Permit A CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2004 -00405
4 a' DEVELOPMENT SERVICES DATE ISSUED: 7/6/2004
' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171
PARCEL: 1S136DD-00200
SITE ADDRESS: 11560 SW 67TH AVE 333
SUBDIVISION: WEST PORTLAND HEIGHTS ZONING: MUE
BLOCK: LOT : 004 JURISDICTION: TIG
Project Description: 8 branch circuits.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 1.00 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: 7 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:
GREEN, JOSEPH W BEAR ELECTRIC
PO BOX 1 P.O. BOX 389
DONALD, OR 97020 DONALD, OR 97020
Phone: Phone: 503 - 678 - 1355
Reg #: LIC 20919
ELE 24 -107C
FEES SUP 3162 -S
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 7/6/2004 $93.40
[TAX] 8% State Surcharge 7/6/2004 $7,47 Rough -
Elect'I Final
Total $100.87
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 thes- rules or direct questions o OUNC at (503)
246 -6699 or 1.800 -3 -2344.
P ermit Signature: ^. ;i _ t •
Issued By: 9 �i� .1_ y_ 1 ► n . — �
OWNER INSTALLATION ONLY „„
The installation is being made on property I own which is not intended for sale, leas-, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 639 -4175 by 7:OOpm for an inspection the next business day
07/0X/2004 7 „ FAX 5035981960 CITY V!'' 'tttexu NU. /6 P. L
____
U�, 1,.2004. 2:43PM F TR C, INC
i � 1� FOR. OFFICE USE. ONLY -
Electrical P >: i+nmoa /�'� AA,
City of Tigard UL A_ 1004 � ^ -
?ban 503.
7 � � " .9 � � P�
7.9125 S"g l Blvd', Olt ,'503.639A171 Faso 503598 "1960 D _j l Sop 6e�Papoifee
Z
eod®oLiam 503.639.at7S t ry pF YIGARON 1,L - ► / SeeP oifee mricsoo
Ytmoieti .rig8rd or C' NG 1 SI �, r rt ��•tim; ^-i � - y � ,
r '_.C'll� i :. y y� � . r�; a d'�� y i�� ?� fir' 7f�1r��`..ti �, d r ,_,;V,�, •
�r'FNni ' �'{i'+. •L :&,:._:l'yy Y-, :ter• ! ;! :, (�.- � •.�4 'l li ` h�", y. 2, rL. 1a. 1113-1 .
�71.!<- � '��.�'_ \f-'- ��r,.�.�ua�;'`�7. ' ��11. �yll'f <. �_:, ���UW .,�:'�5,.�II:�SI• CI�O
F ❑ NW; eo on �alteratiOdrePl °� C] cbe k si 225 ampe" camel Q] azudeva locaster►
D tor: []Savior CVO 320 CMS —ram over 10.000 e4• ft., _ v . T,4;.'- : :' �d ?rdESr dwelling 4 ca mole now residential
- x .�,� �:1 � ,r • u k�_� o .`R�' .�. �1�O1h SR11COQ6
'�?� �r n2 .,�. T.k' �•• ;: ,�`" �- •t��c:.. ?, .. 600 nffi
1 a " ' t building ®Feedecl. amps o! state
p 1. al 2iY 6 III Kot t USlrlel Accessory pl dry over ltace stories
bon der ❑ Ot1iGTi r - , r QOceep load ova 99 paw= ❑g swawra OT Cl Mnj1i� Y Kota uc,•474.7, c, r , r� I. 'r 5s/}i�tin$p7an
f � ; 'r"'i.- ur:r ir.�'�� ��1 v til } t , ; + . % / SI P,. ".�.�^� ?:t!1'7'-1+:� ..r.• 0
�-�>�:. -.s:.' :�� -�'-; �� .,:;z: �ilLh�id�LtTitY
ifta � '+ _ sddze6t��� 5�°v .1 7 SVb es, see of wit ore=Lbove.
" � , ^ � Job .% - ' m ?boveatd OtiL���aD eonsavcdosL perk
service. lob no.. -
5.; T viif E1=311171111111=111 1 -
n°" ," 1% C f UMW. . " • ` ,, Kew te9t�T�1 !We- or m1ilY dwCllm emit. �o ®eaecddaeotsoae to job site: ,- '� Yncli4es atdac>tad garage- _
1,000 K• . or less 1 i4S.1S 4
/ Ea. add'SSOO eq. ox'F 93 1
Let 1113.: i ] 7S00 2
- 1100 2
..r. -- , • rfi* ,5* t r lrJ�rr„i. - ;�f. Limo7ed �E1,nllat
r!r^_`fr r r.•° 1 '. �:' �,. - F. H of , - '
r, .,!?7 � :,- ' '��1 ^Ji.'�- � ..+!• i r .. ..:i' S=e�:iirf l, ::• - 90_00 2
. .-;*� 2.- ."'i7Si Zz.r_A � 1:,,,..a'4Y�v:�t :c*T_ %.z,t!,.: :,,,: a ..fwo_�GN1G6_ � f ela6Ax
' •� -•-"�" tosielloao' e. alOa-atio and/or ioo
r D 10e—, c 2 or Zo a
,.7- , , Xi new 400 amps 10CW 2 -
;
� j ,� Yk....-..-.z.,. tl i 7 ,
r�RL- _��1; - � o +t J'! R t � : \ 4+• �:>r r � i .a 40,1 40,1 �,.1I+ fa 6600 l" 'Aw � Z
•
P Name: � !: J� , / N U C3S 1 CO- 601 cps 1.000 maps i'�
MEI Namt" �, - �[ . �• t -, oyez 1.000 :...,. S ,0113 address 1. : _ boob a
P.
