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Permit — CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2007 -00107 COMMUNITY DEVELOPMENT DATE ISSUED: 2/20/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S126BC -01506 SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 510 ZONING: C -G SUBDIVISION: ONE EMBASSY CENTER LOT : JURISDICTION: TIG PROJECT: MAKENA MORTGAGE Project Description: (2) branch circuits for receptacles & lights. 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: 1 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: PORTLAND OFFICE ASSOCIATES R C COSTELLO ELECTRICAL CONTRACTING BY TC PORTLAND, INC PO BOX 336 8930 SW GEMINI DR AURORA, OR 97202 BEAVERTON, OR 97008 Phone: Contact #: PRI 503 - 982 - 7400 FAX 503 - 982 -7401 FEES Description Date Amount Reg #: ELE 3 -344C [ELPRMT] ELC Permit 2/20/2007 $53.50 LIC 87402 [TAX] 8% State Surcharge 2/20/2007 $4.28 SUP 3934S Total $57.78 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: �(/ f 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 Application roll orrICl VVsr. o:\ IS 71 City of Tigard Received 4 vi " - 7 ► ,, , Permit No. u„,2 / -00 I Q . 13125 SW Hall Blvd., Tigard, OR 97223 plan Review R Phone: 503.639.4171 Fax: 503.598 1960 Date/B Other Permit TI G n K U Inspection Line: 503.639.4175 Date Ready/By iris IA See Page 2 for Internet: www.tigard- or.gov Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW Please duck all that p1 ❑ New construction © Addition /alteration/replacement apply (submit z sets plans wstems checked below) ❑ Demolition ❑Other' ❑ Service or feeder 400 amps or more ❑ Building over three stories where the available fault current ❑ Marinas and boatyards CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. ❑ 1- and 2- family dwelling Er Commercial/indu atrial ❑ Accessor buildin less for other or exceeds 14,000 ❑ Commeraal use agncultural Y g amps for all other installationns bwldlags. ❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump ❑ Installation of 75 KVA or ❑ Emergency system larger separately den ved system JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ", 9 020 SI♦.� t� 100HP or more occupancy Job no.: Job site address: q {� I �a . (4( ❑ Six or more residential units ❑ Recreational vehicle parks. City /State/ZIP: ❑ Health-care facilities ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal C$ut b ldg /apt n0.: Pro Project name: ❑ Service or feeder 600 amps or more. �� J /�� / �PVTl1 � J U i l FEE SCHEDULE Cross street/directions to job site: Description I Qty. I Fee. I Total 1 • New residential single- or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Ea. add'I 500 sq. ft. or portion 33.40 1 Tax map/parcel no.: Limited energy, residential 75.00 2 DESCRIPTION OF WORK (with above sq. ft ) -3-0/1/C /, Limited energy, multi - family � / ` G8 (II�7iG . J /�.. fill � f residential (with above sq. ft.) 75.00 2 Services or feeders installation and/or relocation I 200 amps or less 80.30 2 ❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 Name: 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 City/State/ZIP: Temporary services or feeders installation, alteration, and/or relocation _ Phone: ( ) Fax: ( ) 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 599 amps 133.75 2 Branch circuits - new, alteration, or ex tension, per panel Owner signature: Date: A. Fee for branch circuits with ❑ APPLICANT I ❑ CONTACT PERSON above service or feeder fee, each branch circuit 6 2 Business name: B. Fee for branch circuits without service or feeder fe e, 1 46.85 2 Contact name: first branch circuit Address: Each add'l branch circuit / 6.65 2 Miscellaneous (service or feeder not included) City/State/ZIP: Each manufactured or modular 90.90 2 dwelling, service and/or feeder Phone: ( ) Fax: : ( ) Reconnect only 66.85 - 2 E -mail: Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 Business name: � a /, ii / Signal circuit(s) or limited - energy panel, alteration, or Address: f o , 30 y /7 6 extension. Describe: Page 2 2 City /State/ZIP: A - 0 c (i, 0 j e ,,e ) --, ,. ? Each additional inspection over allowable In any of the above Phone: ( S0 ;7) a el -] 6/ u Fax: ( ) / Per inspection 62.50 5 �/. L/ Investigation pa hour (I hr mm) 62.50 CCB Lie.: (C/4/(") "r' Electrical Lic.: 3 L Suprv. Lic.: 3q 3 c-f _I Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES Suprv. Electrician signature, required Subtotal: ' / Print name:%, , 9 , ( . ./3 P D -) / Plan review (25% of permit fee): i ` '. -C)I +e �3 r l - 0 / St ate surcharge (8% of permit fee) y,� Authorized signature: TOTAL PERMIT FEE. sq. 7Y Print name: This p ermit application expires if a permit is not obtained within 180 Date: days after it has been accepted as complete. • Number of inspections allowed per perrmt t lau u\E ilding\PainiLC- Perm,Upp doe 05/23/06 440-4615T(I 1/05/COM/W® s _ Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: aRESIDENTIAL�W.ORS,ONLY ` `ffe7;' " . 