Permit 0 T' OF TIGARD ELECTRICAL PERMIT
1/11 PERMIT #: ELC2008 -00004
COMMUNITY DEVELOPMENT DATE ISSUED: 1/3/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S126DB 02800
SITE ADDRESS: 09370 SW GREENBURG RD 311 ZONING: C -P
SUBDIVISION: PP1991 -018 LOT : 001 JURISDICTION: TIG
PROJECT: DAVID BILSTROM MD
Project Description: (8) branch circuits for health care facility. Job No. 127307
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: X
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
[ELPRMT] ELC Permit 1/3/2008 $93.40 LIC 88482
ITAX] 12% State 1/3/2008 $11.21 SUP 4918S
IELPLCK] ELC Pin Rev 1/3/2008 $23.35
REQUIRED ITEMS AND REPORTS
Total $127.96
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 r s are set fo n OA; 52 -061 -0010 through OAR 952 -001 -0100. You may obtain ce: i e se rules or direcTquestions to OUNC at
503.2 .6699 or 1 .800.33 44.
Issu By: � � q Permittee Sig ie/ft -(/ - •
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or r6nt."
OWNER'S SIGNATURE: DATE:
TFACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: , /
/ DATE:
LICENSE NO:
Call 503 ;6'3•.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.
Hall f3 Permit A of > >licatiott
! V t P
�' • ^ Iii " 13125 SW Tigard - FOROEE SW hd.. Tigard. OR 9722 Rece
qq qq Date/13y: 0g C. I____ __ �' a� _ate
.- i Phone 503.639.4I7I Fax: 5 03.598.1066N d+ (��� Plan Revren _ O
I IN
TIGAkD Itrspect Line: 503.639.4175 Date /)3 _
Internet: wwxv.ti ud -or. ov UI!ICr P�
g g CITY O f- ! 1 Date Ready / 13 y :
- lurisi- :rnut
See i 'ag
zap: `s ' ¢ ' 3�. .Rx ,a'� - s - . r ® t Y • I Notified /tulelhod' /ft/ e 2 for
s �r t ,,; a >. s `� ,.,,,, TY PIL 1 ! � Q lt :� >. tt1 ,t a l Supplemental Information
uprtslructron �A, ;, ;, a it u .
Ej d dition /al teration /replacement '° t r m : R > Zf [l lan s “ ) .:,
0 New Denmlltlon I ' = �3 ' �-
❑Other: d
r nn sets o
Please rye the k all Ihal apply (submit Il . � f en s ,vi �
❑ Senlce or feeder 400 g .ms checked below): ;) i ,` g i y . 0 amps current f3,.lit
;�, ; r. CA'7�,1?G „s ; ea ��s �- :.�= :�>~_;,.� •.: , here the available � dm@ ov three stories
; �: °. =; _ - ,.a- C}IZ yQ)K CON IZUC' ailable fault curer
} ,,,,,. , .: .: -,,I :;.� [ ,,,,, ,, , i 3;-� , I t ❑ i tarinas and boatvar
end 2 -famil �' dwelling : ° ' ui r tS ;•_):? t "it7 = exceeds IO,OI)O amps at I.O -oh; or Floating t g buildings,
011 lmerClal /I ildUSlrtal less n, ground , � hl It r
Ell ❑ multi-Family El Accessory building
or exceeds ROO( ❑ C„rnmercralmse agricultural
[1] Master builder ❑ F ire tot all other installations. Imildines
Other:
...< , i. 'JAI- , „m-- TI';a "iNE •,w „-- fir: Fire pump.
ORI�'IATIpIY ❑ Installation of 75 KV
f , ❑ Anleroe A or
s �%�F;a;':g �.. :`:�`` ta.; nc} 's�st enr.
Job 110. � � �0� ,: -;. J : `- ;' ?,` ' la separately derived system.
Addition of new motor load of
10011P or Job site address: C /37.3
Cil JStalciZll': occupant .
