Permit & - & -- b - /%Ot 77, 4 (2) /s,0Ec 77 cNS.
CITY OF TIGARD ELECTRICAL PERMIT
•
• P #: ELC2008 00159
COMMUNITY DEVELOPMENT DATE I SSUED : 3/20/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 135DD -05100
SITE ADDRESS: 11970 SW GREENBURG RD ZONING: C -G
SUBDIVISION: LOT : JURISDICTION: TIG
PROJECT: CODA
Project Description: TI. Altering 5 circuits. 5/9/08: Add (2) inspections for old work in T -Bar ceilings done by others.
6 , RESIDENTIAL UNIT TEMP SRVC /FEEDERS 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: SIGNAUPANEL:
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: 2
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 4 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:
CYNTHIA GULICK BRIDGETOWN ELECTRIC
11970 SW GREENBURG RD 22732 NW GILLIHAN ROAD
TIGARD, OR 97223 PORTLAND, OR 97231
Phone: Contact #: PRI 503 - 621 -7122
FAX 503 - 621 -7123
FEES
Description Date Amount Reg #: ELE 26 -887C
[ELPRMT] ELC Permit 3/20/2008 $73.45 LIC 103824
[TAX] 12% State Surchar 3/20/2008 $8.81 SUP 4177S
[HRELC] Hourly Electrical 5/9/2008 $125100
(additional fees not listed here) REQUIRED ITEMS AND REPORTS
Total $222.26
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 by the Oregon Utility Notification Center. Those rules are set forth in
OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: �/ � , / Permittee Signature: t9,J ,}/0,04 / 9-Tjp
-
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: dN /° . /' 9 7O,,/ DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
CITY OF TIGARD ELECTRICAL PERMIT
,1 COMMUNITY DEVELOPMENT PERMIT #: ELC2008 -00159
DATE ISSUED: 3/20/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 135DD -05100
SITE ADDRESS: 11970 SW GREENBURG RD ZONING: C -G
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: STRIDE CODA
Project Description: TI. Altering 5 circuits.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS 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: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 4 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:
CYNTHIA GULICK BRIDGETOWN ELECTRIC
11970 SW GREENBURG RD 22732 NW GILLIHAN ROAD
TIGARD, OR 97223 PORTLAND, OR 97231
Phone: Contact #: PRI 503 - 621 -7122
FAX 503 - 621 -7123
FEES
Description Date Amount Reg #: ELE 26 -887C
[ELPRMTI ELC Permit 3/20/2008 $73.45 LIC 103824
ITAXj 12% State Surchar 3/20/2008 $8.81 SUP 41775
Total $82.26 REQUIRED ITEMS AND REPORTS
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 by the Oregon Utility Notification Center. Those rules are set forth in
OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: i— 111111111b Permittee Signature: /W/
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 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
02!18/2009 11:42 5036425815 ROSS ELECTRIC INC PAGE 01/01
fa CITE FTA R
� e,w Li COMMUNITY DEVELOPMENT
rICAI<ri 0 08 00159
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 C2
Electrical Signature Form Va 1 8 204
C1 G F - rIGARD
IMPORTANT PERMIT NOTICE BkVi_DMGD�vIS\d� "
r✓ rr
ROSS ELECTRIC INC �l1
2870 SE 75TH AVE #203 " /
HILLSBORO, OR 97123 fr
Permit #. MST2008 -00159
Date Issued: 12/8/2008
Parcel: 1 S134DB-BP002
Site Address :c :1:1294- SW- ELLSON -LN.IA
Subdivision: BERG PARTITION
Lot: 002
Jurisdiction. TIG
Zoning: R -4.5
Project Name: BERG PARTITION
Descnption: New SF
Your company has been indicated as the electrical contractor for the permit referenced above. In order for the electrical permit
to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from
your company sign below and return this Electrical Signature Form prior to the start of the work. Please mail the form to:
City of Tigard, Building Division, 13125 SW Hall Blvd., Tigard, OR 97223, or you may fax the form to: 503.624.3681.
If you have any questions please call 503.7182433.
