Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00084
DEVELOPMENT SERVICES DATE ISSUED: 2/14/2005
4y ' F �� II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S101AB -02201
SITE ADDRESS: 07117 SW BEVELAND RD /(JQ
SUBDIVISION: BEVELAND ZONING: MUE
BLOCK: LOT : 2 - JURISDICTION: TIG
Project Description: 20 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: 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: 19 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:
ZIMMLER DEVELOPMENT LLC BOB'S ACTION ELECTRIC INC
7115 SW BEVELAND ST 2700 NE BURTON ROAD
TIGARD, OR 97223 STE A
VANCOUVER, WA 98662
Phone: 503 - 598 -3440 Phone: 360- 254-7200
FEES Reg #: SUP 4322S
LLC 53136
Date Amount
ELE 37
[ELPRMT] ELC Permit 2/14/2005 $173.20
[TAX] 8% State Surcharge 2/14/2005 $13.86 REQUIRED ITEMS AND REPORTS
Total $187.06
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws.
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503)
246-6699 or 1 -800 -3 -2344.
Issued By: o,,, L Permit Signature: . (►r1kJ
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
* El e ctrical Per e I "� 1 FOR OFFICE USE ON .. ' '
Cit of Ti and Received
y g Date/By: �� 05 68 Permit No.:�� ,// _U0l,9 y
13125 SW Hall Blvd., Tigard, OR 972 Plan Review
Phone: 503.639.4171 Fax: 503.5M0 0 1 4 2005 y „..11llyi ;� " +' Date/B : Other Permit:
Inspection Line: 503.639.4175 L) . I Date Ready /By: 1 u h7 See Page 2 for
Internet: www.ct.ttgard.or.us , � + p Nohfied/Method. Supplemental Information .,. .. _ " - P.:� �vm S.: a , . ay �:. w * i.» Vii: " 'e :�:` z+:w.a.• ", t ' . , I� r „ I,r.,,.,_ _
C xy � Su le
�,, £, � t.` •r•►A`y' rr . e::, k d ,.: r. *,"`5' �•,ro.,.. a c fi. , •x
4 New construction t.,. >n ttia ,. ,,.YA4..4': 1101 k.a p lacement P ease c
».` rx:,£ c;;r.:vrsa,- ...a.+...,_ - ".',;. •a- -e. �$ r<.,, .:a:'. : � .. .. ...: ... ..
B S�ia� tt a.teration/re lh a ll that apply:
1=j Demolition ❑ Other: ['Service over 225 amps, comm'l ['Hazardous location
['Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
E.' ,F o- :a C� S , y,�' .itT..i NS:fi' ':[N.'FY' - i tied€' - .y = y + y";b"„:" 'z'X.'s ✓v Iri,Ji =,,,t- • .... -�.t- ".=;.?;+. ,,.it ;:e i ;:,x'
f it : 41,= N -. S 3 G1O R relteO RSTTTR.UCRON ' t AVOr of t- and 2- family dwellings 4 or more new residential
❑ I and 2 family dwelling ® Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑Building over three stories ❑Feeders, 400 amps or more
❑ Multi ❑ Master builder ❑ Other: Manufactured structures or
f fil {c } E L � _ Relkiu� ['Occupant load over 99 persons ❑
�. " ` . �:.. JO `SIT OF TrO 1 t 1 * s '� ❑ gr g g P
;i-'a r, ,,,�.t' "fa: „- W a p. � � L AT O�t� s = A L ».«_ E ess /li htin plan RV park
iTA - d33, - '1C9at "k �'u. ' S'da�2� f fi -,.!3a _ 't$2 +'na ?e �a
Job site address: ❑Health -care facility ['Other:
Job no.:
05 - 171 71 Beveland, Ste . 101 & 201 Submit 2 sets of plans with any of the above.
