Loading...
Permit Q-1 o if. 0 ifi 4 CITY OF T I G D ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT PERMIT #: ELR2008 -00316 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/10/2008 PARCEL: 2S 104AD -04500 SITE ADDRESS: 12617 SW WALNUT ST ZONING: R -4.5 SUBDIVISION: TVF &R FIRE STATION LOT: JURISDICTION: TIG PROJECT: TUALATIN VALLEY FIRE AND RESCU Project Description: Low voltage for voice and data. Job No. 32322 12/17/08, adding CCTV & paging. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: X BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: : HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: CCTV X TOTAL # OF SYSTEMS: 1 Owner: Contractor: TUALATIN VALLEY FIRE & RESCUE NETVERSANT CASCADE, INC 20665 SW BLANTON ST 9740 SW NIMBUS ALOHA, OR 97007 BEAVERTON, OR 97008 Phone: 503- 649 -8577 Contact #: PRI 503- 646 -0533 FAX 503- 641 -6613 Reg #: ELE 34- 589CLE FEES LIC 150328 Description Date Amount SUP 3129LEB [ ELPRMT] ELR Permit 11/10/200E $75.00 [TAX] 12% State Surch 11/10/200E $9.00 REQUIRED ITEMS AND REPORTS [ELPRMT] ELR Permit 12/18/200E $150.00 [TAX] 12% State Surch 12/18/200E $18.00 Total $252.00 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 Center. Those 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 OUNC at 503.246.6699 or 1.800.332.2344. 1 Issued By: � I� �Q Permittee Signature: I � � lll imli C OWNER INSTALLATION ONLY 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. DEC -? ' 'TUE) 23:54 NETVRE 0'._'1 , P 001 /003 Electrical Permit Application >li .•.... , - - ... - 7 . - .)• .. ;• ,- .1: . , ,••;. -,; -., ;•r,""'' 41;;',!.^,.. T 1 catio DEC I 20Og sS „ FOR`OFEICE US LY.' "!:: ; " r 'tCri �city of T1 ":11•C� il.AL,.cd e — 4 l i t � ' S ~ u 't CITY OFTIQAR i plan Rcv /� ,7 D �— ~ . _ I'c suln N u.: �L „2 i ' 131; $1 I1111 Blvd , Ti(taul, OR 7 -- ` r. '� IILDINQ DI tr, phone 50 ,1 (3.1 171 I ar :ILO , +J p,r t)Ibcr room. T' #G+ARD' Impaction I Inc. 501,(13'),4I7S / C ,• ., tc icca&l.ty lulu ICJ tit•rl'nurlfur • . ' 1011 wtvvv Ilysnd-ul /WV `.•' Ilkd��IcthrW /�� tinp obit hdllmnalh,s TYPE OF WORK - 1 . - 1'LAir) 1th:V11; \ \• CI NCVs CigtsIi tic) MD JEI AtIdlllutllall Cl:Jpun�l'CI,IiIC1:1111'111 - - 1'IcJxc chcLL all Out appl] Ixtdnlln j hrlw III ntnnx u, Ilelll• rbrctrll ham ) Q Servlcr or linter 400 rumps or more 0 Pulldtnl' M direr Mend Q (')clt 1111,1, _, „ „' 0 Other: uhcrr the atonable fault cot tent 0 �1ann,o• and Inu1 (' 'I•I (()RY OF (CONSTRUCTION cserall. In.UUJ amps ill I!n alllt•1 or D 1 founts Initlrhnyw ^ .. Ic, In t•n,Nral, or rn-eeth 14,11,11 •0 Co n,mrrrlal•Inr,l• D 1 • and family dwelling - � Connna'ctul /tndustI tat Q Acct...ury Intiltliny •r ,Illtp, lot all mho installations. Untidily r iItII:i.hin11 ly ID r.Ia.Ncr budder [:I (Ilia: CI•he pu 0 hlxnl lt(Iildln l ” L t A ++ 1 � -- 141) CITE 1N1UId�lATlpl� ADD LOCATION .