No electrical inspections will be authorized until this completed form is received
OWNER: ELECTRICAL CONTRACTOR:
,rDAVE & KATHY BERG ROSS ELECTRIC INC
7.i 2210'SW_:pt,BERTA.ST'-__ _ ? 2870 SE 75TH AVE #203
11G4RD, OR 97223 HILLSBORO, OR 97123
Phone #: 503- 710 -8365 Phone #: 503 - 648 -4552
Reg #: ELE 34C
LIC 124 -t39�
SUP 3797-S—
ELE 34 -436C
LIC 157891
AN INK SIGNATURE IS REQUIRED ON THISFORM1232s
x �� cr1 iZos _ o� 3 S
Signatu a of Supervising Electrician Name (printed) SUP LIC #
May 08 2008 8:54AM Bridgetown Electric 503 -821 -7123 p.1
Electrical Permit Application c , _ Fl)lri)rl. ICI tat: ) \I.l!
Received
City of Tigard t .. Il uete,B : Penni' No. ELC. 00? ". i0D /S
• d ° 13125 SW Hall Blvd., Tigard, OR 47223 p „
P 503.639.4171 Fax: 503.598.1960- it 'J j \ ) Date/13 : Other Permit:
\''
inspection Line: 503.639.4175 0 ® Date ReadyBy: ru'i : el See Page 2 for
Internet: www.tigard or.gov q 4 b r Notified& thud: Supplemental Information
. 4 1 4i. r fi ik
- ? �,fx i e, {sit a ' za� r ;? 5 ? ;� i
....:,-' t ... .:.. .,. :.... e:.- ., •.....n ,.. ..ti:.,... ,.1 P. : s.:i .,.,..• ?�(" ..r ` . Sif�.. .. .. .; w t 1 s �: "r .'' )+.�,.�
0 New construction .w Addition /alteratio
t ° - +vatns+ ent r <' Please check all that app y (submit a ids of plans ye/items checked below):
� g
�.C•s ❑ Service or feeder 400 amps or more ❑ Building over three stories.
0 Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
, i ,i. . � , - 5 �, exceeds 0,000 amps at I 50 volts or ❑ Floating buildings.
ex s1
, - .... .: : < „ - s ., ,_,..T �s _?+3S less to ground, or exceeds 14 ,000 ❑ Commercial •use agricultural
❑ 1- and 2- family dwelling ommercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other: CI Fire pump. ❑ Installation of 15 KVA or
r . .- _ a tsPgr CI Emergency system. larger separately derived system.
- n
t t < x{ ' x ❑ Addition of new motor load of ❑ "A” -0., ..I -2" ..I -3"
Job no.: ) �j' Job site a ddress: J/ 7 U SGU �lf�t► , -A- t o ols oar more. oaupaocy.
/ ❑ S or more resident units. ❑ Rec veh parks.
City/State/ZIP: ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: c. f 4 4 ❑ Service or feeder 600 amps or more
!' : t
Cross street/directions to job site: Derertptioa Qty. ice. TD •
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'l 50 0 sq. ft. or portion 33.40 1
Tax map /parcel no Limited energy res ntial
75.00 2
\ ,� v (itlt abovesq. ft.)
� t
Limited energy, mufti-family
ll 1 - 4,41 .. da / ' -7 ...1'47 re-,' , _ residential (with above sq. ft.) 75,00 2
,., Services or feeders installation, alteration, and/or relocation
-,ne ". ::biGfi rs d trrshW _Ea, i 41 S 9 200 amps or less 8 3 0 2
, ....,,_. ; . t ..,.._ . , :. :r , .. ,. _ '`. , ::..,::. # ,:.. iiatii ,w.,, ?_:it, 201 amps to 400 amps 1 06.85 2
Name: 401 amps to 600 amps • 160.60 2
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City /State/ZIP: Temporary services or feeders Installation, alteration, and/or
relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85 I 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Branch circuits — new, alteration, or extension, er panel
Owner signature: Date; A. Fee for branch circuits with
t , 4i " , } ..� : ' above service or feeder fee,
".: 5... each branch circuit 6.65 2
Business name: B. Foe for branch circuits
Contact name: without service or feeder fee, 46.85 2
first branch circuit
Address: Each add'l branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/State/ZIP: Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Phone: ( ) Fax: ; ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle . 53,4.0 2
' try' '` ' '
Sign or outline lighting 53.40 2
Business name: Bridgetown Electric Signal circuit(s) or limited -
energy panel, alteration, or
Address: 22732 NW Gillihan Road extension. Describe: Page 2 2
City/State/ZiP: Portland, Oregon 97231 Each additional ins . ection over allowable in an of the above
Per inspection �ia 62.50 MI, b
Phone: (503) 621 -7122 Fax: (503) 621 -7123 Investigation per hour (1 hr min) 62.50
CCB Lic.: 103824 :: Suprv, Lie.: 4177s Industrial plant per hour 73.75 -
Suprv. Electrician signature, require .` !
