Permit C TY O F TIGARD ELECTRICAL PERMIT • 1 11 ' Ir' �' PERMIT #: ELC2007 00765
COMMUNITY DEVELOPMENT DATE ISSUED: 11/13/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 101 AB -01607
SITE ADDRESS: 07540 SW HERMOSO WAY ZONING: MUE
SUBDIVISION: HERMOSO PARK LOT : 009 JURISDICTION: TIG
PROJECT: LUBY
Project Description: Rewire, add low voltage for data wiring. Job No. 731
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: SIGNAUPANEL: 1
MANF HM/ SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: 2 W /SERVICE OR FEEDER: 30 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 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:
KEVIN LUBY TRI STAR ELECTIC INC
7540 SW HERMOSO WAY PO BOX 231175
TIGARD, OR 97223 TIGARD, OR 97281
Phone: Contact #: PRI 503 - 860 -5249
FAX 503 - 590 -2302
FEES
Description Date Amount Reg #: ELE 34 -620C
[ELPRMT1 ELC Permit 11/13/200' $435.10 LIC 153559
[TAX] 8% State Surcharge 11/13/200' $34.81 SUP 3832S
Total $469.91 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 1 0 -days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
OAR 95 - 01 -0010 thrdu h 52- 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issu d By: t` Permittee Signature: ` / / , A
OWNER INSTALLATION ONLY 2
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: .,.. : ,' d DATE:
1r
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.
Electrical Per A io ran OFE t I i 41 ONLY
s �� r s �� Received
City of `Tigard ; Date/By. /t I 0 7 P No.: t 7 -OG7w <
13125 SW Hall Blvd., Tigard, OR 97223-, Plan Review
Phone: 503.639.4171 Fax 503.598.1 i) ¥ L U u tJ �'" -F"tr "' I - Date/By. Other Permit:
Inspection Line: 503.639.4175 -a 1 1 Date y. lwisc = RI See Page 2 for
Nou6edlMeWod Ready/B / Supplemental ementalInformation
U Internet: anvw ch.tigard onus 8 �� O S � j t C� pPl
k all that apply:
❑ New construction ; RI Addition/alteration/replacement Please chec .
❑ Demolition i ❑Service over comfit"! 25 amps, comfit"! ❑Hazardous location
❑ Other: OService over 320 amps - rating ❑ Buildng over 10,000 sq. fl..
` :' . ' 4A ,EtARy!' O GOP( 'RC3e7"tON o-` ,: " w of 1 -and 2- family dwellings' 4 or more new residential
2, _ . r€_ `.,� ., >� . n,,s eras„ - „ ;, .k. -g4... .. _. -A.. ._,
❑ 1 and 2 family dwelling ' Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal • units in one structure
❑ Multi-family
I ❑Master builder ❑ Other: ❑Building over three stories ❑Feeders, 400 amps or more
m
builder ❑Occupant load over 99 persons ❑ Mann factured structures or
:, V _. . O S t , FU Iitol,T AYD `A„. A % °' ❑Egress/lighting plan RV park
Job no.: 1 1 I Job site address:1S140 5) HOZ{\ C: jp tk)qy ❑Health care facility ❑ Other
Submit 2 sets of plans with any of the above.
City /State/ZIP: ---n e P 2.D) 012 9 '7 2.241 The above are not applicable to temporary construction service.