* • CI Inuly 1 1' .iv1rtn- l 1- rlud•1,ICm __ - -- -- - - .y .I IIII , u nl'nc+. morn laud uf °A” °E'` "I "I - Jub no. 3 z3Z� I . Job site add' ess. 1 /S;(C (_f IAvtr^ 1/1 r � l tooH['mmule nccupanc, 1 �- v 7 rr rl!! Vl tLCs / y ^ l III 11 tc llllllx 0 IlltilCpllullal +Llq, 11 pa'I, Lity/S 'a' EiILail: V.111 la.111111 0 t 3 .' lot , .' lot Iuurl' 1 - -- tom/ • V� l 02.... 1 ! � �� —_ • lJ aln rn �7r� r+. In 11N'a tlPll>. 11v n•Nnhu, rt ,lI1tc t lti !opt Ill'1 , f I I1■111'IC: l y � � h.AI . _ /1 I L. y +- 1•'[tCu, 1.. 1c, b11..._ Ili Ilnqu. _____ -_____ 1n... :Ilrvl'tllt Cl I t)uh rile: C�- , }� � jt„ S � s Fpri�b{ C� I" '-- -- - - - ^ -. -: SCHEDULE ' - -� - ' 1 I t fife lJ • - n .Tr1I,yM __ ljl.. rFr. 1 _ -- New 40111141 %I lc - or unoltl- fuadl) dvveIIht stilt. i rt' _ Iueludc,uumchcdlur - -- ubtllvl ,tan: Lot nu,' Loos sq, n, nr less f a5.l 5 _ .t I arc rnah•'pat eel nu.: - - -- - - -- - I °.a udd'1, t10 ay, ft ur punkin — - .1;1..1(1 _ I - -- -- I_lmltcd energy, Icen11 ntu11 w DE$Cl(11'1'ION OF 'WORK Iwih nhovice• fLl 1Y. 145.1 hill an - _ - -�— • -- -- Limited t91c1!J;,sorto- Jan - uIy - - - -- - j_�>. i. • u / - i 1 _ _ residential livid' ulmcr Fri [l.l _L_ 1 i 7� Oil I I '` 1 �/� b/ i..4. � C Ti/ ) � r/ tirt't+ ice• or ftti•dcrc ins(t nhrrntinn. n 9lUm rrlucatiu u I r �.l — Z —� — - -- (•_lN1,o- _ - 200:H t In 1.,4 NU .1U l $$ 1:1 !'RC)!'1:It'11' OWNER OWNER �1 '1' 201 amps In4(lfiamps - -- (UL ?J - - -r � Nunte; T -- — 4r11 nutria lu 6U(l amps - I (IfLG(I - - I '- - - - -` - --- - arms to I ,000 Limps ;14U rill � "" �lhll� is r'wr"•....r -'^ - -- - . - -- - .+� UVer I,UU(1 amps nr volts -- 1 454 h,t C:iI)'ltilttlr.,': — — — - - Troinurt, s >e1'e(ccs or feeder's lnt alteration, aull: I 'elocution I Rune; ( - I N - � �� - .UU amp. m less :UI airs u41)11 amps be B: I v:Irr in:.tnllallnn: TItt InNtullnf i!, , �'" t IIIUI I - I(Ill 3 { u1c'n .v•1tICI is not _ I t), intended tin '. le. lease, rent. nr cxc lt,nve, according to C71tS 4-17, •1.1'1. 1i711, an,) 711I , 401 astir', to '09 r - 13:,75 _ I -- - - 1 2 - Branch cI1_cui1R now. t,IItruliuu. ur es I(•IIS1u11. per (11d CZ I 1V{Il �I.'n,11N _ r _.