�,_ Subtotal: / ). Cr av
Print name: Keith Steenslid Date:
Plan review (25% of permit fee):
State surcharge (12% of permit fee): / Ir O - 0
Authorized signature: TOTAL PERMIT FEE: l yd,. t ro
This permit application expires if a permit is not obtained within 180
Print name: Date: days after It has been accepted as complete.
+ Number of inspections allowed per permit.
1: laidldleg \Peranits\ELC-PamItApp.doc 0523/06 440.46157(11/O5/COPNWE8
Mar 20 2008 9:14AM Bridgetown Electric 503 -621 -7123 p.1
T Permit Application FOR t)I'hIC:E I.:SI (1I.1 .
City of Tigard '
1' •J g r ^; ate/g ,J <iL: () Permit No,: L f l - -- 4 / t,_r
13125 SW Hall Blvd., Ti gard, OR 9 ' Plan Review
,,,, Phone: 503.639.4171 Fax: 503.598..'61 ; uud Dtc/B Other Permit:
,,
• r i =. , ,A 1:. l., I n s pec ti on Line: 503.639.4175 M AAR Li Date Ready/By: Juris: El See Page 2 for
Internet: www,tigard- or.gov i SuppkmentnlInformation
5 .} z 't RR ,a - rM1i i�1tt$ S> r .. ; i i i 3 31 4 :N 3.,.....w. j ..__ t- r.4 .,, 3 :
.... ...,.r. +. , ... ,.: . ,.. ...� ., .,. ' ::: ..... ..... x.17. .. . . .� ,� .....
❑ New construction El Addition/alterati r ,10 ' ern Please check all that apply (submit 3 sets of plans wlitems checked below):
0 where the available fault cutrentmore ❑Building over three stories.
❑ Demolition ❑ Other:
•
❑ Marinas and boatyards.
, *' j ; � ' '; ttf', eiO exceeds 10 000
or exceeds ❑ Commercial -use 000 amps at 150 volts or ❑ Floating buildings.
- s , sd:'ili.,��.a,s s., -: ' less to undds 14,000 aricultural
❑ 1- and 2-f dwelling : l Commercial /industrial ❑ Accessory building B amps for all other installations. buildings.
❑ Multi- family ■ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
❑ Emergenny system, larger separately derived system.
_...: . _„ .,:' ,. ..az.; _,... , .,a44.,...,_. . s, , ,.. ,r..:, Z_ x ❑ Addition of new motor load of 0 "A", - ° 2 ,, , ,. 1 3 „
Job no.: 00 Job site address: 7D S. AJ 4e.rei Je.
I DOHP or more, oavpancy.
:rC.. ❑ Six or more residential units. 0 Recreational vehicle parks.
City / State/ZIP: 4 ,did A ,; ❑ Health-care facilities. El Supply voltage for more than
�� j ❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: [✓e. L Did& , ❑ Service or feeder 600 amps or more.
Cross street/directions to job site: D escription Ott. Fee. Toni
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add') 500 sq. B. or portion 33,40 1
Tax map /parcel no.:
Limited energy, residential
_ with sbgve - ft. 7500 2
' Limited energy, multi- family
C,j� /� .e; 'y)� Q' / !