X T47 sett or toms atioo, albasadenj 1MANOr
, pY I�- relocation 66.85 r 1
rho (91) a / f - 3 ay Y;a'c (5�C) C'> -- •c9e0 .. soy
200 a bog 1 0030 _ 2
Owner O T$is tata11 is . _ modo on p>;apecbr drat Y OwA "MA ie ant 301 amps ro 400 -•..
intended for sate, lel%Sc, % r or exchange, according to ORS 447, 449, 670, and 701. 401 agape to 600 .11 MEMO 2
_
Dom Branch circuits - caw, alesra6on, or a ndo% per A� C. a s: •- jyr'OO�Tati' weds �, - .+�<7� 'Z li, X 4 1; W .z i' rt 1 • �∎(..1.:6n -;�•
p �, CF'��},. � I �� ^. , 7 jL •;r' , :1V' , { IC�.. : � :.1 �� Z � �J � ri,
yrmio eq gOCuiee ar ll:eder fee" 415 2
OenditiliN102e: ae * _ ., Bog& 284'1 trooacla odd* 645 Z
tasrr
c llneoes (=Vide or feeder ocuittemdetD
WIMP or *ligation ohmic 63.40 Z
Monti (S��) Co - : C
Mon 8a= 57x3) 6 >cf - low - 6,6, s� p or mala dnt S3-'40 2.
&M _ signal t qo) or 14a-ed. � � rQ,:t rtl;!:'ril'ii�s•�iiti 3-r ► aS6�$.Y1 �F AW,a =
r } u 47 j' n I } u a s ,rLw; i• p88C
E Z,I: -T; �r i' G• ri'i ,T , :. T l� 4 ,.�i• _ 1i, -_ 3 i ." OIL
S` 1 8v�e6s 3223:12w io - a_ — ' . ■ • h o
gads gddi5oual SIP In v1U' �owat�le In s�1' of dia above 1
�sess ' ®• Olt: 3� easnrpaada0 6 62-5 zs 0 9
Cily/StaterZE". 9 . ir. 0 ,
) 1:iiiiiiialli 7s 75
Dm= " I]. L r �'- - + I:.', A_- .r�nl� ny'N� 'c :�`-`L m , � l : :, :s1:it,YY {� � � , :
' c ` Sam. L '1 Sob � s
t�C$ ri3Co � - W$_1..C.CB70�81,x.1C� 11�. .r .+'
Ste. BieoClt>�, sb�e, �tl�''�'`,� L ,_ - / - _ S>tam mbar OM o OWL
Peat =am i' 1 ` i t _ This pCrmio expend Ira ammo wEmis ■ Authorized days nfmr is Liss been aa=D o as template
Prim tong Luiz • we. trolottelaSYoa'DY evY Boartof sit ' Scsv62 eoetd
dikolologeowiedweireowdop twos
1 d Oil 'ON 3NI 1 01E0313 1438 Wd61 :ti ti00Z 1 '1Nr:
CITY OF TIGARD
BUILDING DIVISION
13125 SW Hall Blvd., Tigard, OR 97223 , ` #: k:.lmC "20t�!i 0I405
Phone: (503) 639 -4171 . \DATE ISSUED_ 71612004
Requests (24 Hrs.): (503) 639 -4175 � -.11 ����lw► y
INSPECTION WORKSHEET FOR DATE: 11/21/2006 TIME: , 7 :00ANI PAGE". " 7
\ \ r
l
SITE ADDRESS: 1 SW 67TH AVE 333 C LASS•OF_
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 004 TYPE OF USE
PROJECT NAME: GREEN OFFICE COMPLEX,
DESCRIPTION: 8 branch circuits.
OWNER: GREEN, JOSEPH j: ~- PHONE #: 503 - 8063004
CONTRACTOR: BEAR ELECTRIC , _ , PHONE #: .. 518.135
Inspection Request Scheduled For: Date: 11/21/2006 Pour Time:
Code # Inspection Description omer C firm_# `_. Contact # Message
199 Electrical final , 040124 1 503-806-3004 Y
Corrections /Comments /Instructions:
,\
N
PA ,❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: ---4 Ru3 _G Date: A 74 W Phone #: (503) 718- 7- 41:7
CITY OF TIGARD
BUILDING DIVISION 'PERMIT #: El 200-4 -00405 '
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: "7/Eif2O04
Phone: (503) 639 -4171 ,, tt ,ICI
Inspection Requests (24 Hrs.): (503) 639 -4175 s'.!�i °r...