__ _ — I)t:1 C: — �,t,, I fur branch Cnclllts mill, � - LI APPLICANT, - - -! d CO'4TACT PERSON _ ahnveservice ur feeder l'ee, 11115 1 cu,:h branch tumult I3u,:inc w Minn:: 1.). Pee lur hraneh clreuits - - - - I - Cuillact name. -- uvtbonl ',civil:cu1 fee der fee, 4G.W5 _L_ -- - - -- I11Dt I,Innc(t c1iCUlt AddrLss: - - -- _ l-aeh adrl'I branch cli cult - _ _ o u. -- �=� -' "— -^' ' - - - - Miscclhtncu fr u, Ixcrvice nr rdrr owl ischn i iiyISiuie,Zl l' - Each manulucturctl nr ntndular - I- .. _ .. - --_ - - Iwellin :, srlvire nudlur I-reder 90.44 ;: !'hone• I 1 I Fox:: ( -) rccrnnnrtl unh• hp ,N, o - p1a11: . • • --I-T-1 _-- •_ --- - __ --- I'untPnrn'rlpatinncuclr. :1.3 4 U Tom• — - _ _ C'O\ i'I[ACI'UR - Sign ul uulline hgltunli 1 - - - - I_1+Itiitich4 t t 111V. _ . ._._ � i /'� .. � ,,, • ....- -- - = Sig nn:ultfs) or limner,- - �,' • „, 1 �1__V._ �.���n_1 - l Vj `C'- C�I�(� a I L. eneru Ian n,,,,ut/ Adds, :::: -7 / t rat h 0., 11 v caIrn'Jlun. De rl gels Pa c2 v-V i•nv!Slal :T.IPT StGiU f I 1 t 6 R (e0g - -- EnehuUd in�lrelart over ullu ssubI n m e In ufllie Mum.___ es-3 !� --- Per in.pccli in 1 t'2 $0 j ( I , w _ Nome. I 1 1 I:Oa: ( Z 1 J ) �T-f i - ( .C' 6/13 '- - -: - -' . _ - _ I . — -_ _- _ _ invrst{pannn pet hour (I l m ini __ _ o'.cU 0 CCO Lie.: i Q 3 g - 1 - Electrical Lie_ 3 I -S 1 E Sultry. He �27 4 E g (ndtlshllt plant pe hour J 73.75 ...... .. -- b �1 !II � .. r � ��� F:LF:['t'til('/fl PERMIT FF.FS / SII(1rV, Elec turuln signature, rc //( -- -- tiu a mill mime: ` 1.1„,, review (2$t:i, d ernml Ire) zi ,/ — Win UL 1•iu ka LL r`I 1z D ate: i t l ( 0 ( O' f? _ � �(�'" tilatr surclutine 112% of permit Ice), � J vim' ( c0 • Authorized st;;naturr 1 / - — 3 EA / ('U' I'AL 11_I.M1tI'I' [a_I -. l �Q r - Th perm 1+1111114%11M crpn•n It n Kollin h ton ub hUucll ii links IHu i f"1 "l tit worn:: yy f BA-0.4:1 f){Il " `O (� IIn7• al'Inr 0,1 n. e11n11 � ,„„ti.,., nl mein • ux 411m...d pci ,„:„„ii - Ii b I 1 • 1 • 1 1.1•••••14••••••• VI r' t'cnn A m p dm. 10 : :3;On JJn.lhl: I, 111 I IAI /4111 � .19 150.0 D ITO° l .ri -eml 5 41 llscis-' r i • /jr `w 1 21 ; :,. a CITY OF TI G A R D ELECTRICAL RESTRICTED ENERGY PERMIT °, COMMUNITY DEVELOPMENT PERMIT #: ELR2008 -00316 TIGARD DATE ISSUED: 11/10/2008 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S104AD - 04500 SITE ADDRESS: 12617 SW WALNUT ST ZONING: R -4.5 SUBDIVISION: TVF &R FIRE STATION LOT: JURISDICTION: TIG PROJECT: TUALATIN VALLEY FIRE AND RESCU Project Description: Low voltage for voice and data. Job No. 32322 A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: : HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 1 Owner: Contractor: TUALATIN VALLEY FIRE & RESCUE NETVERSANT CASCADE, INC 20665 SW BLANTON ST 9740 SW NIMBUS ALOHA, OR 97007 BEAVERTON, OR 97008 Phone: 503- 649 -8577 Contact #: PRI 503- 646 -0533 FAX 503- 641 -6613 Reg #: ELE 34- 589CLE FEES LIC 150328 