HomeMy WebLinkAboutSpecial Inspection Electrical 2002-11-26
Laoell'CumDer:
EL S 657
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Contractor Name: ADT SEC{h.... ty
Phone: 503-469-7100
Fax: 503-469-7110
Address: 2815 SW 153RDAVE
BEA VERTON, OR 97006
Job Address: 800 BEL TLINE'RD
SPRINGFIELD 97477
Installed By: BRAD GRAVES
Installer License: 783 JLE
Work Description: BURG ALARM
Properly Owner: KlNKO'S
'Phone Number: (541) 746-8448
Address: SAME
License: 26-209CLE
CCB: 59944
Supv Lie: 26-209CLE
Supv Reg: BRAD GRAVES
Metro #:
Jurisdiction: SPRlNGFmLD, (,..1.1 i OF
Install Type:
Issued Date: 6/24/02
Install Date: 9/3/02
Insp Rpt Sent: 11/22/02
Insp Rpt Rcvd:
Commercial
1st / 2nd / 3rd
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.Comment: lNSPECTION MAY REQUIRE A LADDER IN EXCESS OF SIX FEET.
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TRl COUNTY SERVICE CENTER
Phone: 503-872-6731 . Fax: 503-872-6735 . I
MINOR LABEL TRACKING FORM AND INSPECTION RE~ORT . I
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SPRINGFIELD, CITY OF TCSC minor label #
EL S 657
JURISDICTlON~
Date Time -, Init~4fs
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Contact log
Three contacts must be attempted within five (5) working days of receipt. .
Results
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o No Contact
If no contact is made, TeSe must be notified within ten (10) working days if inspection Cannot be performed
~iQhApp'D.ed .. Date App'D.ed: _./(~<?':.?_______...
If the inspection is perfo~d and approved the fonn shall be sent/faxed to TeSe within five (5) working days,
Contact and Inspection Log
o Imp'diDh Foiled Da,. CaDl,acla, Notified of Failuee: _u__.. . ......_......._ ....
If the inspection filils, the jurisdiction shall notify conlIactor. The contractor has ten (10) days to notify the TeSe of dispute, Ifnot
disputed, the contractor shall call the jurisdiction of authority for re-inspection.
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