City /State /ZIP: Tigard, OR 97223 The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: g Project name: ker nW e _ ? i `tEE *:''SC IJI E,r` _; '
Ewing -Foley Bldg. Description Qty. Fee. I Total
Cross street/directions to job site: New residential single- or multi - family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map /parcel no.:
� A• x�. .:t,;�,„ r ;_�, �a < -. :•�»b:, - .�.:�r��.rt,x:.,. � � , . >. ,p�;: Limited energy, non - residential 75.00 2
14:1 * g `'� s �' AES/' �pTIONir 3 '� ' '`' e Each manufactured or modular
,t ..r, ,.Ja, ae s Tae. ,'4i" a.. �. - spa:. `gym. �'3� s:.,3�
dwelling, service and /or feeder 90.90 2
20 circuits for tenant improvements Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 2
44 »:nb a ,, +,- , f -� .,h3 =E> Y : t'3 r ". ` �. .1 " s'•-.. -''''' .. =�: ,,Y, , ~__' . 201 amps to 400 amps 106.85 2
y , s r , k ,.,,ry r .k2 i ,, , „ P P
. tw a ROP,FRT 0:WNERI a tx t' ,X ° _q ,, °:•; -, -
�� «.. ,.za.;,•n��.��,lt.ve��`,e�> �"`� i . � a�- .�,,..� : r�t>�,.- n f 401 amps to 600 amps 160.60 2
Name: Ewing -Foley 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
7117 Beveland , Ste. 101 & 201 Reconnect only 66.85 2
City /State /ZIP: Ti gard, OR 97 2'3 Temporary services or feeders installation, alteration, and /or
III relocation
Phone: ( 503) 630 -6553 x 105 Dal gW 1rooI s 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, 449, 670, and 701. 401 amps to 600 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
M ,, k = e.ii .- ;. 't • ,, t .. ;.�., w r, ,, ,�: �= • , -" ii § R t A. Fee for branch circuits with
t '} . . t . ® t Ar.PL t1NT; �t, ` ytt ' ` ,� r 6 r &.�w *.° At ?r., lZ'ERS t t ,;a
• � � ' " ' � "� � "* � �' °'�""'° � ° � ` service or feeder fee, each
Business name: branch circuit 6.65 2
B. Fee for branch circuits
Contact name: without service or feeder fee, 1 46.85 46.85 2
each branch circuit
Address: Each add'l branch circuit 19 6.65 _26.35 2
City /State /ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: ( ) Fax: : ( )
Sign or outline lighting 53.40 2
E - mail: Signal circuit(s) or limited -
s -v:t r:, s °us. - :� '' - �:-..� ,-,�., .. �.. , .! •� ,, p zi & x k ,u w ;,e,.:4 L �* `z. energy panel, alteration, or
z � T s• .v; ` r r i " ° F gY P
' k.. sk:' a'T,# X^ a':.^. :�' ia1x. o-�.a;;3';::;... ., �i: : ;.;t�;iw".�b- f. i:r6as .t;ai•:?
extension. Describe: Page 2 2
Business name: Bob's Action Electric
Address: �� �� Each additional inspection over allowable in any of the above
2700 NE Burton Rd. A Per inspection 62.50
City /State /ZIP: Vancouver, WA. 98662 Investigation per hour (t hr nun) 62.50
Phone: ( 360) 254 -7200 t. -/ - °5 Fax: ( 360) 254 -821 Industrial plant per hour 73.75
9 T f 14V, i t4 . :RE L �L'`CTRIG=A_ti PEINIV3FEES* ''' : :'s.. . ' ` -
CCB Lie.: 53136 Electrical Lic.: 3 - Suprv. Lic.: 4322S Subtotal 173.20
•
Suprv. Electrician signature, required: 7 - / _ /O -� - 1-0 Plan review (25% of permit fee)
Print Warne: 1 Jate: State surcharge (8% of permit. fee) 13.86
Kevin / / � Bro e 2/ 11 / 05 TOTAL PERMIT FEE 1 87.06
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:\Building'Pemtits\ELC- PermitApp.doc 12/03 440- 4615T(10 /02/COM/WEB
, CITY OF TIGARD . •
' BUILDING DIVISION PERMIT #: ELC2005 000&1
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/14/2005
Phone: (503) 639 -4171 JaceptiP
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 6/4/2005 TIME: 7:15AM PAGE: 58
SITE ADDRESS: 07117 SW BEVELAND RD 4E106 CLASS OF WORK:
SUBDIVISION: BEVELAND LOT #: 2-3 TYPE OF USE:
PROJECT NAME: EWINC FOLEY
DESCRIPTION: 20 branch circuits.
