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Permit CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00512 DEVELOPMENT SERVICES DATE ISSUED: 7/19/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S104AA -09100 SITE ADDRESS: 12220 SW 127TH AVE ZONING: R -4.5 SUBDIVISION: BELLWOOD NO. 2 LOT : 094 JURISDICTION: TIG Project Description: Installation of A/C & plug. 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: KONRAD, NICHOLAS J + PATRICIA L SOHLER ELECTRICAL CONSTRUCTION 12220 SW 127TH 41131 SW BURGARSKY RD TIGARD, OR 97223 GASTON, OR 97119 Phone: 503 - 590 -2593 Phone: 971 - 832 -0807 FEES Reg #: L[C 158285 ELE 34 -667C Description Date Amount p SUP 594S [ELPRMT] ELC Permit 7/19/2005 $53.50 [TAX] 8% State Surcharge 7/19/2005 $4.28 REQUIRED ITEMS AND REPORTS Total $57.78 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: - 7 . 1.0 � Permittee Signature: Sk,t, Pi\? 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. ,e. IC CE 9 ;I ._ FOR OFFICE `USE OILY ' , . _, ., .,a _ s c_taw r guy .' . City of Tigard > d a l _ - 6 ,_ _ f 4 /J > / 13125 SW Hall Blvd., Tigard, OR 97223 I JUL 19 2005 5 Pe �reuit No. P lan Review Phone: 503.639.4171 Fax: 503.598.1960 � -I . Dat,�y. Other Permit; inspection Line: 503.639.4175 cv � p. •.'� 1 ,r Date Ready/By: 1 / El See Page 2 for Intemet: wlv.ci.tigard_or.us G TY OF TIGARD Notified/Method: : ) Cr Suppleenent2I itrorm • O New construction . : /d Addition/alteration/replacement Please check all that apply: OServiee over 225 amps, comm'I OHazardous location ❑ Demolition 0 Other CSavice over 320 amps - rating OBuildng over 10.000 sq. CATEGORY' OF CONSTRUCTION - of 1 -and 2- family dwellings 4 or more new residmtia • qA 1- and 2- family dwelling D Commrrcial/industrial 0 Accessory building Osyst«n over 600 volts nominal units in one structure Y'` Q$tnlding over three stories OFeeders, 400 amps or ma o Multi- family ❑ Master builder 0 Other. Dpaupant load over 99 persons ❑Manufactured structures • sot SITE Ii4OFtivikiiIOhr CA'rroN "•-?:::-'_ : _ - ['Egress/lighting ssJhghting plan RV park Job no.: Job site address: p.e3 2 0 5W ! a 7 f A in • S 2 oficalth-care facility OOUte Submit sets of plans with any of the above. City /State/ZIP: T i LTA D n 2 '1 7 �.1 3' The above are not applicable to temporary construction service. �_._3•';=." ,' i . 'Fib SC'IiEDULL_ . Suite/bldg. /apt. no_: Project name: K 0 N jj 4D ,,, I 1 F °. 1 T oea1 1 - Cross street/directions to job site: New residential single- or multi - family dwelling unit. Includes attached garage_ 1,000 sq. ft.. or less ! 145.15 • Subdivision: I Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 Tax map /parcel no.: Limited enemy, residential 75.00 . L i m i t e d energy, non - residential 75.00 . • D);SCR OR'.WORK : : :::`': .