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11105 SW GREENBURG ROAD 0 N c or M 0 0) CL 11105 SW Greenburg Road CITY OF TIGARD 24-Hour BUILDIN3 Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 _ Z BUP J _ — Received ____-_ Date Requested '+ _�— AM_._—_—__ PM ___ BUP _ Location Suite--_— MEC __— Contact Person —_` h(—__—) . — __ PLM Contractor Ph(---) SWR BUILDAG TenirSUOwner __ . ._ ____—___ ELC .206 Footing ELC - Foundation Access: �— Fig Drain ELR Crawl Drain Slab Inspection Notes: SIT Post& Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing --- --__---------___� - -_-- Insulation Drywall Nailing --------- Firewall Fire Sprinkibr - --- --- -- Fire Alarm Susp'd Ceiling -- ---- --- Roof Other: - -------- - - Final PASS PART FAIL -...-_----- -- -- - -- ----- -- --- PLUMBING_____ Post&Beam ----------------------- --- Under Slab -- Rough-In Water Service Sanitary Sewer Rain Drains - - --- _._-_.-._-____-____-_ - Catch Basin/Manhole Storm Drain -------- -- ----..._ _._.--- ------------ Shower Pan Other: Final PASS PART FAIL MECHANICAL Post&Beam Rough-in ---- - -- --- Gas Line Smoke Dampers -___ _- - --------- -_-_------- --- - -- Final PASS PART FAIL _ - - ----- -------------- --- --_-- — ELECTRICAL Service Rough-in -- -- ---- - - -- ---- --. UG/Slab Low Voltage -- Fire Alarm AS PART FAIL 1:1Reinspection fee of$` _required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd. ITE Pleasp call for reinspection RE:_ -- E] Unable to inspect--no access Fire Supply Line ADA I,�- Q �.__. Approach/Sidewalk Date _ Inspects Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF T I GA R D ELECTRICAL PERMIT PERMIT#: ELC2002-00098 DEVELOPMENT SERVICES DATE ISSUED: 3/11/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S135BC-01100 SITE ADDRESS: 11105 SW GREENBURG RD SUBDIVISION: ZONING: i-P BLOCK: LOT : JURISDICTION: TIG Protect Description: Installation of(1)branch circuit. RESIDENTIAL UNIT _TEMP SRVCIFEEDERS 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: list W/O SRVC OR FDR: 1 PER HOUR: 40 1 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ PLANR_E_VIEW SECTION 1000+ amp/volt: — >=4 RES UNIT'S: > 600 VOLT NOMINAL.: Reconnect only: SVC/FDR>= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: ROBINSON, E LEE + EVELYN L JARMER ELECTRIC INC PO BOX 91305 5105 SW 45TH AVE PORTLAND, OR 97291 PORTLAND, OR 97221 Phone: Phone: 246-5381 Reg #: LIC 6924 SUP 4044S ELE 26-144C FEES Required Inspections Type By Date — Amount Receipt 7EIeuct n 5PCT CTR 3/11/02 $3.75 2720020000( inal PRMT CTR 3/11/02 $46.90 2720020000( Total $50.65 L___ _- 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 oy the Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to Permit Signature: DA/' 9-1010L.1LJFe�'770/V�! Issued By: � O _ 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 639-4175 by 7:00pm for an inspection the next husiness ;fay 5©35981960 11 28 -2001 111- 44 FAX 5035991960 CITI OF T1(.;ARI) 2001 002 Electrical Permit Application �— Datereceiv /C,?_, Permitno.-,51 102.- City of Tigard Projecdappl.no Expire date City ofTigcrd Address: 13125 SW Hall lav MON Dateiss.cd: By. Phone: (503) 639.4171 R v Receipt no Fax. (503) 598.1960 1 Case rile no: Payment type: Land use approval: :J 1 lir.1.family dwelling or accessory t In ust al U Multi-famtly 0 Tenant imprc•vcmenc D New consuitiction _]Addition/alterati0rt/replacement U Other. __ `] Partial Job address: ,J —6" Bldff, g. no.: Suite no.: Tax maWw lot/account no.: Lot: Block: Subdivision: -- - Project name: Description and location or worl Estimated date of completion/ins ec tion CONTUACIFOR Jub no: - FM " Busitless name: ( Descrlptlun Qty. (es) Total no.ins New tratidcntW-angle or could family pe: Address: 777 dwcUim-aiit)nchrde,uuihedgtwig� City: t State: ZIP: — sentceotcluticd: Phone. - L Fax:,,l E-mail: 1000 wy (I.or les, L + Each additional 500 sq.ft.or pion thereof CCS no,; Elec.bus. Iic.no: )U - t:7 _— Ltmited energy,residential 2 Cit !m tro lic. no: _ Limited energy,non-residential 2 L Each manufactured home or modular dwelling Si nature of superv,si cl rician(required) Date Service and/or feeder 2 $u elxt name( anti C� LicensenoL Services -installation.orieeders rater tion or relocintlon: 51 114 IMIX :4 400 amps or leer 2 Name( rint): 101 amps to 400 amp, 2 p 401 ompa to 600 amps 2 Mailing address: ) , / 601 amps to 1000 amps 2 Gry: tate: ZIP: Over 1000 amps of volts _ _ 2 Phone Fax: I E-mail: Reconnect only _ I owner instillation:The Installation is being made on property I own Temporary servkxser readers which is not intended for stale,lease. rent,or exchange according to onsull'lt"n,alienation,or relocation: 201 amps or less 2 ORS W.455,479,670, 701. 201 amps to 400 utlUs 2 Owners s1 ature: 1)atc _ 401 to P00 amps J 2 UNG.INEER Btvtch clrrvlb new,alteration, or extansioe per panel.- Name: anel:Name: _ ___ A Fee for bench circuits with purchuc of Addttss� service or feeder fa,each branch circuit 2 City: >lal? ZIP �— B. Fee for branch circuit4 without purchase of service or feeder fee,tint branr ch circuit Phone, i Fax- i" I Each additional branch circuit,_ Lac.(Service or feeder not Included): O Service over 2:S amps•commemial U Health-care facility Uch pump or irrigation circle 2 J Service over 320 amps•roung of 1&2 0 Hazwdous location Each sifin or arlinc lighting fanuly dwellings O Building over 10,000 square feet four or Signal circuu'r of a limited energy panel. *System over 600 volts nominal more residential umuinone structure alterabon,ore:renston• O Buiiding over three stoner 0 Feeders.400 amps or more. •Dwo uen. — O occupant load over 99 persons O Manufactured structures or RV park Fich additional Intpeetlon over the allowab a In any of the above: O 1:6.! uric P1 an O Other — perinspecuon Submit___Wit of plans with any of the above. Investigation fee The above are not applicable to temporary conxtsvction aertice. Other -- Permit fee............ Not atl;unsdictnns wcApt cndtr reds plmw tail lutisdKtlon fa mae mfarmation Notice This permit application tl V1ta o 11,_eterCard expires if a permit is not obtained plan review (at 96) E - Cred•t card nun xr within I80 days after it has.been State sumhargc(15%)....f __ — tap'"" accepted as template. T07AL S ...........•...... CIP Fame a o ♦u +m one a cartl— S _.... _ C::iial&i ilyuturt __= Arttrtutx r 44(1461)ISOMWI CITY OF TIGAR© 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP Received __ _ Date Requested S AM__. PM BUP Location Suite G MEC Contact Person Ph( ) l 3 ��-� PLM Contractor ._ _ Ph( ) SWR BUILDING er� —t' ELC _ Footing %LR ELC — Foundation Access: Ftg Drain ELR Crawl Drain SIT Slab Inspection Notes: Post&Beam — -- - ---"— - Shear Anchors Ext Sheath/Shear - IntSheath/Shear Framing Insulation Drywall Drywall Nailing -7 Firewall Fire Sprinkler - Fire Alarm Susp'd Calling ��— Roof Other:_ Final _ --- PASS PART FAIL 1 F PLUMBING %-'i�l...i� ee---- ---- -- Post&Beam Under Slab — Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain --- Shower Pan u _ - Other: / jKA S PARTS PA&Beam Rnugh-In / — Gas Line Smoke Dampers --- Final _ PASS PART FAIL ELECTRICAL ------ Service Rough-In - ------ - --- UG/Slab - —- Low Voltage -- Fire Alarm Final El Reinspection fee of$.—_----_required before next inspection. Pay at City Hall 13125 SW Hall Blvd. PASS PART FAIL SITE L� Please call for reinspection RE' _—______ _ _ ___— Unable to inspect - no access Fire Supply Line ADA Z' -- _ Inapsctor��- t-` �F--- ---- EXt - Approach/Sidewalk Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL