Permit •
C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -10011
` DEVELOPMENT SERVICES DATE ISSUED: 3/2/2006
,4181 ---' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 103 BB -03300
SITE ADDRESS: 12500 SW KAREN ST 2 ZONING: R -4.5
SUBDIVISION: KAREN COURT CONDOMINIUMS LOT : JURISDICTION: TIG
Project Description: Replace service panel.
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: 1 W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 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:
DANIEL GRANT LLC FIRST ELECTRIC CO
13732 SE 129TH AVE 19093 S BEAVERCREEK RD #305
CLACKAMAS, OR 97015 OREGON CITY, OR 97045
Phone: Contact #: FAX 503 - 632 - 7989
PRI 503 - 632 -8373
FEES
Description Date Amount Reg #: ELE 14 - 519C
[TAX] 8% State Surcharge 3/31/2006 $6.95 LIC 147966
[ELPRMT] ELC Permit 3/31/2006 $86.95 SUP 17935
Total $93.90 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
suspende. . ell an 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules a = set forth in OAR 952- 01 -0010 through OAR 952 - 001 -0100. You may obtain copies of these r or direct questions to OUNC at
503 -24: 6699 or 1 -800 -3 -23 .
Issued :y: a -ll Av Permittee Sign • ure:
•
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' ( ' • 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.
Mar 01 01:48p Mark Lengele 5036327989 p.3
1O/U7/2005 05:23 FAX. 5035 $ Q' 1a EV OF Ti(-3K0 tej
Elect-1 Permit Application t i) i s a> i Hi i a• i•. ()NI.)
City of T ■ra MAR 1 200 , , 4aG ` �r x., .. l
13125 SW Han Blvd, Ttgar&OR 97223 gip > xcim oar Perak
Theme; 503.639_171 Pate 503.5911960 clop V I \t _ 11' r 9eaYMa2l�
Iaspc op Lit= 503.6639.4175 g V i 4..» 14 Bed // ( • I S+ dy ��
Interact eaa¢sed ores • • T ,1 F 1' _ - -
:u• ^.y , . aka :: �.�+..r; - "i l -- .1Y;,UiSeoYS-:zi. l; t; .i• �� -,:r2-.
s r!
0 New eon AdditiontalLwe?ionlmplaeemeat Please chock all that spplY
- OScriec aver225 stnps� comn ! [Hcdm 4
Demolwim
s lecade
0 ,
0 O Osa„ire over 320 rope —ruin QBiaddag eve 10,000 ,
...47;7 :7.147'77?,q, ' r�axr'^-"', • ._,: :• ;ra < i. C DfI�81?�1fa11HIy 40rmoteOE�}L9ti
r .i. :.. : y , :` :.:4: '''' r•• ∎', a.a v -.i= -- ,.+1iL: :Ia . :.:f :� i 4o wroi
5, Malang DSystern o+er600 volts miniaa X00 or MOM
r lulu -may ❑ mnacc balder ® _ _ Amcor load over 99 p O> t Ra s nosora or
: rraP `519rrn X4 . = ,,- � { ,.�'�., ', 1 81 fltrvp.°�i`
. . . J.i'ft :R pct.�a4 : ^: -5� iG f!,._L...kiw. .i . m.:. . . ',. D i
It alllren Idlity
Job no,: rob she addax= 1 2566 . u3 iccver, _ Submit a t sets of planet wilt am oldie above.
The above ore mrapplioablabrctnpom7r °4O°
SuiselbMg,JapG no.: l��p►h P t— APA2i H S n _� n.. ..r . : ,
Q¢ Foe 7d
Cross street faired/oast to job) sit 13e�w'1+eetdee4lfas single- ar sn *wain omit.
Iadada a nsebed game.
L000 all. 8 or lea 14535 4
Stsbd[vision_ I Lot no.: Fa. sddl 500 sg.1L a panoo 33.40 1
Limited crew resddeatul 75.00 2
MX map/parcel _ Limited realm am4esideada1 •75.00 ` 2 -
�..rur,. fir,..- r��,^a�- s;r- 'rro�c -- - � : ; c = -7-r. �^ -j ' 1" +g, I
y � 'ri • : e' t ; ' ' i . - f 7 ,F 3 - i4 l , w * h moot odor modular
, i'w�.::«'�z•• . n ip }... :.y -,I'�'a'
L'�� dwallit1$.=vice sadlor feeder
G.. .
