Permit t 'r .S f CITY OF TIGARD ELECTRICAL PERMIT
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PERMIT #: ELC2008 -00113
COMMUNITY DEVELOPMENT DATE ISSUED: 2/29/2008
,TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 126DB -02800
SITE ADDRESS: 09370 SW GREENBURG RD A ZONING: C - P
SUBDIVISION: PP1991 - 018 LOT: 001 JURISDICTION: TIG
PROJECT: STEPHEN HAYES
Project Description: Installing (4) branch circuits in reception area.
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: SIGNALJPANEL:
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: 3 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:
FRANKLIN COMMONS ASSOCIATES BOONES FERRY ELECTRIC INC
BY NORRIS + STEVENS PO BOX 628
520 SW 6TH STE 400 WILSONVILLE, OR 97070
PORTLAND, OR 97204
Phone: Contact #: PRI 503 - 682 -4936
FAX 503 - 682 -7946
FEES
Description Date Amount Reg #: ELE 3 -223C
I ELPRM11 ELC Permit 2/29/2008 $66.80 LIC 88482
(TAXI 12% State Surchar 2/29/2008 $8.02 SUP 4918S
Total $74.82 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.
� 1
Issued By _- ___ Permittee Signature: 5 3 ' /i c���t/
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.
,Feb, 2008 10:53AM i FERRY ELECTRIC wr ;o , re ,N0: 2554 P 1/2
,'k �II U _ ..,ts it ' Mt +c•)rrlt�c: 'Sl�clrvl..1 `` ,�r�� ,
+ , c,. n City of Tigard l Received �' og% /
" I L/jtfl/J��
n at elB : i
� y 13125 SW Hall Blvd Tigard lidiil i' E l,� Plan Review
` '. Phone' 503.639.4171 Fax: ; :- a'i .. E1V lll�sss Other Permit:
t - DateB
S`i i i'n'K.:1,"
Inspection Line: 503.639.417 Date Ready/By: Juris: 0 See Page 2 for
Internet: www.tigard- or.gov Notified/Method:
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ar
• ' I I t Supplemental Information
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❑ New Construction .1.Additior j ,, p ... ', " II Please check all that apply (submit $ sets of plans w /items checked below):
❑ Demolition ❑ Other i'
yr , 1 ■ D IVIS ION amps or more ❑ Service or feeder 400 a ❑ g uildm s stori
over three es.
j Y n r � } `s where the available fault current ❑ Marinas and boatyards.
t i�� .� -- a• a 1 >.s + ".:cw'x. ` l ? ;tr? 1 .. -';ir t J11 E�1 w 1. s „ " { ' exceeds 10,040 amps at 150 volts or ❑ Floating buildings
" "' ' less to ground, or excee 14,000 ❑ Commerc - use agr
❑ 1- and 2- family dwelling .,Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi family ❑ Master builder ❑ Other ❑ Fire pump. ❑ Installation of 75 KVA or
- - — _(.9 El Emer nc s ste
' 0 .+ is '' l; h.. I`! t , t' t as + n , ` E i t I J) ~Y 1 0; ge Y Y m- larger separately derived system.
. _. .t .( ..,o .. a _? _.. a r .0 _.l.. sx}, ..._, .[� .,:;r ❑ Addition of new motor Load of
Job no.: i 3 / 13. 8 Job site address: 9 3 70 s 3„i 6 r. )_ I OOHP . occ re g .
