Permit ` CITY OF TIGARD ELECTRICAL PERMIT
P h
.Ifir PERMIT #: ELC2007
COMMUNITY DEVELOPMENT DATE ISSUED: 10/9/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 102BA -02000
SITE ADDRESS: 12353 SW GRANT AVE ZONING: R -4.5
SUBDIVISION: GRANT AVE ELITE CARE EXTEND RE LOT : 045 JURISDICTION: TIG
PROJECT: GRANT STREET ELITE CARE
Project Description: Electrical. Low voltage systems: nurse call, controls, cable TV.
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: 3
MANF HM/ SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: 42 W /SERVICE OR FEEDER: 234 PER INSPECTION:
201 - 400 amp: 2 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: 2 PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: X
Owner: Contractor:
ELITE CARE R & R ENERGY RESOURCES
2300 SW 103RD 2401 NE MKL JR BLVD
PORTLAND, OR 97225 PORTLAND, OR 97212
Phone: 971 - 506 -0151 Contact #: PRI 971 - 506 -0153
FAX 503 - 631 -4673
FEES
Description Date Amount Reg #: ELE 26 -696C
[ELPRMT] ELC Permit 10/9/2007 $5,623.60 LIC 71865
[ELPLCK] ELC Pln Rev 10/9/2007 $1,405.90 SUP 2948S
[TAX] 8% State Surcharge 10/9/2007 $449.89
REQUIRED ITEMS AND REPORTS
Total $7,479,39
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 b ccordance with approved plans. This permit will expire if work is not started within 180 days f issuance, or if work is suspended for
more n 180 days. AITENTI• Oregon law requires you to follow rules adopted by the Oregon Utility Notifica on Center. Those rules are set forth in
OA 952 - 001 -0010 through ! • R 9 ^ " -" 4 1 -0100. You may obtain copies of these rules or direct questions to 0 C at 503.246.6699 or 1.800.332.2344.
Iss edBy:� a p'. _ _A, t
Permittee Signature: k(
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
r
SIGNATURE OF SUPR. ELEC'N: ,,-' / ! _ .. ,L 1 Ace / DATE:
LICENSE NO: /
Call 503.; 9.4175 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 Permit Application FOR OFFICE USE ONLY
•
City of Tigard Date/By:
4 d- Pennit No.: fz. C 7 -a�
IN
( z'"' v
q 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit:
T I G A RD Inspection Line: 503.639.4175 Date Ready /ey: to ^ ® See Page 2 for
• Internet: www.tigard or.gov Notified/Method: t (j Supplemental Information
TYPE OF WORK PLAN REVIEW
❑ New construction ❑ Addition /alteration /replacement • Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
CATEGORY' OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ I - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB, SITE - INFORMATION AND LOCATION 13 Emergency system. larger separately derived system.
ID Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "I -3 ",
Job no.: Job site address: C ? / / -y� I OOHP or more.
occupancy.
,� � J c�[/V �/Q '�f Six or more residential units. ❑ Recreational vehicle parks.
City /State /ZIP: ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite /bldg. /apt. no.: Project name: c: // e. C ❑ Service or feeder 600 amps or more.
�� FEE 'SCHEDULE
VQ
Cross street/directions to job site: i4f f6k d 6,ra � ey / Description I Qty. I Fee. I Total I "
Yw New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Tax map /parcel no.: Ea. add] 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq. ft.)
Limited energy, multi - family 75.00 2
residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 4� 80.30 33)2_,60 2
❑ PROPERTY OWNER, ' ❑ TENANT 201 amps to 400 amps '2, 106.85 2 ) 3 :10 2
Name: 401 amps to 600 amps 160.60 2
g ��'r • 601 amps to 1,000 amps " 240.60 ' 981,20 2
Address:. Y7 r / s iv! Oi 1,(//1) Over 1,000 amps or volts 454.65 2
,� /� !' Temporary services or feeders installation, alteration, and/or
City /State /ZIP:
� � E4 et., �� -r C/�i- relocation
Phone: IV ) 5/e _ Ol,,T-1 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
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
g A. Fee for branch circuits with
.❑ APPLICANT ❑ CONTACT PERSON . above service or feeder fee, 2,31 6.65 1, SS S 6. b 2
each branch circuit
Business name: B. Fee for branch circuits
Contact name: without service or feeder fee, 46.85 2
first branch circuit
Address: Each add'l branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City /State /ZIP: 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 Sign or outline lighting 53.40 2
Business name: Signal circuit(s) or limited -
energy panel, alteration, or
Address: extension. Describe: 3 Page 2 2
City /State /ZIP: Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: ( ) Fax: ( ) Investigation per hour (1 hr min) 62.50
CCB Lie.: Electrical Lie.: Suprv. Lie.: Industrial plant per hour 73.75
ELECTRICAL -PER MIT FEES
•
Suprv. Electrician signature, required: Subtotal: ,c, 6 23 , 4,0
Print name: Date: Plan review (25% of permit fee): I L105 9 0
.State surcharge (8% of permit fee): 1 -{ L i q . '$ q 9
Authorized signature: TOTAL PERMIT FEE: `j �f 9, 3 1
Print name: Date: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:\ Building \Permits\ELC- PermitApp.doc 05/23/06 440- 4615T( I I /05 /COM /WEB
Electrical Permit Application - City of Tigard
Pagge 2'- Supplemental Information ' -
LIMITED ENERGY PERMIT FEES:
R WORK:ONLY:
Fee for all residential systems combined........ $75.00
Check Type of Work Involved:
n Audio and Stereo Systems*
n Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
n Other:
COMMERCIAL WORK ONLY: .
