Permit CITY OF TIGARD ELECTRICAL PERMIT
OF PERMIT #: ELC2007 -00106
COMMUNITY DEVELOPMENT DATE ISSUED: 2/20/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 126BC -01506
SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 560 ZONING: C -G
SUBDIVISION: ONE EMBASSY CENTER LOT : JURISDICTION: TIG
PROJECT: GRESS LAW FIRM
Project Description: (6) 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: 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:
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 $80.10 LIC 87402
[TAX] 8% State Surcharge 2/20/2007 $6.41 SUP 39345
Total $86.51 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: C�
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.
- Elti trical Permit Application Foe OFFICE tali: ONLY
City of Tigard Received / ii 1"
-7 2 Permit No. . ', i - C.d /6
.74 q 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Date/B Other Permit
TI G n It D Inspection Line: 503.639.4175 Date Ready/By: runs HI See Page 2 for
Internet: www.tigard- or.gov Notified/Method Supplemental Information
SY OF WORK PLAN REVIEW
❑ New construction L Addition/alteration/replacement Flees all that �dy (submit 2 sets of plans wiltems checked below)
CI Service or feeder 400 amps or more ❑ Building over three stories
❑ Demolition 0 Other
where the available fault anent ❑ Marinas and boatyards
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings
less to ground, or exceeds 14,000 ❑ Commercial -use agncultural
El 1- and 2- family dwelling Co mmercial/industrial ❑ Accessory building amps for all other installations buildings
❑ Multi- family ❑ Master builder ❑ Other: ❑ Foe pianP. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ EmCfgency system. larger separately den ved system
❑ Addition of new motor load of ❑ "A ", "E ", "I -2 ", "1 -3 ",
Job no.: Job site address: r 100HP or more occupancy.
(0 �� GU,. S / si n y C11v �r ./ ' ❑ Six or more residential units ❑ Recreational vehicle parks
City/ State/Z1P: J ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations 600 volts nominal
ui /bldg./apt. no.: s 6 ® Project name: rQ S Z f __ ' r r'y' ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description I Qn• I Pee. I Total I •
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
DESCRIPTION OF WORK (with above sq. ft.) 75.00 2
,O t; Fr -, Limited energy, multi - family 75.00 2
/l'te 4 (( oP d / F Ir °` d ,> „ �i € � l � i residential (with above sq. ft.)
dl Services or feeders installation and/or relocation
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 extension, per panel
Owner signature: Date:
I A. Fee for branch circuits with
❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee,
each branch circuit 6.65 2
Business name: B. Fee for branch circuits
without service or feeder fee,
Contact name: first branch circuit ) 46.85 5�ti �� 2
Address: Each add'l branch circuit r 6.65 3725 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
� � n .;/ y Signal circuit(s) or limited -
Business name:---F0 ¢ energy panel, alteration, or
Address PO, ., R 33 ; / extension. Describe: Page 2 2
v
City/State/ZIP: /42,,,—,),,-;, 0, r -,. Each additional inspection over allowable In any of the above
Per inspection 62.50
Phone: (SOS ) e/$ - 6 . 4 ;6, Fax: (gy ) of ( 5'g ) / / Investigation per hour (1 hr min) 62.50
CCB Lic. 7L/IZ__ Electrical Lic.: ' - 3 (--/ t Suprv. Lic.: 313 t / Industrial plant per hour 73.75 _
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required :,......____ Subtotal: W, ) l)
Print name: % _ ( 4 J, /� z / J ) Pl an rev i ew ( 25% of permit fee):
� !`-� ' t Date: ( • State surcharge (8% of permit fee): 0 V I
Authorized signature: TOTAL PERMIT FEE: isiv6 57
Print name: Date: This permit application expires if a permit is not obtained within 180
days after It has been accepted as complete.
• Number of inspections allowed per permit.
1 \Building\ Pem,itsELC- PamitApp doe 05/23/06 440a6IST11 I/05/COM/WFB
Electrical Peit Application - City of Tigard
rm
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
NTIAVNORit ONLYagUE F 4 6 5 . ":.� n 4 ,,
Fee for all residential systems combined ... $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
El Burglar Alarm
El Garage Door Opener*
El Heating, Ventilation and Air Conditioning System*
E l Vacuum Systems*
El Other.
WCOMMERCIAI WORgcONLY='S',v`j "Y;T'P
Fee for each commercial $75.00
system
(SEE OAR 918 - 260 -260)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
El Clock System'
ystems
El Data Telecommunication Installation
El Fire Alarm Installation
El HVAC
E l Instrumentation
El Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
El Nurse Calls
El Outdoor Landscape Lighting*
El Protective Signaling
El Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I BuildingTamib\ELC- PamitApp doc 0323/06
•
• CITY OF TIGARD
BUILDING DIVISION A ti� PERMIT #: ELC2007 -00106
13125 SW' Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/20/2007
Phone: (503) 639 -4171 �w l
Inspection Requests (24 Hrs.): (503) 639 -4175 II�
INSPECTION WORKSHEET FOR DATE: 3/30/2007 TIME: 7:00AM PAGE: 37
SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 560 CLASS OF WORK:
SUBDIVISION: ONE EMBASSY CENTER LOT #: TYPE OF USE:
PROJECT NAME: GRESS LAW FIRM 1
DESCRIPTION: (6) 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: 3/30/2007 Pour Time:
Code # Inspection Description • • • •1 # Contact # Message
199 Electrical final 045742 -01 503- 706 -3211 . Y
t
Corrections /Comments / Instructions:
, ,A, , .