� J p r� i ❑ S i x or more residential units. ❑ Recreational vehicle parks.
earth -care itciliues-
❑
Suite/bldg./apt. bllig.!epL no.: : Supply \ ohaee for more than
�> Project name: ❑ I azatdons locations volts
y fi)'s�„,0 rot{ nnnnnal.
[] S en Ice or feeder 600 amps or m•ue.
Cross street /directions to jobs —. ,
site:
s y �
-,, , l,I kIE:IIULCa. €. , ,'
ow. . -. _gee. T
New residential single- or mult - family dilellfn' unit.
Subdivision: Includes attached garage.
Ta map /parcel no.:
Lot no.: 1,000 sq. It. or less —
�,�x : n° '' ;t;� ` Ea. add`I 500 sq. R. or poltiott 33
` . , - ,DES ' du
C R1 I ' =10N „O +' x` ' . ?, t” Limited e '— 1
T - �` , ti , 3 (rrilh above sq fl) 7).110 7
Limited energy, multi- family
residential (urth above sq ft.) 75.1)0 1
Services or feeders installao al Icration, alld /or
,r ry t
, t , .' RP[tOPE121',Y`OW 'E f:, ,(° :.< ., =:r 7 ti rclocat
,,. 1�illefs'' = ;''= "r = _: <-I ��t.> s:., _00 amps or less Ion
�tante. „ .. -.> ..Y.., iy =''= a <. °.: `P t - ; ,; — 81.30 2
I
. °`$. s 2U1 am )s to
/ I \ I 100 amps ( 1 06.8, 2
401 a
— r/.#05 L r� Y .�. amps to 60U amps 150 60
'dress: z
60 1 amps to 1,000 amps i
7 40.60 2
lily /State /711': Over L000 amps or volt; —
--� 454.6 I 2
Temporary services or feeders installation, alteration, and /or
Phone:: ( ) relocation
Fax: ( )
• that I own which is not amps 200 altt's io 400 amps
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amp
100.30
Owner signature: 1 ___________L2_. Owner installation: This installation is being made on property
I 1 1.33.7
Dale: ( Branch circuits nets, alteration, or es tension, H
P.IICCNF:;`' _. - ;;F "; }` - -r A. Fee ter pan
ii .. r ee for branch circuit r --
net
.' ups ;:❑ %CON�;r'�(3;I1'c= r's:s;z, ,bore R s with I
Business m n te: Flt (1 ;; ;x {
" " �” ` '� � °' re service or feeder fee. j
each branch circuit 1 .65 2
Contact name: B. Pee for branch circuits
Iridium service or feeder be
\ddl'ess: First branch circuit ii
46.85 85 2
add'' branch circuit
Gaclt
•
Cite /Stale /7_lP: i 7 6.6 2
\Iisccllaiicoils (se rvice or feet 0!r not included) , S
Phone: ( ) Each manufactured or modular
1'4x: ( ) dwelling, service and /or I J '-10 `90
2
G -mat I:
j ; ;, „ fi _ Reconnect
xs only
i
:,
J
x..... _ ;;IT - (0.Nr -Ek. •I'OH';. >•' x;: s -; tF;, f�ft;; g-, =r-, Pump or irrigation circle i_________22. 5 4
:.,, ...:-z f : ' i z >?° Sit - 1 2
Business name: Booties � laerry Electric INC � �h - tt � . Sign or outline lighting
�� ? 40 0
Signal circuit(s) or limited-
Address: P.O. 130 628 energy panel alteration, or
CitviStale171P: Wilsonville OR 97070 eetensian. Describe:
Page 2 2
1
Phone: (503) 682 - 4!)36 Bach additional inspection over allowable in an
Fax: (503) 6 82 -7946 Per inspection 62 }' of the above
CCf3 Lie.: 88482 >0
__ Electrical Lie.,` 3- 223C
Investigation per hour J --�_
i.