Fee for each commercial $75.00
system
(SEE OAR 918- 260 -260)
Check Type of Work Involved:
n Audio and Stereo Systems
❑ Boiler Controls
n Clock Systems
❑ Data Telecommunication Installation
n Fire Alarm Installation
n HVAC
n Instrumentation
n Intercom and Paging Systems
n Landscape Irrigation Control*
n Medical
Lyi Nurse Calls
n Outdoor Landscape Lighting*
n Protective Signaling
x Other 0. Rs3L CR `S V •
Total number of commercial systems: _
*No licenses are required. Licenses are required
for all other installations
I .\Building\Permits\ELC- PermtApp doc 03/23/06
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00181
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: /0/912007
Phone: (503) 639 -4171 r +�fl�i I
Inspection Requests (24 Hrs.): (503) 639 -4175 `�' ' � ,.
INSPECTION WORKSHEET FOR DATE: 5/8/2008 TIME: 7:01AM PAGE: 16
SITE ADDRESS: 12353 SW GRANT AVE CLASS OF WORK:
SUBDIVISION: GRANT AVE ELITE CARE EXTEND RE LOT #: 045 TYPE OF USE:
PROJECT NAME: GRANT STREET ELITE CARE
DESCRIPTION: Electrical for new building, including low voltage systems for nurse. call, controls, cable TV. 5/7/08:
Phase I West, Phase H East
OWNER: ELITE CARE, PHONE #: 971 -506 -0161
CONTRACTOR: R & R ENERGY RESOURCES PHONE #: 971 -506 -0153
Inspection Request Scheduled For: Date: 5/8/2008 Pour Time:
Code # Inspection Description Confirm_# Contact # Message
199 Electrical final 069596-07 971. 506 -1973 N
Corrections /Comments /Instructions:
<5 U6 tip„.1. N LI- v41 Ca 0 , 1k1151bf 1 0 3 6 VO5 I PO*
‘A-''l 1 v.) V of ti , j L i- F� - LoQR� .. Nai `�C, 3 ( %)
p G .,•.' 03 I Q •.E. t _ '. 410
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
A FAIL ACALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G" 1 Date: I 'ii Phone #: (503) 718- U
i
CITY OF TIGARD
BUILDING DIVISION , PERMIT #: ELC2007 -001B1
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/9/2007
Phone: (503) 639- 41714�u�ii liit
Inspection Requests (24 Hrs.): (503) 6394175
=�W
INSPECTION WORKSHEET FOR DATE: 5/6/2008 TIME: 7:00AM PAGE: 7
SITE ADDRESS: 12353 SW GRANT AVE CLASS OF WORK:
SUBDIVISION: GRANT AVE ELITE CARE EXTEND RE LOT #: 045 TYPE OF USE:
PROJECT NAME: GRANT STREET ELITE.CARE
DESCRIPTION: Electrical. Low voltage systems: nurse call, controls, cable TV.
OWNER: ELITE CARE, PHONE #: 971 - 506.0151
CONTRACTOR: R & R ENERGY RESOURCES PHONE #: 971 -5006 -0153
Inspection Request Scheduled For: Date: 5/6/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
195 Misc. inspection 069440 -01 971 -506 -0158 N
Corrections /Comments /Instructions:
.4: 49,/10 1w d s F - ON a16dAL ...wI7A
(3 .,1t RI* cAL l'al F
1 `\i 6 IIre - Ns' �` `PRA `fIm‘ _
I I PASS XPARTIAL APPRQVAL ❑ CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: v ' N (Se L. Date: 4)161 Phone #: (503) 718 - ti
, . . ..
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007-00181
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 101912007
Phone: (503) 639-4171 „:1141(11\
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 5/2/2008 TIME: 7:00AM PAGE: 5
SITE ADDRESS: 12353 SW GRANT AVE CLASS OF WORK:
SUBDIVISION: GRANT AVE ELITE CARE EXTEND RE LOT #: 045 TYPE OF USE:
• PROJECT NAME: GRANT STREET ELITE CARE
DESCRIPTION: Electrical. Low voltage systems: nurse call, controls, cable TV.
OWNER: ELITE CARE, PHONE #: 971-506-0151
CONTRACTOR: R & R ENERGY RESOURCES PHONE #: 971-506-0153
Inspection Request Scheduled For: Date: 5/2/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
195 Misc. inspection 069282-01 971-506-0158 N
Corrections/Comments/Instructions:
L i g fuDesn. wil 40
(
1 I PASS A PARTIAL APPROVAL D CANCEL 0 NO ACCESS
fl FAIL 0 CALL FOR INSPECTION 111 ADDITIONAL FEES ASSESSED
Inspector: G 0 GS L( Date: 51 Phone #: (503) 718- 1-41.N
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00111
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/912007
Phone: (503) 639 -4171 +b111i
Inspection Requests (24 Hrs.): (503) 639 -4175 ' � ..
INSPECTION WORKSHEET FOR DATE: 6/1/2008 TIME: 7:00AM PAGE: 11
SITE ADDRESS: 12353 SW GRANT AVE CLASS OF WORK:
SUBDIVISION: GRANT AVE ELITE CARE EXTEND RE LOT #: 045 TYPE OF USE:
PROJECT NAME: GRANT STREET ELITE CARE
DESCRIPTION: Electrical. Low voltage systems: nurse call, controls, cable TV.
OWNER: ELITE CARE, PHONE #: 971 - 506.0151
CONTRACTOR: R 8: R ENERGY RESOURCES PHONE #: 971 -606 -0153
r
Inspection Request Scheduled For: Date: 5/1/2008 Pour Time:
. Code # Inspection Description Confirm Contact # Message
195 Misc. inspection 069180 -01 506- 971 -0182 N
Corrections /Comments / Instructions:
� „'._ - 4, L.Q. o5Vs ?
❑ PASS APARTIAL APPROVAL ❑ CANCEL fl NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 6 �v'D Date: 51 I Phone #: (503) 718 -� ��0
CITY OF TIGARD
BUILDING DIVISION PERMIT #: t.C, 7,011 -.60 8
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 / � °° ���� °itll�iq���'�
Inspection Requests (24 Hrs.): (503) 639 -4175 j..W
INSPECTION WORKSHEET FOR DATE: L I 2,..q`0 % TIME: PAGE:
SITE ADDRESS :121E1 S VJ crikA CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: s1,.m
DESCRIPTION: E D - ciu
OWNER: PHONE #:
CONTRACTOR: ik N C PHONE #:
•
Inspection Request Scheduled For: Date: del 'L9t Pour Time:
Code # Inspection Description Confirm # Contact # Message
Wci 5 c. ■A®tns WiD ' V-ktka ► t 6 t{ S`TeM
Ll
Corrections/Comments/Instructions:
1,V.3 . S S^C Sal Au, \-„ es :
. \LAC c,No uo'P ei.`t i koJ0 A %...) ■
M . L- . kaove I o� rtoocz.
I � os `
n PASS I I PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
14 FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: - 1,vU".:01--L. ' Date: 4 �,�� 614 Phone #: (503) 718 - Z i6
b
_, . ...„. .. . .
CITY OF TIGARD
BUILDING DIVISION
A PERMIT #: ELC2007-00181
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/912007
Phone: (503) 639-4171 AwiDIPIllt
Inspection Requests (24 Hrs.): (503) 639-4175 A.- ''
INSPECTION WORKSHEET FOR DATE: 4120/2008 TIME: 7:02AM PAGE: '10
SITE ADDRESS: 12353 SW GRANT AVE CLASS OF WORK: 1
SUBDIVISION: GRANT AVE EUTE CARE EXTEND RE LOT #: (346 TYPE OF USE:
PROJECT NAME: GRANT STREET ELITE CARE
DESCRIPTION: Electrical. Low voltage systems: nurse call, controls, cable TV.
OWNER: ELITE CARE, PHONE #: 971-506-0151
CONTRACTOR: R & R ENERGY RESOURCES ' PHONE #: 971-506-0153
I\‘1 C \teL0,5
Inspection Request Scheduled For: Date: 4/28120013 Pour Time:
Code # Inspection Description Confirm # Contact # Message
195 Misc. inspection 068964-01 971-506-1973 V
Corrections/Comments/Instructions:
' _43_1( 0 Stc.L.. 1 C.,
fs) 'E" t.i C.A.rpAmi — iiii 4° Wlitle, fi. b u ritYRO.444A
t.)
1eAultmw414Z sougg4a1Q?
1) P4Q-AtAILDS . COI4CRII-- PO441-4 v\vg) , kit MsCi 16
\-1d
H PASS APARTIAL APPROVAL ii CANCEL n NO ACCESS
n FAIL 0 CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
—
Inspector: Cr- IN bapt-E Date: 1 4 11/011 Phone #: (503) 718-
' _ _
CITY OF ��mn m n��u mn����nn��
BUILDING DIVISION PERMIT #: ELC200780181
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/9/2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 4/11/2008 TIME: 7:01AM PAGE: 16
SITE ADDRESS: 12363SVV GRANT AVE CLASS OF WORK:
SUBDIVISION: GRANT AVE ELITE CARE EXTEND RE LOT #: 046 TYPE OF USE:
PROJECT NAME: GRANT STREET ELITE CARE
DESCRIPTION: []edrimai Lmwvo|tage systems: nurse caU, controls, cable TV.
