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Permit (! Nit CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2007 -00549 COMMUNITY DEVELOPMENT DATE ISSUED: 8/7/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S113AB-00300 SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 100 ZONING: I -L SUBDIVISION: FANNO CREEK PLACE LOT : JURISDICTION: TIG PROJECT: OREGON STATE BAR Project Description: Install (21) 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: 20 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: OPUS NORTHWEST LLC BERGELECTRIC CORP 1500 SW FIRST AVE 6026 NE 112TH AVE SUITE 1100 PORTLAND, OR 97220 PORTLAND, OR 97201 Phone: Contact #: PRI 503 - 255 - 1818 FAX 503- 255 -1919 FEES Description Date Amount Reg #: ELE 37 -682C [ELPRMT] ELC Permit 8/7/2007 $179.85 LIC 1 10521 [TAX] 8% State Surcharge 8/7/2007 $14.39 SUP 5121S - Total $194.24 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 OA: 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: � � ) 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. LLl e ct r i cal Permit Applicatioi FOR OFFICE USE ONLY City of Tigard EcEi V E® Receive d $ � N Permit No. Ez --i• ph'I Illii 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review C : Phone: 503.639.4171 Fax: 503.598.19M U G 0 6 ZOO Z Date/B . Other Permit: T I GAR D Inspection Line: 503.639.4175 Date Ready/By: El See Page 2 for Internet: www tigard or.gov CITY OF TIC Notified/Method: IliMp Supplemental Information : -, ;s 1� ,`h4'S -j '., _ iJ .:. .,v - r Tn^7i H } ��y �s �`•F 'o4, . �f •'J 1 'r :' y R ti ;i'•r. •+ : :;,,• +t; 4 V + -.` ` *.&91, it 4- � 1 1 ,1_ : F, 94,_ , P- 6,kA Y, i an 4 - ,, ' ..1a_r of 3 a. �... s �,. i'�'G.� �'C�r�A` , � 'ttt -�, T ,, :bs< �t-�`� +..N , � ;, Vr �.. : �1 . �,y- -•. E I}?.;: : `�] ,r ew construction ❑ Addition /alteration/replacementck all that apply (submit 2 sets of plans w /items checked below). ❑ Service or feeder 400 amps or more ❑ Building over three stories ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards ii '4 .•` #�y ; a. * :;1. ?' a ttik "` "' c ; + exceeds 10,000 amps at 150 volts or ❑ Floating buildings. It,i1,sv.. :z��¢fi'�h w : R.QF °Q� * SI�R»C�Iokki N less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ I - and 2- family dwellingCommercia1industrial ❑ Accessory building amps for all other installations buildmgs. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or . - _„ 4 _ ;e y,F., . - , n , c ; y of ❑ Emergency system. larger separately derived system. fl f .,,YA IL Ri. ?-3 _ U ,..:,..-,15..t ;.AND ElO' 4 _ Li •: ,0 .''.5 ' '. - . " r hi.i4 Ad dition of new motor load of �-• °' : �;s"� r. boa '+I Li ��i. !1�. ' t ❑ ❑ Job no.: 00 Job site address: 100HP or more occupancy. /03 (uo • 5►� l t ex , 1 1 1' 1P5 P f fit{ 0 Six or more residential units. ❑ Recreational vehicle parks City/State/ZIP: s d f ` • _ ` J ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal Suite/bldg. /apt. no.: Project name: S _ , \ ❑ Service or feeder 600 amps or more. n T -f �' r F.. ' 15D 5 6 '..-Tv Cross street/directions to job site: Jnri ,. Uppef nnne_s Description Qty. I Fee. I Total I • /' New residential single- or multi- family dwelling unit. rift( r. ) f P n Includes attached garage. Subdivis ff l ht ( ` , Lot no.: 1,000 sq. ft. or less 145.15 4 Tax map /parcel no.: Ea. add'I 500 sq. R. or portion 33.40 1 Limited 'energy, residential i c 4M i : S i'� . i t 1 0 I dl �. 