Permit t' CITY OF TIGARD ELECTRICAL PERMIT
° PERMIT #: ELC2007 -00841
COMMUNITY DEVELOPMENT DATE ISSUED: 12/14/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S126DC-05000
SITE ADDRESS: 09397 SW LOCUST ST BLDG 2 ZONING: C -P
SUBDIVISION: LEHMANN ACRE TRACT LOT : 003 JURISDICTION: TIG
• PROJECT: FREEMAN'OFFICE BUILDING
Project Description: Service and 32 branch 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: SIGNAUPANEL:
MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: 1 W /SERVICE OR FEEDER: 32 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 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:
COOPER MOUNTAIN VINEYARD LLC BEAR ELECTRIC
9480 SW GRABHORN RD P.O. BOX 389
BEAVERTON, OR 97007 DONALD, OR 97020
Phone: 503 - 649 -0027 Contact #: PRI 503 - 678 -1355
FAX 503 - 678 -1108
FEES
Description Date Amount Reg #: ELE 24 -107C
[ELPRMT] ELC Permit 12/14/200' $293.10 LIC 20919
[TAX] 8% State Surcharge 12/14/200' $23.45 SUP 4902S
Total $316.55 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: 1.. • Permittee Signature: a"1.,
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.
12/13/2007 THU 8:50 FAX 5036781108 Bear Electric, Inc. el001 /002
Electrical Permit , 1 q Et) FOR OFFICE USE ONLY
City of Tigard Date/B Received
13125 SW Halt Blvd., Tigard, OR 9 `3 �)l I DDate/By: : , / p /_ � � I I 1
�c 1 Plan Review
Phone: 503.639.4171 Fax: 503.59gA
D l ?.� 8:a -. ,'. 1� Other Permit:
Inspection Line: 503.639.4175 v 0 . ep t ' J'yi
Internet: Line: 5 639.1 ^ '( [ Date Ready/By: ® See Page 2 for
ga VI • MVO) Notified/Method: • Supplemental information
t t..
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: 4., - J � ' ix,',t. L ^,,' ss:' +;;cth. c �'4=s. �eT.� `�C's�'�...._: = ?•er+���:`:�r:r,...
.''•.il: .,1155.. . �; "::; , w: • jb ;rR! µms � •.. � - 0,1 : , i �k`•t; :; .*.k ° -Ef,. t:: u ,li : •:1 � '1,}f; ::. -''- , o'_
pKI z°,` tc''�;,"- '— '_.•'..�,,:,..,,• �:.n.•:� ;..,.....��;Za •:;,r "•"- :o^. �' -�,. � +',cry'.°$. � 4,,...-,'-...-”,:•`-''''
New construction ❑ Addition/alteration /replacement N Please check all that apply:
❑ Demolition ❑ Other. OService over 225 amps, comm'l ❑Hazardous location
,:• ? _, 3� ; k ' '-�:r�� - ':;:w:;,,, tc; .,o.;.: �„ „ ,, „� ,.,, DServie over 320 amps - rating DBuildng over 10,000 5 ft.,
'..:� �" :z S� „47' A�, -`�-- :,.•.. �' K `' -'�'"` 2-family dwellings 4 or more new
-�, ;�:3L�is��c �i'r.� � n_ , ;r�,�'F +s �: r a. '�• 4.f•::• r:. � , of 1 -and 2 -fa 1 residential
❑ 1- and 2- family dwelling N Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑ Multi family 0 builder ❑Other.
OBuilding over three stories ❑Feeders, 400 amps or more
' Multi-family ? ,� ,. , �;,_„ ,;, ❑Occupant load over 99 persons ❑Manufactured structures or
:...}, d ..., . �; ilj �Vy,.. •:'�'., •.'rte• c �e�,: a; ;,.., f , ,
;;. ;n. /x �"' * •.!: . °t3L/�y�yyy�0 ■i rY 1 'E' S a ta"`lf V park
�:::: 4•,� -� = •:e~SJ- ! / .�,:ri!! .<7 ..:, ��'�tA .... � ?.;,:"1:' N�i.lu�l.,t �••• i+:.:• a._ ❑Egress/lightingp1an R P k
C - 7 0 3 r ... /3 // S vJ 4 L T ST S ❑Other:
Job no.• Job sit a ❑Health -care facility
Submit 2 sets of plans with any of the above.
City /State/ZIP• 7 - / Er4R . D , 0 R ,7223 The above are not applicable to temporary construction service.