OWNER: ELITE CARE, PHONE #: 971'506-0151
CONTRACTOR: R & R ENERGY RESOURCES PHONE #: 971-506-0153
Inspection Request Scheduled For: Date: 4/11/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
105 Underground/slab cover 068253-01 971-606'1973 N
Corrections/Comments/Instructions:
•
•
•
PASS — ^ PARTIAL APPROVAL CANCEL fl NO ACCESS
FAIL H CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
��_ ��
Inspector: ~��� ������ ���~ Oate� �� �� ��l6 Phone #: (503) 718- 10
,. _ . - • . _
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007-00181
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/912007
Phone: (503) 639-4171 ipAa A
ao o ,:„
_
Inspection Requests (24 Hrs.): (503) 639-4175 ,,, 41 11 , --...,
INSPECTION WORKSHEET FOR DATE: 3/13/2008 TIME: 7:02AM PAGE: 2
SITE ADDRESS: 12353 SW GRANT AVE CLASS OF WORK:
SUBDIVISION: GRANT AVE ELITE CARE EXTEND RE LOT #: 045 TYPE OF USE:
PROJECT NAME: GRANT STREET ELITE CARE
DESCRIPTION: Electrical. Low voltage systems: nurse call, controls, cable T.
OWNER: ELITE CARE, PHONE #: 971-606-0151
CONTRACTOR: R & R ENERGY RESOURCES PHONE #: 971-506
Inspection Request Scheduled For: Date: 311312008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough-in 066668-01 971 N
t ,— --Am. .
Corrections/Comments/Instructions:
. ,
, 011 PASS 0 PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
El FAIL 0 CALL FOR INSPECTION D ADDITIONAL FEES ASSESSED
■Q:1 IA(
Inspector: Date: $ 'I Phone #: (503) 718- 1 L I it
1
CITY OF TIGARD
BUILDING DIVISION
AO PERMIT #: ELC2007- 00181
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/9/2007
Phone: (503) 639-4171 44 01401#
Inspection Requests (24 Hrs.): (503) 639-4175 4i- '411 I
INSPECTION WORKSHEET FOR DATE: "..el 3/2008 TIME: 7:01AIVI PAGE: i 5
SITE ADDRESS: 12353 SW GRANT AVE CLASS OF WORK:
SUBDIVISION: GRANT AVE ELITE CARE EXTEND RE LOT #: 045 TYPE OF USE:
PROJECT NAME: GRANT STREET ELITE CARE
DESCRIPTION: Electrical. Low voltage systems: nurse call, controls, cable TV.
OWNER: ELITE CARE, PHONE #: 971-506-0151
CONTRACTOR: R & R ENERGY RESOURCES PHONE #: 971-506-0153
Inspection Request Scheduled For: _ Date: 2/13/2008 Pour Time:
Code # Inspection Description C_onfirm• Contact # • Message
130 Coiling cover 064957-01 971-506-1973 .----°- Y
Corrections/Comments/Instructions: .-
• - ly FA... 0 K__\__Y 1
/ A \ c:Et Lvi\) a
1
•
0 PASS PARTIAL APPROVAL fl CANCEL fl NO ACCESS
(
0 FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: G-'"" . I ■1 Nal 1 Date: 2=tI3 % Phone #: (503) 718- 1-
•_ , ._.,.. . „
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007-00181
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/0/2007
Phone: (503) 639 -4171 AI �u �
Inspection Requests (24 Hrs.): (503) 639 -4175 J `'..
INSPECTION WORKSHEET FOR DATE: 2/12/2008 TIME: 7 :05AMi PAGE: C
SITE ADDRESS: 12353 SW GRANT AVE CLASS OF WORK:
SUBDIVISION: GRANT AVE ELITE CARE EXTEND RE LOT #: 045 TYPE OF USE:
PROJECT NAME: GRANT STREET ELITE CARE
DESCRIPTION: Electrical. Low voltage systems: nurse call, controls, cable TV.
OWNER: ELITE CARE, PHONE #: 971-06.0151
CONTRACTOR: R & R ENERGY RESOURCES PHONE #: 971.506-0153
Inspection Request Scheduled For: Date: 202 Pour Time: ,
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 064893 -01 971-506-1973 N
Corrections/Comments/Instructions:
s`' ?e0∎47? ►Ni v ti me P�Q c,p . Ir�cu . 3 3 314 . 3
6 le --a \)(3 f Cfia (p ia, cs,„Q2 . wcf 300
1 . u P -..1)(sct.. 4a,iii. tAg., !
I PASS ❑ PARTIAL APPROVAL ❑ CANCEL _ NO ACCESS
N FAIL yl CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N 6(b Date:',' 41/ Phone #: (503) 718 - 1-44/4
CITY OF TIGARD ,
0 ..........?
BUILDING DIVISION
Jail PERMIT #: ED.7,2007-00181
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/9/2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2/612008 TIME: 7:00AM PAGE: 6
SITE ADDRESS: 12353 SW GRANT AVE CLASS OF WORK:
SUBDIVISION: GRANT AVE ELITE CARE EXTEND RE LOT #: 045 TYPE OF USE:
PROJECT NAME: GRANT STREET ELITE CARE
DESCRIPTION: Electrical. Low voltage systems: nurse call, controls, cable TV.
OWNER: ELITE CARE, PHONE #: 971-50G-0151
CONTRACTOR: R & R ENERGY RESOURCES PHONE #: 971-506-0153
Inspection Request Scheduled For: Date: 216/2008 Pour Time:
----
Code # Inspection Description onfirm # Contact # Message
--IX
Wtil-c-gpoer 064627-01 971-506-1973 N
1 2....0 Rp ocilik-W
Corrections /Comments / Instructions:
2..D R-- - ti■)1 A -70iNT
.------
,...
pi PASS PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
7 FAIL 0 CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
Inspector: CY — • h 1,Gi.._e Date: 61 Phone #: (503) 718- Pf
A
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007•00181
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 101
Phone: (503) 639-4171 ,.......
