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Permit
ELECTRICAL PERMIT CITY OF TIGARD PERMIT #: ELC2006 -10002 DEVELOPMENT SERVICES DATE ISSUED: 2/14/2006 m 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171 PARCEL: 1S126BC - 01506 SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 300 ZONING: C - G SUBDIVISION: LOT : JURISDICTION: TIG Project Description: (20) branch circuits for receptacles. 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: 19 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: WYSE INVESTMENT SERVICES CO R C COSTELLO ELECTRICAL CONTRACTING 111 SW 5TH AVENUE #1100 PO BOX 336 PORTLAND, OR 97204 AURORA, OR 97202 Phone: 503 - 294 - 0400 Contact #: PRI 503 - 982 -7400 FAX 503- 982 -7401 FEES Description Date Amount Reg #: LIC 87402 [ELPRMT] ELC Permit 2/14/2006 $173.20 ELE 3-344C [TAX] 8% State Surcharge 2/14/2006 $13.86 SUP 39345 Total $187.06 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: _4-7 7,0 t � �� Permittee Signature: _CI ,P. \ , 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. 7 ,...„..e... ° RF° Electrical Permit • i l ' 0 rit` OFFiC USE ONLY , \ - q � I City of Beaver n !El m Received ' ../ d4 �` Pemnt No V rT4)'56 —; ead, _, ` PO Box 4755 eaverton, OR 9707 Date Issued. By: � �N„ — g' Phone (5 526 -2403; Fax: (503) 526 -25'50 - 4 2006 Inte et address: www.ci.beavegon.or.us Payment Type: j } 1 . ►rY or- TiG AFID v TYPE OF WOR MADIN . P LAN REVIEW C ©1 NISION Please check all that a ❑ New construction Ad dition/alteration/replacement pps, ❑Service over 225 amps, comm'I ❑Hazardous location ❑ Demolition ❑ Other: ❑ Service over 320 amps — rating g ❑ Buildng over 10,000 sq. ft., CATEGORY OF CONSTRUCTION of I - and 2- family dwellings 4 or more new residential ❑System over 600 volts nominal units in one structure ❑ 1 - and 2- family dwelling RLommercial /industrial ❑ Accessory building ❑Building over three stories ❑Feeders, 400 amps or more ❑ Multi- family ❑ Master builder ❑ Other: ❑Occupant load over 99 persons ❑Manufactured structures or ❑Egress/lighting plan RV park JOB SITE INFORMATION AND LOCATION ❑Other: ❑Health - care facility Job no.: Job address: 9020 .S i) ra1G)&/115 ji1 Submit _ sets of plans with any of the above. / The above are not applicable to temporary construction service. City/State/ZIP: Description I" FEE* SCHEDULE Suite/bldg. /apt. no. aue+c 300 Project name: Ae!k,�' I Qty. I Fee. I Total I •• New residential single or multi - family dwelling unit. Cross street/directions to job site: ,AIL Includes attached garage. C. 1,000 sq. ft. or less 81 40 4 Ea. add'I 500 sq. ft or portion 14 50 Subdivision: Lot no.: Limited energy, residential 19.35 2 Tax map /parcel no.: Limited energy, non - residential 38.30 2 Each manufactured or modular 38.30 2 DESCRIPTION OF WORK dwelling, service and/or feeder Services or feeders installation, alteration, and/or relocation B /A/IeJ ( //( L-h J —0aop /Q C &r 200 amps or less 48.40 2 201 amps to 400 amps 57.65 2 ❑ PROPERTY OWNER I ❑ TENANT 401 amps to 600 amps 95.90 2 601 amps to 1,000 amps 125.40 2 Name: Over 1,000 amps or volts 288 65 2 Address: Reconnect only 38.30 1 Temporary services or feeders installation, alteration, and/or City/ State/ZIP: relocation34.80 200 amps or less 38.30 2 Phone: ( ) Fax: ( ) 201 amps to 400 amps 53.25 2 Owner installation: This installation is being made on property that I own, which is not 401 amps to 600 amps 7700 2 intended for