10220 SW GREENBURG ROAD STE 370 r+
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10210 SW GREENBURG #370
CITY OF TIGA,RD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 _
BUP
Date Requested �J L1 L AM_ PM BLD _
Location J DZ l�v�ee hL Suite MEC
PLM
ContactContact Person Ph
Contractor Ph SWR
BUILDING Tenant/Owner _ Y` '1 Si4f) S/±_kJeEA _ ELG -
Retaining Wali ELR !c.l.��' fry
Footing Access:
Foundation FPS
Ftg Drain ----- SGN
Crawl Drain Inspection Notes:
Slab -----— --- - ---- ------- _ SIT _
Post 3 Beam
Est Shaafh/Shear
'ot Sheath/Shear
Framing
Insulation
Drywall Nailing -_--,__-- -_
Firewall
Fire Sprinkler - _ - •�/
Fire Alarm
Susp'd Ceiling -_— ——
Roof p�
Misc: _.—
Final
PASS PART FAIL -- -- - -- _ -— - - ---- --
PLUMBING
Post& Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FML
MECHANICAL
I ost& Beam -
Rough In
Gas Line
Smoke Dampers
Final
PAS`,PART FAIL
EC i R!."A'1�_�
SQNice
Rough In
UG/Slab
Low Voltage
Fire Alarm - ----- — ----- -- - ------ -in
ASPART FAIL _ _ --------- --__--- ----- ------- --- - —
Backfill/Grading - -^-- —
Sanitary Sewer
Storm Drai,, ( J Reinspection fee of`F required before next inspection. Pay at City Hall, X3125 SW Hall Blvd
Catch Basin Please call fo reinspection RE: .- [ J Unable to inspect-no access
Fire Supply Line
ADA 4
Approach/Sidewalk /± Ext
Other Other Date Ci Inspector
Final
PASS PART FAIL Dll� NOT REMOVE this inspection record from the job site.
CITY OF 'TIGARD - -- ELECTRICAL -
RESTRESTRICTEDENER ENERGY
DEVELOPMENT SERVICES PERMIT'#: ELR2000-00066
13125 SW Hall Blvd.,Tipard, OR 97223 (503) 639-4171 DATE ISSUED: 03/27/2.000
PARCEL: 1 S135AB-01004
SITE ADDRESS: 10220 SW GREENBURG RD 370
SUBDIVISION: TWO LINCOLN - TOWN OF METZGER ZONING: C-P
BLOCK: LOT: JURISDICTION: TIG
Proiect De^cription: Data Telecommunication Installation
A. RESIDENTIAL B.COMMERCIAL.
AUDIO 8 STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAF ALARM: BOILER: LANDSCAPE/IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: Y. NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL# OF SYSTEMS: 1_
Owner: _— Contractor:
KNICKERBOCKER PROP, INC XXIV COMMUNICATIONS INSTALLATION
BY NORRIS, BEGGS + SIMPSON 8142 SE DURHAM RD
10300 SW GREENBURG RD STE 200 TIGARD, OR 97224
PORTLAND, OR 97223
Phone: Phone: 503-670-772.1 ORIGINAL
R,;g #; LIC 0111.196
ELE 37-686CLE
—� Required Inspections
_FEES I _
Type By nate Amount Receipt _I Low Voltage Inspection
PRMT KJP 03/27/2000 $60.00 0000954 Elect'I Final
5PCT KJP 03/27/200( $4.80 0000954
Total $64.80
This rermit is issued sub;ect 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 fur more then 180 days. ATTENTION Oregon law
requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set ,orth in OAR
952-001-0010 thro OAR 952-001-0080 You may obtain copies of these r, 'es or direct questions to OUNC at (503)
246-1987 'fey, �?
Issued by ? .�^ --� — Permittee Signature�j/c4
OWNER INS-ALLATiON ONLY
The Installation is being made on property I own which Is not intended for sale. lease. or rent.
