Permit l 3 ELECTRICAL PERMIT
CITY OF TIGARD
PERMIT #: ELC2006 -00559
I DEVELOPMENT SERVICES DATE ISSUED: 9/29/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S126DB-02800
SITE ADDRESS: 09370 SW GREENBURG RD 412 ZONING: C -P
SUBDIVISION: PP1991 -018 LOT: 001 JURISDICTION: TIG
Project Description: (8) 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: 7 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:
NORRIS & STEVENS BOONES FERRY ELECTRIC INC
621 SW MORRISON SUITE 800 PO BOX 628
PORTLAND, OR 97205 WILSONVILLE, OR 97070
Phone: 503 - 223 -3171 Contact #: PRI 503- 682 -4936
FAX 503- 682 -7946
FEES
Description Date Amount Reg #: ELE 3 -223C
[ELPRMT] ELC Permit 9/29/2006 $93.40 LIC 88482
[TAX] 8% State Surcharge 9/29/2006 $7,47 SUP 4918S
Total $100.87 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.
Issued By: Permittee Signature: S.Q,P_ Qy ,
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.
E lSep,_28 ^ _2006. n _2 :11 PML - ca B00NES FERRY ELECTRIC No. 3724 P. 1
FOR OFFICE USE ONLY
f
Tigard ' f i d Received b P '
13125 SW Halt Blvd., Tigard, OR 97223 Date/B : - . , Peril No. ' '6, U 0 — 19
Phone: 503.639.4171 Fax 503.598.1960. Plan Review
r 1�iri,i � RECEIVE* � i • Date/B : Other Permit
Inspection Line: 503.639.4175 S E P 2 8 201'..41- , Date red o B EI See Page 2 for
rntemet www cl tigard or us €""��
Notified/Method: ) Supplemental f
Pp ntormahon
-� , rr �.
r 1 r ': A 3 u A pt qua
r,61.,, ,'.,,, :, D!t '�.�t,, ;i-=,._:. :.:k -,( a . ,:.n, �. .1., i .t� ✓ r ` .4 - 1 i . -V � f , lrl iS 75 Al,-....- 2/ r : - - ;1r ' :• ± • i •1 L , { � "I trd t" = 5 , 0 ' ~ • �� 1)}
❑ New construction , ; ,n . - �. _. � ��. �. 3. � t .. _
❑ Addition/alteration/replacement Please check all that apply:
_❑ Demolition ❑ Other ❑Service over 225 amps, cemm'I ID Hazardous location
, } rl7 u (i t a +�? r t r E � Y 1 e If i t k r L it t !' {j t i . 1 ` r� , 1 r 1 ['Service over 320 amps - rating ❑ Buildn over 10,000 sq. it,
€ -,.,s _..,. ;,-. �, ._. r r _ ,_ >. -F .._..,,,, '. oft - and 2- family dwellings 4 or more new residential
❑ 1 - and 2 - family dwelling ❑ Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑ Multi family ❑ Master builder q Other: ❑Building over three stories ❑Feeders, 400 amps or more
t� ,_ ❑Occupant load over 99 persons ❑Manufactured structures or
{ t { ,k i:av i:ttic ij7 � Z}}Tr ,w S t c
sl- TNi ; �. TY it, le ht 1jt1Sr ,ty 1 , 3.1 ` ,,< ,..r i. r' RV
, � , ❑E greS9/Ilg}lting plan park
P
Job no.../ ❑Other:
/b Z 2 O 6 Jo site addres :1,3 70 Su Grlee.,., bv. r ❑ Health care facility
Ct Submit 2 sets of plans with any of the above.
City /State /ZIP :'11,6,,,. 0 ; ' The above are not applicable to temporary construction service.
Suit bldg_ /apt no.: /\/ j Project Warne: /y ,,,�1 � ,. , i .� 72zl u t, J t trr` , �{' { : : i : , .
'..h"" s i�-�jO� .0 Q „ t .f,w - k" €r ., "' •'=Ad .,G{i. 2 " �t�r 1 "%,..• c v
Da6crtpli Qty, Fee Total
Cross street/directions to job site: • Do S Nm -- „ � t/ -e 1 _' New residential single- or multi- family dwelling unit.
q, Includes attached garage.