sale, lease, rent, or exchange. Branch circuits - new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with ❑ APPLICANT I ❑ CONTACT PERSON service or feeder fee, each 175 branch circuit �� 2 Business name: B. Fee for branch circuits without service or feeder fee, / 6 y 33 Contact name: each branch circuit 65 - - r° a Each add'l branch circuit /q - ->;2.6 _ J Address: Miscellaneous (service or feeder not included) City/State /ZIP: Pump or Irrigation circle 38.30 2 Sign or outline lighting 38.30 2 Phone: ( ) Fax: ( ) Signal circuit(s) or limited - E- mail: energy panel, alteration, or 38.30 extension. Describe: CONTRACTOR 2 �/� � Each additional inspection over allowable in any of the above Business name: " "-' ��e�% Per inspection 33 90 Address: ?o. Sox 3 3 4 Investigation fee City/State/ZIP: %yre/ a CJ 7002- Other' ELECTRICAL PERMIT FEES* Phone: ( 5O3 ) 9jj - 7y00 Fax: (S03 )982- 7Liao / Subtotal / 73 2 0 Lic. no.: 3 -34/z/ ( CCB lic. no.: 571/0 Z Plan review ( 25% of permit fee) Supervising e lectrician „,...,.. �c signature, required: State surcharge (8 /o of permit fee) /..57 6 Print name: 7 1' 1 Date: 2 /Ai /06 TOTAL PERMIT FEE 7 a6 Authorized This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete signature: • Fee set by Tn- County Building Industry Service Board Print name: Date: •• Number of Inspections allowed per permit 440 -4615T (5/03 /COM/WEB) CITY OF TIGARD � BUILDING DIVISION PERMIT #: z c _ 6 eQ 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 ,„111.• ..': 1 L INSPECTION WORKSHEET FOR DATE: TIME: PAGE: • SITE ADDRESS: 9 o a v c04- ✓ s & , : ' CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request S • - • uled For. Date: ? /O 'O( Pour Time: Code # • s ec 'on scription Confirm # Contact # Message Correctio . /Comments /Instructions: • ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Y-10 - to 6 Phone #: (503) 718- , CITY OF TIGARD . BUILDING DIVISION PERMIT #: EI- t:20A0 10002 13125 SW Hall Blvd., Tigard, OR 97223 . • • DATE ISSUED: 2/14/200 6 Phone: (503) 639 -4171 (� Inspection Requests (24 Hrs.): (503) 639- 4175'I �.. INSPECTION WORKSHEET FOR DATE: 2/27/2006 TIME: 7:01AM PAGE: 21 SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 300 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: AEROTEK DESCRIPTION: (20) branch circuits for receptacles. OWNER: WYSE INVESTMENT SERVICES CO, PHONE #: 603/294- (f4C30 CONTRACTOR: R C.COSTELLO ELECTRICAL CONTRACTING PHONE #: 503..982- 74f10 Inspection Request Scheduled For: Date: 2127/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message • 126 A/aIl cover 02760501 503. 540.6768 N Corrections /Commen s nstructions: I21 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ' ❑ ADDITIONAL FEES ASSESSED Inspector: 6 U.) Date: V 6 718-1/1 Phone #: (503) 718 -� CITY OF TIGARD .1 BUILDING DIVISION PERMIT #: 0o06 — /000 ..___, 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 A il Inspection. Requests (24 Hrs.): (503) 639 -4175 "_ INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: 90 Z O tO 5 ©- • 3C) C CLASS OF WORK: SUBDIVISION: • TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3 - /s D Pour Time: Code &# Inspection Description Confirm # Contact # Message �j �Coofis /Com ments /Instructions: (..'e. 1 t N 1 z �' r N b Pti`EV V NI *I 1 L. Ps, LLQ iA1z�r6N NIZ visL,6 eact b(.8Ttso 0J6 ., PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: L. U " O3 L. Date: 3114 () Phone #: (503) 718- 114/1). _