0 '1 J� ' i`ux3 "'o . ` r 4 - b ' (with above sq 75.00 2 ��..� ..:.;i1..&:.,-,,,,, { ,a� .�.;;.� =: �. ' �.. pc .= ` „ :�wJ,�s�.�' �, �. ..'�,1 :.3av� , ( q Limited energy, multi - family P •ed (71),..,` IS residential (with above sq ft.) 7500 2 Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 M! '',`l t('' c : ,,o - , i OAff : =4 2 2 ! r tm © t . • � `-I t - ' ,`' 341 ; 201 amps to 400 amps 106.85 2 Name: b S Ntg r -n ` St 1 401 amps to 600 amps 160.60 2 �� � _ � 601 amps to 1,000 amps 240.60 2 Address: I ) 1 V e . v"` `l U� Over 1,000 amps or volts 454.65 2 City/State/ZIP: Poy 1 &, i C _ 13_21;), I Temporary services or feeders installation, alteration, and/or 1 1 13_21;), relocation Phone: ( ) I 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, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Branch circuits - new, alteration, or ex tension, per panel Owner signature: Date: _ A. Fee for branch circuits with 1: ;f : : ` +< ri ` , h 4 . a `I1c o < above service or feeder fee, i r •\j i? fir- } _ r.�_ „ ��,uu, L��, ,, t � { * ? 6.65 2 each branch circuit Business name: &Pr e lee / - ■ r DYa� -i e rj B . Fee for branch circuits 9 without service or feeder fee, i Contact name: 46.85 Lit • S 2 �/ I i / 1'f / Y(. first branch circuit Address: CP 60 / y e // �l��,�, Each add'I branch circuit .20 6.65 33. OD 2 .- n Miscellaneous (service or feeder not included) _ City/State/ZIP: Por f/, Y1C-tl) Dr, 9 7 c,V17 Each manufactured or modular 9090 2 dwelling, service and/or feeder Phone: ( : 9 3 ) e ) _ / R J Q I Fax: : C 6 6 ) 4 7 1 5 5 7 - / q / 7 Reconnect only 66.85 2 E -mail: I k J , 44 , / ao / # C C , CD V Pump or irrigation circle 53.40 2 f �' , = s1 ,4 h ,,, J IW' i71 , r3a' 'T' ' d, i h •' :ice, �,p'7•37 t ; ,k�`h; y - ' ° ,. . a .. ` � =�r� :1u,�� 4�.�!i��- , � [a ..'.. i.� :��ti .•�„f��'._ ! t �' : ,.%.:, Sign or outline lighting 53.40 2 Business name: I p ' - Signal circuit(s) or limited- L( G ('rl� ( ( / _ � () f P /�' v r 1 /t/1 energy panel, alteration, or Address: / p (i 1 E I ( -I-1, /•{-r * Ala e_ extension. Describe: Page 2 2 City/State/ZIP: ' D6 1 -4-10 ( 0 6� G ' / Each additional inspection over allowable in any of the above Per Phone: ((573 ,, J) _ R I I Fax: (53);55-- I C1 1 Investigation inspection 62.50 per hour (1 hr min) 62.50 CCB Lic.: it I Electrical Lic.: S ic.: ,G7 2/5 Industrial plant per hour 73.75 . Suprv. Electrician signature, required: tt � S MN r � r� Su P 9 Subtotal: 111. g S Print name: t Date: t j b,-1- Plan review (25% of permit fee): �p�p / State surcharge (8% of permit fee): I 9 o 39 Authorized Si i ature: / Q i ,) IP / TOTAL PERMIT FEE: 1 t{ . a q- _ Print name: Date: ,,\\ This permit application expires if a permit is not obtained within 180 MIA . NA 'JIB 5 1 V days after hints been accepted as complete. 'P • Number of inspections allowed per permit. r\Buiidmg\Permits\E C -Perm • 0523/06 4404615TO1/05 /COM/WEB CITY OF TIGARD . BUILDING DIVISION PERMIT #: ELC2007.00549 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/7/2407 Phone: (503) 639 -4171 1' tt Inspection Requests (24 Hrs.): (503) 639 -4175 ' !+t* e7 I �.. INSPECTION WORKSHEET FOR DATE: 12/26/2007 TIME: 7:06AM PAGE: 17 SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 100 CLASS OF WORK: SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE: PROJECT NAME: OREGON STATE BAR DESCRIPTION: InNall (21) branch circuits. OWNER: OPUS NORTHWEST LLC, r . PHONE #: CONTRACTOR: BERCELECTRIC CORP \\c„ 0 01 PHONE #: 503-255.1818 Inspection Request Scheduled For: Date: 12/26/2007 Pour Time: Code # Inspection Description arm Contact # Message 130 Ceiling cover .2056.01 971-246-9032 Y Corrections /Comments /Instructions: - - \ Evq r;kL1 0. t,s.ig tit tot° 10-1. 