Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2007 -00379
COMMUNITY DEVELOPMENT DATE ISSUED: 6/6/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 25101 AB -02100
SITE ADDRESS: 07157 SW BEVELAND RD 100 ZONING: MUE
SUBDIVISION: BEVELAND LOT : 003 JURISDICTION: TIG
PROJECT: BOMARITO
Project Description: (12) Branch circuits for receptacles and lighting.
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: 11 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:
ANDRUS, MICHAEL RYAN RC COSTELLO ELECTRICAL CONTRATING
7155 SW BEVELAND ST PO BOX 336
PORTLAND, OR 97223 AURORA, OR 97002
Phone: Contact #: PRI 503 - 982 - 7400
FAX 503 - 982 -7401
FEES
Description Date Amount Reg #: ELE 3344C
[ELPRMT] ELC Permit 6/6/2007 $120.00 LIC 87402
[TAX] 8% State Surcharge 6/6/2007 $9.60 SUP 3934S
Total $129.60 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 j J; , -` Permittee Signature: ti /441
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.
Jun 06 2007 7:58AM HP LASERJET FAX p.1 ,
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•
Electrical Permit Application, FOR orricE LSE ONLY
City of Tigard. Received (
t 0 o /C5:3- �M
DatelBy: 0 PermitNo.: El..C2 C4 -CO3 t !
C
13125 SW Hail Blvd., Tigard, OR 97223 JUN ®6 2007; Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 a +�l . Date/By: Other Permit:
Inspection Line: 503.639.4175 �+ a y. r: L. Date Ready/By iwira - i� E3 See Page 2 for
Internet: www et tigard or us I0 r -- i Notified/Method: 1 Supplemental Information
op env t'1IRI r'oiifienli i
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ff 1`;) di I:i a'� F ' )f ' a d ct414.1- : 1?7 t_�3 p E :.' , , - ' �"', Ii " .. „.
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❑ New construction [1 Addition/alteration /replacement Please check all that apply:
['Service over 225 amps, comm'1 ['Hazardous location
❑ Demolition ❑Other:
i �s rxl ( t , ra ❑Servic: over 320 amps - rating ❑Buildn over 10,000 s . It.,
.z:4 'y4iti4.t sr e v V , ., jti4 � li j t` y i t( "?t!;44:4I;4,,- K4n3i :"'t 1; :.Ti g 9
` sk .tr _�_...�..;? t, , - -z_,r � __sr• v _• ! • _ „s ,,;, :e : °„ of 1- and 2- family dwellings 4 or more new residential
❑ 1 - and 2 family dwelling k! Commercial/industrial ❑ Accessory building ❑ System over 600 volts nominal units in one structure
❑ Multi- family ❑ Master builder ❑ Other: ['Building over three stories ❑Feeders, 400 amps or more
rrw v }r Fro, u r ate, i s ,- i ;I L r F d, Ocant load over 99 .0 persons
'R z� - R ee`Y , I;rr r i .,1F, *'t
is v R � r. fi K •1 ` �` ) i P • p ['Manufactured structures or
>...n: f. ::,-,.` :At, , PAA .. ,u - .ea . 4r ` rti .:s,i. xuer glat ii n 4. ❑Eg,7Css/lighting plan RV park
Job no.: Job site address: r7 f 5 r7 s td love, land ST. ❑Health -care facility ❑Other:
- Submit 2 sets of plans with any of the above.
l
City/State/ZIP: i rte r d 0 R 977Z23 The above are not applicable to temporary construction service.
uite bt ldg./apt. no.: Project name: ' w f . ` " ` `F
/ � •b or ic i r `► - " . .: = ."
Description Qty. Fee. Total
Cross street/directions to job site: New residential single- or multi - family dwelling unit.
• Includes attached garage. j
• 1,000 sq ft or less 145.15 4
Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
. °e Limited energy, non - residential 2 j
'3§'• i �, 'a..' - '� r W 0 v # �lZI rr clt7r Kil TIT t ` ( rtlgIF gY 75.60
- Q. tri& _Y�:.aant 4 �, . ±,2. t .theli 0 .ef tg'u'�..iri ligt Te 1i e rt Each manufactured or modular
j� dwelling, service and /or feeder 90.90 2
'-�
/ e• anc A C% f t U/ 7 -- 4t - eeep7Cc k s avid Services or feeders installation, alteration, and/or relocation
/ i ti i i nor. 200 amps or less 80.30 2
sf xfi t f5 +r 1l; 5 a t " f'. i,�( r r l x 6..'S i ro s s a. it
': h } zi P' ::t) .:, -.1: 9 k leri r.of' .. u itillka t 14:• . &i - r'ri3�.en a ;' uw3...r 41,7: �_ 201 amps to 400 amps 106.85 2
414 1 / /- 7 7 401 amps to 600 amps 160.60 2
Name: T � �1 / 7 ' C `i,r -e - !-/o d uc: -/ 601 amps to 1,000 amps 240.60 2
Address: 58 i Li 1 4 ' old r /and d Rd. Over 1,000 amps or volts 454.65 r 2
7 Reconnect only 66.85 2
City/State/ZIP: S - I - He /eel S OF 9'105 1 1 Temporary services or feeders Installation, alteration, and/or
Phone: ( ) 1 Fax: ( ) relocation
200 amps or less 66.85 1
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: Branch circuits - new, alteration, or extension, per panel