Suite/bldg./apt. no.: ' Project name: LL) E ' PROC. TE ' 4 S k AUL -- - _ ^ :
-�1�1V lO t 40 u I Qty. I Fee 1 Total j
Cross street/directions toljob site: 12. k) Av e , • New residential single- or multi- family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: i Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
Limited energy, non - residential 75.00 2
a M a. " a FR Pt 0 o ' . . Each manufactured or modular
,2 -W 1 sae- i=t-PC ¢ C-o4 \ I O `
dwelling, service and/or installation, 90.90 2
N 1 Services or feeders installation, atteration relocation
R.()M RESI DEICE. TT OFFIC-E, F 200 amps or less , 2 80.30 I (,d, I,C 2
a C ' "'1 t, _ l 201 amps to 400 amps 106.85 2
'` `'" 401 amps to 600 amps 160.60 2
Name: ILe_N,J 1 t UBV 601 amps to 1,000 amps 240.60 2
Address: / 7 t I S\.k.) v Z' Ke - Over 1,000 amps or volts 454.65 2
CI Reconnect only 66.85 2
City /State/ZIP: `Ti �.yII\ aD, CY - "I1 2.2 Temporary services or feeders installation, alteration, and /or
relocation
Phone: (r-21).) Co 24' 2 ll Z Fax: ('S:) (C20 ' 3 C) 200 amps or less 66.85 I
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 600 amps 133.75 2
Owner signature: i Date: Branch circuits - new, alteration, or extension, per panel
'�' r6 ' ='� A. with
��'� F �PI�tl s�°��=� ' z "� t /11'. � Et��,? '"� . A Fee for branch circuits wi
service or feeder fee, each
Business name: branch circuit 30 6.65 'pp 0 2
B. Fee for branch circuits t"1
Contact name: without service or feeder fee, 46.85 2
Address: each branch circuit
Each add'I branch circuit 6.65 2
City /State/ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: ( ) Fax: : ( ) Sign or outline lighting 53.40 2
E -mail: ± Signal circuit(s) or limited -
- n A- i : ' 7., . 4U„l70CTOl0r - ANA energy panel, alteration, or
- 1 -7 g -ST sIEC."c 'R \ e,, 1 tJ c_.. extension. Describe: Page 2 75,00 2
Business name:
Address: 'P, p, 1 613 \/... 23 \\-1C- Each additional inspection over allowable in any of the above
Q Per inspection 62.50
City/State/ZIP: C AC,2D ( 9 28 l Investigation per hour (1 hr min) 62.50
V X00 �
Phone: ( Z Industrial plant per hour 7175
a 3� Fax: (S03} tJQ fl 30 Z.
CCB Lie.: 1Cj 3 5179 Electrical L
Li �ie.:
`` 3 L.1-1 C. Suprv. Lie.: 3832.s Subtotal 4G2,
Suprv. Electrician signature, required:1l4J"e1 _ Plan review (25% of permit fee)
State surcharge (8% of permit fee) 3y .$ i
��
Print name: 12, [CA- A-p �G'r'u , Date: I I - 1 Z -(�� TOTAL PERMIT FEE LF 69 q 1
Authorized signature: 1 This permit application expires if a permit is not obtained within ISO
days after.it has been accepted as complete
Print name: i Date: • Fee methodology set by Tri- County Building Industry Service Board
•• Number of inspections per permit allowed.
is\ Budding \Pe.mits\ELC- PermitApp.do 12)03 440- 4615T(I0&02 /COM/WEB
CITY OF TIGARD ;
. ,
BUILDING DIVISION S ,. PERMIT #: FLE2007-00765
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1312007
Phone: (503) 639-4171 "oh till?
Inspection Requests (24 Hrs.): (503) 639-4175 ,„131■ I.L.
INSPECTION WORKSHEET FOR DATE: 11/29/2007 TIME: 7:00AM PAGE: 10
SITE ADDRESS: 075,40 SW HERMOSO WAY CLASS OF WORK:
SUBDIVISION: HFRivlOSO PARK LOT #: 009 TYPE OF USE:
PROJECT NAME: RAND
DESCRIPTION: Rewire, add low voltage for data wiring. Job No. 731
For residential use only.
OWNER: RAND, STEPHAN PHONE #: 503
CONTRACTOR: TRI STAR ELECTIC INC PHONE #: W3-860-5249
Inspection Request Scheduled For: Date: 11/29/2007 . Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Electrical seivice 060498-01 503860-3838 Y 'VT
Corrections /Comments/ Instructions:
V Ze
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El PASS El PARTIAL APPROVAL El CANCEL Ei NO ACCESS
cv FAIL D4 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
1
Inspector: Date: t!/ bfi 1 6 9 Phone #: (503) 718- L I LI
CITY OF TIGARD
• 4•
BUILDING DIVISION PERMIT #: ELC2007- 00766
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/13/2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1213/2007 TIME: 7:00Am PAGE: 20
SITE ADDRESS: 07540 SW HFRIVIOSO WAY CLASS OF WORK:
SUBDIVISION: HERMO$O PARK LOT #: 009 TYPE OF USE:
PROJECT NAME: RAND
DESCRIPTION: Rewire, add low voltage for data wiring. Job No. 731
For residential use only.
