Permit ELECTRICAL PERMIT
A k CITY OF T,.IGARD PERMIT #: ELC2006 -10029
DEVELOPMENT SERVICES DATE ISSUED: 3/8/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S101AB -02100
SITE ADDRESS: 07157 SW BEVELAND RD ZONING: MUE
SUBDIVISION: BEVELAND LOT : 003 JURISDICTION: - FIG
Project Description: WORK IS IN SUITE 200 ONLY. (15) branch circuits. 6/7/06: Added (12) 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: 26 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:
UNITED PACIFIC PROPERTIES LLC R C COSTELLO ELECTRICAL CONTRACTING
PO BOX 600 PO BOX 336
ST HELENS, OR 97051 AURORA, OR 97202
Phone: Contact #: PRI 503 - 982 - 7400
FAX 503- 982 -7401
FEES
Description Date Amount Reg #: ELE 3 -344C
[ELPRMT] ELC Permit 4/1/2006 $139.95 LIC 87402
[TAX] 8% State Surcharge 4/1/2006 $11.20 SUP 39345
[ ELPRMT] ELC Permit 6/7/2006 $79.80
(additional fees not listed here) REQUIRED ITEMS AND REPORTS
Total $237.33
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: � S . Permittee Signature:
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.
Oct 03 2001 11:20PM HP LR T FAX p.l
Electrical ' ermit A' IC FOR OFFICE USE ONLY
City of Ti ai ``U Received /� �,�/ Permit No..
13125 SW Hall Blv,., Tigard, OR 97223 �� (�c Datedi ' ...9 - I C JI� LC _ I • O0�
A n Plan Review
�
Phone: 503.639.41 1 Fax: 503.598.1960 \W. ,' /:i Other Permit:
fit i ,�,., a l i , I >, Date/By:
Inspection Line: 513.639.4175 ':_ ! , •- _-`',.J_., Date Ready/By: Suxi RI See. Page 2 for
Internet: www.ci.tir. d.or.us Jt '. , r,'S,1 .. Notified/Method: '�i /( ( Supplemental Information
ra t•_ 7 ; i?' - Y . •n t 1 - ;.r`..9 `rs r.» (% - .p .a g t�,: ,Lyin -- u
- , , a i � . i ? AJ , q J 1 :, .. t ,. - N` t1. i• �T _.b i`' �jTy Fs� ...L4...s' . u'- ,J'Y'L s& t �:`;
.J lL.__- .r. x n. t . ..r , .w ... � t. -u . .___�..�_�_. _Y,:�Si� > a�. v t:: ,�tt�:.:[�. _� .:. _
❑ New constru i on ❑ AZef1. 1 !.t eration/replacement Please { check all that apply:
• / ['Service over 225 amps, comm'I ❑Hazardous location
1: Demolition [v]"'Otlter
❑Service over 320 amps - rating ❑Bui ldng over 10,000 sq ft.,
itt-i s. . . � �.. . t , w E r - _- of I d 2
3 ` o and dwellings 4 or more new residential
:i. -�. ..r .,ns.. -.a.K....,x� .. .,_.. __i.: , ... . .. . _ _1t_.F. _ ..., .. .. - _. a . :.. _ . _�.. - _i_ _.�.�7''u���k�. . . �x'i
❑ 1 - and 2 famils dwelling ! ommercial/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
t s :- , a t r � DOccupant load Over 99 persons ❑Manufactured structures or
: : -1- t ": r, i 71 1 i 1 t J +dt .,• r l [ 1+ I%V.):24.,;•(.4$:-,,, 7 fi i : '-c
li x • :, ° t ..13 a .� : ,..i, �� --.�� ti t,,.6' .�_ t ,t -' i A ._.. ❑E gress / l i &lu n gp l an RV park
❑Health -care facility ❑Other:
Job no.: Job site address: 7 j 5 7 73 E,1 aa,d Submit 2 sets of plans with any of the above.
City/State/ZIP: -7
a rei 0 if?' _ The above a n ot applic to temporary c onstruction servi c .
Suite/bldg./apt. rib.: 1 Projectname: t ,4 3 w ., iz S y 'r S<"�a � w. F ,, :' :,,- :-,-. ..