INSPECTION WORKSHEET FOR DATE: 11/7/20tt6 TIME: 7 :03AM PAGE: 24
SITE ADDRESS: 11560 SW 67TH AVE 333 CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 004 ' .TYPE OF USE:
PROJECT NAME: GREEN OFFICE COMPLEX
DESCRIPTION: 8 branch circuits.
OWNER: GREEN, JOSEPH -)Y ` 3 i 3 PHONE #: 503 -806-3004
CONTRACTOR: BEAR ELECTRIC Cr'C- \) s03) t % 1 3i- PHONE #: 503.678- 1355
J
Inspection Request Scheduled For: Date:. 11/7/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 039385-01 503-8053004 Y
Corrections /Comments/ Instructions:
ki P•A tti s °per w' cc- x\N0 1 Ni 0 v p
E ‘Al 5 E S ,
-. 0 v IJ) 4(-° k kL
F 1L`— gLoVi4g b V Lam -5 0 Q6-6 OV i 1-
Q--ON -- L LE (or
J
kAANI______ \ U_) c-A----K) ov ,
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ' 'V 6e L Date: \,I'1 -Ob Phone #: (503) 718- 1-14Lit
CITY OF TIGARD 24 -Hour
BUILDING Inspection- Line:4503) 639 -4175 ti
r MST
INSPECTION DIVISION Business 1503) 639 -4171
BUP
Received Date Requested 9 -, ?\ ', AM PM BUP
Location l ? , STC 0 CO 7 Suite MEC _ •
Contact Person Ph ( 1 PLM
Contractor Ph ( - ) ' 7 7 136-73 _swR
BUILDING Tenant/Owner ELC - /-6 [o5
Footing _ ELC
Foundation Access:
Ftg Drain � ELR
Crawl Drain v� �
Slab Inspection Notes:. SIT
Post &Beam m[
_ -
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear - -
Framing (3v Insulation - 01 l / < PtMC
Drywall Nailing _ L �T
Firewal l 112,1?- 5i � I tJl / /�-- I `� C4r JN
Fire Sprinkler l
Fire Alarm
Susp'd Ceiling D� �� ��) ` —e
Roof
Other:
Final oW NI :_AF4i0 tiki • Lr ■ ' -
PASS PART FAIL
PLUMBING _1 Pt C 7' /Irr � 7t
Post & Beam i r il� YOZ 'r �L , �- r
Under Slab �� ��,,,, /,�'� -�7, /�-�
Rough -In pi52 14 / Z3 /L
Water Service
Sanitary Sewer tau) V - /v zn � ` �
Rain Drains T� ��..
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL u ` 4 zt1
MECHANICAL
Post & Beam -
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE 0 Please call for reinspection RE: 0 Unable to inspect - no access
Fire Supply Line /
ADA 1 2R i9 1 ✓r � � �, tc��
Approach/Sidewalk Date I nspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Ljne:•.(503) 639 -4175
INSPECTION DIVISION Business tine: ''(503) 639 -4171 MST
BUP
n .
Received Date Requested • . / 0 7 AM .PM BUP
Location 1/ S44 (a7 '1 Suite MEC
contact t"erson Ph ( ) PLM
Contractor Ph ( ) (n 7g— /3 SWR
BUILDING Tenant/Owner ELC g bb 0405
Footing
ELC
Foundation ACC S S: r
Ftg Drain O 7 ELR
Crawl Drain °
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors •
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation ) — . �' 1, $ A IT /1 we, V . )
Drywall Nailing - ��
. Firewall F ) 1.j — IN
Fire Sprinkler - - ∎ �w
Fire Alarm
Susp'd Ceiling -
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam -
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
ough -In
Low Voltage
Fire Alarm
Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
ASS PART FAIL
El Please call for reinspection RE: El Unable to inspect – no access'
Fire Supply Line k'tt ,p, p xt
0 f Wi ' D at ® In s actor � Approach /Sidewalk Y P
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
/ = BUP
Received Date Requested / 7 AM PM BUP
Location / / s lP 7 \ Suite ' 3 3 MEC
Contact Person Ph ( ) PLM
Contractor Ph ( ) l0 7 R= /�3 SWR
BUILDING Tenant/Owner ELC 6 Da
Footing Ala
ELC
Ftg Drain Access: ELR ��
Crawl Drain
Slab Inspection Notes:
Post & Beam
Shear Anchors
Ext
Ext Sheath/Shear
ear
Int Sheath/Shear
Framing
Insulation . V Lra• • ,A, AI , , /� $ •' �$ p N\
Drywall Nailing C�
Firewall
Fire Sprinkler —
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
ough- r1
cr ab
Low Voltage
Fire Alarm
Final 1=1 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART
SITE Please call for reinspection RE: `Unable to inspect – no access
Fire Supply Line J
ADA
Approach/Sidewalk Date 2/1 Inspector 00
Other:
Final DO NOT REMOVE this Inspection Lord from the job site.
PASS PART FAIL