OWNER: RAND, STEPHAN PHONE #: 503-888-5530
CONTRACTOR: TRI STAR ELECTIC INC PHONE #: 503-860-5248
Inspection Request Scheduled For: Date: 12/3/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Electrical service 060653-01 503-860-3838
Corrections /Comments/ Instructions:
•
N , PASS PARTIAL APPROVAL fl CANCEL NO ACCESS
FAIL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
-
Inspector: f r
Date: 07 Phone #: (503) 718-
CITY �°����FN�������� ' . '
��m m o n�rn TIGARD �
BUILDING DIVISION ' PERMIT #: ELC2007-00765
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1312007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 5/9V2008 TIME: 7:00AM PAGE:
SITE ADDRESS: O764OFWHENk40SOWAY CLASS OF WORK:
SUBDIVISION: HERk8QSOF^ARR LOT #: 009 TYPE OF USE:
PROJECT NAME: LUBY
DESCRIPTION: Rewire, add low voltage for data wiring. Job No. 731
For residential use only.
OWNER: LUBY.NEMN PHONE #: 503-020'3342
CONTRACTOR: TR| STAR ELECT|CINC PHONE #: 603-860-5249
Inspection Request Scheduled For: [)ate: 5/9/20O8 Pour Time:
Code # Inspection Description " ^ # Contact # Message
_-
120 Electrical 01 503-860503-860-5249 �^ 8��2�� `~ Y
Corrections/Comments/Instructions:
K � ~ �_
�-] /(l |
•
PARTIAL APPROVAL ri CANCEL ri NO ACCESS
I I FA 0 CALL FOR INSPECTION ri ADDITIONAL FEES ASSESSED
Inspector: `��- ^ i`w%t-tr Date: ��Y A phone #: (503) 718' 2*, 0 f '`
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -0f765
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/13/2007
Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 ittlt
INSPECTION WORKSHEET FOR DATE: 5/8/2008 TIME: 7:01AM PAGE: 10
SITE ADDRESS: 07540 SW HERMOSO WAY CLASS OF WORK:
SUBDIVISION: HERMOSO PARK LOT #: 009 TYPE OF USE:
PROJECT NAME: LUBY
DESCRIPTION: Rewire, add low voltage for data wiring. Job No. 731
For residential use only.
OWNER: LUI3Y, KEVIN PHONE #: 503620 -3312
CONTRACTOR: TRI STAR ELECTIC INC PHONE #: 503-860-5249
Inspection Request Scheduled For: Date: 5/8/2008 Pour Time:
Code # Inspection Description Confi . # Contact # Message
120 Electrical rough -in 069600 -01 503-860-5249 \ Y
Corrections/Comments/Instructions:
CO ?ckov LA_ p Fat. F Gots
P MO
•
® Rx q..6eAl* L r Pi ii u ors TN le-WI
ft -\?■ CA i Lt Pa (DO Lis) 5 fCiCL5 %
n PASS n PARTIAL APPROVAL n CANCEL n NO ACCESS
IX FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: 66 Le' Date: 6-i Phone #: (503) 718- 2 I f°
CITY OF TIGARD .:
., ..
BUILDING DIVISION PERMIT #: ELC2007-00765
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/13/2007
Phone: (503) 639-4171 kArtioll II\
Inspection Requests (24 Hrs.): (503) 639-4175 ,544. • -1.1.
INSPECTION WORKSHEET FOR DATE: 5119/2008 TIME: 7:00AM PAGE: 36
• SITE ADDRESS: 07540 SW HERMOSO WAY CLASS OF WORK:
SUBDIVISION: HERMOSO PARK LOT #: 009 TYPE OF USE:
PROJECT NAME: LUBY
DESCRIPTION: Rewire, add low voltage for data wiring. Job No, 731
For residential use only.
