Permit CITY OF TIGARD I ELECTRICAL PERMIT
PERMIT #: ELC2008 -00603
COMMUNITY DEVELOPMENT DATE ISSUED: 10/24/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S126DC-03300
SITE ADDRESS: 09900 SW GREENBURG RD 190 ZONING: C - P
SUBDIVISION: LEHMANN ACRE TRACT LOT : 005 JURISDICTION: TIG
PROJECT: CRARY SHOES
Project Description: Job No 144408
Tenant Improvement
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: 2 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:
ATHERTON REALTY PARTNERSHIP BOONES FERRY ELECTRIC INC
MARTHA ATHERTON PO BOX 628
2100 S WOLF WILSONVILLE, OR 97070
DES PLAINES, IL 60018
Phone: 847 - 298 -8600 Contact #: PRI 503 - 682 - 4936
FAX 503 - 682 -7946
FEES
Description Date Amount Reg #: ELE 3 -223C
[ELPRMT] ELC Permit 10/24/2001 $60.15 LIC 88482
[TAX] 12% State Surchar 10/24/2001 $7.21 SUP 49185
Total $67.36 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for
more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: E Permittee Signature: - % , if Ls "_ -� - " . ,
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
E1�et.' S. 2008 FERRY ELECTRIC No. 5747 P. 1
City Tigard RECEIVED �� FOR Uf E'I('C USE ONLY
14 Ci of Ti and ltecei�ea '
° 13125 SW Hall Blvd., Tigard, OR 97223 Detc/$ : 0 T ' `'` Permit No.: EL( 260g-66W
Phone: 503.639.4171 Fax: 503.598. Plan Review
Inspection 503.639.4175 U 1 2 4 2G('3 DaW/H : Other Penult: w P2 (jp - �3
T.IGARD
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ww tgard or.gov El See Page 2 for
NotHied/Method
t� ? I �� Ott �t� t i� �' `t d� �
Supplemental Information
ot4l, 6 Lev Mt , ; k? .;I uK � iR ! kT. , l 14 Rj - w alai 1 a 'C r.. 1
' _;'_..L ` . it q t ' r a - :, I
f Additio alteration/replacement Please check all that apply (submit b sets of plans w /items checked . .
❑ New construction
❑ s or more Service or feeder 400 amps 0 Building over three stories.
❑ Demolition D Other:
r r _.. ,• t. -, where tite available fault current ❑ Marinas and boatyards.
r zt t "` :. a 'r c ' 6 4t I +?t ' P Is IMI t { � v z ,} ` exceeds 10,000 amps at 150 vo115 o r
t ' e�^ k ❑ Floating buildings.
❑ 1 - and 2- family dwelling, `Commercial /industrial ng 1 less to
❑ Accessory building
ground, or exceeds 1d 000 D Commercial -use agricultural
❑ NfuItl- family amps for all other installations, buildings.
❑ Master builder 0 Other: 0 Fire pump.
I=1 Installation of75 KVA or
`I i; T . 1 c PI I VIT ' f s 1a a _ j } ,'?" ii ❑ ❑ E Addi merg tion enc f snev ystem. mo tor load of ❑ larger separately derived system
I ,
iisaaa
Job no.: /tif, y,0 48 Job site address: 19 00 Sy„ 6r�a �1 ,, V - K 1t1o
occupancy.
City/State/ZIP! �] S ix or more residential units. ID Recreational vehicle parks.
Po r 'f ' ( - c t 0 7q, ❑ Health -care facilities. ❑ Supply vohage for more than
Suite /bid /8 L no.: ❑ Hazardous locations. 600 volts nominal.
g p 'D Project name: ( r e,,. ,..< )1 t r
4 E ^�- r mOre.
Cross street/directions .tiv
Service or feeder 600 amps o
t
ons to Job site: . LE. } " MUM: ;'iM a o t
neecriilion a • "`
� s � Total
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision I Lot no.: _1,000 sq. a. or less
_ (45.15 4
Tax map /parcel no.: Ea. add'l 500 sq. ft. or portion 33.40 1
"?. ""u n.[e Limited energy, residential
it,"W n u t o x r ,
tt 4,E Ss . r .s *. sr v r `s it f a t `tom s
t. ,.w _� Mrc��!�'��;;l�u�.�:(',�ir�,'� (with above gq it.) 75,00 2
Limited energy, multi - family
residential vrilh above s . ft.) 75.00 2
Services or feeders installation alteration and/or
� relocation
t .ns ` e 9 ' ty rM,a ".gym u�,. :''v"i"�a, ��`"`m ua .1 „"� p i`-4� 200 amps or less _ 80.30 2
Name:
401 amps to 600 amps is ._~ t `; .ss ..t *.F _ 201 amps to 4 am ps 106 85
2
160.60 2
ldress: 601 amps to 1,000 amps 240.60 2
Over 1,000 amps or volts 454.65 2
tty /State/Z]p Temporary services or feeders installation, alteration, and /or
Phone; ( ) relocation
Fax: ( ) 200 amps or less
Owner installation: This installation is being made on property that I own which is not 00.30 1
201 am p s to 400 amps _ ^ 100,30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75
Owner signature: Date Bran circuits 2
ex^ z� uits — new, alteration, or extension, per panel
q `itmt i'' I IFr .W r a . 2 1 z r ,_, A. Fee for branch circuits with
r ;. :f, z �a``'S3s . fr i Na ,A „ ,a Muni above service or feeder fee,
Business Hartle: each branch circuit 6.65 2
_ E. Fee for branch circuits
Contact name: without service or feeder fee, I c
first branch circuit
Address: 46.85 2 �.�_
Each add'l branch circuit Z 6.65 2 13, ??