'N;;� `E01,'11 rc�� -�z �,., r , mss., � �,, ,.x. �. ���� �. ;s ., Fee for All residential systems combined $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other. C014IMERCIAI WORg ONI Y� ` 'x Jai. M' :;1: ;'F 4<i4 Fee for each commercial $75.00 system (SEE OAR 918- 260 -260) Check Type of Work Involved: • ❑, Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation • ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I \BuildingWmnii \ELC- Pemlapp doc 03/23/06 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007 -00107 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/20/2007 Phone: (503) 639 -4171 - Inspection Requests (24 Hrs.): (503) 639 -4175 sr� e7 l l �� INSPECTION WORKSHEET FOR DATE: 3/15/2007 TIME: 7:01AM PAGE: 9 SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 510 CLASS OF WORK: SUBDIVISION: ONE EMBASSY CENTER LOT #: TYPE OF USE: PROJECT NAME: MAKENA MORTGAGE DESCRIPTION: (2) branch circuits for receptacles & lights. OWNER: PORTLAND OFFICE ASSOCIATES, PHONE #: CONTRACTOR: R C COSTELLO ELECTRICAL CONTRACTING PHONE #: 503. 982 Inspection Request Scheduled For: Date: 3/15/2007 Pour Time: Code # Inspection Description -Conf # Contact # Message 199 Electrical final 4887 -01 503 -504 -7214 N Corrections /Comments /Inst ctions: • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: CY' IV Date: 1 31 I tit Phone #: (503) 718- 1,144-() _ _ • • CITY OF TIGARD • BUILDING DIVISION PERMIT #: ELC2007 -00107 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 212012007 Phone: (503) 639 -4171 �►�', I�I Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3/13/2007 TIME: 7 :02AM PAGE: 7 SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 510 CLASS OF WORK: • SUBDIVISION: ONE EMBASSY CENTER LOT #: TYPE OF USE: PROJECT NAME: MAKENA MORTGAGE DESCRIPTION: (2) branch circuits for receptacles & lights. • OWNER: PORTLAND OFFICE ASSOCIATES, PHONE #: CONTRACTOR: R C COSTELLO ELECTRICAL CONTRACTING PHONE #: 503 - 902 - 7400 Inspection Request Scheduled For: Date: 3/13 /2007 Pour Time: Code # Inspection Description - - - ' s # Contact # Message 130 Ceiling cover 044748-01 503 - 504 -6758 N Cor sections /Comments / Instructions: d kt.fs oNL law, ft mat c c ) S NA 19 No0 JO . 1n1 -L s , 1�s) . @O--o∎.11Z . .0 - s .5 iy (1. cEc ti So FAR. c� c,c � N � -i Gcz Nola S IA 0, D PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: C N VZ L Date: 3.11'01 Phone #: (503) 718 - 2 k CITY OF TIGAR.D . •'. BUILDING DIVISION PERMIT #: ELC2007-00107 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/2012007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3/12/2007 TIME: 7:01AM PAGE: 13 SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 510 CLASS OF WORK: SUBDIVISION: ONE EMBASSY CENTER LOT #: TYPE OF USE: PROJECT NAME: MAKENA MORTGAGE DESCRIPTION: (2) branch circuits for receptacles & lights. OWNER: PORTLAND OFFICE ASSOCIATES, PHONE #: CONTRACTOR: R C COSTELLO ELECTRICAL CONTRACTING, PHONE #: 503-962-7400 Inspection Request Scheduled For: Date: 3112E2007 Pour Time: Code # Inspection Description /Confirm` # Contact # Message 130 Ceiling cover 044659 -01 503- 504 -6758 N Corrections /Comments /Instructions: 4 c o �.�V,a wNAIILIX —100 P futvi'pr 413 Q LA, IN CZ U p q 6f cb c av sue`? ?Nalot IN)Speci 10 WILL, ctariNoE- The electrical installation defects noted on this report shall be corrected and an inspection request made. within 20 calendar days per OAR 918- 271 -0030 n PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS 4(i FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • Inspector: CT • IA 66 Date: 312.01 Phone #: (503) 718- VILA) CITY OF TIGARD • . :,= BUILDING DIVISION • PERMIT #: ELC2007 -00107 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/20/2007 Phone: (503) 639 -4171 11' Inspection Requests (24 Hrs.): (503) 639 -4175 s' '''I�.. INSPECTION WORKSHEET FOR DATE: 2/2 TIME: 7 :00AM PAGE: 9 SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 510 CLASS OF WORK: SUBDIVISION: ONE EMBASSY CENTER • LOT #: TYPE OF USE: PROJECT NAME: MAKENA MORTGAGE DESCRIPTION: (2) branch circuits for receptacles & lights. OWNER: PORTLAND OFFICE ASSOCIATES, PHONE #: CONTRACTOR: R C COSTELLO ELECTRICAL CONTRACTING PHONE #: 503-982. • Inspection Request Scheduled For: Date: 2/21/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 125 Wall cover 043685 -01 503 - 504.7214 N Corrections /Comments /Instructions: • • • • • PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: • Nbe) L Date: 2/94 0 Phone #: (503) 718- 211/� • •