Description Date Amount SUP 3129LEB [ELPRMT] ELR Permit 11/10/200€ $75.00 [TAX] 12% State Surcha 11/10/200€ $9.00 REQUIRED ITEMS AND REPORTS Total $84.00 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 suspende• • • e than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those • s are set forth.in OAR 952- 001 -0010 through OAR 952- 001 -0100. You may • :. in copies of these rules or direct questions to OUNC at 503.2• ..6699 or 1 800 3 s Iss d By: Permittee Signature: t jw� • OWNER INSTALLATION ONLY 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. J IOU- 10- 2008(MON) 00:18 NETVERSRNT 1- ASO:16,ES INC P 001/002 ti Electrical Permit A 3 3lica r� .>FOOFF CE IJSIEtliN ie: , k l CITY of Tigard firvrwrd 8 , ? ljw I?Jn.dse i� /o r Tenon Nu: eF „,/,:� ��ej i ' " 1! I2ti Sal'lf a ll Blvd . 11 ant OR 97:2.3 " - .• p c 11 j Plan licvklt mnc. a. 4 1 r Other Penult- ` I'l 503 09 J 171 F 5n3 5913 ( 1 n...../N7 _ lnspe lnnl Line . U3.ti.P.l.d 17: ` Ualc l tcad'-Il7 tin -- T.� Internet: w • GAItb. - 7� � I Supplculc 0 lira Pup I tar -- �,•tv.npard•or pew Marled/Menu/4. d/Menu /4. Ia. ulul ti lurulullon - - - -• -- TY E �tti 1� PLAN RrvI ��r .. �ll'vv construction AddlUon /! ;ii itlaUun / ompi ®N - - - -- tel,luc'.mcn None OraIll 111111 nppiF huttmil;sets urliI i n,wnns lain: LI Ilclon1 ' -- yy I ..� CI 5rrvlCr or (min •IUU ,amps Lit 111111C 0 Illllldmit .3t et !law rJUr,ry L1 Demolition In Oilier ...betedtcn II.lnrhms and btiiialde CA 1'I,COkY OF CONSTRUCTION etcrrd, in,non nntps ni 1511 voles oI Q hluatlnp bull4ulp. .. . - - ins In wound. di c.ceeds 1- 1,tluu '© t CI.11 IN„r, .Nell nhn1,11 © I- and «• I.. Coi,,mcrclul /industtiil CJACccvrutylnlllding a111I ' lnrpH who tr(nl11IIIIlt111R bldldhl.s ( .Iulu.fi ntll 1J master builder © Olhcr: Ell ire pump CI Illtlnllaucn•'f It r.v.:... .colt SITE 1NFORMA Entcrgrlrcetvttcm 1111tH 'I.CI1JIa111 \.Irn >trm 7 © Add/1411111i 1101 milli ( 0 .1' •'f -I.7 t• • I_, ,lob net. • S Z3 Z. - 2., Job site nddrr ,:.: Ilm1I1' 411 llturr In rupdnt'v - - -- -- I -- T t"' 4! l . w l ( � til� or tom residential wills fi wrctratlmud ,t61rL pa Lt I C-IIy /Sl:uc;7,1P: T 11 &I 'a 0. q 1 - i• z-7. 0He altlt•caleiacilltict." it CI "u ',ona m ycl'nun. . ._ 1 - -- (� ( lazaldunr lnCllnnl+ n111V will•. IV.I nIbJI Slltic%bldl : / tr pl nu. I'iOJeCIiciirirf F L .1SeTlirorl i•cdrrr.nnan tsolmule -i F� :r SC, tlrnu - 1 ' Inhti stl'rrl.'dIrCCI1D115 Ill lob 6111; : ,1� _ S�7 Oh. — 1 �II'. 