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Permit CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2007 -00144 , 't`' COMMUNITY DEVELOPMENT DATE ISSUED: 3/9/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S104AA -90142 SITE ADDRESS: 12658 SW KAREN ST 14 ZONING: R -12 SUBDIVISION: BELLWOOD TERRACE CONDOMINIUMS LOT : 014 JURISDICTION: TIG PROJECT: BELLWOOD TERRACE CONDOS Project Description: Units 14 and 15 (2) branch circuits ea. unit. Washer /dryer plugs and exhaust fans. 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: 0 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 2 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 2 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: OREGON, STATE OF DEPT OF VETS FIRST ELECTRIC CO c/o ZAKOCS, EDWARD + MOZINSKI, 19093 S BEAVERCREEK RD #305 PO BOX 336 OREGON CITY, OR 97045 YAMHILL, OR 97148 Phone: Contact #: PRI 503 -632 -8373 FAX 503 -632 -7989 FEES Description Date Amount Reg #: ELE 14 -519C [ELPRMT] ELC Permit 3/9/2007 $107.00 LIC 147966 [TAX] 8% State Surcharge 3/9/2007 $8.56 SUP 4496S Total $115.56 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: bs--1 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. M 7 05:51 p Mark Lengele t F 5036327989 p.2 10 05 08.27 FAX a1P 5035981960 CITY OF TIGARD F OO1 E1edjicer<mitADD , : :' ,� - 11)I ;e i i NI.'. um.) City of Tigard M p,R Q 2001 X 4/©? II �:e • . 0er! ""00/ 1 i 13175 SW Blvd- nerscLOR 97223 11a, x / ef oo 503639.4171 Faoc 503.59L1960 art art . i J x r Oq�erTUru� Yb Inspecdon Ste- 6394175 181 Sternal e- Iotcsrcr wr.rJC� ri�td c9.RS t� r- Sapplownest Wean . • ' .ter :(Zi•;: 1=; nr1: . �:. - 3 . ..3.h(:. - • - - : ;.3_,..._.� , , _ -,... .... CI New Cnosauetion IA AdditlaalalL� w ionhoplrment 1'i�cehock all tttattapply: © ©Service at�a'225 coping n1 1 ❑ ®Scevice over 320 imps tying °Bal ets ov 10,000 sq. it, i ;re .._. � ,,7:A:-:i-;--,,;.,47,..,- of I- aid fly d�.>ogs 4 or mote rcsidc+8n1 a r l �T�t•c- FT - rts'!' ,� ^, C4= . ": =�5�/r �':�� .: _ ..V. 'TA: � - �'►�, v5. ..: .a - .n:r_- ..:�. ''•= � _:�.. — . .1�':w'Z.a .. F` , � . .. NI - - � dwelling r •© 111 AC -s b .. R lit 1�lvct_i_ts �_ 400 ORO SirdICO 0 12 �"- ..`•"' ® Nader Q & Ala C1SY ovcr600 sobs oA - © OitS *seestDRies �- IFeed s amps of'Enure 130,,,,, b Md94 P .1 beared Or1C Or 13." '�.• i, it :;�� •• ?1.',,?sr"�?,sw:R' '�' 1 +• :t; p • 0.V c err.. = „ y;;. ... - •. A ;r2, t: CiEfresstigbdu Pam pOdses: • Job no.: �, I c.) Job side addeess � j �l �� Sew c .. - subnikaoutsixfplaterrwiib may of-the above, • - GryiStiscaM - , -q,S c•->.- (, ,Q tiJ l- 4- iL-i- • TLeteore arc mot walkable snue araryatI acoi oosavi«L 7 :f �L•. -- �� 2Y0.: Project ' `,`��lClf'� k�•[ S'GfQ , risei�iia , Q¢ � F•ae, • Taal ': Cross s tneed aea to job sits_ iiewreeetsresi riegle-sr Islekkeillay 4weIisg ate IacIsiea a na iiod garages o�v�J 8 S w ‘IFOOLC/it, 11009 ssi a or leas _ I45.I5 4 'icw ' ( Lot tie_: Es. W41500 sq. it. or portion ' 33.40 1 Limited anaRy, resideQd,1 75.00 2 Tax uuplparcel no.: - bided mew, sera e>adal _75,00 2 y ° :` 5' .1 ~ _w.t wCw a . . 