- '&- - + '„'i" / 9"` residential with above s., fl. ill 75.00 a
Services or feeders installation alteration and/or relocation
C•' ,/l .e 200 amps or less Mill 80.30 _
.. _... ... _...... .._ 3_ ;:, e _, : _.. t
i; s i,c z .. 201 amps to 400 amps — 106.85 — 101
Name: 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City / State/ZIP: Temporary services or feeders Installation, alteration, and/or
relocation
Phone: ( ) f Fax: ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 4.49, 670, and 701. 401 amps to 599 amps 133.75 2
Owner signature: Date: Branch circuits — new, alteration, or extension, , er panel
A. Fee for branch circuits with
. . ..:....... _ r .:,;_ - ,. xs . t f„ t.. r ,ia ; Wi above service or feeder fee, 6 65 2
. _.,_:;� >,:..:. >s, �._ .s.�..,.�«:,;:�. . _... < m d't; x. each branch circuit
Business name:
B. Fee for branch circuits
without service or feeder fee, / L ..
Contact name: first branch circuit 46.85 7 � 2
Address: Each add'I branch circuit leamini 7, 1 mi
Ci /SttuelZlP: Miscellaneous (service or feeder a , t included)
tY Each manufactured or modular 90.90 2
dwelling, service and/or feeder
Phone:
( ) Fax: : ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
s x � . , r 2 } a II , t ;,: Sign or outline lighting 53.40 —
Business name: Bridgetown Electric Signal circuit(s) or limited-
energy panel, alteration, or
Address: 22732 NW Gillihan Road extension. Describe: Page 2 2
City /State/ZIP: Portland, Oregon 97231 Each additional Inspection over allowable in any of the above
Per inspection 62.50
Phone: (503) 621 -7122 Fax: (503) 621 -7123 Investigation per hour (1 hr min) 62.50
CCB Lie.: 103824 1=511M11111 Suprv. Lie.: 4177s I If Industrial plant per hour 73.75
Suprv. Electrician signature, require • ,I ` `.. tee IKZ '° • . , .: ° . . .` :._: �.",'. „.
.. g Plan review (25% of permit fee):
Print name: Keith Steenslid Date: ZS CI State surcharge (12%ofpermit fee): ff,, g
Authorized signature: TOTAL PERMIT FEE: g 2. z
This permit application expires if a permit is not obtained within 150
Print name: Date: days after it has been accepted as complete.
, Number of inspections allowed per permit.
l:1Buiding'PenaitetELC PenaitApp.doc 05/23/06 440- 4615T(I I lo5/COM/WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELt.200 1101 9
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/20112008
Phone: (503) 639 -4171 .,A ��9�fi
Inspection Requests (24 Hrs.): (503) 639 -4175 W
INSPECTION WORKSHEET FOR DATE: 5/29/2008 TIME: 7:00AM PAGE: 33
SITE ADDRESS: 11970 SW GREENBURG RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: CODA
DESCRIPTION: TI. Altering 5 circuits. 5/9/08: Add (2) inspections for old work in T -Bar ceilings done by others.
OWNER: GULICK, CYNTHIA PHONE #:
CONTRACTOR: BRIDGETOWN ELECTRIC PHONE #: 503- 621 -7122
Inspection Request Scheduled For: Date: 6/29/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 070490 -01 503 -621 -7122 N
Corrections/Comments/Instructions:
ments /Instructions:
V GL0 Ol% - P ,( 0 6 'ka-
1P�.7 1fl�,
\rf�
K3
KPASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: C 3---1 N611 Date: 10 Phone #: (503) 718 - 2.-‘4410
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2008-00159
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/20/2008
Phone: (503) 639-4171 :NANRC"
Inspection Requests (24 Hrs.): (503) 639-4175 '
INSPECTION WORKSHEET FOR DATE: 5/14/2008 TIME: 7:04AM PAGE: ii
SITE ADDRESS: 11970 SW GREENBURG RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: CODA
DESCRIPTION: Tl. Altering 5 circuits. 5/9/08: Add (2) inspections for old work in T-Bar ceilings done by others.
OWNER: GULICK, CYNTHIA PHONE #:
CONTRACTOR: BRIDGETOWN ELECTRIC PHONE #: 503-621-7122
Inspection Request Scheduled For: Date: 5/14/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 069887-0 503-621-7122
Corrections/Comments/Instructions:
°V2.-
•
fl PARTIAL APPROVAL I I CANCEL • NO ACCESS
n FAIL n CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: 6 1\1% Date: 6 `IVA Phone #: (503) 718-
'IMP'
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2008.00159
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/2012008
Phone: (503) 639-4171 popti
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 5/1/2008 TIME: 7:00AM PAGE: 85
SITE ADDRESS: 11970 SW GREENBURG RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: CODA
DESCRIPTION: TI. Altering 5 circuits.