OWNER: ZIMMLER DEVELOPMENT LLC, PHONE #: 503- 590 -3440
CONTRACTOR: BOB'S ACTION ELECTRIC INC PHONE #: 360 - 2547200
I
Inspection Request Scheduled For: Date: 5/4/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 006060 -01 360 -264 -7200 N
Corrections /Comments /Instructions:
Nr
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
'/
Inspector: ' A ,i. :��� Date:, �� �1" -6
Phone #: (503) 718-
r
CITY OF TIGARD
BUILDING DIVISION A PERMIT #: ELC2005 -000B1
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/14/2005
Phone: (503) 639 -4171 .� a'IP�iiiplft
l Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/ 005 6 TIME: 7:11AM PAGE: 70
i 51)_\ SITE ADDRESS: 07117 SW BEVELAND RD CLASS OF WORK:
SUBDIVISION: BEVELAND LOT #: 2 -3 TYPE OF USE:
PROJECT NAME: BAANG FOLEY
DESCRIPTION: 20 branch circuits. .
OWNER: ZIMMLER DEVELOPMENT LLC, PHONE #: 503 -59$ -3440
CONTRACTOR: BOB'S ACTION ELECTRIC INC PHONE #: 360'254 -7200
Inspection Request Scheduled For: Date: 4/29/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 005667 -01 360- 254 -7200 N
N
Corrections /Comments/ Instructions:
1 1 ' S \NOIA2 V., ?,,0 D M A ce ‘0-4) '60Th-f 11- 1 )\28
LO )) 'kSA\I - r\J
\ )- . \'(<\k_\( 1\40 (,111 f) W 14 \i0.0 '\ I., .
i . 1L CA ‘N G- V Vilt 0 4 3&`1.. .'1 1 D 1 £
) '\ VA0V--- 4
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 \., / = Date: < '—--- Phone #: (503) 718-
C.
CITY OF TIGARD • -
BUILDING DIVISION PERMIT #: ELC200S-00084
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/14/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/13/2005 TIME: 7:10AM PAGE: 70
SITE ADDRESS: 07117 SW BEVELAND RD CLASS OF WORK:
SUBDIVISION: BEVELAND LOT #: 2 -3 TYPE OF USE:
PROJECT NAME: EWMNG FOLEY
DESCRIPTION: 20 branch circuits.
OWNER: ZIMMLER DEVELOPMENT LLC, PHONE #: 503.598 -3440
CONTRACTOR: BOB'S ACTION ELECTRIC INC PHONE #: 360 -254 -7200
Inspection Request Scheduled For: Date: 4/13/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 004391 -01 360 -254 -7200 N
Corrections /Comments /Instructions:
l,D=D° - , '19 - S v)YLD t)0 11115 a()
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: lr Date: I Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005 -00084
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/14/2006
Phone: (503) 639 -4171 :It
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/7/2005 TIME: 7 :14AM PAGE: 87
SITE ADDRESS: 07117 SW BEVELAND RD CLASS OF WORK:
SUBDIVISION: BEVELAND LOT #: 2 -3 TYPE OF USE:
PROJECT NAME: ENO FOLEY
DESCRIPTION: 20 branch circuits.
OWNER: ZIMMLER DEVELOPMENT LLC, PHONE #: 503 -598 -3440
- CONTRACTOR: BOB'S ACTION ELECTRIC INC PHONE #: 360 -254 -7200
Inspection Request Scheduled For: Date: 4/7/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 003949-01 360.254-7200 N
Corrections /Comments /Instructions:
•
l
Mi PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: • Date:. Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005.00084
, 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/14/2005
Phone: (503) 639 -4171 a �I Inspection Requests (24 Hrs.): (503) 639 -4175 __..
INSPECTION WORKSHEET FOR DATE: 3/10/2005 TIME: 7 :30AM PAGE: 43
SITE ADDRESS: 07117 SW BEVELAND RD CLASS OF WORK:
SUBDIVISION: BEVELAND LOT #: 2 -3 TYPE OF USE:
PROJECT NAME: EWING FOLEY
DESCRIPTION: 20 branch circuits.
