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Permit [CITY OF TIGARD PERMIT CJ / PERMIT #: ELC2006 -10063 DEVELOPMENT SERVICES DATE ISSUED: 3/21/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S101 DB - 00901 SITE ADDRESS: 07145 SW VARNS ST ZONING: C - SUBDIVISION: VARNS ACRES LOT : 012 JURISDICTION: TIG Project Description: (20) branch circuits. 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: 19 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: HOA PHAM CORNERSTONE ELECTRIC LLC 12840 SW RIVER RD 6700 SE 72ND AVE HILLSBORO, OR 97123 PORTLAND, OR 97206 Phone: 503 - 628 - 0422 Contact #: FAX 360 604 - 3055 PRI 360 - 798 -3039 FEES Description Date Amount Reg #: ELE 26 -1203C [TAX] 8% State Surcharge 4/5/2006 $13.86 LIC 158917 [ELPRMT] ELC Permit 4/5/2006 $173.20 SUP 4199S Total $187.06 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 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. Issued By: ' fi 4, Permittee Signature: ye Q sc) 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. c 1 Building Division TIGARD Request for Permit Action TO: CITY OF TIGARD Permit System Administrator • 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.718.2430 Fax: 503.598.1960 www.tigard-or.gov FROM: El Owner El Applicant ❑ Contractor City Staff (check one) REFUND OR Name: -<" ' INVOICE TO: (Business or Individual) VOID Mailing Address: City/State /Zip: /d / /41 Phone No.: 5 • PLEAS TAI ACTION FOR THE ITEM(S) CHECKED (1): \J j 4. ►� CANCF3, 'PERMIT APPLICATION. U REFUND PERMIT FEES (attach receipt, if available). • NI INVOICE FOR FEES DUE (attach case fee schedule and explain below). lI REMOVE CONTRACTOR FROM PERMIT ( ). 1uoQ'E 6 ..116 - Permit #: 'E,1,,,Cd 2-006 • ( 0.103 1 Site Address or Parcel #: '`') 1 145 \J AR.N 5 S`f - Project Name: ANN S CA(2 -iN ti (. Subdivision Name: qfvu4 5 11, C (t5 Lot #: 012. EXPLANATION: Q q N G 3 CA11 (th (1 6(L N O �v■ Who E IN �' teN 6N �L5 - +.%-c,2.0% 4Cja Signature: // � `� Date: (7 ` Z Q16 Print Name: *.4r (s&) L Refund Policy 1. The Director or Building Official may authorizNhl refund of: a) any fee which was erroneously paid or collected. b) not more than 80% of the land use application fee when an application is withdrawn or canceled before any review effort has been expended. c) not more than 80% of the land use application fee for issued permits. c) not more than 80% of the building plan review fee when an application is canceled before any plan review effort has been expended. d) not more than 80% of the building permit fee for issued permits prior to any inspection requests. 2. Refunds will be returned to the original Payer in the same method in which payment was received. Please allow 1 -2 weeks for processing refunds. Rte to Sys Admin: Date By Rte to BldgAdmin: Date By Refund Processed: Date /194- By Invoice Processed: Date By Permit Canceled: Date j�3 /0 k By arcel Tag Added: Date By Receipt # Date • Method Amount $ I:\ Building \Horns \RegPcrmitAction.doc Rev 05/24/06 u. a — 00 0 Electrical Permit Aiatf ill f , IVEI . City of Tigard Received 1 —04 Permit No. &C,Md O -,x063 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960MAR 21 2006 ix "`' 'tip"+'' I 1 '� Date/By Other Permit: Inspection Line: 503.639.4175 _J_ �� t � Date ReadyBy: Julia: ® See Page 2 for Internet: www.tigard- or.gov CITY U Notified/Method: --.5-' V Supplemental Information wytrhyI1'dt ,TAtO ,1:.. SIT