•
\ .
, ,
itv
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �� • 66 �— Date: 1.30 `0'1 Phone #: (503) 718- 20LI
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00106
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/20 /2007
Phone: (503) 639 -4171 !�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3/29/2007 TIME: 7:00AM PAGE: 7
SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 560 CLASS OF WORK:
SUBDIVISION: ONE EMBASSY CENTER LOT #: TYPE OF USE:
PROJECT NAME: GRESS LAW FIRM
DESCRIPTION: (6) branch circuits for receptacles & lights. •
OWNER: PORTLAND OFFICE ASSOCIATES. PHONE #:
CONTRACTOR: R C COSTELLO ELECTRICAL CONTRACTING PHONE #: 503 - 982 - 7400
Inspection Request Scheduled For: Date: 3/29/2007 Pour Time:
Code # Inspection Description Confirm # Contact # *Message
199 Electrical final • 045694 -01 503706 -3211
• Corrections /Comments /Instructions:
Vc,
7 7
`ZOI o CA)4Tot OaLS76 • •
•
•
❑ PASS ❑ PARTIAL APPROVAL ANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION IONAL FEES ASSESSED
Inspector: 1vte Date: 315 O Phone #: (503) 718- Z
CITY OF TIGARD }
BUILDING DIVISION PERMIT #: E1..C2007 -00106
•
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/20/2007
Phone: (503) 639 -4171 �4 �'
Inspection Requests (24 Hrs.): (503) 639 -4175 &.. "'I I..
INSPECTION WORKSHEET FOR DATE: 3/28/2007 TIME: 7:00AM PAGE: 3
SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 560 CLASS OF WORK:
SUBDIVISION: ONE EMBASSY CENTER LOT #: TYPE OF USE:
PROJECT NAME: GRESS LAW FIRM
DESCRIPTION: (6) branch circuits for receptacles & lights.
OWNER: PORTLAND OFFICE ASSOCIATES, PHONE #:
CONTRACTOR: R C COSTELLO ELECTRICAL CONTRACTING PHONE #: 503 - 982 -7400
Inspection Request Scheduled For: Date: 3/28/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 045591 -01 503. 706.3211 N
Corrections /Comments/ Instructions:
Pckol rc sPc,i Pry r `5 bC FtI _ C -- 6 1 / cek .$
o� o`Qik 610 6E it\) &GZ- {K Qoot
PR. 0 o Q ( - E - c. i COLS w i` ti "
6fi ALA, \I6 Lc ( i 4e \ a/S1CS
N`P • til 0 . NI b ,` 6 - 6 u2/
•
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G c ` 5 e) Date: ?-) • /3' On Phone #: (503) 718- 1--itifiCs
� 1
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007- 00106
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/20/2007
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175 ' '__—
INSPECTION WORKSHEET FOR DATE: 3/20/2007 TIME: 7:00AM PAGE: 12
SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 560 CLASS OF WORK:
SUBDIVISION: ONE EMBASSY CENTER LOT #: TYPE OF USE:
PROJECT NAME: GRESS LAW FIRM
DESCRIPTION: (6) branch circuits for receptacles & lights.
OWNER: PORTLAND OFFICE ASSOCIATES, PHONE #:
CONTRACTOR: R C COSTELLO ELECTRICAL CONTRACTING PHONE #: 503-982-7400
Inspection Request Scheduled For: Date: 3/20/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 0.45108 -01 503- 504 -6758 N
Corrections/Comments/Instructions:
PASS 11 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ F L ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: * 11)6 Q Phone #: (503) 718-
•
CITY OF TIGARD 4, A .
BUILDING DIVISION r PERMIT #: EL.G2007 00106
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/20/2007
Phone: (503) 639 -4171 ! i
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3/5/2007 TIME: 7:00AM - 'PAGE: 16
SITE ADDRESS: 09020 SW WASHINGTON SQUARE RD 560 CLASS OF WORK:
SUBDIVISION: ONE EMBASSY CENTER LOT #: TYPE OF USE:
PROJECT NAME: CRESS LAW FIRM
DESCRIPTION: (6) branch circuits for receptacles & lights. •
OWNER: PORTLAND OFFICE ASSOCIATES, PHONE #:
CONTRACTOR: R C COSTELLO ELECTRICAL CONTRACTING PHONE #: 503 - 9I2 - 7400
Inspection Request Scheduled For: Date: 3/5/2007 Pour Time:
Code # Inspection Description Con ' -# Contact # Message
125 Wall cover 0 NL.1 , • 044331 -0' 503504 -5758 N
Corrections /Comments / Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: & N L Date: 31 6(O') Phone #: (503) 718 -1 -4410