1 - I'rr �'Tuivi ' I 1L! 1 New residential single. or niutri- family 111001111 wilt, - --_ - -- -.. _- — Includes attached garage, SUbrlivislon: I•uln,t,• T I,000atl 11 urlcrg I 1, 4 Tax mnl,lpnrrcl no.: _ - -- - - " - - 1 u . arld 5011 sq. IL of pulliull 77,du _ � - -- LittOted energy, rcrldl nllal � • ',Upti(.'HII'I'ION OF �— i (un hlln , vr lo q 111 7:,U11 - /p 1.lml identbl I rJl, with t. lnty , 1. 11! n 11 Iii il 751111 _ V� �� l l ✓� Iruidcuu with ulnrt .11.1 111111 Service. nr feeders Irnlull.itlun. uherntinn, nnd/ur Iclnralinn I _ ;L I -- _ �_ W amps OP less 811.30 1 (a PROM :WIT C)y�'�I tr.it 0 TF NANT 201 urnpn to dill) amp; I11G 35 -� ?_ N:Ir•c: ..�- ' _ 1111 amlyh,fi0flwnlpa I(iO ' .� ttl•11as• _ 1-1I I umpi In I, nm __ 2.10 t1U ? _I � Uvel I ,OUll limp.» nr vnhµ 4S4 S « . C:lt)7titale: IP: - Temporal, services or fe lnatallatlnn. alteration. lwlllur I - -- - - -" ' U Unt I _ _ _ I Thine: I 1 hax; ( ) - 20ps sir erne bo.H: I I I r t /woo In :.collat This installation is bring made in property that 1 ii 1 Which is not 01 amps wauu nmh 100 30 - 1 2 intended tin <_Ir louse, rent. of exchange. aL'COIdI1111 In ORS 447, -149, (170, and 7111• .f11 auto. to 599 tom.. 133.75 I 2 • Branch circuits- nes► alIirnllun. or cm mint'. n) • . or tue ._ lhauet 41nn.ilurr.• T � .- _ — - 7-- Oatc: - - -. _- ,,, For fur branch ciraulI mai - -- - CJ A!'1!LICAN'I'. . [0 _ CON'I'A('r PERSON . • - ahnvc acrvicl• lit Feeder Coo. _ ' - -- t:arlt brunch ctrl lilt 11.(15 I3U +Utr■■ It.1111C: D. Fre fur brallrlt vicuna - -- _— - ' -- ,. t.'Ith brunch tic vice circll't: 111 f CCdrt ICC, 2 C: unlul 17111111.1' 17111111.1' ' lilac bruncuit •IG. Atkin:SS: leach adrl'I Nandi ehhoil _ h ( - 2 - - -- " - - - -' Mlscellllncuu% (bcrvIce nr reollor wu1 Included') City /Stale,LI la: - Ench muralruculred nr mndwfar ' -- ' _dwelling. %el vice nndlur feeder 90.10 I -- PI1onC: 1 ) _ ) hay: ; ( ) Reconnect t t wilt• tip by _ 2 E-mail: _ - - Pump nr irrigation c nclr ,5;1.4U — -' (:ONTRACTCI It Sign ul 1J1r11ine lighting 53 40 2 13"1"" Hume: /) // �-// � 1 I . Signal cin:ultffi) nr Ilmttud• - . , ...e_ - \I_ c G' �t!f 0,a d e .5 It f✓ energy nnnel, nhet • u Adder' :s• G, '7 y D S\ /U i rh h r� S i 9 v(�1 V(„�1 exirnuwn Describe: 1 I'ugr2 9S. 2 l.'lly.'Stutc /ZIP :: kj ell +0 in ! R. I 4i O !� g Each ntldllinntll Inspection w•ahle In any oflhc Ilhovc tGI � V V VO aci aver alin ( �1� — ' P Iltnpccllun 62,50 Phone: I j 1 4'NU uJ ITwx: (5b3)414// C' , - -- — - - _ -_ __ ° u InvLSllKawun pre hour (1 In mini b: $n crii I.Ic.: l,s'Q1 S g I:Iectl cal I.ic VI-5301as VI-5301 Supt•v_ Lic.: 2 f t 66, • IuduatitaI plant per hour 73,75 - F.I.I;CTRICAL PERMIT FLES Siprv, ticcUlt:tau slgnotulr rrtit irod: I ` / _ _ Subtnla 75 ; _, •.. , : �/�.� � y } -- ( Plan tevlew PST:. of permit Ice). 