Descri Qty. Fee. To !al
Cross street/direc ions to job site: New residential single- or multi - family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: 1 Lot no.: Ea. addl 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map/parcel n' Limited ever
3�ft�Tt �r 1; " ? ,. y f .:..ry^ S fir. 1:"= ' _, r . i 2a 4 energy, non 75.01) 2
.,,,,, I
ii � :T . ,::... ". s _, : c,. , .r'; 4 1-��' s ? ^r ' Frnmi._., _� i ' z .:, . , .,_. . x e _ b , : .. :. ; .. . . L-,...' L , ,
Each man or modular
dwelling, service and/or feeder , 90.90 2
Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 2
' ` �� tC ; s :4:, .. ti INi 14 sw el i i ', > :ie,: I-1�f -�! 4 �1 . iiL2. 401 a to 600 amps 160.60 2
Name: i
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City/State/ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85 1
Owner installati i n: This installation is being made on property that I own which is not 201 amps to 400 amps 10030 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
r s.. 2.s{ t; �, 4::e � +� _ �` :�'�3�,.— _w _ F , t. 1! a ) + 1 : i i,+ __K�... 1 '. ; �`� r -. �i ,. °, ' ix � ; �' 3 ' A . Fee for branch circuits with
;
Business name: branch circuit
fen; each
6.65 2
B. Fee for branch circuits
Contact name:
without service or feeder fee, / 46.85 y6 25 2
Address: each branch circuit
Each add'l branch circuit /y 6.65 9 .i' o 2
City / State/ZIP: Miscellaneous (service or feeder not Included)
Phone: ( ) I F es; ; ( ) Pump or irrigation circle 53.40 2
1 Sign or outline lighting 53.40 2
E-mail: • Signal circuit(s) or limited -
5 1 o- a<. P r ) .r. ' fA -: !i , ! ,r h ;i ir. ,,; fl W i °' .,.'.._ ' - g i- "s'VX - i .1 ,. energy panel, alteration, or
' " extens D escri b e: Page 2 2
Business name: '• C altsicih
Address: 3 .3,3 ` K7 Each additional inspection over allowable in any of the above
J Per inspection 62.50
City / State/ZIP: d 0 �yy 9 - q 7004.- Investigation per hour (1 la min) 62.50
Phone: (50-3 )9:2- 7 ziOO Fax: ( ) `78Z -7410/ Industrial plant per hour 73.75
CCB Lic.: n11;1 z Electrical Lie.: 3_3 4,/y c 1 Suprv. Lic.: 3 4 r 3 Subtotal /39,95
Suprv. Electriei • 1 signature, required,, - 4:7' , /o --'Y — Plan review (25% of permit fee)
Print name: 7 _ _ C Cosde. `&t Date: 3 / 6 /0 State surcharge (8% of perirt t fee) I. iq
TOTAL PERMIT FEE /V. iG4
Authorized sign re: This permit application expires if a permit is not obtained within 1
days after it hat been accepted as complete
, Print name: Date: + Fee methodology set by Tri- County Building Industry Service Board
"" Number of inspections per permit allowed.
i 1Building\P ermite\ELC- '�" 'tApp.doe 12/03 440 -461 ST( 10/02/COM/WEB
CITY OF TIGARD RECEIPT
DEVELOPMENT SERVICES RECEIPT DATE: g-7-06 ' °�p'I� 13125 SW rd, R JURISDICTION.: 17 (-
- -�' 503- 639 -4171 Hall Blvd., Tiga www. tigard O - or 97223 gov CASHIER DATE:
CASHIER RECEIPT #:
LINE ITEMS:
Case No. Fee Description Revenue Acct. No. Amount Due
Tc5v 1/-
; f
I �
I !
! t
i I
Total Due: $
❑ SEE ATTACHED FEE SCHEDULE.
PAYMENTS:
Payer: ! c c c Nr_c '
Method ; Initials Check No. Confirm No. Amount Paid
Cx- ok CAS - ...___.. 0 _ 7 9530 ... )5 J3°
Total Paid: $ )� / Jr
I:\Buil ding\ Forms\ Manua lPermitForms\ManualReceipt.doc 03/01/063/7/2006
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CITY OF TIGARD -.\-3-.
r• :iiiik
BUILDING DIVISION PERMIT #: #: ELC2006•10029
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/8/2006
Phone: (503) 639-4171 , p
Inspection Requests (24 Hrs.): (503) 639-4175 ...AA ......
