6975 SW SANDBURG STREET STE 200-1 am
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6975 SW Sandberg Street#200
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639.4171 BUP
Date Requested_ Y -AM.--PM -_ BLD
r �UU
Location Suite MEC
Contact Person Ph PLM _
Contractor�% ? - Ph -7 -"c��-� SWR
BUILDING enacan
n er -� '`� ELC
ELR
Retaining Wall
Footing Access FPS
Foundation
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab ____ - - ---- --- SIT ---
Post&Beam
Ext Sheath/Shear --
Int Sheath/Shear
Framing -- -
Insulation
Drywall Nailing -
Firewall
Fire Sprinkler -
Fire Alarm
Susp'd Ceiling --
Roof ---- ---- _
Misc.
Final
PASS PART FAIL -
PLUMBING ------
Post 8 Beam
Under Slab -a"r -4�
Top Out
Water Service —- -- _-------- _
Sanitary Sewer -- � ( D 4f
Rain Drains ` --IL --J- ---
Final
PASS PART FAIL --
MECHANICAL
Post&Beam ~-
Rough In
Gas Line -�
Smoke Dampers _--_-
Final ------ --- —
PASS PART FAIL
ELECTRICAL
Service ---------------...-- ---
Rough In
UG/Slab - —
I.ow Voltage
Fire Alarm ---- -----
CAPM ---—
PART FAIL --- - - - -
Backfill/Grading
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$— required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin ( ]Please call for reinspection RE: ._ _ _. [ ]Unable to inspect- no access
Fire Supply Line
ADA
Approach/Sidewalk / �j= - . Inspector 1-4-1c Fr — Ext
Date
Other -Z
Final
PASS PART FAIL DO NOT REMIOVF this inspection r, cord from the job site.
CITY OF
T I G A R D _ _ELECTRICAL PERMIT
T ! PERMIT#: ELC2001-00569
DEVELOPMENT SERVICES DATE ISSUED: 11/14/01
13125 SW Hall BlvJ., Tiqard, OR 97223 (503) 639-4171
PARCEL: 25101 DD-00101
SITE ADDRESS: 06975 SW SANDBURG ST 200
SUBDIVISION: 'TIME SQUARE ZONING: C-P
BLOCK: E JT : JURISDICTION: TIG
Proiect Description: T I. lighting.
_ RESIDENTIAL UNIT TEMP SRVCIFEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 arnp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANE HMI 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: v�
201 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'I_ BRNCH CIRC: 3 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:
WES FON HOLDING CO LLC GEORGE + SONS ELECTRIC CORP
2154 NE BROADWAY PO BOX 339
PORTLAND, OR 97232 CLACKAMAS, OR 97015
Phone, Phone: 654-8634
Reg#: LIC 35600
ELE 3-117C
SUP 31855
-- FEES _---_ _ Required Inspections
'Type By Date —Amount Receipt Ceiling Cover
PRMT CTR 11/14/01 $66.80 2720010000( Wall Cover
Ele:.t'I Final
5PCT CTR 11/14/01 $5.34 2720010000(
Total $72.14
This Permit is issued subject to the regulations contained in the regard Municipal Code. State of OR Specialty Codes and all other applicable laws
All work will he done in accordance with approved plans Thi,permit will expire if work is not started within 180 days of issuance.or it 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-G380 You may obtain copies of these rules gfdirect questions to OUNC at(503)
246-6699 or 1.300-332-2344 / G/
Permit Signatura: r ` Issued By:
_ 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 INSTILLATION ONLY
SIGNATURE OF SUPR. ELEC'N:Y DATE:
LICENSE NO: _. S -.-- — ------
Call 639-4175 by 7:00pm for an inspection the next. business day
11/12/2001 15:32 503-653-E886 GEGE & SONS ELECTR PAGE 01
Electdcal!PerinitApplication
113 I=M MDMteteoeiwd; ;/? Farinit no.••�= /' ,,
MY of ' ICw dRhUh' Pro;eetr.ppl.�. s�t�d>1�
- -- - - -
A : 13125 5W Hall 91vd, ,�,�3 I)ata�, 9y: Recript�
TiRcn! OR
l
Phow (so�) 6,494171 NU - -- --
Fax: (503) 5WI9M1 C17'Y OF TIGARU Caw rut no. P■ymanttype:
,and use apprl)vW Uini_Urr DTVV9101"
O I A 2 family tlweliin)I or accewwy Cl Coa1lnerzral/inauslnal O Multi-family KTenarlt improvement
U Ncw t.onstruction Cl Additionlalteration/replacement 0 Other. U Partial
lob addreu: $`7 " ��y��aR G Bid .no.: Suite art,.,2 ■x mephax lot/w,'count no.