OWNER'S SIGNATURE: ____ --------�--- DArr'_._ ----_�_-- _
COIN'TRACTOR INSTALLATION ONLY-
SIGNATURE OF SUPR. ELEC'N f - --------- DATE: -- - -- _---
L I C E N S E N O: ----------- --- -- _- . .
Call 639-4175 by 7:00 P.M. for an inspection needed the next business day
CITY OF-TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by: _
13125 SW HALL BLVD Date Rec'd:__
TIGARD OR 97223 PRINT OR TYPE "I I
V• 503-639-4171 X304 Permit# ��Q 2yfx, OcQ(4
F - 503-598-1960 INCOMPLETE OR ILLEGIBLE APPLICATIONS CUct Call'd:�
WILL NGT BE ACCEPTED
Name of Development Project
TTYPE OF WORK INVOLVED - RESIDENTIAL ONLY
—Vest— -- --
Q, �'" "Nl'61 ti ricted Energy Foe....................... ................ $60.00
-f �o� u�Y� L��M (FOR ALL SYSTEMS)
JOB Street Address S1e# Check Type of Work Involved:
ADDRESS U Z-�-'w d r-w1bUf 75 �1
Qty/State lip
Phone# ❑ Audio and Stereo Systems
Name ❑ Burglar Alarm
KN r Garage Door Opener'
OWNER Mailing Address n St�
/0 300 S L� b ``� ❑zip Heating,Ventilation and Air Conditioning Systom'
City/Sia d Zip Ph ne#
L Z J h w ❑ Vacuum systems-
F-1
ystems'❑ Other--- ---- - --
CONTRACTOR M lin Address
Qv TYPE OF WORK INVOLVED COMMERCIAL ONLY
(Prior to Issuance a /StateZip Phone# Fee for each system.............................................. $60.00
copy of all licenses f IC�Ci"( (� (- _j-?2 Z� fd� w��11 (SEE OAR 918-26,--260)
are required If Oren Contr. rd Lic.# Exo Date
expired in C.O.T. u��5 Check Type of Work Involved:
data base). Electrical Contr.LIQ# Exp Date
•Y - . ,l_LC, ❑ Audio and Stereo Systems
C.O.T.or Motro Lic.# Exp.Date
❑ Boiler Controls
Owner's Name J
❑ clock Systems
OWNEF.. - Mailing Address
APPLICANT Data Telecommunication Installation
City/State Zip Phone# ❑
Fire Alarm installation
This permit is issued under CAE 918-320-370.This applicant agrees to ❑
make only restricted energy installations(100 volt amps or less)under this HVAC
permit and to do the following ❑
Instrumentation
1 Only use electrical licensed persons to do installatiuns where required.
Certain residential and other transactions are exempt from licensing. ❑ Intercom and Paging Systems
These have asterisks(") All others need licensing,
El Landscape Irrigation Control*
2. Cell for inspections when installation under this permit are ready for
inspection at 503-5394175; ❑ Medical
3 Purchase separate permits for all installations that are riot ready for an ❑ Nurse Calls
inspection when the inspector is out to inspect under this permit,
4 Assume respon-,ibiiity for assuring that all corrections required by the ❑ Outdoor Landscape Lighting'
inspector are done,and, ❑
Protective Signaliny
5 Assume responsibility for calling for a final inspection when all of the
corrections are completed ❑ Other
Permits are non-transferable and ron-refunCable and expire If work is not
started within 180 days of issuance or if work is s!!spended for 180 days. Number of Systems
The person signing for this pepillriust be the applicant or a person No licenses are required Licenses are required for all other installations
authorized to bind the applicrrf -- --- ---
�� �. FEES:
urs
TER FEES f '
Signature $ n og'
W.SURCHARGE(,WX TOTAL ABOVE) _ �-_
�^ TOTAL
Uthority if other than Applicant
l stsVormsVesele doc 3/98