Inspection Requests (24 Hrs.): (503) 639-4175 PV
INSPECTION WORKSHEET FOR DATE: 1129/2008 TIME: 7:02AM PAGE: 16
SITE ADDRESS: 17353 SW GRANT AVE CLASS OF WORK:
SUBDIVISION: GRANT AVE ELITE CARE EXTEND RE LOT #: 045 TYPE OF USE:
PROJECT NAME: GRANT STREET ELITE CARE
DESCRIPTION: Electrical. Low voltage systems: nurse call, controls, cable TV.
OWNER: ELITE CARE, PHONE #: 971.506.0161
CONTRACTOR: R & R ENERGY RESOURCES PHONE #: 971-506-0153
Inspection Request Scheduled For: Date: •/29/2008 Pour Time:
Code # Inspection Description Confirm Contact # Message
120 Electrical rough-in 064128-01 971-5061973 N
Corrections/Comments/Instructions:
? Nk."F ■ IX
L. — 6 11 PL.
n PASS PARTIAL APPROVAL 0 CANCEL EI NO ACCESS
0 FAIL r7 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: 1 0 I S ( 6 1 - - e Date: 1 . 1)1' 6 .1 t Phone #: (503) 718- W16,
, ..,
CITY OF TIGARD . . ,.. .. .
...
A
BUILDING DIVISION PERMIT #: FLC2007-00161
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/90007
Phone: (503) 639-4171 ,_, lo, \
Inspection Requests (24 Hrs.): (503) 639-4175 .r
INSPECTION WORKSHEET FOR DATE: 1/9/2008 TIME: 7:01AM PAGE: 28
i 1 SITE ADDRESS: 12363 SW GRANT AVE CLASS OF WORK:
SUBDIVISION: GRANT AVE ELITE CARE EXTEND RE LOT #: 045 TYPE OF USE:
PROJECT NAME: GRANT STREET ELITE CARE
DESCRIPTION: Electrical. Low voltage systems: nurse call, controls, cable Tv.
- OWNER: ELITE CARE, PHONE #: 871-506-0161
CONTRACTOR: R & R ENERGY RESOURCES PHONE #: 971
Inspection Request Scheduled For: Date: 1/9/2008 Pour Time:
Code # Inspection Description 9onfirm-# Contact # Message
i
120 Electrical rough-in 062842-02 971-506-1973 N
Corrections/Comments/Instructions:
B w7)
E] PASS ' PARTIAL APPROVAL CANCEL pi NO ACCESS
_
FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: G 0 N -66 t...." Date: t - C I- C\ Phone #: (503) 718- 1-4
' .
CITY OF TIGARD
. ..
, ,_., ...
BUILDING DIVISION PERMIT #: FLC2007-00181
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/9/2007
Phone: (503) 639-4171 400
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 12/28/2007 TIME: 7:00AM PAGE: 31
SITE ADDRESS: 12353 SW GRANT AVE CLASS OF WORK:
SUBDIVISION: GRANT AVE ELITE CARE EXTEND RE LOT #: 045 TYPE OF USE:
PROJECT NAME: GRANT STREET ELITE CARE
DESCRIPTION: Electrical. Low voltage systems: nurse call, controls, cable TV.
OWNER: ELITE CARE, PHONE #: 971-506-0151
CONTRACTOR: R & R ENERGY RESOURCES PHONE #: 971-506-0153
Inspection Request Scheduled For: Date: 12128/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough-in 062278-01 971-606-1973 N
Corrections/Comments/Instructions:
INDMO. 2_ ViSt\ WsA .
9
2.P Vi...166A,
PASS PARTIAL APPROVAL 0 CANCEL NO ACCESS
fl FAIL 7 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: G .---7 . %e 1 Date: 12. 11' Phone #: (503) 718- 2-41fL
.„ ., .. ,_ .• ._ . . ,
CITY OF TIGARD • t ,,„
. A ,.
BUILDING DIVISION PERMIT #: ELC2007-00181
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 101912007
Phone: (503) 639-4171 "Alt
Inspection Requests (24 Hrs.): (503) 639-4175 A- ,...,—.
INSPECTION WORKSHEET FOR DATE: 12/28/2007 TIME: 7:00AM PAGE: 29
SITE ADDRESS: 12353 SW GRANT AVE CLASS OF WORK:
SUBDIVISION: GRANT AVE ELITE CARE EXTEND RE LOT #: 045 TYPE OF USE:
PROJECT NAME: GRANT STREET ELITE CARE
DESCRIPTION: Electrical. Low voltage systems: nurse call, controls, cable TV.
OWNER: ELITE CARE, PHONE #: 971
CONTRACTOR: R 8, R ENERGY RESOURCES PHONE #: 971-506-0153
Inspection Request Scheduled For: Date: 12128/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 Wall cover 062278-03 971-506-1973 N
Corrections/Comments/Instructions:
"P D,<,‘ k % fk---- t&J■ B _ 2. °I? P‘2, 6 (L.
n PASS tkic PARTIAL APPROVAL n CANCEL n NO ACCESS
I I FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: . G N bes l: Date: i2121' 01 Phone #: (503) 718-1.4%
. 1
CITY OF TIGARD . .