0 I'I'Inl ntlmC ►rt V 1:.• �j ' � 1"1 K-b Date: t% � o leg /� ` �1 Slate sin (I;'7L Idr penn (rr,l 1 • a 0 Authooi zcrl signalutr: n .t Tt-)TM, PERMIT FEE g 1 J 00 f rwll ti:Utle: VV w , V y L r� 1 ` I , This pet mil /I ppllcnt6rn sspirr. II a purudl I nil uhlaiuril nllhhl I Ill I - --------- _ ^ w Bill l" `l t ` O l y — a lly. slier i1 1111. bet'11111!Ceillyd 11. Cnllndrlu. • 11 • hn,nll.r ■1 U I1rcunnN ullnurd prr i7tnuR I. innidnnl VC, n11.J 1_LC•l'rrnmApl, ' Il..'.1 /Iln 4411 .11.1111111r 11'111 f l CITY OF TIGARD = ��� I I BUILDING DIVISION F PERMIT #: R20{ $00316 _L l 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 1'f/ f aw Phone: (503) 639 -4171 A Inspection Requests (24 Hrs.): (503) 639 -4175 _. INSPECTION WORKSHEET FOR DATE: 12E31/7008 TIME: 7: 00AIdi PAGE: 24 SITE ADDRESS: 12617 SW WALNUT ST CLASS OF WORK: SUBDIVISION: �° LOT #: TYPE OF USE: 1�VI = &R FIRE STATION PROJECT NAME: TUALATIN VALLEY FIRE AND RESCU DESCRIPTION: Low voltage tor voice and data. Job No. 32322 12117/08, adding CCTV & paging. OWNER: TUALATIN VALLEY FIRE & RESCUE, PHONE #: 503- 649`8677 CONTRACTOR: NETVERSANT CASCADE, INC PHONE #: 603.646 - 0533 Inspection Request Scheduled For: Date: 12/31/2008 Pour Time: Code # Inspection Description Confirm_# Contact # Message 199 Electrical final 079290.01 503- 330 -2826 N Corrections /Comments /Instructions: A, a PAS'. ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS NI ' ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: • ° 1 Date: t 2' 3 I 1 Phone #: (503) 718- 2ALtt)_ L - CITY OF TIGARD • `y , w, ; BUILDING DIVISION ` PERMIT #: 1.1 2008 011 16 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1o/20o8 Phone: (503) 639 -4171 p h•I l I t Inspection Requests (24 Hrs.): (503) 639 -4175 . ,711. ._ Alit INSPECTION WORKSHEET FOR DATE: 12/17/2008 TIME: 7:00AN1 PAGE: 4 SITE ADDRESS: 12617 SW WALNUT ST CLASS OF WORK: SUBDIVISION: TVF&R FIRE STATION LOT #: TYPE OF USE: PROJECT NAME: TUALATIN VALLEY FIRE AND RESCU DESCRIPTION: Low voltage for voice and data. Job No. 32322 OWNER: TUALATIN VALLEY FIRE & RESCUE, PHONE #: 503_649f3577 CONTRACTOR: NETVERSANT CASCADE, INC PHONE #: 503-646.0533 Inspection Request Scheduled For: D. e: 12/17/2008 Pour Time: ' Code # Inspection Description C,nfirm # Contact # Message 135 L.ow voltage 079101.01 503 -332 -9246 N Corrections /Comments /Instructions: ikO %.)9‘16 ..° 1 4 CR %L I N CANIe.' C7 J • ---------- ----_______S - Sok‘)(J 1 CC \ N. - . 1 4 ) 12 . PASS n PARTIAL APPROVAL ❑ CANCEL El NO ACCESS . ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: �7�' • N L Date: '2.11 • Ot Phone #: (503) 718- I"1 t'o