, \ t .r.,e n tS W tk 1/46< " i ( c '4 ck Service, or fenders lwtsHsBia, aural ea, and/or adocad 2
f
0 C 200am4ps les3c ' $ Ab 2
SCr� -�, ts_L' S i C` _ • 230,85 2
cf ' :„w `- % Srr. � _:.`Y4^. R'1 �+�i . - ram'''''_x sK '' •_- �' 401 ��yy�� io 600 moo , 2
T
N e` Pt 1 G (►L z i ` 0. • 401 samsm 1,000 amps ' 240.60 2
Address: l 3 ? c, l 9.9 �?-t� v ov,r 1_000 amps a�is 454.65 ' 2
ctty> � 6_ Q M � 6P 9'7 o / 5 Tei p ry se 66.15 .
1.:. PI" i' l � � Teneporirp services or Sweden' iWaibedos. altersfkaa, sad/or
Thor= ( ) I FaaC ( ) 200 amps e4r less 66-115 1 1
Owirrer isstelhaisse Thisimstellananisbeingmscieonpco .crty 201 amps m 400imps , 100.30 2
intended for salt, lease, rent, or exchanges soma* to ORS 447, 449, 670, and 70L 401 seais m600 mops 133.75 2
Owner Alt C Day= Brava ebROIm - new, sheredon. sr extraa3ao. Per ill
"I. ',; 4 . - 7.'•cpr .ar s. : :i ' n'r ' T � 475; -F" - �-c-rr.. 4 , * A. Poesfor Winch Glossin e6 •
r 4a -s` ti itimea Fa ..itRine..oaL=ii Lv- ew::t:. :_ge:af'- •• - �`I►
;,L: u whim of feeder ft. , f 6.65 2
Business name= hmcte circuit . 1
B. Fee for hoods BLS
Contact : - xhisorfa�iI C or feeds' aa '... 46r15 2
• each bunch dil
Address; Each addl btsndi circuit 6 .65 2
Misroelfaaoaas (senesce or [ceder not Ntdadsd) • Phone: ( ) I Fax; s ( ) Sigel mouth= ighting f 53.40 40 2
R - Sigwl grcait .$) os limbed-
'4fi+.'. 3 7''J r '�. 4.��.:�.: rc-s-+-:s•�?rts4: 7r � ' . l : .. ' ,�... °minin''Pnic "B'I,la"iO�' P2 2
Business nun= Fi SZST- - .E -i / ,, cs,,Acl E5 T V �.S Pa ton �elalW�bl4t away d she af4ove
(avmarA'ZW: >l. CI (...Z. 1r levesagscion pe boon (1 bra . 6230
-
Ph '
(C j ) L 3� IF": r: () �•�a 79k C1 ' , `p hoar :73.75 • ,_
CCB Lic..: 1 1"44 1 i I Miami eat Lie.: Li. - 9 Sepcv- Lie.: I 7Cf S Sabred 8t, fir
Supt" e, required- -
Piaa rcvicvr(25% ofpettsrii fee)
Electrician si
Sssn s go(8%ofpenn is roc) z i
Prins n�4r0re F � E� + ��C C - rS - 14, ToTAi rEsmi r F'EE b
Authorized si f‘ • Ws permitapaca/ra: ire plum, isaea .lose fa
Qom. Mug soma � mcoupssee
Print name: , 2 . 7 � -_�\ � 'C' 1 • P la drsmrsa -ra DoDowd �. e
CITY OF TIGARD �-ZL
BUILDING DIVISION w PERMIT #: Zook —ff p / /•
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 1 pm� ii��(� I �I+I
Inspection Requests (24 Hrs.); (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: / d,- 5 06 k Ctilmi CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: -iip a
DESCRIPTION: _`
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: (4 — 0 Pour Time:
Code # Inspection Des iption Confirm # Contact # Message
/
Correc . - - `T ments /Instructions:
CA 1..L o w Nye Y FR pm.ttit,
eon, pc, }: 6: 1 181 ®2'10
(.....
� G
1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
1 I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: .--.Pk` N N3 L Date: '4 CCE Phone #: (503) 718- �- .4(
CITY OF TIGARD '"- EL-C_-
BUILDING DIVISION a PERMIT #:, -/06 f/
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 wjm4�
Inspection Requests (24 Hrs.): (503) 639 -4175 r'' I..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: 1 d�,S 60 ko,,,,,,, 0 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3 - Co - 0 (p Pour Time:
Code # Inspection Des iption Confirm # Contact # Message
Corrections /Comments /Instructions: L/-g) - op-go
Rovo Ai.) \Oop o 6N it 44.
tNVU.1 ppe ti c zoo
.._
1-e t0 c, mpk tl b ps i'
f a (z : v N 4 5 r. 1 3 4 4%
PASS H PARTIAL APPROVAL n CANCEL n NO ACCESS
❑ FAIL ' CALL FO 1N$PEEcTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Mg Date: - - V b Phone #: (503) 718- 2 (ft