. . . ...
.._. t ...
BUILDING DIVISION PERMIT #: ELC2007- 00181
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: . 10/9/2007
Phone: (503) 639-4171 ,.„7,/pvillit
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 12/28/2007 TIME: 7:00AM PAGE: 28
SITE ADDRESS: 12353 SW GRANT AVE CLASS OF WORK:
SUBDIVISION: GRANT AVE ELITE CARE EXTEND RE LOT #: 045 TYPE OF USE:
PROJECT NAME: GRANT STREET ELITE CARE
DESCRIPTION: Electrical, Low voltage systems: nurse call, controls, cable TV.
OWNER: ELITE CARE, PHONE #: 971.506-0
CONTRACTOR: R & R ENERGY RESOURCES PHONE #: 971,506-0153
Inspection Request Scheduled For: Date: 12/28/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 062278-04 971-506-1973 N
Corrections/Comments/Instructions: •
2Y- -
0 PASS X PARTIAL APPROVAL 0 CANCEL NO ACCESS
_
I FAIL El CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: C t00)\-E Date: 11/13. 01 Phone #: (503) 718-1-1f4b
• .
CITY OF TIGARD
BUILDING DIVISION A PERMIT #: Fw2007.00181
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/9/2007
Phone: (503) 639-4171 iollitobi ,(
Inspection Requests (24 Hrs.): (503) 639-4175 41.
INSPECTION WORKSHEET FOR DATE: 12/28/2007 TIME: 7:00AM PAGE: 30
SITE ADDRESS: 12353 SW GRANT AVE CLASS OF WORK:
SUBDIVISION: GRANT AVE ELITE CARE EXTEND RE LOT #: 045 TYPE OF USE:
PROJECT NAME: GRANT STREET ELITE CARE
DESCRIPTION: Electrical. Low voltage systems: nurse call, controls, cable TV.
OWNER: ELITE CARE, PHONE #: 971-506-0151
CONTRACTOR: R & R ENERGY RESOURCES PHONE #: 971-506-0153
Inspection Request Scheduled For: Date: 12/28/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
'13:5 Low voltage 062278-02 971-506-1973
Corrections/Comments/Instructions:
6 " .
2 Pt0 art_
•
•
I PASS PARTIAL APPROVAL 0 CANCEL n NO ACCESS
n FAIL 0 CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: t?) Lt Date: 12' 01 Phone #: (503) 718- 24
. .
Y OF TIGARD � CITY G
BUILDING DIVISION 1 PERMIT #:tLCG
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 evn4 @�� �I��1IA�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: `sz. 2.4. ) TIME: PAGE:
SITE ADDRESS: 12363 S W G. CLASS OF WORK:
' SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 11:2A. ®f Pour Time:
Code # Inspection Description Confirm # Contact # Message
1 2/3 krA)VAW ekl P14694 .
Corrections /Comments /Instructions: %
%V ClL.0ba - WI
M
off- '3 , g■• m
I PASS j_1 PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G" t4 % L Date: K" 69 Phone #: (503) 718-
CITY OF TIGARD • . • 4. BUILDING DIVISION . ' PERMIT #: ELC2007 -80191
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 101912007
Phone: (503) 639 -4171 7
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 17/14/2007 TIME: 7 :01AM PAGE: 25
SITE ADDRESS: 12353 SW GRANT AVE CLASS OF WORK:
SUBDIVISION: GRANT AVE ELITE CARE EXTEND RE LOT #: 945 TYPE OF USE:
PROJECT NAME: GRANT STREET ELITE CARE
DESCRIPTION: Electrical. Low voltage systems: nurse call, controls, cable TV.
OWNER: ELITE CARE, PHONE #: 971 -506- 0161
CONTRACTOR: R & R ENERGY RESOURCES PHONE #: 971-506-0153
Inspection Request Scheduled For: Date: 12/14/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 061555.01 971-506-1973 N
Corrections /Comments /Instructions:
C YY\ - G V`(\ 1 k G \N\ C VY1 'i� .
2D FLo h2 N 1" Lo I /V ^ N 0 4,b pitoN S t
m P(ov, vrilo 1t, ' tip`' N \.- N (4..0 4.4 t0.
s LANs i rr baAvii& 5 A�� t TAitJ A Vo& (Nt Sacb( .S V
eRA‘t. 10 c-v
1 AI) &)( ) ALL )-iv.. Rys,
n PASS ❑ PARTIAL APPROVAL ❑ CANCEL Li NO ACCESS
;Y:FAIL XCALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: - 0 Q23 L Date: ,I( I kti Ul 'Phone #: (503) 718- _1031
. . . . . „
CITY OF TIGARD
BUILDING DIVISION -1. DATE ISSUED: 10/9/2007 . PERMIT #: ELC2007-00181
13125 SW Hall Blvd., Tigard, OR 97223
Phone: (503) 639-4171 4 0401 it
Inspection Requests (24 Hrs.): (503) 639-4175 ,AIJ. - 11.