TON PLAN REVIEW ❑ New construction ii/alteration/replacement Please check all that apply: ❑ Demolition ❑Other: ❑Service over 225 amps, comm'l ❑Hazardous location ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft., CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential ❑ 1- and 2- family dwellingCommercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure ❑ Multi - family ❑ Master builder ❑Other: ❑Building over three stories :Weeders, 400 amps or more DOccupant load over 99 persons ❑Manufactured structures or JOB SITE INFORMATION AND LOCATION DEgress/lighting plan RV park Job no.: Job site address: - `7I L(S &) /LAiS S"7 ❑Health -care facility ❑Other: Submit 2 sets of plans with any of the above. City /State/ZIP: •-+-0 pit_ -I - Z 2, 3 The above are not applicable to temporary construction service. FEE* SCHEDULE Suite/bldg./apt. no.: Project name: VAL,J r ' 7-11- Description I Qty. I Fee' I Total Cross street/directions to job site: 2_ ■ it S New residential single- or multi - family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 1 Limited energy, residential 75.00 2 Tax map /parcel no.: Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK Each manufactured or modular dwelling, service and/or feeder 90.90 2 11 W % i'L a Cr- 1 I-1 6-1-h 3 6 /•4 NloncO Services or feeders installation, alteration, and /or relocation 4 0-0,09-,0 200 amps or less 80.30 2 ❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 Name: elfa so t-b,,n 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City/ State/ZIP: 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 1 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: Date: Branch circuits - new, alteration, or extension, per panel ❑ APPLICANT ❑ CONTACT PERSON A. Fee for branch circuits with service or feeder fee, each 6.65 2 Business name: "Vid4 -� 4 Prfi Ll,C— branch circuit � � B Fee for branch circuits Contact name: , J, t f c ✓ f witho servi or feeder fee, 4 46.85 c�6 2 Address: `? 1 4 r S JA tiN S first branch circuit I Each add'I branch circuit 1 1 6.65 j2.4, 71' 2 • City / State/ZIP: '7 L 1----; Miscellaneous (service or feeder not included) Phone: ( ) -) ci _ -7 3 4 U Fax: : (sz 5 ) S 7 - 1 1 ' Pump or irrigation tl in e ti g ti circle 53.40 2 Sign or outline lighting 53.40 2 E -mail: A \ .. e_ l✓.�1 0„,,,„.... (_,,.v. Signal circuit(s) or limited- CONTRACTOR energy panel, alteration, or extension. Describe: Page 2 2 Business name: Cc,- do RR�5 Fi.-1✓ F.c CI, . I c— Address: Each additional inspection over allowable in any of the above Per inspection 62.50 City /State/ZIP: Investigation per hour (1 hr min) 62.50 Phone: ( ) Fax: ( ) Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES* CCB Lic.:/5 5 41 7 Electrical Lic.: Suprv. Lic.: Subtotal / 73,2,0 Suprv. Electrician signature, required: r Plan review (25% of permit fee) Print name: ) 4 t c-6 5 Q ( 4-s_. Date: 5/ (/0 c, State surcharge (8% of permit fee) 6 /I .. TOTAL PERMIT FEE /� '7 e6 Authorized signature: Q Thi permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name: Date: • Fee methodology set by Tri -County Building Industry Service Board •• Number of inspections per permit allowed. I:\ Building \Pmnits\ELC -Pe mitApp.doc 17/30/05 4404615T(10/02/COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all residential systems combined .. $75.00 Check Type of Work Involved: El Audio and Stereo Systems* ❑ Burglar Alarm El Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* El Vacuum Systems* ❑ Other: COMMERCIAL WORK ONLY: Fee for each commercial system. $75.00 (SEE OAR 918- 260 -260) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls El Clock Systems El Data Telecommunication Installation El Fire Alarm Installation ❑ HVAC El Instrumentation ❑ Intercom and Paging Systems El Landscape Irrigation Control* El Medical El Nurse Calls El Outdoor Landscape Lighting* ❑ Protective Signaling . El Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 1: \ Building \Pamits\ELC- PamitApp.doc 12/30/05 CITY OF TI.GARD BUILDING DIVISION PERMIT #: ELC2006-10063 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/21/2006 , A ' Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 "'IL. INSPECTION WORKSHEET FOR DATE: 9/1/2006 TIME: 7 :01AM PAGE: 39 SITE ADDRESS: 07145 SW VARNS ST CLASS OF WORK: SUBDIVISION: VARNS ACRES LOT #: 012 TYPE OF USE: PROJECT NAME: VARNS CORNER DESCRIPTION: ( branch circuits. OWNER: PHAM, HOA PHONE #: 503.628 -0422 CONTRACTOR: CORNERSTONE ELECTRIC LLC PHONE #: 360. 798.3039 . Inspection Request Scheduled For: Date: 9/1/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 035942-01 503-597 -2425 N Corrections /Comments /Instructions: n 04 NM c424 (RtC4 W • A bt50 Movi - 4So..k, % cl N . (p. 3 4) . k n/ NE W WZisneA 1 0‘..:ic‘O Fix1v we 0.3 w 1 1 Pi asz• Y•Nal Ik . 'Pcal 33‘i . Pl.. rwl� ( Peov� -III ck U hl MQ 5T qqg s oc ►JCL Pc 33 • () ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ►I FAIL ,CALL FOR INSPECTION A ADDITIONAL FEES ASSESSED Inspector: b t (4 Date: 1 - (1c) Phone #: (503) 718- •44(• CITY OF TIGARD BUILDING DIVISIO PERMIT #: ELC2006 -10063 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 312//2006 Phone: (503) 639 -4171 . gym I Inspection Requests (24 Hrs.): (503) 639 -4175 "!� �' L. INSPECTION WORKSHEET FOR DATE: 8/24/2006 TIME: 6 :59AM PAGE: 21 SITE ADDRESS: 07145 SW VARNS ST CLASS OF WORK: SUBDIVISION: VARNS ACRES LOT #: 012 TYPE OF USE: PROJECT NAME: VARNS CORNER DESCRIPTION: (20) branch circuits. OWNER: PHAM, HOA PHONE #: 503-628-0422 CONTRACTOR: CORNERSTONE ELECTRIC LLC PHONE #: 36(1 .79 E 1.3039 Inspection Request Scheduled For: Date: 8/24/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 035498.01 503- 597 -2425 N Corrections/Comments/Instructions: ® ti2 e 4E . F 0. E (Arks& gliW . Nl • 114 3 RZOI K F. a v a.E' wiv ' t,. (6 �cL -n)r IAN + 4 % 4 Bc=•Y .. I N) c 1, Li N . (T;L) AG., Vt . 3 d R. Nb b i `mods{ i i j `V I Le T4 r X e .6. -Q.- €.; (3O V c c I \.,,,1 a 01/40 ® PRz.tsv zi< cb Q,t . 9Q am; ti al I I w N I i.. c, i 1 M1-_-5 t..1.0 04(1- pl,ZT‘ 1 il■ FZIJI•ti t i Lt. PLENA. • acv 0 4 , 4 4. ci■ tRagi(.1 kl■M044_-, Eta, tEiLIO4 ow , ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G N618 Lr Date: . 2•2. 1 1 '06 Phone #: (503) 718- 2iy[o• , . . . C CITY OF TIGARD -' , %, ""''r BUILDING DIVISION PERMIT #: ELC2006 -10063 13125 SW Hall Blvd., Tigard, OR 97223 A' DATE ISSUED: 3/21/2006 Phone: (503) 639 -4171 '�l Inspection Requests (24 Hrs.): (503) 639 -4175 s_' 4 INSPECTION WORKSHEET FOR DATE: 8/24/2006 TIME: 6:59AM PAGE: 22 SITE ADDRESS: 07145 SW VARNS ST CLASS OF WORK: SUBDIVISION: VARNS ACRES LOT #: 0 TYPE OF USE: PROJECT NAME: VARNS CORNER DESCRIPTION: (20) branch circuits. OWNER: PHAM, HOA PHONE #: 503. 