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10300 SW GREENBURG ROAD STE 410-1 0 CA) 0 r) cn G) X m m z 0 cn m ca I 10300 SW GREENBURG RD STE 410 W; ams CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 ----- BLIP -�` Date Requested_ SAO 1 U0 —^AM _—PM - — BLD -- Location b � h bu 1lam_ _--- Suite r r c 1 MEC Contact Person Ph PLM — Contractor ��V1 j`�°,�(14 Ph 2� ilf 12, SWR BUILDING Tenant/Owner (..Q L-� _- ELC Q Rctaining Wall EI_R Footing Access: Foundatio t FPS Ftg Drain Crawl Drain Inspection Notes: SGN - Slab SIT Post&Beam - Ext Sheath/Shear Int Sheath/Shear Fraining Insu'ation Drywall Nailing _ - Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misr: Final PASS PART FAIL -- - --- -- — — PLUMBING Post A Beam '— - Under Slab Top Out ------------ ----------- -- — Water Servire Sanitary Sewer --`�.--- -----_.------ _----- _-- ____ - Rain Drains Final -- ---_-------- — -- PASS PART FAIL MECHANICAL Post&Beam —_ --- - . -- - ------- Rough In Gas Line ---- —.— -- --- -- Smoke Dampers Final PASS PIAN FAIL Service Rough In -_-_------------.-- - ---------- — UG/Slab Low Voltage __..---.----• -- --____-- _ -- — Fire Alarm PART FAIL Backfill/Grading --" Sanitary Sewer Storm Drain [ ]Reinspection fee of$_ required before ne;;t inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line I ]Please call for reinspection RF _--_ —_ [ ]Unable to inspect-no access ADA Approach/Sidewalk Other Date GI-s inspector� �.-C-!� _Ext Final PASS PART FAIL DO NOT REMOVE this insper_tion record from the job site. r•r�ru� CITY OF T I G A R DO ELECTRICAL PERMIT- RESTRICTED ENERGY DEVELOPMENT SERVICES � PERMIT#: ELR1999-00133 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-Ai DATE ISSUED: 5116/99 SITE ADDRESS: 10300 SW GREENBURG RU 410 PARCEL: 1 S135AB-01003 SUBDIVISION: LINCOLN ONE/RED LOBSTER/CASA L ZONING: C-P BLOCK: LOT: JURISDICTION: TICS Proiect Description: Installation of data telecommunication system. Job No. ,0-01104 A. RESIDENTIAL B.COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPEIIRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: X NURSE CALLS: VACUUM SPSTEM: FIRE ALARM: OUTDOOR LANDSC I_ITE� OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL#OF SYSTEMS: Owner: Contractor: KNICKERBOCKER PROP, INC XXIV CHRISTENSON ELECTRIC INC BY NORRIS, BEGGS + SIMPSON 1 I I SW COLUMBIA 10300 SW GREENBURG RD STE 200 STE 480 PORTLAND, OR 97223 PORTLAND, OR 97201 Phone: Phone: 241.4812 Reg #: LIC 000458 SUP 3289S PLM 2468S Er_E 26-34C _ FEES Required-�Irnspections__ Type By Y Date _ Amount Receipt Elect'I Final 'Lt w VcL.T1Rae 1Q5P7 —1 PRMT DRA 5/26/99 $40.00 99-315683 5PCT DRA 5/26/99 $2.00 99-315683 Total _ $42.00 This Permit is issued subiect 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 riot 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 rales are set forth in OAR 9.,2-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at (503) 243-1 7 / /J Issueg y I� —�t b�mn� _ Perm tieP Signature I,i 10i- OWNER INS1At LATION ONLY The installation is being made on property I own which is not intenaed for sale. lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N _ DA'TE:—_ —_- LICENSE NO: Call 63;4-4175 by 7:00 P.M. for an inspection needed the next business day RECEIVED CITY 017 TIVARD RESTRICTED ENtRGY ELECTRICAL APPLICATION Recd 131.5 SW HALL BLVDMAY 1. 6 199 Date Recd TIGARD OR 97223 PRINT OR TYPE V- 503-639-4171 )Q Wt1NIIY DEVELOPMEN; Permit#:E��Q F - 503-684-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd __ JOB:50-01 104 WILL NOT BE ACCEPTED Name of Development Project TYPE OF WORK INVOLVED -RESIDENTIAL ONLY _ NORRIS BEGGS SIMPSON PROPERTY M GMT Restricted Energy Fee....................................... $40.00 LINCOLN CENTRE LINCOLN 1 (FOR ALL SYSTEMS) JOB Street Address Ste# ADDRESS 10300 SW GREENBURG RD 410 Check Type of Work Involved: City/StateZia Phone iiLJ Audio and Stereo Systems PORTLAND OR 91223 TENAN'C Name PROVT.DENCE MUTUAL ❑ Burglar Alarm OWNER Mailing Address - —�- ❑ Garage Door Opener' City/Stale Zip Phore# ❑ Heating,Ventilation and Air Conditioning System* Name �- ❑ Vacuum Systems' CONTACT:LAKE, CHRISTENSON ELECTRIC, INC. ❑ Other.---- CONTRACTOR ther__ --CONTRACTOR Nh1g 5W1r`e6LUMBIA, SUITE 480�T TYPE OF WORK INVOLVED -COMMERCIAL ONLY (Prior to issuance a ° e Z pti ne# Fee for each system.............................................. $40.00 copy of all licenses WiWMD, OR 9201 AI!481' (SEE OAR 918-260-260) are required if OrContr.Brd Lic.# Ex Date expired in C O.T. Wig 5�03 Check Type of Work Involved: data base) El 770 gicVe' ntr.Lic.# Exp Date 37 (( 10/99 ❑ Audio and Stereo Syst-ms C Q 7 o Metro Lic.# Exp Date 5146 1.2/99 ❑ Boiler Controls Owner's Name ❑ Clock S,Mems OWNER - Mailing Address APPLICANT Data Telecommunication Installation City/State Zip Phone# C7 L Fire Alarm Installation This permit is issued under OAE 918-320-370 This applicant agrees to make only restricted energy installations(100 volt amps or less)wider this ❑ HVAC permit and to do the following ❑ Instrumentation 1 Only use electrical licensed persons to do installations where required. Certain residential and other transactions are exempt from licensing ❑ intercom and Paging Systems These have asterisks('). All others need licensing; ❑ 2 Call for inspections when installation under this permit are ready for Landscape irrigation Control' inspect on at 503-839.4175; ❑ Medical 3 Purchase .9parate permits for all installations that are not ready for an Nurse Calls inspection v.hen the inspector is out to inspect under this permit; ❑ 4. Assume responsibiiny •—lidng that all corroctions required by the ❑ Outdoor Landscape Lighting' inspector are done,and; ❑ Protective Signaling 5. Assume responsibility for calling for a final Inspection when all of the corrections are completed. ❑ Othor Permits are non-transferable and non-refundable and expire if work Is not started within 180 days of Issuance or if work Is suspended for 180 days. Number of Systems The person signing for this permit must be the applicant or a person No licenses are required Licenses are required for all other installations authorized to bind the applicant FEES- ENTER FEES 5 40. Signature 5/24/99 5"/SURCHARGE(.05 X TOTAL ABOVE) $ 2. Authority if other than Applicant TOTAL i\dstsvesele doc 7197 --