City /State/ZIP: Miscellaneous (service or feeder not included) �
Each manufactured or modular
Phone. ( ) Fax:: ( ) _dwelling service and/or feeder 9 090 2
Reconnect only 66.85 2
E -mail
Pump
lt i r ttq^ a �„ ump or irrigation circle -
:s tt '�t11,'.,.w nt' n s, 53.40 2
1 ... rx.L ,..� .a.uL" .', 4»: a i s r��k r:tt .. .:a r. �.�c �' '. _Sign or outline lighting 53.40 2 .
Business name: Boones Ferry Electric Signal circuit(s) or Limited -
energy panel, alteration. or
Address: P_O. 13ox 628
extension. Describe: Page 2 2
City /State /ZI1': Wilsonville OR 97070 Each additional ins r ection over allowable in any of the above
Phone: (503) 682 - 4936 Fax: (503) 682 - 7946 Per inspection 62,50
Investigation per hour I hr min) 62.50
CCI3 Lie.: 88482 Electrical Lie.: 3 - 223C Suprv. Lie. : - ° f / 6 ' Industrial plant per hour
7375
Suprv. Electrician signature, required: f °= r i..j V ' do r )r tKS,
: /t +y� w'z ='�� a Ala
mt name: $ Subtotal: 60 , /
�\' tr srr yl Date: / O _ �,S_q Plan review (25% ofpermit fee): —
Authorized signature. State surcharge (12% of permit fee): 7, . 1
TOTAL PERMIT FEE: 6 7. 3
Print name:
• This er
Date: P mit applicati expires if a [Mini(' is cot obtained �sithin 180
days after it has been accepted as complete.
laauilding \rermibtELC- PennitApp.eoc 05n3/OG * Number of inspections allowed per permit,
4 40 - 461sT( I 1/05fCO WW Ea
r . . - . ‘ • I
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2008-00603
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/24/2008
Phone: (503) 639-4171 4 ,40,0
Inspection Requests (24 Hrs.): (503) 639-4175 ...-rAk. 111.
INSPECTION WORKSHEET FOR DATE: 11/12/2008 TIME: nom PAGE: 1
SITE ADDRESS: 09900 SW GREENBURG RD 190 CLASS OF WORK:
SUBDIVISION: LEHMANN ACRE TRACT LOT #: 006 TYPE OF USE:
PROJECT NAME: CRARY SHOES
DESCRIPTION: Job No 14M08
Tenant Improvement
OWNER: ATHERTON REALTY PARTNERSHIP, PHONE #: 847.298,48600
CONTRACTOR: BOONES FERRY ELECTRIC INC PHONE #: 503-682-4936
Inspection Request Scheduled For: Date: 11112/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final ( 077982-01 503-682-4936 N
Corrections/Comments/Instructions: ._.)
itA b V.) CIILYN b n Ac:t '- i 0 \15 RAI:MC k 00514 & -
\ •
\V
i' \\\
,114A / \
v v v
'VI PASS r7 PARTIAL APPROVAL D CANCEL El NO ACCESS
I FAIL fl CALL FOR INSPECTION EI ADDITIONAL FEES ASSESSED
0 1 ,.....-."
Inspector: Cr-. N °ik) 0- Date: l' iiilla Phone #: (503) 718- )._z_VAI
. 1
CITY OF TIGARD
BUILDING DIVISION ., . ,
PERMIT #: FLC2008-00603
13125 SW Hall Blvd., Tigard, OR 97223 . DATE ISSUED: 10/24/2008
Phone: (503) 639-4171 . /Nolt
Inspection Requests (24 Hrs.): (503) 639-4175 ..._...,,w -.....
INSPECTION WORKSHEET FOR DATE: 10/28/2008 TIME: 7 PAGE: 7
SITE ADDRESS: 09900 SW GREENE3URG RD 190 CLASS OF WORK:
SUBDIVISION: LEHMANN ACRE TRACT LOT #: aim TYPE OF USE:
PROJECT NAME: CRARY SHOES
DESCRIPTION: Job No *144408 COL UM ‘ i A It)1055' CE2N I
Tenant Improvernent
OWNER: ATHERTON REALTY PARTNERSHIP, PHONE #: 84'7-29(3-8600
CONTRACTOR: BOONES FERRY ELECTRIC INC I(E \-\ PHONE #: 503_681.4936
Inspection Request Scheduled For: Date: 10/28/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
13 Wall cover 077273-01
03-682-4936 Y .
St 1 . \ c l 1 1111
Corrections/Comments/Instructions:
1 4,7* PASS Ill PARTIAL APPROVAL 0 CANCEL I I NO ACCESS
fl FAIL Ill CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: Cr-k Nek Date: 1 1, 1 —' 01 Phone #: (503) 718-
_ ,-