INSPECTION WORKSHEET FOR DATE: 11/26/2007 TIME: 7:00AM PAGE: 17
SITE ADDRESS: 12353 SW GRANT AVE CLASS OF WORK:
SUBDIVISION: GRANT AVE ELITE CARE EXTEND RE LOT #: 045 TYPE OF USE:
PROJECT NAME: GRANT STREET ELITE CARE
DESCRIPTION: Electrical. Low voltage systems: nurse call, controls, cable TV.
OWNER: ELITE CARE, PHONE #: 971-506-0151
CONTRACTOR: R & R ENERGY RESOURCES PHONE #: 971-506-0153
• Inspection Request Scheduled For: Date: 11/26/2007 Pour Time:
---:"7
Code # Inspection Description Gonfirm Contact # Message
115 Electrical service ( 060214-01 971-5060153 N
Corrections/Comments/Instructions:
•
• rsn-A • t t t •a■ II 6 ( • -111. •
• Nt\ € q 6 - ce c ,___
NI t v. 01 tq ( 611:51%)D 1 \kt* Weti '
,
_ . c ',,,,6 a {. .1‘... • $ WA 0 ... .. • A_.. .1
1
I PASS PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
I I FAIL ri CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: C7 1\1()(61-e Date: iAl 1--01V1 Phone #: (503) 718- 1.41)0
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007-00181
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/9/2007
Phone: (503) 639-4171
„,. 4iPtilii
Inspection Requests (24 Hrs.): (503) 639-4175 IL
•
INSPECTION WORKSHEET FOR DATE: 7/16/2008 TIME: 7:00AM PAGE: 23
SITE ADDRESS: 12353 SW GRANT AVE CLASS OF WORK:
SUBDIVISION: GRANT AVE ELITE CARE EXTEND RE LOT #: 046 TYPE OF USE:
PROJECT NAME: GRANT STREET ELITE CARE
DESCRIPTION: Electrical for new building, including low voltage systems for nurse call, controls, cable TV. 5/7/08:
Phase I West., Phase II East .
OWNER: ELITE CARE, PHONE #: 971-506-0151
CONTRACTOR: R & R ENERGY RESOURCES PHONE #: 971-506-0153
Inspection Request Scheduled For: Date: 7/16/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 072718-01 971506-0158 N
Corrections /Comments/ Instructions:
. r '
CI .•
. -, iip .: -
_ r . ' - ,
.. ..--:-.._A- '.._uL_-. 4 's '01 * .
---- 63, . ,. v_ .C' , o fil7 7 ..„.....iimi.i.Liwinww...
. , t ------. . --- -
AM 0
■.• ■ S 1 g - C-A.10.... G 115 P AO Q.
S 1 1 6ef
\
\ \
\._
'1 PASS 0 PARTIAL APPROVAL n CANCEL 1 NO ACCESS
I FAIL n CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: G Otg Lk Date: 1 46' 6 Phone #: (503) 718- -13 0(i l ,
l r . 1
CITY OF TIGARD
BUILDING DIVISION • PERMIT #: ELC2007-00181
13125 SW Hall Blvd., Tigard, OR 97223
A DATE ISSUED: 10/9/2007
Phone: (503) 639-4171 ..,:al
Inspection Requests (24 Hrs.): (503) 639-4175 t
INSPECTION WORKSHEET FOR DATE: 7/1512008 TIME: 7:00AM PAGE: 13
SITE ADDRESS: 12353 SW GRANT AVE CLASS OF WORK:
SUBDIVISION: GRANT AVE: ELITE CARE EXTEND RE LOT #: 045 TYPE OF USE:
PROJECT NAME: GRANT STREET ELITE CARE
DESCRIPTION: Electrical for new building, including low voltage systems for nurse call, controls, cable TV. 5/7/013.
Phase I West, Phase II East
OWNER: ELITE CARE, PHONE #: 971-506-0151
CONTRACTOR: R & R ENERGY RESOURCES PHONE #: 971-506-0153
Inspection Request Scheduled For: Date: 7/15/2008 Pour Time:
Code # Inspection Description tCorifiirn # Contact # Message
199 Electrical final 072653-0 971-506-0158 N
Corrections/Comments/Instructions:
AI C r 41l- ' LA 4 t % '4 II_ Mi • .
sl'-614/ W I LII`INL( treiCIC .