1,000 sq. ft or less 145.15 4
Subdivision: • I Lot no.: Ea. add'I 500 sq. ft, or portion 33.40 ' 1
Tax map /parcel no.: Limited energy, residential 75,00 2
k }z '� ' lt” s ll >ti� i = E i` i ^ 7; n }ry- t
r , 7a f T r m r E Limited energy, non-residential
75.00 2
� 2/u e i ' c 1 i
,I n ,i.r. .r�.,. ,t..a ,,,, i {c.. �t, t >.,�..�1.....:.. ..- .r.�ur1?.:.f ..... {�L.� -. ... .. .::� .... .._ emu. s.,,. ._il u � Each manufactured or modular
7' dwelling, service and/or feeder 90.90 2 _
Services ar feeders installation, alteration, and /or relocation _
200 amps or less 80,30 2
t 4F t r ^�^ - r r t c rr c 4 1 tEz c r+ 4tp ^ m 0 00 amps
� 1t! Fie ,1 tf , tl yi 7, } s a i ., ' L ijtl `t " ` l' } ,1 ,.l 201 amps t 4 P 106.85 - 2
�I >�,,. -• �.... �. t g,::.,..::,.,. i_... � .�_ia... >tl,�._.„__,..;�.T..w , F. ..mac �_2/ _
-' •�'• ' 401 amps t0 600 amps 160.60 2
Name: 601 amps to 1,000 amps 240.60 2
ddress: Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
<:ity /StateJIP; Temporary services or feeders installation, alteration, and/or
Phone: ( ) Fax: ( ) relocation 200 amps or less 66.85 I
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
t �� , ,�.� ` _ ,,� t z ,,,� Branch circuits - new, alteration, or extension, er panel
_
',3f�i' f ;-Tf:4.`� . � f tn�,{Rir` F libi!` s � .:;) y _ Y� {,l 1('t ^ rt l� ; , :; �'� t� ' i +l-k,i A. for bh ith
.,. �..,.i.t :� ,..,,._� ,,. _:._�_ ,,.;.: t._ z. , sa rviceor ranc feeder fee, circuits each w
Business nae: branch circuit 6.65 2
m
Contact name: B. lee for branch circuits
without service or feeder fee, 46.85 �V
Address: first branch circuit I� • g F 2
Each add'! branch circuit 7 6,65 ' , st 2
City/State/ZIP:
Miscellaneous (service or feeder not included) _
Phone: ( ) Fax:: ( ) Pump Or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E-mail;
Signal Circuit(s) or limited-
aar „ ,, � ,� i , r � � a �� r ,n« t , s , i a. ` si { s. i { + a Ji ,9ts� a i f it i l q r ' } ` i r_ t , = . tom G " -
A
1c c r ,, 4 { .,..11 s l r 4f w i' .`f {, .,L i , �-g, . energy panel, alteratian, or
name: Boones Ferry Electric
extension. Describe: Page 2 2
Address: P.O. Box 628 Each additional inspection over allowable in any of the above
Per inspection 62.50
City /State/ZIP: Wilsonville OR 97070 • Investigation per hour (1 hr min) 62.50
Phone: (503) 682 -4936 Fax: (503) 682 -7946 Industrial plant per hour 73.75
• �.T+F
i 67 TF j'1 t2/ 3:1,E i t'oj (1 1�:? k'`'a D:iii - 1"' ' ;o .
{4
:1,,_,.. 7.{tv`:Ei r:h _. ti. r+.a.C�. I —.... — ..t...
CCB Lic.: 88482 Electrical Lic.: 3- 3C Suprv. Lic.: / f Subtotal q 3, 4 f - 0
Suprv. Electrician signature, requited: Plan review (25% of permit fee) _
int Warne: �' State surcharge (8% of permit fee)
_. . �an ) a , Date: 4, - 28 -a fi 7, r } 7
TOTAL PERMIT FEE] / 0 0 , 8 7
Authorized Signature: This permit application expires a permit is not obtained within 180
day a fter it has b een if accepted es completo
Print name: Date: • Fee methodology set by To- County Building industry Service Board
i:\Huitdi *• Number of inspections per permit allowed.
ngWPeunits\ELC- PermirApp.dnc 12/03 4404615T(10 /43itOM/WEn
•
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OF m w�m��nn��
BUILDING DIVISION ' • PERMIT #: B-0006-00559 '
. 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/29/2006
Phone: (503) 639-4171 kizop
|nopoction.Roqueota(24Hmj:(503) 63Q'4175 �&��� m�J
INSPECTION WORKSHEET FOR DATE: 11/9/2006 TIME: 7:02AM PAGE: 66
SITE ADDRESS: 09370 SW GREENBURG RD 412 CLASS OF WORK:
SUBDIVISION: pp1991'018 LOT #: 001 TYPE OF USE:
PROJECT NAME: BOSTON MEDICAL
DESCRIPTION: (6) branch circuits.
