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Permit • CITY OF TIGARD ELECTRICAL PERMIT !p PERMIT #: ELC2006 -00653 COMMUNITY DEVELOPMENT DATE ISSUED: 11/14/2006 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 102AC -01701 SITE ADDRESS: 12700 SW PACIFIC HWY ZONING: CBD SUBDIVISION: LOT : JURISDICTION: TIG Project Description: 6 branch circuits for TI 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: SIGNAUPANEL: MANF HMI 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: 5 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: CHC ENTERPRISES LLC R C COSTELLO ELECTRICAL CONTRACTING 18100 SW KRAMIEN RD PO BOX 336 NEWBERG, OR 97132 AURORA, OR 97202 Phone: 503 - 516 -9509 Contact #: PRI 503- 982 -7400 FAX 503 - 982 -7401 FEES Description Date Amount Reg #: ELE 3 - 344C [ELPRMT] ELC Permit 11/14/200( $80.10 LIC 87402 [TAX] 8% State Surcharge 11/14/200( $6.40 SUP 3934S Total $86.50 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: 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. Electrical Permit App s' t•�OE1VED FOR OFFICE USE ONLY City of Tigard Receive I i Iii l 6 Permit No��� �, s / 13125 SW Hall Blvd., Tigard, OR 97223 NOV 1 Plan a/B f 6 V ((Dp ° ® ° g �oo � t y ; eview d a4d , ,, Other Permit: Phone: 503.639.4171 Fax: 503.598.1960 i � ; I ,f, y, Inspection Line: 503.639.4175 -r - 1 Date Ready/By: Jura p CITY OF TIG Internet: www.ci.tigard.or.us {{�� (� ('� (� \/` ' -( NoNotified/Method: ed/Method: � Hi See Page 2 for Supplemental Information r. fir. "'! <. ! t t,7r. .t _ :mod+ �! IN°!15.'f IM45.�1,01;�r 7 z l m r .... y.; , ..tl _ .w_cr v'tLri- 41ti,�.- •a� rrr.,'•^,' C ' s - .. •, ,-,.:; l ri::Q '',,_I "`,„._:7;: 1. -- .. • DEL...... R WI.-i -. • ❑ New construction ❑ Addition/alteration/replacement Please check all that apply: " ❑ Demolition ❑ Other: ['Service over 225 amps, comm'l ['Hazardous location h � , r ._ .,.,.: _ ,, R; ,� , , _ OService over 320 amps - rating ❑ Buildng over 10,000 sq. ft., e ., .tr Demolition i r y` � "`" ' , ' d.:� . ' of 1- and 2- family dwellings 4 or more new residential � `E� - .,�� dt' 1c 7 m 0 'OSzRi , �aae•r.. a tl^ I [ - uu^:ua euue;, t p a- i.':,. : : t 'rs -x' ❑ 1 and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure ❑ Multi - family 0 builder ❑Other: ❑Building over three stories OFeeders, 400 amps or more y � F ,ry Master , O ❑Occupant load over 99 persons ['Manufactured structures or ` 13 10 r :.r_i,... >t` • i l.., RV park f�: �'.�., .. .?��� ��1(Q� C .,.- .;� ".r..:.� -;`?", �,';'w,.- ", ❑E Egress/lighting plan R p `' � �rL' - ,5'r,Ls' .t;,�,r..,,�1YS:- 1.3�''`�. �`i Aae. r'v.r M�ly � g g Job no.: Job site address: /2 '700 (,U ❑Health - care facility ❑Other: Taci L i4� Submit 2 sets of plans with any of the above. City /State /ZIP: 6y d o Z.. The above are not applicable to temporary construction service. Suite/bld ./ t � '�` ° ". ` zFEE* S1lEAULE. .. g apt. no. Project name: ~., ` ' Description I Qty. I Fee. I Total I Cross street/directions to job site: I rhhi vuk6 New residential single- or multi - family dwelling unit. 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 1 -� tr s . w w Limited energy, non - residential 75.00 2 '=r> '- 4a : in, s u =,_ psi D - T :,0, `,'Q - ., 11 ,�}r .r "• , �: ..:+�'`;��s= ��;e]u� ��� :`. „1��' 7 '. Each manufactured or modular � j / 1 / dwelling, service and /or feeder 90.90 2 / -`rret/V C� "rte: T - L. A 7 J ' eP eb - Services or feeders installation, alteration, and /or relocation 200 amps or less 80.30 2 r Isar; E : p Irp •,W Wi t '' 7 & .M . , i *�''_ ,� �i 4 ma y.,•: t. s , ,.. -:. - , .. • . food.;~ - -f.'