10260 SW GREENBURG ROAD STE 100 •, 1 O
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10260 SW GREENBURG ROAD ' q
SUITE 100
CITY OF TIGAR.D BUILDING INSPECTION DIVISION' 1AST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -- -- - - ---
/ BIlP
--------- Date Requested_ ( z'� AM_ PM BI_D -- -- --- - -
Location j ..V^�,�: 41,E Suite MEC -- ----
Contact Person �/G.u�- - Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall - ----�— zel o 04� -Z`
Footing Access: r.
Foundation144
t FPS
Fig Drain
Crawl Drain Inspection Notes: SGN
Slab - ---- -------_____-__--_ srr
Post&Beam ---
Ext Sheath/Shear
Int Sheath/Shear
Framing —�-- - --------- - --------
Insulation
Drywall Nailing
Firewall 4
Fire Sprinkler
Fire Alarm
Susp'd Ceiling - -- - --- -- -
Roof
Miss - - --- - _- _ - --- - - -
Final
PASS PART FAIL - -- - - ----
PLUMBING
Post& Bearn
Under Slab
lop Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post& Ream -- -- -
Rough 'n
Gas Line
Smoke Dampers
Final
PASS_ !IMT) FAIT_
LEC7 '
SPrvIGV
Rough In
UGLSiab _
ow va1fi '
�ann
Fit
AS$ PART FAIL - ---------- ------------- --- -- ..— _
Backfill/Grading -- - - ------ --- ---- --_.--- --- ----._�_._._�—_
Sanitary Sewer
Storm Drain ( )Reinspection fre of$ _ required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( 1 !'lease call for einspertion RE:_—__ _ "_____ _ [ 1 Unable to inspect-no access
ADA
Approach/Sidewalk
Other Date — -u-d�- Inspector_ - t
Final
PASS -DART FAIL DO NOT REMOVE this Inspection record from the job site.
ELECTRICAL PERMIT-
CITY OF T I GA R D _
RESTRICTED ENERGY
DEVELOPMENT SERVICES PERMIT# EI-132000-00217
13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 DATE ISSUED: 9/19/00
PARCEL: 1 S135AB-03400
SITE ADDRESS: 10260 SW GREENBURG RD 100
SUBDIVISION: LINCOLN TOWER-TOWN OF METZGER ZONING: C-P
BLOCK: LOT: 014 JURISDICTION: TIG
Proiect Description: Installation of data telecommunications.
A.RESIDENTIAL B.COMMERCIAL
AUDIO & STEREO: AUDIO & STERFO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DA FA/TELE COMM: X NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
_ TOTAL#OF SYSTEMS:
Owner: Contractor:
KNICKERBOCKER PROP, INC XXIV PAVELCOMM INC
BY NORRIS BEGGS ; SIMPSON 1640 NW 14TFI AVE
10300 SW GREENBURG RD STE 200 PORTLAND, OR 97209
PORTL;.^:L', OR 97223
Phone: Phone:
Reg #: ELE 26-559CLE
LIC 00063963
_ FEES _ _ _ Required Inspections
Type _By_ Date Amount Receipt Low Voltage Inspection
PRMT CTR9/19/00 $75.00 2720000000 Elect'I Final
5PCT CTR 9/19/00 $6.00 2720000000
-- Total
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 k-jork will be dere 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 952-001-0080. You may obtain copies of these rules or direct quesbo s to O/UNC at (503)
2_46-1987
Issued by — Permittee Signature 'Y1
OWNER INSTALLATION ONLY _
The installation is being made on property I own which is not intended for sale. lease, G.-rent.
OWNER'S SIGNATURE: —� __ —._.._�_ DATE:-----
CONTRACTOR INSTALLATION ONLY__--_,_
SIGNATURE OF SUPR. ELEC'N DATE:
LICENSE NO: -
Call 629-4175 by 7:00 P.M for an inspection needed the next business day
C11 1IGARD RESTRICTED ENERGY ELEC1 RICAL APPLICATION Recd by.
13145 SW HALL BLVD Date Recd e_ti _
TIGrARD OR 97223 PRINT OR TYPE
V - 503-639-4171 X304 Permit#: alZr
F- 503-684-7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd.
WILL NOT BE ACCEPTED y
Narne of Development Project TYPE OF WORK INVOLVED -RESIDENTIAL.
J
< p ��11 n W ,J Restricted Energy Fee........................................ P-0000.00
� K 1`V / (FOR ALL SYSTEMS)
JOB Street Address I� Ste#
ADDRESS �.ZG,0,1 t") CLhbor F6 V Check Type of Work Involved
tyrlc
b to 1). p Phone# ❑ Audio-ind Stereo Systems
A14Name
❑ Burglar Alarm
OWNER Mailing Address ❑� Garage Door
Opener-
City/State Zip Phone# ❑ Heating,Ventilation and Air Conditioning System'
- — -- a ❑ Vacuum Systems-
olil l N 1���.- ❑
CONTRACTOR Mai g a Ir s
t,• L=- V,( TYPE OF WORK INVOLVED -COMMERCIAL
(Prior to issuance at I Ph nc Fee for each system............................................. $
copy of all licenses 1 t -?( (SEE OAR 91F 2.60-260) /fir
are required if Ore n o rric # x Date l r 1 l
expired in C 01J GIS Check Type of Work Involved
data base) qertric r L p Date
- ( U�% �� Audio and Stereo Systems
—_— O 0. . r etr Lic #. Exp Date
i �/ ❑ Boiler Controls
Owner's Name
❑ Clock Systems
OWNER - Mailing Address
APPLICANT , Data Telecommunication Installation
City/State Zip Phone#
��� ❑ Fire Alan,,Installation
This permit is issued under CAE 918-320-370 1 his 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 installations where required
Certain residential and other transactions are Exempt from licensing Intercom and Paging Systems
These have asterisks(') All others need licensing;
❑2 Cal!for inspections when installation under this permit are ready for Landscape Irriyation Control'
inspection at 503-5394175; L_! Mcdical
3 Purchase separate permits for all installations that sre not ready for an ❑ Nurse Calls
Inspection when the inspector is out to inspect under this permit,
4 Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting'
Inspector are done,and.
Protective Signaling
3 Assume responsibility!or calling for a final inspection when all of the
corrections are completed ❑ Other
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 parson No licenses are required Licenses are required for all other installations
authorized blvd the applicant _
FEE$
SignatU ENTER FEES _
5%SURCHARGE(.05 X TOTAL ABOVE)
Authority If other than Applicant — TOTAL
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