l.a: _ E�ir)ck: SuWlviaiioa: 1 a/2ZZ-3
I.V*,0 n•iank: /r!�4r1 �a?C1C DtaCN and location of walk on premises T -
�atlonaood tJlate of oomioa/i
tion:
flttaiden now: L06 as Tow .+►
Or New �I,/agleorwelgWtrylnr
City: C r Owe: - ZIP. C37,0tfer►krrelega!
Mane: - ? Fax b mall. �. IOW a .A a las
CCB 110.: (j Elec.bea arc.no: / c Each addmnn.l:car sqa«Dordnn thomot
Urtuted r"rp_rmiiYntul 2
Ci /m lie.no.: �. ijm;ied ewer ,non•r"IdMdd )
Each ntanu fvturwl hoar or rrwttlulaf dwelUag -- -- �_
sl � �u n lutes W irradL.__-.-.. -� Dek / � servics arttl/nr Lnic, 1
Sap.elect runx .S sM•itaerltr•iatt•• hr!laa.
�ftnll � o I.Icet>re)ro:
aMaeaflar or rI&MMtftae:
jn0 Nope or lett
Nuns(lost"t): Sf 4L. o r. 201 monp,rn4M -- z
Mailing addrus�s1/ AX +!f ^r _ iot to boo a t _ 22_
601•rnp a 1000 amps 2
cit lH«mi--m rn vnlu �- —-- 2
Faa: &tunil: Recunttett* 1
Owns inttralation:The installation ie being made on I•,m1>ctty I own Tevareft"wil "Iwo
whidi in Hoot intended for We.Inagee,mnt,of exchmgc arcmdinq to ItataNx*&milihratlemi.WrrcMradaw
ORS"7.455.479,670,701, 2W amps of iso �
701 b a�fn ► 2 .
Owee s swuktumpats: 401 to 6M "L - - 2
stoic ri►c+tib•maw,■h•atian,
Name or ext>amwe par MM4 t--- - _ A For her hunch�irauh vndi purrha•e of t''
aorvioe or ander fee,arch btu)oh cimnil r6
- 2 -
('it Stets_ ZIP. H For fix hrww.h•"mots without prtrcdwe
of ycrvlce nr fcecier foe ftnt;xmch circwt. '�� 2
Mttrrrr: Fu: i E.null Barhaddii;_.Wbnwheitceit:
Ye.(%vtIft r rre/er rot haeAdad):
Uletvloeam223unpsvanvttretcial UNratthran.fdlrty SWN-h t (arm anoncirmle 2
U lervioe over)7O amps{sting at 1&2 U Ha:aMata bxarnn Plash also or outline lighting— 2
Aratly 4lo*lling; U Budding ovtr 10,01V aquur We four or signal eiteuiHa)or a lhnhM erteray pari_.
*System(War 600 volt norwhal amro rerkleathl mun to firm stn ctum diendon,m mttmnion* - 2
U Building over Ihree twain O Feeler~,un ass*a mote •
U Occupant load ova 99 prraotr U Marnn'actwed atnicturea or RV part *"Itd'*allowable to any dso aMrra
U FemmAtli t plan O l>,tw _-. __._---.- Pari
Sabah - ads of Fir wW my*too a6se. nvndg
7L obese w real!Mae"to MT too0aMw ttan-vice.
rYu }aia�aA a:p ZZ rarer 1Aarr wt iarid alas ftam b terNaa Notkx•71fis permit applicationPermit fee.....................S ---�
7"( O M ,,tarp / c�Direa it a permit is not obtafnM Man".view(af -8 %) S
(Mo cad.artw. R OS}�_}� , d a within 110 days after it has hee0 Strtte aurehuyt(8 ,) .. S _
C' 1ST[' _ ■baa •coepted as ontnplete Tt"1TA1, ................... ...
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