- - Suitefbldg. /apt no.. - - }' P - — _ `u \ a?1..;11 "' yam. 'H / ;"°, t - ,�
I ro - name: �wA "--- k?r''.' ;. i
j ��,✓ 8Fr- a�
Description j Qty. I Fee I Total l
Cross street/directions to job site: New residential single- or multi - family dwelling unit.
Includes attached garage. •
1,000 sq. ft. or less i45.15 4
•
Subdivision: I Lot no.: B . add'1500 stl: ff tir pordori 33.40 1
Tax map/parcel no.: Limited energy, residential 75.00 2
7 1 1�; . Y . ,. Sy r . ��y n aye :a^ . Limited energy, non-residential 75.00 • 2
�I :a rT �a;f • ;. .y_ �-s'�T f -r : e� Or`ric E [li4lC D/AJ(� Y rF' Each manufactured or modular
dwelling, service and/or feeder 90.90 2
• Q A Services or feeders installation, alteration, and/or relocation
Q 200 amps or less 1 80.30 30,50 2
� . tit ..•.FT, ,: ,.. ,-,: 2
- �.r ?i?.'iy t:;'�' e .'� � - 1, � �. �ZT:G -�w i.'if.�,�i:9��k' �, jd ;.... ' . q: ;��•. 201 amps to 400 amps 106 -85
..: , ,, )Ii fJ9�'' 1 l<h:: = rc t. 1,
� .• uK •..- ..,.....,;v-,:�,^'TN �:�M�`! -.;: �rt?'s: .=af i�-i:'... �1 "i ��_��4�af,�,��"
" '`" "'' : � 401 amps to 60 0 amps 160.60 2
Name: 601 amps to 1,000 amps 240.60 2
i
Address: Over 1,000 amps or volts 454.65 2
City/State/ZIP: Reconnect only 66.85 2
Temporary services or feeders installation, alteration, and/or •
Phone: ( ) I Fax: ( ) relocation
•
200 amps or less I 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, 449, 670, and 701. 401 amps to 600 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
: -``.w t : 4 ;• t r : fin? 0 ' ' a A. Fee for branch circuits with
Business name: service or feeder fee, each 72 6.65 d1, go 2
branch circuit
• Contact name: B. Fee for branch circuits
without service or feeder fee, 46.85 2
Address: • each branch circuit
Each add'l branch circuit • 6.65 2
• City /State/ZIP: Miscellaneous (service feeder not included)
.
Phone: ( ) I Fax: : ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting • . 2
E -mail: i
Signal circuit(s) or limited- � '
• :t, )).' , r c ; �1 l 3W. h was �•.�.., i' " , h: • en panel, alteration, or
�, += :rj:•5�S°,.S -�, �� n � . � �i9t�f : tJ�1,'f'.��,'_ `• 0 �'.;.�� ...tY�'. +• `t`'G,� {�' .a �fi� :e;.`:.�iil,:i�.4�r. \rb'i_�� �BY P
Business name: DE / f P . Z a extension. Describe: Page 2 2 •
4Q
Eti�rrQtc
Address: f7, Q , $ o?( 3 9 Each additional inspection over allowable in any of the above
Per inspection 62.50
City /State/ZIP:
Dow 44 D, 02 Investigation per hour (1 hr resin) 62.50
Phone: (c)5 ) b7/ - f 3SS I Fax: (03) 675 -//0s, industrial plant per hour 73.75
CARON:AMM .1. :. 7 . tSMpti r:1::V:
CCB Lie.: 0 209/9 Electrical Lic.: 2 1O7t; / Suprv. f�Lic_.: 962ii5 Subtotal a /3. to
Suprv. Electrician signature, required: . /t/�`„' �`` Plan review (25% of permit fee) .
,. ! « ///2.9404, State surcharge (8% of permit fee) a 7.0
Print name: �44j W Ct // �. d ,, /> Date: 7
TOTAL PERMIT FEE./ 3ib,5:5
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
Print name: • Date: • Fee methodology set by Tri- County Building Industry Service Board
— •• Number of inspections per permit allowed.
i:3 uildinelPe +mitslt:l.C•Pe[mfAsndoc 12/03 440.4615T11o/02/CAM/WES
CITY OF TIGARD _
BUILDING DIVISION f PERMIT #: El-C2007.00841
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/14/1007
Phone: (503) 639 -4171 `°� i F;�l� I
Inspection Requests (24 Hrs.): (503) 639 -4175 _
INSPECTION WORKSHEET FOR DATE: 8/8/2008 TIME: 7:00AM PAGE: 29
SITE ADDRESS: CLASS OF WORK:
09397 SW LOCUST ST BLDG 2
SUBDIVISION: LEI-IMANN ACRE TRACT LOT #: UO3 TYPE OF USE:
PROJECT NAME: FREEMAN OFFICE BUILDING
DESCRIPTION: Service and 32 branch circuits.
