Permit C ITY OF TIGARD RD ELECTRICAL PERMIT
_ � PERMIT #: E26 -00299
� � DEVELOPMENT SERVICES DATE ISSUED: 5/26
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S135AA
SITE ADDRESS: 10250 SW 87TH AVE ZONING: C -
SUBDIVISION: METZGER ACRE TRACTS LOT : 037 JURISDICTION: TIG
Project Description: One hour of inspections for purposes of final inspection for expired permit: ELC2003 00607. Job No. 567
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: PER HOUR: 1
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:
STEVE NYS BOONES FERRY ELECTRIC INC
10250 SW 87TH AVE PO BOX 628
TIGARD, OR 97223 WILSONVILLE, OR 97070
Phone: Contact #: PRI 503 682 - 4936
FAX 503 - 682 -7946
FEES
Description Date Amount Reg #: ELE 3 - 223C
[ELPRMT] ELC Permit 5/26/2006 $62.50 LIC 88482
[TAX] 8% State Surcharge 5/26/2006 $5.00 SUP 4918S
Total $67.50 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Speaalty 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 2 \
Issued By: e . jam.' Permittee Signature: ( 4.t r____
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: J ` `_e ✓ �� " ' ,e (�____.— 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.
'May, 25. 2006j] 1: 5 4PM • BOONES FERRY ELECTRIC No. 1632 P. 1
'pity s elf Tigard
I VED FOR k
I l z w Flap Blvd. OFFICE USE ONLY
Phone: W Hall Ivd. Tigard, OR. 972�3 MAY 2 5 2006 plan R „
Inspection Li e; 503.639.4175
Fax: 503 .598,1960 D at S h id CCU' C
n r Plan Revi �� v p ermit No.: Gr^ �r .
'emu �vww.ct hgard. ua CITY OF TIGAR P,4 1I r ill' I'' Date/i3 : ti'� `
'. ' BUILDING DIVISI • '1 Dat tAt• , iho d;
oth�rrahntt
Ntrtl
❑ New construction ` j , thu r
nstr , + ' vn / See Pa 21 lot form4ti0a
D e Addition/alteration/ 1 r :E-7''.,..--,,,7,i, � S uPDlettterital Ie
rrtohhoa teplacem s I ,'. r : `
L ` D Other: i r ant Please check apply:
, `'a�� 1<JF
P L
y 5 that app , �� ?' • .:.;
D 1' and 2 -faint L Ill lS , �l 225 amps, comnt'I Diiazardous location
ly dwelling [� Co , � ,h , i , , D of 1. e o over 320 a
D Multi-family family Commerc ial/industrial A I I of 1. end 2. amps _rating ❑Buildn over 10,0 00 sq. ft.,
D Master builder ❑ Accessory building i family dwellings 4 o g
Other; g
['System over 6 or more new residential
Job ^ +J' '+ 1\ [ij 'i7:7,-,, , n ❑ Syste n over 600 volts nominal units in one snitcture
L I'l ! u l ;;: + r r three stories DFeeders 400 , amps
n o' S ['Occupant load over 99 a structures or more
7 Jo>x site address: :',).",,, '} +,u M; it +r; persons
Job n
C ity/State/ZIP: % f /0 ZseD ,s-l„, f ❑Manufactured structures or
8 7 �HeaIth care facility RV park
6,,- � � � ❑Ottfe[:
Suite/bldg. /a t. submit 2 sacs of plans with any o f the above.
p no.:
Project The above are Y
jjjjjdjjttonstoiobsit J ne not alicabl e to tem y °ribtillt : S ? . � 5 • „ r r temporary construction service.
Dyerieuen , 1_ 1 41� ll
�,a { 1 •t r' ,
New residential single - or multi -fain ly dwelling
•
Subdivision:
Includes attached garage. ni�
1,000 sq_ ft. or less
Tax tnap /parcel no Lot no.;
Ea, jte 33.40 ener sq, f}, de portion 75.0 _® 4
' 1 =' r i t i r 4�'i; , si' Limited energy, _
t" .L r 1 Inl t gY,residentlal 1
/hf r +1'':`r i p, +' 'it 1 TI la on re MM. 2
c ' • " p , P ! ....ft-r: r, , , t . t K ; Each manufactured atdetthal 75.00
{ " �^ a or modular
e.-
inks 2
1 service �
� � ; , j 111, !,' f,� •.` c SerYICl9 or feeders installation 90.90 2
Na ,:'-4,11,. 1 ' dlt,l 200 amps of less . !aLn,oi!!t0n
Name:
5 1 > Y
a -,s, t+i , ! 1 t .' ZO] ampato400aritpg 80.30 2
idress; I 401 a p 1 60.60
fi sto600amps 2
C ity/State/ZIP:
i 601 amps to 1,000 amps ill 1 •60
Over 1,000 amps : 240.60 2
• •
Phone: ( mps or volts 2
Reeotmect only 4 54.65
Owner installation: 1 2
llatiou; Temporary services or feeds NM 66.85 MI 2
intended for T �lsDallation is being property t relocation Installation, alteration, and/or sale, lease c made on