INSPECTION WORKSHEET FOR DATE: 6/8/2006 TIME: 7:03AM PAGE: 26
SITE ADDRESS: 07157 SW BEVELAND RD CLASS OF WORK:
SUBDIVISION: BEVELAND LOT #: 003 TYPE OF USE:
PROJECT NAME: UNITED PACIFIC FOREST PRODUCTS
DESCRIPTION: WORK IS IN SUITE 200 ONLY. (15) branch circuits. 6/7106: Added (12) branch circuits.
OWNER: UNITED PACIFIC PROPERTIES LLC, PHONE #:
CONTRACTOR: R C COSTELLO ELECTRICAL CONTRACTING PHONE #: 503-982-7400
Inspection Request Scheduled For: Date: 618/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 031391-01 503-504-6758 Y
Corrections/Comments/Instructions: ,
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' PASS n PARTIAL APPROVAL Fi CANCEL pi NO ACCESS
I I FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
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Inspector: s U) L- Date: 6 A" (k, Phone #: (503) 718- 1 -- L i t- Vr)
, .
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006- 10023
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/8/2006
Phone: (503) 639- 4171u�Nf4l�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/7i2006 TIME: 7 :06AM PAGE: 20
SITE ADDRESS: 07167 SW BEVELAND RD CLASS OF WORK:
SUBDIVISION: BEVELAND LOT #: 003 TYPE OF USE:
PROJECT NAME: UNITED PACIFIC FOREST PRODUCTS
DESCRIPTION: (15) branch circuits.
OWNER: UNITED PACIFIC PROPERTIES LLC, PHONE #:
CONTRACTOR: R C COSTELLO ELECTRICAL CONTRACTING PHONE #: 503 -962 -7400
Inspection Request Scheduled For: Date: 6!7/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 031272 -01 503- 504 -6758 Y
Corrections /Comments /Instructions:
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I I PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL • CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: (� N68 '1 Date: � '�/0 Phone #: (503) 718- 2-� 0
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CITY OF TIGARD 4
BUILDING DIVISION - PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: -- - - - - .-1
Phone: (503) 639 -4171 �"�'�Np�yl l(I� E„ C200b 1 042+9
Inspection Requests (24 Hrs.): (503) 639 - 4175_..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: • 7/ 57 ( R .e p /`d —CLASS OF WORK:
SUBDIVISION: ( iJ "` LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: c
OWNER: PHONE 5 0D SSA' /D9 7
CONTRACTOR: D c j - PHONE #:
sp n Aeques Scheduled For: Date: Lf - / 0.- - PQUr „T,irrle:
Code # Inspection Description Confirm # . .'' Contact # Message'
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Corr ctions /Comments /Instructions: 7 f--
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❑ FAIL n CALL FOR INSPECTION • • 1 ITIONAL FEES ASSESSED
'AA-44' ' Inspector: Y- /0 - 0 6 Phone #: (503) 718-
CITY OF TIGARD
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BUILDING DIVISION # PERMIT #: �D (p X00 a. 7
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 14 #114
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: '7 /5 7 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Z/-7 - }° Pour Time:
Code # Inspection Description Confirm # Contact # Message
/36 .` 5L' - 7D - /¥
Cat.-e_k
Corrections /Comments /Instructions:
•
PASS 7 PARTIAL APPROVAL ❑ CANCEL [ I NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Y' v ( 3 Date: 1 4 7IVb Phone #: (503) 718- 2 i1 "tom•
CITY OF TIGARD ( ( J Z e 06 o4._ e 2y
BUILDING DIVISION ,` PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 . ru � i �.� t
Inspection Requests (24 Hrs.): (503) 639 -4175 :....�� ":_..
INSPECTION WORKSHEET FOR DATE: TIME: PA `4
SITE ADDRESS: 7 I 5 6-A-4 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
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�_v OWNER: (� �N� ' PHONE #:
CONTRACTOR: (� PHONE #: Sd V 72_1 y
Inspection Request Scheduled For: Date: Pour Time: &- X
#
Code Inspection Description Confirm # Contact # Message u .
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Corrections /Comments /Instructions:
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►1 PASS PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: C744?-t ®`° tI Q Date: 1 4 Phone #: (503) 718- . 244 / 0 V"