OWNER: LUBY, KEVIN PHONE #: 503
CONTRACTOR: TRI STAR ELECTIC INC PHONE #: 503-860-5249
Inspection Request Scheduled For: Date: 5/19/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
Wall cover \
k/aover 07003 , 8-01 503-860-3838 Y
Corrections /Comments/ Instructions:
ew.i..15 uo
. ..
I
. . 1
1 - 4
I I PASS X PARTIAL APPROVAL 0 CANCEL fl NO ACCESS
III FAIL 0 CALL FOR INSPECTION pi ADDITIONAL FEES ASSESSED
Inspector: C- ,---- c N‘ Lt 6 ilf X Phone #: (503) 718- pilA
- , ,
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00765
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/13/2007
Phone: (503) 639 -4171 . nsoypilbliIi
Inspection Requests (24 Hrs.): (503) 639 -4175 .„..,_14-
INSPECTION WORKSHEET FOR DATE: 5122/2008 TIME: 6 :59AM PAGE: 8
1
I
SITE ADDRESS: 0754() SW HERMOSO WAY CLASS OF WORK:
SUBDIVISION: HERMOSO PARK LOT #: 009 TYPE OF USE:
PROJECT NAME: LUFJY
DESCRIPTION: Rewire, add low voltage for data wiring. Job No. 731
For residential use only.
OWNER: LULiY, KEVIN PHONE #: 603^620 -3342
CONTRACTOR: TRI STAR ELECTIC INC PHONE #: 503. 060.5249
Inspection Request Scheduled For: Date: 5/22/2008 Pour Time:
Code # Inspection Description onfirm -#. Contact # Message
115 Electrical service G�(A PIE : 070279.0' 604860.5249 ` Y
OVVIASION Ou1?i3.
Corrections /Comments /Instructions: y
n � glib . a 16J- cls1/4P 9■®li
!, ,)L lh-v .. -TAY 61.1Q,„1-0-
I' Tp .'''l c .1 Ni .
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7 . A '. s 446. C.E c Q
1 ►7 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C- NU) L' Date: Phone #: (503) 718 - VIA)
, -
CITY OF TIGARD
„..._. _.., ,
1 1 BUILDING DIVISION
4411110, PERMIT #: ELC2007-00765
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/13/2007
Phone: (503) 639-4171 i/Noimptiii'f
Inspection Requests (24 Hrs.): (503) 639-4175 - ....,_,W IL.
INSPECTION WORKSHEET FOR DATE: 6/11/2008 TIME: 7:00AM PAGE: 6
SITE ADDRESS: 07540 SW HERMOSO WAY CLASS OF WORK:
SUBDIVISION: HERMOSO PARK LOT #: 009 TYPE OF USE:
PROJECT NAME: LUBY
DESCRIPTION: Rewire, add low voltage for data wiring. Job No. 731
For residential use only.
OWNER: LUBY, KEVIN PHONE #: 503-620-3342
CONTRACTOR: TRI STAR ELECTIC INC PHONE #: 603-860-5249
Inspection Request Scheduled For: Date: 6/11/2000 Pour Time:
Code # Inspection Description Confirm # Contact # Viessage
195 Misc. inspection 071230-01 603-860-5249 V
Corrections/Comments/Instructions:
RN\ (0 (z,
- PO c* igteop\D 0 a ukfrs
I I PASS PARTIAL APPROVAL 1 CANCEL Fl NO ACCESS
I I FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
ck ---
Inspector: Date: j_l__________15 ii h Phone #: (503) 718- tilt
._ . .• .„ . '
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007-00766
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1312007
Phone: (503) 639-4171 A,
.„,,,„„„,„,,,,,,
Inspection Requests (24 Hrs.): (503) 639-4175 ,„1,4- 'E.
INSPECTION WORKSHEET FOR DATE: al12/2008 TIME: 7:02AM PAGE: a
SITE ADDRESS: 07540 SW HERMOSO WAY CLASS OF WORK:
SUBDIVISION: HERMOSO PARK LOT #: 009 TYPE OF USE:
PROJECT NAME: LUI3Y
DESCRIPTION: Rewire, add low voltage for data wiring. Job No. 731
For residential use only.
