Permit CITY OF TIGARD ELECTRICAL PERMIT
✓ �� PERMIT #: ELC2007 -00869
COMMUNITY DEVELOPMENT DA ISSUED: 12/27/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S126DB 02800
SITE ADDRESS: 09370 SW GREENBURG RD 311 ZONING: C -P
SUBDIVISION: PP1991 -018 LOT : 001 JURISDICTION: TIG
PROJECT: DAVID BILSTROM MD
Project Description: Demo
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: 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 -2230
[ELPRMT] ELC Permit 12/27/200' $46.85 LIC 88482
[TAX] 8% State Surcharge 12/27/200' $3.74 SUP 4918S
Total $50.59 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. or 1.800.332.2344.
Issued By: 4„,&,,..,,,_, 4:72 Permittee Signature: O GZ--- -?-�1 C G�%I \,
OWNER INSTALLATION ONLY f
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.
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CITY OF ��mm m ��m mu�m�mnn��
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1
Phone: (503) 639-4171 \
Inspection Requests (24Hm.):(5O3)G3A'4176 u��N� ^�...
INSPECTION WORKSHEET FOR DATE: 1/2}120]8 TIME: 7:01AM PAGE: 57
SITE ADDRESS: 09370 SW GREENBURG RD 311 CLASS OF WORK:
SUBDIVISION: Pp1391'0113 LOT #: 001 TYPE OF USE:
PROJECT NAME: Fill S'FR0hNkAD
DESCRIPTION: Demo
_
OWNER: FRANKLIN COMMONS ASSOCIATES, PHONE #:
CONTRACTOR: BOONESFERRY ELECTRIC INC PHONE #: 603-082-4936
Inspection Request Scheduled For: Date: 1{220008 Pour Time:
`
Code # Inspection Description {�ohfirm# Contact # Message
.�
130 Ceiling
nQ�(��r 01 503-882-4836 N
tot 9 F; f4 l.— ^ -~----~�
, *rrecUona/Cornnnenta/|notnuodono:
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ri PARTIAL APPROVAL CANCEL NO ACCESS
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L� FAIL CALL FOR INSPECTION ri ADDITIONAL FEES ASSESSED
�~- �J 1" ��_��� VI 1 6
Inspector: G v� l���\��� Date: ����w�� Phone #: (503) 718- ����l