. ,:...r � `.. .) i !'A .. - 3_' v 6 J ' � ',Leli p f 11� ':7"U:' �: .� ,'' ". . 201 amps to 400 amps 106.85 2 . �• ti ,', „-• F . , 1I �G� .. '� �'.: v�... •,:... ' •1 401 amps to 600 amps 160.60 2 Name: C- NC C ale r f or iS t 3 601 amps to 1,000 amps 240.60 2 Address: / 8100 lerCIO e "R.() Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City/State /ZIP: NQ w 13 (,� r / ' � Z Temporary services or feeders installation, alteration, and /or Phone: ( 5'03) S I e - GI sag Fax: ( ) 20 200 0 a amps m 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 •MV 1 j; _�!4' 'su�e�g -aF;� ,r +-• x *.0 r A. Fee f b ran �, r � �,:��'• �; rl�ms�`t!._ .i���+�c i� branch circuits with service or feeder fee, each 6.65 2 Business name: branch circuit B. Fee for branch circuits Contact name: without service or feeder fee, each branch circuit 46.85 / rg 2 Address: [v V Each add'l branch circuit 6.65 .2, 2 City/State /ZIP: Miscellaneous (service or feeder not included) Phone: ( ) I Fax:: ( ) Pump or irrigation circle 53.40 2 Sign or outline lighting 53.40 2 E -mail: �+ Signal circuit re.' ".F."• i. tita4.5 circuit(s) or limited - ��Mata " I '- © p� � �'a- Ar ,M ` ' �t'a': +' e k� , yy, V- .. energy panel, alteration, or F `-� r � ( "cos -/ e 7 JJ extension. Describe: Page 2 2 Business name: / / Address(? (J` j30,,, 33 Each additional inspection over allowable in any of the above Per inspection 62.50 City /State/ZIP: (//rSt' A o 4 q 7 do Z-- Investigation per hour (1 hr min) 62.50 Phone: ('&3) qg •) Loo) Fax: (5 )082....- 74,O Industrial plant per hour 73.75 CCB Lic. (4� '; ' ' ,,_.• ik'i.:K ? EAVfi '1R, ,`I�t"f 'F'h�1J,S.' , , . -'. :�7�10Z Electrical Lic.: 3- 3 ( Suprv. Lic.: 3 � 3y s Subtotal %. IQ Suprv. Electrici signature, required�� ( � Plan review (25% of permit fee) Print name: �/ C a , S , /� / // State surcharge (8% of permit fee) jJ - Date: TOTAL PERMIT FEE Authorized sign re: This permit application expires if a permit is not obtained wit;? 80 /� days after it has been accepted as complete ' .5 Print name: Date: • Fee methodology set by Tri- County Building Industry Service Boar •• Number of inspections per permit allowed. i:\Building\Permits\ELG 'tApp.d c 12/03 440- 4615T( / 02/C B l( 13I �- / •O l4 /f 0 CITY OF TIGARD BUILDING DIVISION PERMIT #: EI..C200&00653 13125 SW Hall Blvd., Tigard, OR 97223 . DATE ISSUED: 11/14/2006 Phone: (503) 639 -4171 a � Inspection Requests (24 Hrs.): (503) 639 -4175 Fi�1 t.. INSPECTION WORKSHEET FOR DATE: 12/21/2006 TIME: 7 :00AM PAGE: 35 SITE ADDRESS: 12700 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: FARMERS INSURANCE AGENCY DESCRIPTION: 6 branch circuits for TI OWNER: CHC ENTERPRISES LLC, PHONE #: 503- 516 -9509 CONTRACTOR: R C COSIELLO ELECTRICAL CONTRACTING PHONE #: 503-982-7400 Inspection Request Scheduled For: Date: 12/21/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 041417 -01 503.504 -6758 Y Corrections /Comments /Instructions: L3 PcS c ` I V PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ' V 6e Date: r14 i O'Ij Phone #: (503) 718- AIL_ CITY OF TIGARD BUILDING DIVISION - PERMIT #: ELC2006 -00653 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/14/2006 Phone: (503) 639 -4171 w ;p ' Inspection Requests (24 Hrs.): (503) 639 -4175 W" 1 INSPECTION WORKSHEET FOR DATE: 12120/2006 TIME: 7 :00AM PAGE: •i6 SITE ADDRESS: 12700 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: FARMERS INSURANCE AGENCY DESCRIPTION: 6 branch circuits for TI OWNER: CHC ENTERPRISES LLC, PHONE #: 503- 616.950g CONTRACTOR: R C COSTELLO ELECTRICAL CONTRACTING PHONE #: 503 -982 -7400 Inspection Request Scheduled For: Date: 12/20/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 041335 -01 503-504 -6758 Y Corrections /Comments /Instructions: L 63 P c Sj Q P 61E R P ACV 4 08.4 A(b c,6c 7 1.0 LA L Pit_l_ c.1cz, v 1 6 aff :- S PA L- "gOA ∎Se S n M (2 -t.NA Z.5 INVQR. -eb 6�JAA's - ■N `1S a �� ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 3\R» 68 L Date: 12 - 20 1 � Phone #: (503) 718- 2 - C N V CITY OF TIGARD A • BUILDING DIVISION PERMIT #: ELC2006.00653 . 13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED: 11/14/2006 Phone: (503) 639 -4171 J - gvuy i ,�i� Inspection Requests (24 Hrs.): (503) 639 -4175 __.. INSPECTION WORKSHEET FOR DATE: /2/15/2006 TIME: 7 :04AM PAGE: 17 SITE ADDRESS: 12700 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: FARMERS INSURANCE AGENCY DESCRIPTION: 6 branch circuits for TI OWNER: CHC ENTERPRISES LLC. PHONE #: 503.516 -9509 CONTRACTOR: R C COSTELLO ELECTRICAL CONTRACTING �� PHONE #: 503 - 982 -7400 Inspection Request Scheduled For: Date: 12/15/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 041166 -01 503- 504 -6758 Y Corrections /Comments /Instructions: 1 - 4 A t `1 0.3 1Ea1/4S3tt...S PI.L RI c^kliC -3 'V o e pJO LL IAALL. . (yo c St) . 1A' s ; u---„ kR.K REPAA`43...ED vAk cvs 1' E Ate 1 c E D c —e,a_ c L ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL El NO ACCESS F AIL Si, CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: �'' 068 ` ''� Date: 12 1 161 Oh Phone #: (503) 718- z40 CITY OF TIGARD $ • _ BUILDING DIVISION PERMIT #: ELC200&•0066 {13 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/14/2006 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639- 4175 INSPECTION WORKSHEET FOR DATE: 12/14/2006 TIME: 7 :02AM PAGE: 9 SITE ADDRESS: 12700 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: RselvlERS INSURANCE AGENCY DESCRIPTION: 6 branch circuits for TI OWNER: CHC ENTERPRISES LLC, PHONE #: 503 - 51(•9509 CONTRACTOR: • R C COSTELLO ELECTRICAL CONTRACTING PHONE #: 503982 - 7400 Inspection Request Scheduled For: Date: 12/14/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 041112 -01 503-504-6758 Corrections/Comments/Instructions: L — P C S . - Ck trO t Its1 s e& ► 0N %Kb A ZN AL. t LIas s- . cfis p riP t5 , i3 ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL N yi CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector:. 1 L Date: 4 Phone #: (503) 718 - 2-4Lfi CITY OF TIGARD _ BUILDING DIVISION PERMIT #: ELC2006-00653 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/14/2006 Phone: (503) 639 -4171 ��"4p y Inspection Requests (24 Hrs.): (503) 639 -4175 ' - I I .. INSPECTION WORKSHEET FOR DATE: 11/15/2006 TIME: 7 :07AM PAGE: 26 SITE ADDRESS: 12700 SW PACIFIC HWY CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: FARMERS INSURANCE AGENCY DESCRIPTION: 6 branch circuits for TI OWNER: Cl IC ENTERPRISES LLC, PHONE #: 503-516.99509 CONTRACTOR: R C COSTELLO ELECTRICAL CONTRACTING PHONE #: 503 Inspection Request Scheduled For: Date: 11/15/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 125 Wall cover 039796 -01 503504 -6758 N Corrections /Comments/ Instructions: 1zy,PASS ❑ PARTIAL APPROVAL ❑ CANCEL 111 NO ACCESS � \ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Cf 1•\ �`.--C Date: ‘l� 161 CJ4 Phone #: (503) 718114