OWNER: COOPER MOUNTAIN VINEYARD LLC, PHONE #: 503 - 649 -0017
CONTRACTOR: BEAR ELECTRIC PHONE #: 503- 678 -1355
Inspection Request Scheduled For: Date: 8/8/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 073944 -01 503. 810.2038 N
Corrections /Comments /Instructions:
d lkON I S O ep otv n MA- S i ' t il.,D m i c- K •
w ZE 1 cal_
pet.ipial tydarcichbA * 1 -- A4 c ikEiT__
_____ \......)
The electrical installation defeats rioted
on this report shall be corrected and
an Inspection request made within 20
calendar days per OAR 918 -271 -0030
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G N oB L.3G Date: 1.1y 1 Phone #: (503) 718- 2-144
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: ELC2007 -00841
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/14/2007
Phone: (503) 639- 4171
' ..
Inspection Requests (24 Hrs.): (503) 639 -4175 ` :_
INSPECTION WORKSHEET FOR DATE: 6/12/2008 TIME: 7 :02AM PAGE: 30
SITE ADDRESS: 09397 SW LOCUST ST BLDG 2 CLASS OF WORK:
SUBDIVISION: I. EHMANN ACRE TRACT LOT #: 003 TYPE OF USE:
PROJECT NAME: FREEMAN OFFICE BUILDING
DESCRIPTION: Service and 32 branch circuits.
OWNER: COOPER MOUNTAIN VINEYARD LLC, PHONE #: 50360.0027
CONTRACTOR: BEAR ELECTRIC PHONE #: 503-678-1355
Inspection Request Scheduled For: Date: 6/12/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
--\/' 071283-01 503-678-1355
3 u cArti-c"/
Corrections /Comments /Instructions:
A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: -J' (\J le Date: 6 1 b Phone #: (503) 718- DI 6
i____
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00841
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1.7114/2007
Phone: (503) 639-4171 i t ;Ii
Inspection Requests (24 Hrs.): (503) 639 -4175 W '''n—
INSPECTION WORKSHEET FOR DATE: 4/2812008 TIME: 7:02AM PAGE: 12
SITE ADDRESS: 09397 SW LOCUST ST BLDG 2 CLASS OF WORK:
SUBDIVISION: I ACRE TRACT LOT #: 003 TYPE OF USE:
PROJECT NAME: FREEMAN OFFICE BUILDING
DESCRIPTION: Service and 32 branch circuits.
OWNER: COOPER MOUNTAIN VINEYARD LLC, PHONE #: 503. 649.0027
CONTRACTOR: BEAR ELECTRIC PHONE #: 603 - 1355
Inspection Request Scheduled For: Date: 4/28/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Electrical service 068961 -01 503-810-2038 N
Corrections/Comments/Instructions:
PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 0 Lg
Date: 41 7i 01 Phone #: (503) 718-PA '
CITY OF TIGARD ,' . 4
BUILDING DIVISION PERMIT #: ELC2007 -00841
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/14/2007
Phone: 503 �. & ( ) 639 -4171 Aso! l
Inspection Requests (24 Hrs.): (503) 639 -4175 -
INSPECTION WORKSHEET FOR DATE: 4/2/2008 TIME: 7:00AM PAGE: 20
SITE ADDRESS: 09397 SW LOCUST ST BLDG 2 CLASS OF WORK:
SUBDIVISION: LEI IMANN ACRE TRACT LOT #: 003 TYPE OF USE:
PROJECT NAME: FREEMAN OFFICE BUILDING
DESCRIPTION: Service and 32 branch circuits.
OWNER: COOPER MOUNTAIN VINEYARD LLC, PHONE #: 503-649-0027
CONTRACTOR: BEAR ELECTRIC PHONE #: 503-676 -1355
Inspection Request Scheduled For: Date: 4/2/2008 Pour Time:
Code # Ins ction Description C n ro ifif m-# Contact # Message
(iS Wall r over 067735.01 503 /93.7987 Y
Corrections /Comments /Instructions: z
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
�a . Inspector: (r: N � � � � Date: � �' Phone #: (503) 718-