1 ❑ PASS 4, PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: (IA ' M L Date: IV 1)00* al Phone #: (503) 718 - VIVO CITY OF TIGARD . BUILDING DIVISION • PERMIT #: ELC2007 00549 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/7/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/20/2007 TIME: 7 :00AM PAGE: 50 SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 100 CLASS OF WORK: SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE: PROJECT NAME: OREGON STATE BAR DESCRIPTION: Install (21) branch circuits. OWNER: OPUS NORTHWEST LLC. PHONE #: CONTRACTOR: DERGELECTRIC CORP 1 M, l `t Fla) PHONE #: 503 - 25.5 -1818 t Inspection Request Scheduled For: Date: 'I1/20/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 130 Ceiling cover 059986-01 971 - 246-9032 "N Y Corrections /Comments /Instructions: Elk c : ik; PPi f\issi tQ v p -1 103 kkkif 614z. Q•ovak ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: C3 pv t Q Le Date: Ill 1.OJ(1 Phone #: (503) 718 - l c • CITY OF TIGARD . BUILDING DIVISION PERMIT #: ELC2007 -OOEA9 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/%/2007 Phone: (503) 639 -4171 y1I� . Inspection Requests (24 Hrs.): (503) 639 -4175 . -' °:L. INSPECTION WORKSHEET FOR DATE: 11/19/2007 TIME: 7 :01AM PAGE: 33 SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 100 CLASS OF WORK: SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE: PROJECT NAME: OREGON STATE BAR DESCRIPTION: Install (21) branch circuits. OWNER: OPUS NORTHWEST LLC, PHONE #: CONTRACTOR: BERGELECTRIC CORP m \y< .6*(Q PHONE #: 503 -1818 Inspection Request Scheduled For: Date: 11/19/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 130 Ceiling cover 059887 -01 971 - 246-9032 Y Corrections /Comments /Instructions: \ t ALL F& `I■es . L J 2-61o ❑ PASS ❑ PARTIAL APPROVAL CANSO ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: C"' 14€ Le Date: u1lif 6l Phone #: (503) 718- 1A0Q__ CITY OF TIGARD . BUILDING DIVISION - PERMIT #: ELC2007.00549 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8.f7/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 °: 1_ INSPECTION WORKSHEET FOR DATE: 11/16/2007 TIME: 7:01AM PAGE: Si SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 100 CLASS OF WORK: SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE: PROJECT NAME: OREGON STATE BAR DESCRIPTION: Install (21) branch circuits. OWNER: C)PUS NORTHWEST LLC, PHONE #: CONTRACTOR: BERGELECTRIC CORP MI1c£ sue' (.kb PHONE #: 503 - 255 -1818 Inspection Request Scheduled For: Date: 11/16/2007 Pour Time: Code # Inspection Description wTSn!...: Contact # Message 130 Ceiling cover 059797 -01 X71 -246 -9032 ` Y Corrections/Comments/Instructions: 1 - 1 o) - loo 1* ACS I:4° NLVAS bCv V b l' 6 ‘ 0\ ❑ PASS �ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS El FAIL ❑CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G N66 Date: it 1 q In Phone #: (503) 718- 2144 CITY OF TIGARD _ A • BUILDING DIVISION PERMIT #: ELC2007 -00EA9 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 81112007 Phone: (503) 639-4171 ' A Inspection Requests (24 Hrs.): (503) 639 -4175 ^_ICI INSPECTION WORKSHEET FOR DATE: 