OWNER: ZIMMLER DEVELOPMENT LLC, PHONE #: 503 - 599 -3440
CONTRACTOR: BOB'S ACTION ELECTRIC INC PHONE #: 360 -254 -7200
Inspection Request Scheduled For: Date: 3/10f2005 Pour Time:
Code # 'N Inspection Description Confirm # Contact # Message
120 Electrical rough -in 001145 -01 360 -254 -7200 Y
Corrections /Comments/,Instructions:
(
N b 1� T d 9 p / o.. , o N ,4.-0
PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
•
FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
pector: ( Date: L J - C Phone #: (503) 718-
CITY OF TIGARD 24-Houk' '
BUILDING Inspection 'L'_. . • 3) 639 -4175 MST
INSPECTION DIVISION Business Line'' = X5037 639 -4171
.��1 BUP
Received Date Requested AM PM BUP
Location 71/7 £te eIck , 44 cce' Suite / MEC
Contact Person C. 1 i 9(€ Ph ( S60 ) G-5 — 79-D PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner gkl/N G P f 5%
ELC 13 '‘ ) - 5-
Footing
Foundation ELC
Access:
Ftg Drain ELR •
Crawl Drain
Slab Inspection Notes: .�d � c j SIT
Post & Beam C
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear \ L/ 1
A 4 "
Framing
Insulation RINI C Kil )� 1)
Drywall Nailing I v I
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final ►
PASS PART FAIL
PLUMBING -s
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
FAIL
ELECTRICAL
S Ice ,
Rough -In (3V
UG /Slab (
Low Voltage
Fire Alarm
Fi ` Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
• . S N . t'•; FAI
SITE ❑ Please call for reinspection RE: ❑ Unable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk Date �/ r 0,c Inspector A L Ext
Other:
Final DO NOT REMOVE this inspection record from t job site.
PASS PART FAIL
7
IIIIIII■_ . . _ —
A
CITY OF TIGARD 24 -Hour • '
BUILDING Inspectoort Li ,Ae: ''(503) 639 -4175 MST
INSPECTION DIVISION Business Line? - $03, 639 -4171
BUP
Rece 1 �'Zf Date Request pd �� ar— AM PM BUP
i L IC
Location — 7f 1 7 )/ Suite /O / 26/ MEC
Contact Person )) � Ji' S Ph ( - 2-E - 9 -- 7 ZZ-oZ PLM
Contractor /564 -P_. i L I S _ Ph ( ) 7 SWR
BUILDING Tenant/Owner � .V \ ( 3 L0 0 ` q 01 1 / ELC
Footing 40 ZS 006
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation * f h r '/ r
Drywall Nailing L.� �9J'� a �1 ! ' { iD 4 ` ./ `jV � ,
Firewall ‘4,‘(\/(C) Pi A PO \\,) i3) . •
Fire Sprinkler
Fire Alarm \-(_ - c3 % 1 i ' C� L
Susp'd Ceiling �� t it • t AA � •
Roof 91 L I ) s % R '. OC *NA/411) Other: ��
Final it \` 1' f 11 W 1f p fl N G , n) ,(1$ n Tk,A,,,c
PASS PART FAIL
PLUMBING
Post &
Under Slab V ( D \ - - r'Y 1v / " c, l-2)4 o `mow snS 1
Rough -In
Water Service
Sanitary Sewer L 0 10 E-e)
Rain Drains
Catch Basin / Manhole
Storm Drain -
Shower Pan
' r'
Other: ...,,,,
Final
PASS PART FAIL -`,..z.0",
MECHANICAL O
Post & Beam //
Rough -In 4 y`(7kut;")
Gas Line �--� 71„
Smoke Dampers/
Final
PASS PART FAIL
ECT AL
ce
ough -I tAJS. 2
I'cr ab
Low Voltage
Fire Alarm
Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS FAIL
SITE ❑ Please call for reinspection RE: Q Unable to inspect - no access
Fire Supply Line
ADA Date - `�_-' 67 , Ext
Approach /Sidewalk Inspect
Other:
Final • DO NOT REMOVE this inspection recortilfrom the job site.
PASS PART FAIL