•' ' - Fach mar ufactnred or modular // 1 / n / dwelling. service and/or feeder 90.90 C - ¢" `� t ('� /V'Q Services or feeders installation, alteration, and/or relocation - 11/ ,�] 200 amps or less 80.30 ROPERTY OWNL R 0 .TENANT 20i arrgts to 400 amps 106.85 401 amps to 600 amps 160.60 ; Name: Al( < K K 0 N g 4Q 601 amps to 1.000 amps 240.60 . Address: , e�e . n CIA/ /a 7 L All over 1,000 amps or volts 454.65 _ City/State/ZIP: p Recoruwer only 66.85 Ci ty 7, (/4 / 0 G / 7 3 Temporary services or feeders installation, alteration, and/or Phone: (5 ) 5-9- O - e7 s93 - 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 600 amps 133.75 I Owner signature: Date: Branch circuits - new, alteration, or extension, per panel ^ APLICsuN'I :;' ' • •1 ONTACt" :PERS =` - ' P A. Fee for branch circuits with ` .. _'.,.. _ yy " service or feeder fee, each Business name: 50 4 N tel4 E/4_J r Ga //�� 4 � �-is-, T o r S , branch circuit nt 6.65 2 Contact name: B. Fee for branch circuits C:-C-1-1T-41 --- without service or feeder fee, 1 46.85 /` t 2 /� i f each branch circuit Address: `/ / 1 ? / S - ,-,--j 6 ., rc 4."---s I 1 Z d Each add'l branch circuit I 6.65 ( 6 City/ State/ZIP: U 9 7 1 1 M iseetane ous (service or feeder not included) Cr n Y\./ Pump orirrigatiou circle 53.40 2 Phone: ( 771 ) � ? _ O P 0 Fax:: ( 5 9 5�-- / 0 7 p L . O Sign or outline lighting 53.40 2 E -mail: - Signal eircuit(s) or limited- COI•ITRACTOR ' . . ' energy panel, alteration, or • Business N S extension. Describe: Page 2 2 usiness name: S a f I l vi' EJ e rr s e,e� I . _ Address: Each additional inspection over allowable in any or the above Per inspection 62.50 1 City / State/ZIP: Investigation per hour ft bum n) 62.50 Industrial plant hour 73.75 Phone: ( ) Fax: ( ) __ p __ per 1 .. ":'EL'ECFRICAL PERMIT FEES* CCB Lie.: / - g ,5 - Electrical Lic.f Lf _ 66 7( Supry: Lic.: � —5 Subtotal Suprv. Electrician signature, required:,/' / t / ' /' Plan review (25% of permit fee) .0.1. i � ' " - Prins name: r " ) Ai . 111-0 Y/P C C Date: • State surcharge (8% of permit fee) TOTAL PERMIT FEE ' 7 78 Authorized signature: - This a ..• AL p ermit application expires if a permit is not obtained wilhia 180 Le — days alter it has been accepted as Complete Print name: �(1 -E , / / , S © L ""p4- Date: • Fee u thodola5yset byTri County Building Industry Service Board " Number of inspections per permit allowed. lBaildinglPce, wLC- Pemvr. \va doe i 2/01 e1111-ac3 err r. " - "e rs..r„rcv ' BLOT SSG - EDS ..I aigoS aoC d9E :2D SD GT Int- CITY OF TIGARD i , , BUILDING DIVISION PERMIT #: ELC2006-00612 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/19/2005 Phone: (503) 639 -4171 i A ��u� l Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/29/2005 TIME: 7 :07AM PAGE: 67 IZo SITE ADDRESS: 12220 SW 127TH AVE CLASS OF WORK: SUBDIVISION: BELLWOOD NO. 2 LOT #: 094 TYPE OF USE: PROJECT NAME: KONRAD DESCRIPTION: Installation of NC & plug. OWNER: KONRAD, NICHOLAS J + PATRICIA L, PHONE #: 13 -590. • CONTRACTOR: SOHLER ELECTRICAL CONSTRUCTION PHONE #: 971-832-0807 Inspection Request Scheduled For: Date: 7/29/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 012440 -01 971 -832 -0807 Y Corrections /Comments /Instructions: A 6K-K_ 's 0 f + - 'c_- uN"1 '1 a A--,--k e . r✓, J .f2, PASS 0 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL py L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 1 72- Inspector: ector: Date: / Phone #: (503) 718- p � h ne ( )