owner signature: exchange, according to O Y hat I own 0 which is n • t 201 amps to 400: 1
200 amps or less
447 449, 67p, attd 701. 66.85
.. i lc. bate
401 a .s to 600 amps extension, 2 lin 1
L' ; ]I re ' a ' ` ' Branch circuits — new �
(1 r
� alter
4 ; ,. , C ,; A, Fee for b anon, or extension 2
Contact name:
ranch circuits with . Per pa nel
service or feeder fee, each '
Address: Bch circuit III
E. eaPee for ch ho 2
branch circuits
City/State/ZIP: service or feeder
each branch circuit fee,
Phone: ( )
Each a 2
dd') branch circuit
service • 6. _ 2
r:. z or feeder not
, . _, i lA , .. , pump or irrigation circle not
r i,:( .,,{_,.616,4,:,,_.7,
Business name, ? Sit or outline lighting 53,40 2
Si
B . F ar ' + "
Signal circuit(s) or limited- 53-40 Mill 2
Address: r _ ' , , ,,±,-.-a, !„ _,' !,:f_ e nergy Panel, al
ass: .:
P • 0 • f ox . 628 teratiott, or
extension. Des
City /State/ZIP: page Z 2
W I ] SOn1 i.13 a OR 9.707p ! Each additional inspection overallo
?hone: (5.O 3) 6 8 2 — i Per inspection
4 9 3 6 t wable {t, any of th
FaX: (Z ! lnvesti above
CCB Lic,: g g 4 8 2 3) 682-7946 , gation per hour (t >u 6 2.50ram
i Industnal plant p h our ,,,, _ 62 .50 MN
'aPn'. Electrician signature, required �' Suprv. Lic - : /> p ' - t'^ l - -- r
tint darns: �_� +�>• I� ib u t t l , ` j
•-i A `A 1 `_4 Jr �� �pr € Iy
Subtotal t
Autho ' /'T tk H ;
rt2ed signature:
OI ra _ Pl an review (25 "/ o 6 2 . s
gri tore: permit fee) �
State surcharge • ---.. 8 (8 /, of permit fee) Set
•
t:�a na ; this Permit a TOTAL PEST FEB t 7 ,
Qto1��LC- Pom;tAvPdoe 12/03
Date: application expires 6 S V
• Fee days ys ae after It he been betey1ed u of obtained within 180
methodology
44n.ea, er...,_ y� Numh.r r: by Tti- fin., :... campletr
,
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: ELC2006-00299 ..* 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/26/2006
Phone: (503) 639 -4171 II
Inspection Requests (24 Hrs.): (503) 639 -4175 ...' 'I!..
INSPECTION WORKSHEET FOR DATE: 8/15/2006 TIME: 7 :05AM PAGE: 16
SITE ADDRESS: 10250 SW 87TH AVE CLASS OF WORK:
SUBDIVISION: ME TZCER ACRE TRACTS LOT #: 037 TYPE OF USE:
PROJECT NAME: NYS
DESCRIPTION: One hour of inspections for purposes of final inspection for expired permit: ELC2003- 00607. Job No.
567
OWNER: NYS, STEVE PHONE #:
CONTRACTOR: BOONES FERRY ELECTRIC INC PHONE #: 503 -6t314936
Inspection Request Scheduled For: Date: 8/16/2006 Pour Time:
Code # Inspection Description i Confirm # Contact # Message
189 Electrical final 034984 -01 503-245-6721 N
Corrections/Comments/Instructions:
I W ttiV c ril-viA 5 ) 64 atif-v\A- ...----
( C .
I PASS ❑ PARTIAL APPROVAL ❑ CANCEL I NO ACCESS
❑ FAIL ❑ CALL FOR I SPECTION ❑ ADDITIONAL FEES ASSESSED
a l'i '
Inspector: $•t "'' f�f Date: q Phone #: (503) 718 - 7 T
CITY OF TIGARD ° .
BUILDING DIVISION PERMIT #: ELC700$ 00299
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/26/2(U)'
Phone: (503) 639 -4171 0 ijiq.gi i'
Inspection Requests (24 Hrs.): (503) 639 -4175 _ 'l� 'J L
INSPECTION WORKSHEET FOR DATE: 5/30/2006 TIME: 7:15AM PAGE: 47
SITE ADDRESS: 10250 SW 87TH AVE CLASS OF WORK:
SUBDIVISION: METZGER ACRE TRACTS LOT #: 037 TYPE OF USE:
PROJECT NAME: NYS
DESCRIPTION: One hour of inspections for purposes of final inspection for expired permit: ELC2003 00t 0/. Job No.
567
OWNER: NYS, STEVE PHONE #:
CONTRACTOR: 13OONES FERRY ELECTRIC INC PHONE #: 503
Inspection Request Scheduled For: Date: 6/30/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 030741-01 503-682-4936
Corrections /Comments/ Instructions:
d)( 1 i t Olt 0 AN) 2 %<-4•W wlr' P L t0q .E,■
ei) Q Es: `it. E VI eil t Ats
li) , p.M7. 34fl .5 .
Cj X 4`1c 6 ) -1k. 0 Q1■1 cn a ( \f -`I R ezE ?oF3 T
Vv�► � Sc ty � t. `; S cs1) N N CSC A FL
d (W -
(0141. 1\/\)- c,N L
`()1h �JL
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: r'� N % i Date: � U 6 4 , Phone #: (503) 718 - 2 11