OWNER: LUI3Y, KEVIN PHONE #: 503-620-3342
CONTRACTOR: TRI STAR ELECTIC INC PHONE #: 503-860-5249
,
Inspection Request Scheduled For: Date: 6/12/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 071293-01 503-860-3838 N
Corrections/Comments/Instructions:
0 PASS PARTIAL APPROVAL 11 CANCEL fl NO ACCESS
-
F7 FAIL I I CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: G ---1 kl .'N CZ5N—S Date: itc I i 4 Phone #: (503) 718- 'Mt°
CITY OFTIGARD _ _ _ - .
BUILDING DIVISION PERMIT #: ELC2007 0f1765
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1//1312007
Phone: (503) 639 -4171 // 1( /-
Inspection Requests (24 Hrs.): (503) 639 -4175 = .I `__..
INSPECTION WORKSHEET FOR DATE: 6/13/2008 TIME: 7:01AM PAGE: 32 1
I
SITE ADDRESS: 07540 SW HERMOSO WAY CLASS OF WORK:
SUBDIVISION: HERMOSO PARK LOT #: 009 TYPE OF USE:
PROJECT NAME: LUBY
DESCRIPTION: Rewire, add low voltage for data wiring. Job No. 731
For residential use only.
OWNER: LUI3Y, KEVIN PHONE #: 503- 620 -3342
CONTRACTOR: TRI STAR ELECTIC INC PHONE #: 503 -860 -5249
Inspection Request Scheduled For: - Date: 6/13/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 07/34601 503- 860.3838 N
Corrections /Comments/ Instructions:
4 P CkiD M P e lb ALL- 707 Larls
-■ G ) in .
6 c I Qa
* z.�Q .
?( \Di Ptivvitt 4 To ilk,LL.-
001LE(5 ika) csaL -. Ftk
INIT
I I PASS n PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G-' N 4S 8Le' Date: IP ' Phone #: (503) 718-1A
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007-00765
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/13/2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 6/16/2008 TIME: 7:00AM PAGE: 8
SITE ADDRESS: 07640 SW HERMOSO WAY CLASS OF WORK:
SUBDIVISION: HERMOSO PARK LOT #: 009 TYPE OF USE:
PROJECT NAME: LLII3Y
DESCRIPTION: Rewire, add low voltage for data wiring, Job No. 731
For residential use only.
OWNER: LUBY, KEVIN PHONE #: 5036203342
CONTRACTOR: TRI STAR ELECTIC INC PHONE #: 603-860-5249
Inspection Request Scheduled For: Date: 6/1612008 Pour Time:
Code # Inspection Description Co,nfir - • Contact # Message
199 Electrical final 071422-01 603
Corrections/Comments/Instructions:
-.1 1_70910 vIva.4 No k)p ALL . at, n3c40
trv\p‘4,.. 3 A, QXQ osta-tr 'sic • 07. 110 3 00 -
•
PASS EI PARTIAL APPROVAL CANCEL I I NO ACCESS
Ej FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: C-T - N" Date: ill I 4316 Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007.00765
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1312007
Phone: (503) 639-4171 n
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 6/17/2008 TIME: 7:00AM PAGE: 12
SITE ADDRESS: 07540 SW HERMOSO WAY CLASS OF WORK:
SUBDIVISION: HERMOSO PARK LOT #: 009 TYPE OF USE:
PROJECT NAME: LUI3Y
DESCRIPTION: Rewire, add low voltage for data wiring. Job No. 731
For residential use only.
OWNER: LUBY, KEVIN PHONE #: 503-620-3342
CONTRACTOR: TR! STAR ELECTIC INC PHONE #: 503-860-5249
Inspection Request Scheduled For: Date: 6/17/2008 Pour Time:
Code # Inspection Description Corifi # Contact # Message
199 Electrical final 071488-01 503-860-3838
Corrections/Comments/Instructions:
PASS 0 PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
I F El CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: G 66 LAT Date: 6 01) Phone #: (503) 718- 7,P '1