-1 r� V `� ❑Six or mo re ar more residential units. ❑ Rec a
reational cy vehicle parks
City/State/Z1P: for alo M1 S1 4 le 9 7 Z z 3 ❑ Health -cue facilities. El Supply voltage for more than
El Hazardous locauom 600 volts nominal
Suite/bldg. /apt. no ,t9 Project name: p r /'j ay sr. ❑ Service or feeder 600 amps or more
wDe ...:.�._ f :;rr.k . <`` �.._ia.N i :.,.:
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Da . ._ .. Jt1 x�i 0�du rr =.. a ,.,:7
Cross street/directions to job site:
Description Qty- Foe- Total t'
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: 1 Lot no 1,000 sq. ft. or less 145.15 14
Tax map /parcel no.: Ea. add'I 500 sq. ft. or portion 33.40 1
a ` s x .w Limited energy, residential
= .,. .; . ,<. ra, ,. y _ :-. i;.... '. # 1 s.;a v, t , ' .' ? 4 ',� {: f`. 75.00 2
= zk: «+«,.Kr• �� a . .- _...�;.«,. �. ✓ •; >1_ J } ._. r � ,,.. �Ii..� , ( above
Limited energy, multi - family
re e p 4 ! o n ow e- t/," Cu Air n a 4 L I,y J- If residential (with above sq. ft.) 75.00 2
Services or feeders installation alteration, and/or relocation
�JY., Cr r r`"'"r „` a `} fi " r 4 Y t+ r t 200 amps or Ices 80.30 2
l , ,:l '2 t F j� , tl r i / i 3
u i.i9 ...rr...._ ,ra „_ ,g}_�t.._.....-s - �.,. F ,jF Y --Ej _. , Zi wi 201 amps to 400 amps 106.85 2
Name: 401 amps to 600 amps 160.60 2
— 601 amps to 1,000 amps 240.60 2
ddress: 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 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amp's 100.30 2
intended for sale, tease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps - 133.75 2
Owner signature: Date. Branch circuits - new, alteration, or extension, i er panel
L Ft A. Fe for branch circuits with
r ?. >> "�i 'i i�, t S : tf 1 1 tt� U r r c ` t . �. , i .P �,E} 3 , 1 'dl ` r 23 '" - :, above service o r feeder f
-_ ,..t,,._, ,.4 ._. 7:,..,..t_:_*..:... •.,.,.2_ -w.. [5- „_.,u,..,.___ . d•.. .r_t ....,Z , },� : :- 6.65 2
each branch circuit
Business name: 8• Fee for branch circuits
Contact name: without service or feeder fee,
first branch circuit 1 46,85 2
Address: Each add'l branch circuit _ 6.65 /3 , q g 2
Miscellaneous (service or feeder not included)
City/State/ZIP: Each manufactured or modular
Phone :( ) F ax:: ( )
dwelling. service and/or feeder 90 2
Reconnect only 66.85 2
E-mail: Pump or irrigation circle 53.40 2
, ,
_.. ,- «l Fig_ sign or outline lighting 53.40 2
Business name: Boones Perry Electric Signal circuits) or limited-
energy panel, alteration, or
Address: P.O. Box 628 extension. Describe: Page 2 2
City /State/ZIP: Wilsonville OR 97070 Each additional inspection over allowable in an of the above
—
Phone: (503) 682 -4936 Fax: (503) 682 -7946 Per inspection 62.50
Investigation per hour (1 hr rain) 62.50
CCB Lie.: 88482 Electrical Lic.: 3 -223C Suprv. Lic.: Ill 1 g Indtrial plant p
_ useer hour 73 75 T _
Suprv, Electrician signature, required: i. ..` ° if; ;tn ggf, ,.` ”' 'i '�S t31 ; _ ,;
Subtotal: 6 , , ; d
■.\" tint name: $.- e,, N .err p vl Date: 2 — 2 g -04z, Plan review (25% of permit fee): r—
State surcharge (12% of permit fee)! 8 . U
Authorized signature: TOTAL PERMIT FEE: 7 . 1
Print name: Date: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete_
Number of Inspections allowed per permit.
I: 1Buildina \Pernita\ELC- PermitApp.dac 05/29/06 440.461ST(ilfa3 /cOM/wEa
CITY OF TIGARD , -...
BUILDING DIVISION PERMIT #: i*I.,r. 200 00113
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: :1729,100 )
Phone: (503) 639 -4171 -
Inspection Requests (24 Hrs.): (503) 639 -4175 : _...
INSPECTION WORKSHEET FOR DATE: 3/25/2008 TIME: 7:01AI'v7 PAGE: 17
SITE ADDRESS: 09370 SW t3 REENBURC PO A CLASS OF WORK:
SUBDIVISION: f'P1991 -018 LOT #: 001 TYPE OF USE:
PROJECT NAME: STEPHEN HAYES
DESCRIPTION: Installing (41) branch circuits in reception area.
OWNER: FRANKLIN COMMONS ASSOCIATES, PHONE #:
CONTRACTOR: UOONES FERRY ELECTRIC INC PHONE #: 603-68 2-4930
Inspection Request Scheduled For: Date: 3/25/2008 Pour Time:
Code # Inspection Description Confirm # Contact # N ssage • 109 Electrical final 067287 -01 . 503 -(82 -4936 Y
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Corrections /Comments /Instructions: SI I �� v�
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El N AL P o tJ _ - PEO.J0 ,a I Sl tJ1 /
6` 0 its 6110* ) 61 rict--4 •
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PASS n PARTIAL APPROVAL CANCEL n NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CY' 1' (S6L Date: 3 ' j' 01 Phone #: (503) 718- b.Iry