Suprv Lie.: - I tl hr nun) 7
I
�� Industrial plant per hour
Supry Electrician signature. required: _ ��1
L�,1 I.... FRAM'' >I'7aS "6-.3.. ; :, :'. $ e
rll Hanle: n
1 Subtotal: •
Date: Plan review 2
Authorized simiture: ( o o of permit fee)
ti State surch of pemn fee). lirniMA
Prim Hanle: _ TO fAL PERZ -11T FEE •��� "nq'�`]
Date: l iiis permit application expires if a permit is not "lit:mica Within 15(1
14 q , il:hui!'Per nntslEl_( --pent a,1P1 doe 05 /2/115 daps after it has heel accepted ac
Number of inspections Aimed per permit rornplele.
. LIn- .1615.1 /p5 /comity n
• , •
]
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2008.00004
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/3/70(,)8
Phone: (503) 639-4171 A e
.41111 l'
Inspection Requests (24 Hrs.): (503) 639-4175 7
INSPECTION WORKSHEET FOR DATE: 1/31/2008 TIME: 7:00AM PAGE: 15
SITE ADDRESS: 09370 SW GREENBURG RD 311 CLASS OF WORK:
SUBDIVISION: PP1991 LOT #: 001 TYPE OF USE:
PROJECT NAME: DAVID BILSTROM MD
DESCRIPTION: (8) branch circuits for health care facility. Job No. 127307
OWNER: FRANKLIN COMMONS ASSOCIATES, PHONE #:
CONTRACTOR: BOONES FERRY ELECTRIC INC PHONE #: 503-682-4936
Inspection Request Scheduled For: Date: 1/31/2008 Pour Time: 1
1
Code # Inspection Description onfirm- Contact # Message
199 Electrical final 064292-01 503 682-4936 N
Corrections/Comments/Instructions:
• ..- . 0 // •
"
1 ‘'. • (..
-,...-.•••:,..: I A
U/1 (LS i Z C,VA IAD 1 ti W. ill
0 -
r ■ •
\\ N
Q A
v
A
JPASS DI PARTIAL APPROVAL 0 CANCEL I I NO ACCESS
Ti FAIL Ti CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
—
Inspector: G ' N ( Wi LE Date: 1 I Zif 0 1 Phone #: (503) 718- 2.144*()-*
• ' -
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: ac2O0e-00oo4
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/3/2008
Phone: (503) 639-4171
.„. .z1111
Inspection Requests (24 Hrs.): (503) 639-4175 U.
INSPECTION WORKSHEET FOR DATE: 1/24/2008 TIME: 7:02AM PAGE: 83
SITE ADDRESS: 09370 SW GREENBURG RD 311 CLASS OF WORK:
SUBDIVISION: pp1991.018 LOT #: 001 TYPE OF USE:
PROJECT NAME: DAVID B1LSTROM MD
DESCRIPTION: (8) branch circuits for health care facility. Job No. 127307
OWNER: FRANKLIN COMMONS ASSOCIATES, PHONE #:
CONTRACTOR: E3OONFS FERRY ELECTRIC INC PHONE #: 503-682-4936
Inspection Request Scheduled For: Date: 1/24/2008 Pour Time:
Code # Inspection Description -C Contact # Message
130 Ceiling cover 063693-01 503-682-4936 N
Corrections/Comments/Instructions:
•
Kg PASS PARTIAL APPROVAL El CANCEL El NO ACCESS
—
0 FAIL n CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: V. k Le Date: 1 Crb Phone #: (503) 718- oic, •
1 - -
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: FLO008.00004
D ATE 13125 SW Hall Blvd., Tigard, OR 97223 ISSUED: 1/3/2008
Phone: (503) 639-4171 ik A i lviitilii
Inspection Requests (24 Hrs.): (503) 639-4175 ‘43.11-• - IL
INSPECTION WORKSHEET FOR DATE: 1/9/2008 TIME: 7:01AM PAGE: 16
SITE ADDRESS: 09370 SW GREENBURG RD 311 CLASS OF WORK:
SUBDIVISION: pv1981-018 LOT #: 001 TYPE OF USE:
PROJECT NAME: DAVID BILSTROM MD
DESCRIPTION: (8) branch circuits for health care facility. Job No. 127307
OWNER: FRANKLIN COMMONS ASSOCIATES, PHONE #:
CONTRACTOR: FJOONES FERRY ELECTRIC INC PHONE #: 503.6132-4936
Inspection Request Scheduled For: Date: 1/912008 Pour Time:
Code # Inspection Description /Confirm Contact # Message
125 WWI cover 06284941 503-682-4936 N
Corrections/Comments/Instructions: 1
•
' •>( PASS . n PARTIAL APPROVAL El CANCEL n NO ACCESS
pi FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: G.-- • N06 1.--6" Date: ""• 01 Phone #: (503) 718-U46 _____
.. . ..