t a ' <y4r ,.i a a 't t ' " tiMif Nk l Ati ,!dl� `h i ft . i k o i ' gi f i -cki �r.e. l p Vht r ,
�._� y us.:. ., �� � �� m-r �..l�l`�� �; A. Fee for branch circuits with
�` h ' service or feeder fee, each
Business name: _ branch circuit 6.65 2
Contact name: B. Fee for branch circuits
without service or feeder fee, � �AS
Address:
each branch circuit 46.85 2
Each add'l branch circuit 11 6.65 '•7 is 2
City / State/ZIP: Miscellaneous (service or feeder not included)
Phone: Pump or irrigation circle 53.40 2
( ) Fax:: ( )
•
Sign or outline lighting 53.40 2
E
I ,sr l r^ r pa x sr p er• p „far y , Signal :ircuit(s) or limited - •
';1`o'l <` ' ` 1, t ' "'l•" a ti F ?i. , • ` i r i energy panel, alteration, or
ec. -.,_a_.ti t utpta>' 1a .v. :,i, i f ..tF irif f ir'A ].. �" �..t ..r..a �^s.a •i gY P
extension. Describe:
Page 2 2
Business name: R. C, C •f lfo EJecff'iC0. ner 47,79
Address: 7 s B 33 - Each additional inspection over allowable In any of the above
- Per inspection 62.50
City/State/ZIP: Avg /`A 0 (1 -p 9 7002 Investigation per hour (1 to min) 62.50
Phone: ( 3) q$ ' -7/400 Fax (Spy) q _ y o Industrial plant •er hour 73.75
2 .: Suprv. Lie.: 3[t- Subtotal
8'7yo Electrical Lic.: 3 -3�4 p iZO
CCB Lic.: 00 -
Suprv. Electrician sigma 0Y� e$ red: e ' } �l /O/ t f O Plan review (25% of permit fee)
Print name: R �� Gi � - - no ) • Date : r .o r7 State surcharge (8% of permit fee) q . ( U
1 __Li / f TOTAL PERMIT FEE J 'L q , 6 0
Authorized signature: This permit application expires if a permit is not obtained within 180
days after It has been accepted as complete '
Print name: Date: • Fee methodology set by Tri- County Building Industry Service Board
•• Number of inspections per permit allowed •
i:\ Building \Permits\BLC- PermiiApp.doc 12f03 4404615T( l0 /02/COM/W B
• CITY OF TIGARD .
1
• 1
1 BUILDING DIVISION PERMIT #: ELC2007 -00379
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/612007
Phone: (503) 639 -4171 4 u'I'u1Iii
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 0/10/2007 TIME: 7:00AM PAGE: 25
SITE ADDRESS: 07157 SW BEVELAND RD 100 CLASS OF WORK:
SUBDIVISION: BEVELAND LOT #: 003 TYPE OF USE:
PROJECT NAME: BOMORITO
DESCRIPTION: (12) Branch circuits for receptacles and lighting.
OWNER: ANDRUS, MICHAEL RYAN, PHONE #:
CONTRACTOR: RC COSTELLO ELECTRICAL CONTRATING PHONE #: 503.962 - 7400
Inspection Request Scheduled For: Date: 8/1012007 Pour Time:
Code # Inspection Description Con i Contact # Message
19 9 Electrical final 053798-01 503 -504 -6758 — Y
Corrections /Comments/ Instructions:
� L`3 I 'go'
No wAT A ` ow si YE .
i
X l.DASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 6 N o8 LPL., Date: M (O 01 Phone #: (503) 718- 1-414,
/
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007-00379
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6/6/2007
Phone: (503) 639- 4171 e
Inspection Requests (24 Hrs.): (503) 639 -4175 r'f �..
INSPECTION WORKSHEET FOR DATE: 7/6/2007 TIME: 7:06AM PAGE: 23
SITE ADDRESS: 07157 SW BEVELAND RD 100 CLASS OF WORK:
SUBDIVISION: BEVELAND LOT #: 003 TYPE OF USE:
PROJECT NAME: BOMORITO
DESCRIPTION: (12) Branch circuits for receptacles and lighting.
OWNER: ANDRUS, MICHAEL RYAN, PHONE #:
CONTRACTOR: RC COSTELLO ELECTRICAL CONTRATING PHONE #: 503 - 902 - 7400
Inspection Request Scheduled For: Date: 7/6/2007 Pour Time:
Code # Inspection Description ' e m .rm # Contact # Message
130 Ceiling cover 051541 -01 503- 504 -7214 N
Corrections /Commen /Instructions:
N PASS ❑ PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
K W L Da
Inspector: v li ell P hone #: (503) 718- 24%'
• _. ,,
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00379
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/6/2007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 :_..
INSPECTION WORKSHEET FOR DATE: 6/28/2007 TIME: 7:01AM PAGE: 25
SITE ADDRESS: 07157 SW BEVELAND RD 100 CLASS OF WORK:
SUBDIVISION: BEVELAND LOT #: 003 TYPE OF USE:
PROJECT NAME: BOMORITO
DESCRIPTION: (12) Branch circuits for receptacles and lighting.
OWNER: ANDRUS, MICHAEL RYAN, PHONE #:
CONTRACTOR: RC COSTELLO ELECTRICAL CONTRATING PHONE #: 503-982-7400
Inspection Request Scheduled For: Date: 6/28/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 Wall cover 051135.01 503 -504 -7214 N
Corrections /Comments /Instructions:
•
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n AIL ❑ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: ` N d� Date: b -����� Phone #: (503) 718 -1