OWNER: GULICK, CYNTHIA PHONE #:
CONTRACTOR: BRIDGETOWN ELECTRIC --(...‘16\}) PHONE #: 503
Inspection Request Scheduled For: Date: 5/1/2008 Pour Time:
Code # Inspection Description Confirm fiN Contact # Message
195 Misc. inspection 069148-01 503-621-7122
Corrections/Comments/Instructions:
(\loA
s •
(?) . 31t ic)
*a-
d
ktv-c-cb Gg'D cA0
4.0 s rIn
TS coWiNI fsmi v a . k e"'k -
PASS n PARTIAL APPROVAL CANCEL E NO ACCESS
n FAIL , CALL FOR INSPECTION III ADDITIONAL FEES ASSESSED
Inspector: Cr% N ig Date: 51 61 Phone #: (503) 718- AIL_
A i
......„ _
I -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2008-0019
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/20/2008
Phone: (503) 639-4171 i\
,....
Inspection Requests (24 Hrs.): (503) 639-4175 ay
INSPECTION WORKSHEET FOR DATE: 4/24/2008 TIME: 7:01AM PAGE: 29
SITE ADDRESS: 11970 SW GREENBURG RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: CODA
DESCRIPTION: Ti. Altering 5 circuits.
OWNER: GULICK, CYNTHIA PHONE #:
CONTRACTOR: BRIDGETOWN ELECTRIC PHONE #: 603-621-7122
Inspection Request Scheduled For: Date: 4/24/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Coiling cover 068844-02 503-621-7122 N
Corrections/Comments/Instructions:
?NMI AL ' 140a1) 1,..i6c 10 thi‘a., 7 acarti oiLA,d_
I I PASS IF: PARTIAL APPROVAL 11] CANCEL I I NO ACCESS
0 FAIL 0 CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: G--Thi t(ii23 Date: LAI Dil ilt Phone #: (503) 718- Vi
, ( i i
... „ -
[ ' , _,..'4 • +011,1" 1
CITY OF TIGARD
)
BUILDING DIVISION PERMIT #: ELC2008.00159
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3120/2008
Phone: (503) 639-4171 14 :4411011#
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 4/24/2008 TIME: 7:01AM PAGE: 30
SITE ADDRESS: 11970 SW GREENBURG RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: CODA
DESCRIPTION: TI. Altering 5 circuits.
OWNER: GULICK, CYNTHIA PHONE #:
CONTRACTOR: BRIDGETOWN ELECTRIC PHONE #: 503-621-7122 •
Inspection Request Scheduled For: Date: 4/24/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 Wall cover 068844-01 503-621-7122 N
Corrections/Comments/Instructions: °
I PASS ' 0 PARTIAL APPROVAL 0 CANCEL 1 NO ACCESS
F FAIL n CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: y----)„ olisbug DateAliql oil Phone #: (503) 718- 141460
. ..- , • . • • • • - , .
-v- -
CITY OF TIGARD 1
f
BUILDING DIVISION .,
PERMIT #: ELC2008-001.59
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/20/2003
Phone: (503) 639-4171 47401 1 c+\,
Inspection Requests (24 Hrs.): (503) 639-4175 _A- -IL
INSPECTION WORKSHEET FOR DATE: 4/22/2008 TIME: 7:00AM PAGE: 55
SITE ADDRESS: 11970 SW GREENBURG RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: CODA
DESCRIPTION: TI. Altering 5 circuits.
OWNER: GULICK, CYNTHIA PHONE #:
CONTRACTOR: BRIDGETOWN ELECTRIC PHONE #: 6020321-7122
Inspection Request Scheduled For: Date: 4122J2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 Wall cover 068570-01 5037621-7122 N
Corrections/Comments/Instructions:
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I PASS 0; - t -TIAL APPROVAL 0 CANCEL Li NO ACCESS
n FAIL El CALL FOR IN • • 1 0 ADDITIONAL FEES ASSESSED
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Inspector: Dater viest Phone #: (503) 718- Vi
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