CITY OF TIGARD ,..
BUILDING DIVISION - PERMIT #: FLC2008-00004
13125 SW Hall Blvd., Tigard, OR 97223 . ';' / e— DATE ISSUED: 11312008
Phone: (503) 639-4171 „.2 4 . 1t
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1/4/2008 TIME: 7:01Alvl PAGE: 29
SITE ADDRESS: 09370 SW GREENBURG RD 311 CLASS OF WORK:
SUBDIVISION: ppig91..018 LOT #: 001 TYPE OF USE:
PROJECT NAME: DAVID BiLarRom MD
DESCRIPTION: (f) branch circuits for health care facility. Job No. 127307 .
OWNER: FRANKLIN COMMONS ASSOCIATES, PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 1/4/2008 Pour Time:
Code # Inspection Description 7 CorifirM Contact # Message
125 Wall cover 062582-01 503-682-4936.. N
Corrections/Comments/Instructions:
(i) Re-vukcis tio7 tJ: le, elusr 2.-& _
usiit4q IN er .,3,..0 1 ire
.. a ku• '' N ■ t..)17 1 '.;7 t I al.'
c Czn G ■7 NN t•J ApounAL V irrE Ng- cAelE
. VwL. tsciT
7.S0, \ ( p Si1,i3 (p,) •
\--
NixvQ (A__, \)5.
PASS
PARTIAL APPROVAL E CANCEL El NO ACCESS
fl FAIL El CALL FOR INSPECTION Ti ADDITIONAL FEES ASSESSED
Inspector: G- 1\ibe,L---- Date: 1 - 4- (Yet Phone #: (503) 718- aiiik`
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2008-00004
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/3/2000
Phone: (503) 639-4171 4444 ,t;, •
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1/7/2008 TIME: 7:00Alvl PAGE: 44
SITE ADDRESS: 09370 SW GREENBURG RD 311 CLASS OF WORK:
SUBDIVISION: PP1991 LOT #: 001 TYPE OF USE:
PROJECT NAME: DAVID BILSTROlvl MD
DESCRIPTION: (8) branch circuits for health care facility. Job N. 127307
OWNER: FRANKLIN COMMONS ASSOCIATES, PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Dare: 1.7/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 Wall cover 062668-01 503-682-4936
Corrections/Comments/Instructions:
cxriot .A6o 24 , 1 '80 (lc) -6((
N A 4,1 D E-g t8•& f - E G-R,(5.NZi
jk
.A6t2e.
mixkA M.1 v.) A11-5 ek;
Vt tiv o■il-.5 tAPIAt ePTEA cAz5
RP 04-1s
ININV cioN LA/1/
Arl 51n
pi PASS n PARTIAL APPROVAL CANCEL fl NO ACCESS
FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: ' N3 LE' Date: I '1 0 ' 1 Phone #: (503) 718- *ky