Permit CITY OF TIGARD ELECTRICAL PERMIT
'= •! COMMUNITY DEVELOPMENT PERMIT#: E 7/2008 - 00068
DATE ISSUE 2 /7/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 104AA -90102
SITE ADDRESS: 12662 SW KAREN ST 10 ZONING: R -12
SUBDIVISION: BELLWOOD TERRACE CONDOMINIUMS LOT : JURISDICTION: TIG
PROJECT: BELLWOOD APT
Project Description: Units 10, 11. adding washer and dryer circuits and plug outlets for 2 units. (6) branch circuits.
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: SIGNAUPANEL:
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: 5 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 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:
STEVEN MOZINSKI FIRST ELECTRIC CO
PO BOX 189 19093 S BEAVERCREEK RD #305
YAMHILL, OR 97148 OREGON CITY, OR 97045
Phone: Contact #: PRI 503 - 632 -8373
FAX 503 - 632 -7989
FEES
Description Date Amount Reg #: ELE 14-519C
[ELPRMTj ELC Permit 2/7/2008 $80.10 LIC 147966
[TAXI l2% State Surchar 2/7/2008 $9.61 SUP 4496S
Total $89,71 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: ./%-' • ermittee 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.
Feb 06 08 04:44p Mark Lengele 5036327989 p.1
10/1742005 08:23 FAX 5035981980 CITY OF TIG : r to ow.
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: • - . , _ ,_ __
CITY OF TIGARD
..,.!_, ,
BUILDING DIVISION .
PERMIT #: ELC20013-00068
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2f7/2006
Phone: (503) 639-4171 earappl lit
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2112/2008 TIME: 7:05AM PAGE: 13
SITE ADDRESS: 12662 SW KAREN ST 10 CLASS OF WORK:
SUBDIVISION: BELLWOOD TERRACE CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: E3E1LWOOD APT
DESCRIPTION: Units 10, 11. adding washer and dryer circuits and plug outlets for 2 units. (6) branch circuits.
OWNER: MOZINSKI, STEVEN PHONE #:
CONTRACTOR: FIRST ELECTRIC CO \ kk . . PHONE #: 503.832-073
Inspection Request Scheduled For: Date: 7112/2008 Pour Time:
Code # Inspection Description -onfirrir Contact #
Nsage
199 Electrical final 064887-01 503-481-0240 V
Q -1 ' 1\1\ mog
Corrections/Comments/Instructions: 0
c_NA, 4 Sp
005 0( 0 N
,..
.,,
\
III\
A, PASS 0 PARTIAL APPROVAL pi CANCEL 0 NO ACCESS
• ' n CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: G N tse L,.. Date: 1.--11-f 61) Phone #: (503) 718- 1-
,. . — • _ - .