oft3 l' 1 .. 1 6120 t e.w
t
o ea-------c r 13 IC:- Zoom, 'C ook) Pat-
1 0 6 t - i ;6(1) N- C-ONIVII—
•
I PASS I I PARTIAL APPROVAL 0 CANCEL El NO ACCESS
tg FAIL 4 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
.,_
Inspector: ' -.1 (1 68Le Date: 41 10 4 Phone #: (503) 718- V111/0
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007-00181
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/9/2007
Phone: (503) 639-4171 PAH,
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 7/14/2008 TIME: 7:00AM PAGE: 10
SITE ADDRESS: 12363 SW GRANT AVE CLASS OF WORK:
SUBDIVISION: GRANT AVE ELITE CARE EXTEND RE LOT #: 045 TYPE OF USE:
PROJECT NAME: GRANT STREET ELITE CARE
DESCRIPTION: Electrical for new building, including low voltage systems for nurse call, controls, cable TV. 5/7/08:
Phase I West, Phase II East
OWNER: ELITE CARE, PHONE #: 971-506-0151
CONTRACTOR: R & R ENERGY RESOURCES PHONE #: 971-506-0153
Inspection Request Scheduled For: Date: 7/14/2008 Pour Time:
, Code # Inspection Description Confirm # Contact # Message
199 Electrical final 072585-01 971-506-0151
Correctio s/Comments/Instructions:
4 c_zsab Q 61 aiso w 11) (4p) ,
t e. . I s Ili:I. 0
bilk 4i64.611i0 savi4 tA,■)iir fit keeknA) Fo
vcad 0()11(fij
, ;(2) bobLg—Ett.,(ativ -itkr 4 6 14 114 -
0 - 3111Z c■L. • S rki? V-Lout.., E.. c-10 QzstivYtet0 WAS—
czo
ok, wen
n PASS ri PARTIAL APPROVAL 0 CANCEL n NO ACCESS
FAIL rj CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: LEF Date: t Phone #: (503) 718- VilLib
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007-00181
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/9/2007
Phone: (503) 639-4171
"tip 1 1 -
Inspection Requests (24 Hrs.): (503) 639-4175 -Ai- I L
INSPECTION WORKSHEET FOR DATE: 7/11/2008 TIME: 7:00AM PAGE: 11
SITE ADDRESS: 12353 SW GRANT AVE CLASS OF WORK:
SUBDIVISION: GRANT AVE ELITE CARE EXTEND RE LOT #: 045 TYPE OF USE: •
PROJECT NAME: GRANT STREET ELITE CARE
DESCRIPTION: Electrical for new building, including low voltage systems for nurse call, controls, cable TV. 5/7/08:
Phase I West., Phase II East
OWNER: ELITE CARE, PHONE #: 971-606-0151
CONTRACTOR: R & R ENERGY RESOURCES PHONE #: 971-506-0153
7 og
Inspection Request Scheduled For: Date: - 7/11/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 072528-01 971-506-0168
Corrections/Comments/Instructions:
•
I PASS n PARTIAL APPROVAL
ANCEL EI NO ACCESS
n FAIL E CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
—
Inspector: 02-4A
Date: J.- — ii — 0 Phone #: (503) 718-
CITY OF TIGARD ' / /z.3 04IL
BUILDING DIVISION PERMIT #: ELC2007- 00101
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: /0/912007
Phone: (503) 639 -4171 u a �� *n �
Inspection Requests (24 Hrs.): (503) 639 -4175 . �'' I..
INSPECTION WORKSHEET FOR DATE: 6/18/2008 TIME: 7 :02AM PAGE: 38
SITE ADDRESS: 12353 SW GRANT AVE CLASS OF WORK:
SUBDIVISION: GRANT AVE ELITE CARE EXTEND RE LOT #: 045 TYPE OF USE:
PROJECT NAME: GRANT STREET ELITE CARE
DESCRIPTION: Electrical for new building, including low voltage systems for nurse call, controls, cable TV. 5/7108.
Phase I West, Phase II East
OWNER: ELITE CARE, PHONE #: 971- 506 -0151
CONTRACTOR: R & R ENERGY RESOURCES PHONE #: 971 - 506.0153
Inspection Request Scheduled For: Date: 6/18/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
195 Misc. inspection 071563 -01 �74 .E) N
Corrections /Comments /Instructions: �7/'SC�6 6I5'g
Qv-a `Tba.. ∎N16 C>&& �,
b s g- c--.. 7 `7® P kb
m,4) \fiAp 0 III
il e . 4X1.6 Ntlwk 600 •.A. 40 Ak\ -2.
Ill PASS N/ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
FAIL ❑ ALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: G ---- ` W tle 1 ; 6 Date: 6 2-3 v b Phone #: (503) 718- 7- k
. - -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007-00181
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/9/2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 5/912008 TIME: 7:00AlVI PAGE: 9
SITE ADDRESS: •2353 SW GRANT AVE CLASS OF WORK:
SUBDIVISION: GRANT AVE ELITE CARE EXTEND RE LOT #: 045 TYPE OF USE:
PROJECT NAME: GRANT STREET ELITE CARE
DESCRIPTION: Electrical for new building, including low voltage systems for nurse call, controls, cable TV. 5/7/06:
Phase I West, Phase II East
OWNER: ELITE CARE, PHONE #: 971-5060151
CONTRACTOR: R & R ENERGY RESOURCES PHONE #: 971-506-0153
Inspection Request Scheduled For: Date: 5/9/2008 Pour Time:
Code # Inspection Description onfirm,ft Contact # Message
199 Electrical final 069670-02 971.506-1973 N Y
Corrections/Comments/Instructions:
!laic vi4 (u31a c (\
ttu, 1.4 0\,,luri 6 'qv 6L
61k-3 R.<) WV\ •
- 4 ( k 6 r , F ktim ij .1 Ur t",
OtepN I 3 ) 1 0 \1 6 ; C-OaftOt 6 0
(t4 OTC GL Jk 4 1)
14 7
)
fl PASS XPARTIAL APPROVAL n CANCEL n NO ACCESS
El FAIL El CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: CY - Nr- LC Date: tell Phone #: (503) 718- IMO