1 - _ - 1C _.�.... '• : • ` K.: i.V -4.1 ^.r ::.: ''.-dr.-m:4 Ewe a =War ` II � \\ �^ d+ i. service aelkr 90t90 2 Serfdom . r Seeders Yitsn4Sse * ct. r--e- . - .ti I... . k ,n ..■ v Vim.. - t; ( 7t l S 2.00 amps orless 110.30 , 2 201 apsto4O0 pa • 10625 2 �... �?' . � ^xi=sT ec. ,L'` :i� • -7, e:eJ..,i�%'►z .:?...."....:e..,-._.:14'.•:•-i:-_- �" .ri' 401 amps to 600 amps INZarro 641 amps to 1.000 mops 240.60 Z Addrt Oa-1,000 nupsacvolrs 454.66 2 Recrnmroctoely 6525 2 Ciryf earit • Tompsrmyservires sr f.ederai osr.alias6ss, selsanar Phew= { ) i FaoC ( ) 200 r uPS or TIM 66.75 ' 1 Osmosis i - ll W n: s instillation is being made on poverty tbat I u=rn which is n of 201 ampsto400 imps 100.30 1 2 intended Sal sale:, !arse, scab or , accarcrtag 10 ORS 441.449.670. and 101- 401 tsma to 600 imps . 133.75 2 Owner imam= _ DIU= ,sL • Dtareikele - net .abenulan.at'•etaleresira. tor Parrel � : : - 1c' T:.r.r.-- . ,Ter =• -.� � ti ... ' _: -- .:. - w�__ c.�: : :., .'a A. &afar binds Cm11<s•,q o 3 : i e r? :i ++i`c' • ;: r o m ^` ,- i '' .. - 1 . , . _ c, :.: ire' r:;E :' ;• aiie.r+ � �. b u ii�z� ,c = :::: :- .:�_:� �ica es is each Business s, bawds eia.a ° ` 2 gN:afnrbrench 61=4 Contact tlaate wydeartyavioe or resew ter �} a s�3 --7(.> 2 owe braid' *cut o` Axidn ss: Earle add? ban* clunk 6_65 2 • MboeOsao ass (ere viefe sr leader use isdsdeii raw or *pieties circle 53.40 L ` 2 - p} ( ) 1 Ftoc : (' ) 15iigsoro WO* 5340 2 . � : GF:V� te . t- :tc. ...J.L .J...- ..- . s.:..0 ° P r- vC 'i f : r.c , om_Desorib+ F c2 2 Esdk siatimal Aspoedoa over afOrab1s is asy dare =hove - Addre5 '- S _ Q esc,te It `_.<1, - - 3ea S , ear;,, 1 ORe 62.50 QI51S ZXP: C)("-(.‘/-\ C Cik i CD < <: V 1 45 lavestipatiors per been° krone,) , 62.50 . CcB 1;c-:. I ck (r 6 1 Electrical Li' (r { -SISc, 1 - Lic - : 44c to s'c al / t_y"/ - Se�pe.►_ Electrician side, ee pP . rooks. % aril s f�e3 S=ex :z aperitif( RIO -- Print um= °A� ( �t-� e nom ` 3 - g - �l To -cm..s rcr (i S �� - �o tires I Tab parade M se:i a aMf Mein far Prim 1 r 4�e I -/S- c •- tare acr i. s�ti' �aosmrae,•� :,Tm. 7)03 .ay..assmm >iti • CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007 -00144 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/9/2007 Phone: (503) 639 -4171 , Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3/20/2007 TIME: 7:00AM PAGE: 46 SITE ADDRESS: 126513 SW KAREN ST 14 CLASS OF WORK: SUBDIVISION: BELLWOOD TERRACE CONDOMINIUM LOT #: 014 TYPE OF USE: PROJECT NAME: E3ELLWOOD TERRACE CONDOS DESCRIPTION: Units 14 and 15 (2) branch circuits ea. unit. Washer /dryer plugs and exhaust fans. OWNER: OREGON, STATE OF DEPT OF VETS, PHONE #: CONTRACTOR: FIRST ELECTRIC CO PHONE #: 503 -632 -8373 Inspection Request Scheduled For: Date: 3/20/2007 . Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 045092 -01 503-481-0240 N Corrections /Comments /Instructions: r . PASS n PARTIAL APPROVAL ❑ CANCEL NO ACCESS I I FAIL ❑ CAL I ADDITIONAL FEES ASSESSED Inspector: ( Date: 3 ' - O`) Phone #: (503) 718- M'f. ° 1 � e af„, / 'k /D A ltfrif 46/4 C.1411 6 3 ? dAc c • prb a- ' fr. •