628 -0422 CONTRACTOR: CORNERSTONE ELECTRIC LLC PHONE #: 360 - 798 Inspection Request Scheduled For: Date: 8/24 /2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 036497 -01 503- 597 -2425 N Corrections /Comments /Instructions: et TtA ' No Low \) t f s 7 I6 V ‘Tiki.S Pr ■ `TV . N o w Vold iktf V*2 ASS t IEWV p fij i• . t IN5 W4 w►T aUl to ❑ PASS ❑ PARTIAL APPROVAL ■ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: .- , tRS Date: . . 2 - 14.- 6 Phone #: (503) 718 -Z4 CITY OF TIGARD rt �.. BUILDING DIVISION PERMIT #: ELC2006.10063 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/21/2006 Phone: (503) 639-4171 . w.11l . Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/182006 TIME: 7:03AM PAGE: 37 SITE ADDRESS: 07145 SW YARNS ST CLASS OF WORK: SUBDIVISION: YARNS ACRES LOT #: 012 TYPE OF USE: PROJECT NAME: YARNS CORNER DESCRIPTION: (20) branch circuits. OWNER: PHAM, HOA PHONE #: 503 - 6280422 CONTRACTOR: CORNERSTONE ELECTRIC LLC PHONE #: 360- 798 -3039 1 Inspection Request Scheduled For: Date: 8/18/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 035232 -01 503 - 740.7340 N Corrections /Comments /Instructions: CD P &eTVrO- Ni t GLE 65 (IN v I N F4L- .11v tol i OAFT 1 a Ns. , c*I-vcox ALl. N vin uke s' Gave' CC 1 LNei ? •Eta c�ci-T 3 3 4 . ` 6 V. - 01/41-L. '`. q '� 8 o 1C S i (s cx e L W11 6lf. (4. t v 5 . aka - 6 asbv1t .f' lL 6 w , T4 'i4 itCGx c,41 —) cvv s ra- (- ocg Q V (zo• • p , •E . 6 S I (• v•U— ea., of. 5 ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ,Z( FAIL XCALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: `4 dg L Date: g ik' Ill O(') Phone #: (503) 718- 10114 _ I A I 1 I� - - - -_ _J I I / I T �V ST )\‘., \ �'' -- - -- _ BEVE I I I - I I I j - I - - - - L - - - ' I \ - — 1 - -___ I I , .. -_ BEVELAND R D ' 1 j - I ' ' \ � 1 I — I - -I - — I 1 I \ \\ Z r — 1 - - -.- a I 1 NZ 3T )__ I I GO �- I ; _1 ;- , —,� -- I ! _ ,� —. — -- — — — �. 1 I I � � —4 —J • r I I Co III I_ \ -- SW L I HAMPTON ST I 1 i i - I � r � I 1 \: j 1 ` \ \ , ,\ �I co' 1 - - - V 7{mVJ en- - - - 1 1 Z - - - 1 - - - -- 1 -� _ _ , ' 1 1 I - -- - - - 1 IWI I - I -_ .. Q — vi_tKrvo" 1 I - - -- 1 1 I - ► L 1 �� w � - - I I I I \ I ICoI <I '� - - -- - 1 ° — -- _EIR- ST i - - -L - -� EIR_S_T - - 1 I I ,, \. I _ 1 l -- - -I " Q 1 7� • I 1 fir sf 11 �`j; I 1 I; 1 R , r - -- i --- - -- DR — .. I 1 1 • 1 1 1 1 I-'- -! —J I I -i J %_ _ _ / I 1 I I - SANDBURG . , .. ST 1 -- \ ,_. I 1 H I I \ \ I 1 1 I — I i \--- --- TFCH CENTER j -- — \ i - -- I I \ " • i '-', \ \ / �:. I _. I . I CITY OF TIGARD • BUILDING DIVISION PERMIT #: ELC2006.100 i3 . - 13125 SW Hall Blvd., Tigard, OR 97223 • , D ATE ISSUED: 3/21/2Q06 Phone: (503) 639 -4171 ,1 • Inspection Requests (24 Hrs.): (503) 639 -4175 I II. INSPECTION WORKSHEET FOR DATE: 5/19/2006 TIME: 7:01AM PAGE: 111 SITE ADDRESS: 07145 SW VARNS ST CLASS OF WORK: SUBDIVISION: VARNS ACRES LOT #: 012 TYPE OF USE: PROJECT NAME: VARNS CORNER DESCRIPTION: (20) branch circuits. OWNER: PHAM, HOA PHONE #: 503.628 -0122 CONTRACTOR: CORNERSTONE ELECTRIC LLC PHONE #: 360 - (99.3019 Inspection Request Scheduled For: Date: 5/19/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message grthik...1 tuvgirne 030196 -01 503 - 740 -012.5 N 1 L6 WALL Govt 0Nt• Corrections /Comments /Instructions: 4 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 6 Ni L • Date: Phone #: (503) 718- • • . ____ • AI Tidemark Advantage [Gary !lob le - Gil] - [Activity for [1(2006 1006] i! - - • --n . .. .. , - Advantage . .., . ....... _ File Edit Options Window Help , . " l':.