE #:
CONTRACTOR:
TIMBERLINE ELECTRICAL CONTRACTORS PHONE #: 503 - 459 -4089
Inspection Request Scheduled For: Date: W26/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 Well rover 075960 -01 503-849-8804 \ Y
Corrections /Comments/Instructions: S C--
PO
- PcPl ®i PIA RfatV i f&l..
U 161&A_ 6 v O .
i yZ PASS ❑ PARTIAL APPROVAL ❑ .CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G N U)1.-CE Date: Q Phone #: (503) 718- /IMO
CITY OF TIGA,RD
BUILDING DIVISION 1"' PERMIT #:fit ctOO8 (70S0b
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171M
Inspection Requests (24 Hrs.): (503) 639 -4175 !
INSPECTION WORKSHEET FOR DATE: 9.9. O% TIME: PAGE:
SITE ADDRESS: cl 1b $ U.) ) CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: et .LI .I% Pour Time:
Code # Inspection Description Confirm # Contact # Message
105 va Look_
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL _ CALL FOR INSPECTION II] ADDITIONAL FEES ASSESSED
Inspector: Cry N LC Date: a' 0� Phone #: (503) 718- J"r ■•
Case Activity Listing 9/29/2008
'CCEL
Case #: ELC2008 -00506 8:57:45AM
Assigned Done Updated
Activity Description Date 1 Date 2 Date 3 Hold Disp To By By Notes
ELC1010 Application received 9/4/2008 None RECD BTT 9/4/2008
BTT
ELC 1020 Permit created 9/4/2008 None DONE BTT 9/4/2008
BTT
ELC 1030 Check for parcel tags 9/4/2008 None DONE BTT 9/4/2008
BTT
ELC 1250 ELC signature on 9/4/2008 None DONE BTT 9/4/2008
application BTT
ELC 1280 Issue permit 9/4/2008 None DONE BTT 9/4/2008
BTT - - - .
ELC2105 Underground/slab 9/4/2008 9/5/2008 9/4/2008 None PASS GN 9/4/2008 075108 -01 — 503 - 849 - 9453 VM -
cover GN Y
ELC 1080 Revisions /Info routed 9/23/2008 None DONE BTT 9/23/2008 Two sets of plans for review and
to PE BLD additional work to be added.
ELC 1065 Begin plan review 9/24/2008 None DONE GN 9/24/2008
GN
ELC 1070 Revisions /Info 9/24/2008 None DONE GN 9/24/2008 Phoned Craig to request corrected
requested GN load schedule. He said he would
deliver it today. \\
ELC2125 Wall cover 9/25/2008 9/26/2008 9/26/2008 None PASS GN 9/26/2008 075960 -01 — 503- 849 -8804 — VM - 1
GN Y N
1
t
Page 1 of 1 CaseActivity..rpt