10/1512007 TIME: 7:01AM PAGE: 30 SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 100 CLASS OF WORK: SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE: PROJECT NAME: OREGON STATE BAR DESCRIPTION: Install (21) branch circuits. OWNER: OPUS NORTHWEST LLC, PHONE #: CONTRACTOR: BERGELECTRIC CORP PHONE #: 503 - ?55-1818 Inspection Request Scheduled For: Date: 1011512007 Pour Time: Code # Inspection Description =nfirm # Contact # Message 12f3 Well cover 057603 -01 971 - 2489032 Y Corrections /Comments /Instructions: / AO 4 - NO1 ( S%OLs � L Resta al. c,- 1 P ., v4 ALMS ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G''' Noe) Lir Date: 1 01(6 Phone #: (503) 718 - VI ., (I (.' / > , CITY OF TIGARD . BUILDING DIVISION PERMIT #: ELC2007•00FA9 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: of 712007 Phone: (503) 639 -4171 �,, 11 Inspection Requests (24 Hrs.): (503) 639 -4175 _._4J. I I .. INSPECTION WORKSHEET FOR DATE: 1/9/2008 TIME: 7:01AM PAGE: 39 SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 100 CLASS OF WORK: SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE: PROJECT NAME: OREGON STATE BAR DESCRIPTION: Install (21) branch circuits. OWNER: OPUS NORTHWEST LLC, PHONE #: CONTRACTOR: BERGEL.ECTRIC CORP PHONE #: 503 - 25f -1818 Inspection Request Scheduled For: Date: 1/9/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 139 Electrical final 062809-01 971 - 246-9032 Y Corrections /Comments/ Instructions: ❑ PASS ❑ PARTIAL APPROVAL CANOE ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: G V W LE Date: `� 9. Phone #: (503) 718- CITY OF TIGARD . BUILDING DIVISION PERMIT #: ELC2007.00E,49 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: at/l2007 Phone: (503) 639 -4171 • Inspection Requests (24 Hrs.): (503) 639 -4175 I �.. INSPECTION WORKSHEET FOR DATE: 1/10/2008 TIME: 7:40AM PAGE: 63 SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 100 CLASS OF WORK: SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE: PROJECT NAME: OREGON STATE BAR DESCRIPTION: Install (21) branch circuits. OWNER: OPUS NORTHWEST LLC, PHONE #: CONTRACTOR: BERGELECTRIC CORP PHONE #: 503-255 -1818 Inspection Request Scheduled For: Date: 1/1 at2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 062933-01\ 971 - 2469032 Y Corrections /Comments /Instructions: C C .oc L E kLL cfoUtve, t'i F-1 NINL. ►,, r_ 1Ib(,- ® (,,,b,,►o- Pow ao ; NI E 141v1 { i2 ct -- (tk . () EL44161 Nt_. - 1(Ni Ikka. tr (44 i II,. ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS K FAIL .CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: N68 Date:I -1 0' 61 Phone #: (503) 718- vilit CITY OF TIGARD BUILDING DIVISION PERMIT #: EL.C2007 -00549 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/7/2007 Phone: (503) 639 -4171 Vitt Inspection Requests (24 Hrs.): (503) 639 -4175 —. . :_.. INSPECTION WORKSHEET FOR DATE: 1/11/2008 TIME: 7 :01AM PAGE: 33 SITE ADDRESS: 16037 SW UPPER BOONES FERRY RD 100 CLASS OF WORK: SUBDIVISION: FANNO CREEK PLACE LOT #: TYPE OF USE: PROJECT NAME: OREGON STATE BAR DESCRIPTION: Install (21) branch circuits. OWNER: OPUS NORTHWEST LLC, PHONE #: CONTRACTOR: E3ERGELECTRIC CORP PHONE #: 503 Inspection Request Scheduled For: Date: 1 /11/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Elect final 063060 -01 971- 2469032 Y Corrections /Comments /Instructions: 0 11 0 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 14L - (3 Phone #: (503) 718- 241.N