OWNER: NORRIS & STEVENS, PHONE #: 503-223-3171
CONTRACTOR: BOONES FERRY ELECTRIC INC PHONE #: 6O3
Inspection Request Scheduled For: Date: 11/9/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 039503-01 603-682~4936 N
Corrections/Comments/Instructions:
/,
c . if f::::--
/'
n PARTIAL APPROVAL 0 CANCEL I I NO ACCESS
-__ `
I | FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
/ / �� ^°
Inspector: f Oate: �� -- 9 ~' �� �� Phone #: (503) 718
CITY OF TIGARD -
BUILDING DIVISION ,..
PERMIT #: ELC2006-00559
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/29/2006
Phone: (503) 639-4171 . 4_1510, 1114_ ,i t
Inspection Requests (24 Hrs.): (503) 639-4175 -_,111- -11-
INSPECTION WORKSHEET FOR DATE: 10/2512006 TIME: 7:03AM PAGE: 33 •
. _
SITE ADDRESS: 09370 SW GREENBURG RD 412 CLASS OF WORK:
SUBDIVISION: PP1991 LOT #: 001 TYPE OF USE:
PROJECT NAME: BOSTON MEDICAL
DESCRIPTION: (8) branch circuits.
OWNER: NORRIS & STEVENS, PHONE #: 503-223-3171
CONTRACTOR: BOONES FERRY ELECTRIC INC PHONE #: 503-682-4936
Inspection Request Scheduled For: Date: 10/25/2006 Pour Time:
11 - In .-- - 'en Description Confirm # . Contact # Message
130 Ceiling cover • 038813-01 503-682-4936 N
Corre • - • - -- - - _ - - - - ' • s:
•
. ak■ PAS', I I PARTIAL APPROVAL n CANCEL 0 NO ACCESS
I I FAIL 0 CALL FOR INSPECTION pi ADDITIONAL FEES ASSESSED
Inspector: G 1 i\ beli-v Date: 10 1 2.S104 Phone #: (503) 718-14
... - .. • , ..
• CITY OF TIGARD
BUILDING DIVISION • PERMIT #: ELC2006-00559
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/29/7006
Phone: (503) 639-4171 h,2
Inspection Requests (24 Hrs.): (503) 639-4175 J JJ.
INSPECTION WORKSHEET FOR DATE: 10/18/2006 TIME: 7:06AM PAGE: 68
SITE ADDRESS: 09370 SW GREENBURG RD 412 CLASS OF WORK:
SUBDIVISION: PP19914)18 LOT #: 001 TYPE OF USE:
PROJECT NAME: BOSTON MEDICAL
DESCRIPTION: (8) branch circuits.
OWNER: NORRIS & STEVENS, PHONE #: 503-223-3171
CONTRACTOR: BOONES FERRY ELECTRIC INC PHONE #: 503-682-4936
Inspection Request Scheduled For: Date: 10/18/2006 Pour Time:
Code # Inspection Description Genfifm,..# Contact # Message
120 Electrical rough-in 038394-01 503-519
Corrections/Comments/Instructions:
.c3N bckytAi41.1- sciktu5 kU.owM TosItsicYc W54_,
v+1 11047 (30) FiNi. Ilhav t■Tri Z
•
11 1110 74 1 PASS [7 PARTIAL APPROVAL El CANCEL LII NO ACCESS
I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: NW.) LE Date: I 0 ( CL Phone #: (503) 718-
CITY OF TIGARD _
BUILDING DIVISION #: ELG2006 005 9
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/29p006 Phone: (503) 639 -4171 ddNImNP
Inspection Requests (24 Hrs.): (503) 639 -4175 � .:' 1 � ..
INSPECTION WORKSHEET FOR DATE: /0/612006 TIME: 7 :03AIb PAGE: 18
SITE ADDRESS: 08370 SW GREENBURG RD 412 CLASS OF WORK:
SUBDIVISION: PP1991 - 018 LOT #: 00.1 TYPE OF USE:
PROJECT NAME: BOSTON MEDICAL
DESCRIPTION: (0) branch circuits.
OWNER: NORRIS & STEVENS, PHONE #: 503-223-3171
CONTRACTOR: BOONES FERRY ELECTRIC INC ( J,E ) PHONE #: 503-682-4936
Inspection Request Scheduled For: Date: 1016/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 Wall cover 037814 -01 503 - 682 -4936 Y
Corrections /Comments /Instructions: ` -1J23,
F OA
C - v(Zo viQ a l.kN Zvi w 6 � IZ i' L
"?(' sZ(L-- — Teo ' ' e^ 1 , 1., 0 • \ •• .K\
o AM I %. x /1 • PVC-
•mo f vrt`C1k ; 0 ofi " 006 1
fk ee �J 4retNo vv ;tea baapc
n PASS ❑ PARTIAL APPROVAL CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION n ADD 0 1A FEES ASSESSED
Inspector: G ' N ®V L Date: t 0( X16 Phone #: (503) 718 - 2.441D