-:' - ., . .., -.. ,_ . .'!. - , , • - , - CT X _ .. -.. ._ _ I Exit Nw '00en T a s k Liet GIBE GIS ;'',. '• - - — s... : ' .... : ' , 7 ; - ; . ' - . , . - I . . . . _ ..- . ... cia. . View Add Delete' Sign Off Print Document: , . ;•-• . : ' : . - , - , ,..7- . - , - _ :Menu Code Description , Datel , Date2 :., Date3 ,' Disp i Done By Votes ,I1 'Created _ 1010 Application received , _ 3/21/2006 RECD DER 1 04/04/20,1 , _ _ r ._ :- - ,- - 1020 permit:treated , 3/21/2006 'DONE DER • 04/04/201 .,. _ -. - 1030 ,Check for parcel tags i "3121/2006 DONE : NE DER • . .. 04/04/20.! _ 1280 Issue permit -, 3/21 f2006 DONE" ; DER 04/05/20' .- . . _ 2120 Electrical rough in i 3/30/2006 FAIL A ON _ pari 3/20 2120 • Electrical rough-in 5/18/2006 5/19/2006 " I STI 03019e-01T- 50-740:0125 - VM -N ,05/i8/26 - . _ . . . _ - 2120 Electrical rough in 4/1212006 ' 'APRV i HS :04/i2120; - --- ,._ _ .. . _ . . ._ . . - . , . . . . . • . - . . . . - - 4--- - . . -' l• . • - -.-- . -.- - . . , _.... ' .1`'• ,.------- - . ....., ,- . , -, • : . . - . . ‘.. . - • .. : . • . _ • . bfri . _ t.. - , - [Ready -- - I ( 759 AM tv Novell GroupWise - M,.. Ir_ El Tt1=4 /1.dig.FILP* , - 1 .J ., . .- . . . . ... . . . . , . . . . . . CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2005- 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/21/P006 Phone: (503) 639 -4171 .. .44, Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/12/2006 TIME: 7:04AI PAGE: 77 SITE ADDRESS: 07145 SW VARNS ST CLASS OF WORK: SUBDIVISION: VARNS ACRES LOT #: 012 TYPE OF USE: PROJECT NAME: VARNS CORNER DESCRIPTION: (20) branch circuits. OWNER: PHAM, HOA PHONE #: 503 CONTRACTOR: CORNERSTONE ELECTRIC LLC PHONE #: 360- /98 -3039 Inspection Request Scheduled For: Date: 4 /12/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 027811 -01 503.740.7340 N °11.$ eitAA IL' Corrections /Comments /Instructions: • ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Al Date: ( 1-/ 2 - c0 & Phone #: (503) 718- ' 1 CITY OF TIGARD. , e�- eZL BUILDING DIVISION `? PERMIT #: Zo06 —/ Qv ( 3 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 • Inspection Requests (24 Hrs.): (503) 639 -4175 "'it .. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: '7 /q S i CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: 'e^ - C % . _ OO+ + PHONE #: Inspection Request Scheduled For: Date: 3-30-op -O Pour Time: Code # Inspection Description Confirm # Contact # Message /d.D� CIS'- '2110 -7 3 L/0 6 L orre c tion s /C s�Rt" /Instructions: ' . '' rk A .. __,. At . Aoctibp cOL:00 Asmk . AO 331.12 z 10 S� Psi 10 c cAiNv upo cinit t act (4 .lics1 csom It 4 NN ❑ PASS A 0 PARTIAL APPROVAL El CANCEL 111 NO ACCESS A FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Gi Inspector: Y R vV oie Date: Oa Phone #: (503) 718 - Z4_ ' ` .. - \�� �'�� ' . ��- :.1 . ' ' • 7 N. N. \ .. . / / / \ / � -_----/ -- . --L--- ---- • -__- \` ' � \ / \` \ / � � � \ ` � ', -- 1 ---- / 1 ---_-'-----__--- / . -''---' � ---�' '--_- / / / | � / / \ / i | | / ■ / / / / / � / _ -�-- . _ / . � ��� '-----' _ - - �_ / ` _--_- _-_ ��U - �--'----- ----- '----r-- \ � T ' _' ~---'-----'' / \ ` / ` ` 1 / / / � � � / | - . � / � � \ --_ -_�----__-�--_---� ___ --_---__--. �---__-_-_-- � / l� / - -_-= � �-_-_ -` '~ / / \ / / . --' -- ---- _____ / / / � ` � ____--- ` '---__ ---_� . r - '--- . - I ( \ 1 1 1 i I- I ■ DR 1• 1 1 1 1 SANDBURG ST I I •