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Permit -1 1 CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00330 ;1P DEVELOPMENT SERVICES DATE ISSUED: 5/18/2005 `--' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S102BB - 00600 SITE ADDRESS: 10270 SW KATHERINE ST ZONING: R - 4.5 SUBDIVISION: GREENBURG HEIGHTS ADDITION LOT : 017 JURISDICTION: TIG Project Description: (5) branch circuits for bathroom remodel. Job No. 2033 -4 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: 4 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: METRO GREENWAY ELECTRIC COMPANY 600 NE GRAND AVE 9460 SW TIGARD STE. 104 PORTLAND, OR 97232 TIGARD, OR 97223 Phone: 503 - 522 -5733 Phone: 503 - 620 -6020 FEES Reg #: LIC 153421 ELE 34 -617C Description Date Amount SUP 5025S [ELPRMT] ELC Permit 5/18/2005 $73.45 [TAX] 8% State Surcharge 5/18/2005 $5.88 REQUIRED ITEMS AND REPORTS Total $79.33 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 a set forth in o • R 952 -S.1 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions o OUNC at 503- 46 -6699 or 1- 800 -13 • Iss d By: . � �� Al i Permittee 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: 50? 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. 05/17/2005 16:02 5036206124 GREENWAY ELECTRIC CO PAGE 02 r, a i . ri ED Electrical Permit 1j t , I� ,A�,p 1 ( tk um( I I �, 1 t\ I a Y c»City ofTig A ,1 2005 Received Received _ A nitNo.: � --0033,0 13125 SW Hall Blvd., Tigard, OR 97223 (y Phone: 503.639.4171 Fax: 503.598.1960 VI . '4 , " , ' Q it, I . 1 . Other Permit: Inape,.tion Litre: 503.639.4173 o f j 1G " -04- -i Data Rcady/By: fd See Page 2 for Internet: www.ei.ti oems G1� 1 ire '- - ii .I. lila Supplemental lrrrormatton R1r ®1 TY t ORI _ PLAN. REVIEW 0 New construction ® Addition/alteration/replacement please chock all that apply: ❑Demolition ['Other: ['Service over 225 amps, coronet QJlarardous location © Service over 320 amps - rating ❑Buildng over 10,000 eq. ft., CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential ® 1- and 2- family dwelling 0 Commercial /industrial 0 Accessory building 1] System over 600 volts nominal units in one structure ❑ Multi family ❑Master builder ❑Other. QAuibling over throe atorieg ©Feeders, 400 snips or more QOceupant load over 99 persons E]Mattufactnt ad structures or • JOB. SITE INFORMATION AND LOCATION QEgtses/lighting plan RV park ❑Health -care facility 00ther Job no.: 2033 -4 Job site address: 10270 SW Katherine St Submit i gals of plans whit any of the shove. City/Stec/ZIP', Tigard,Or 97223 The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: Project name: Sara Kraft • sC1L) . nmatt>Wn I Q4. { rm. 1 rout Cross street/directions to job site: New residential single or multi family dwelling unit. Includes attached garage. 1,000 !Vt. err leas 145.15 0.00 4 Subdivision: Lot no.: Ea. add'! 500 sq. S. or portion 33.40 0.00 1 Limited energy, residential 75.00 0.00 2 Tax map/parcel no.: : Limited energy, non-residential 75.00 0,00 2 -. ' - Each manufactured or modular Bathroom Remodel dwolling 90.90 0.00 2 •--- - Sen4ces or feeders Installation, alteration, and /or relocation • 200 amps or less 80.30 0.00 2 . , . , i :. VVN . T lktV F :. amps to amps 106.85 2 ZOl 400 401 6 00 16060 0 00 Name: / L amps to amps 2 Nam i a 1' , rf P( - 601 amps to 1,000 snips 240.60 0.00 2 Address: /0 L 7) S.(,J ,iir - .1. `` Over 1,000 amps or volts 454.65 0.00 2 Reconnret only 66.8510.00 2 City/State/ZI •. I l l^o/i� O/2_ 9 7 9-3 Temporary services or feeders installation, alteration, and /or Phone: 2 Fax: relocation _, °�' 73 3 I 200 attt or less 66.85 0,()0 I Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 10030 0.00 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 0,00 2 Owner signature; Date: Branch circuits - new, alteration, or extension, per panel ,,, ;. , .: II Appl'Irtory.,: ..,.,;•.:: :0 `CC'lltfAeT.:kg'RSON . . _ AFsm for lxatrah circuits with service or Rosiness name: branch circnfeoder fee, sad[ 6.65 0.00 2 it B. Pee for branch circnils Genteel name: wrrhout service or feeder fee, Address: each branch circuit 1 46.85 A6, 85 2 Each add•! branch circuit 4 6.65 6,60 2 City /State/ZIP: Miscellaneous (service or feeder not lnclnded) Phone: ( ) F ag:: ( ) knmp or i rigation c ircle . 33.40 0.00 2 E-mail: : Sign or outline lighting 53.40 0.00 2 Signal eireaigs) or limited. t ' „ ,.. .. .... .: ' ; . ` : . , energy panel. a knitiont or extension. Describe: Pa 2 2 na Business me; C3reenway Electric Company 0.00 Address; 9460 SW Tigard St., Ste_ 104 Each additional hiapectirm over allowable in any of the above _ Per inspection _ 62.30 0.00 City /Stale/ZIP. Tigard, Oregon 97223 tuveatigatiou purlieus (1 l,rmin) 62.50 0.00 Phone: (503) 620 -6020 Fax s (503) 620 -6124 Indnstria�lant per hour 73.75 0.00 • CCB Inc.: 153421 Electrical Lic. .. „ . • '` .EECTRI L.nom: ,> S* . ..., 34617C J Sups Lic.: 50 25$ Subtotal $ 73.45 Suprv• Electrician signature, requited: 1//1 Plan review (25% of permit fee) Print name: James V. Rooney Date: 5 --t State surcharge ($%of permit fee) $5.88 TOTAL PERMIT FEE $79.33 Authorized gna his permit application expires In permit tit ant ofitnrd within tea Print name: Mark Short days aver It has been accepted m complete te: 1 _ * r__ t2. th _v., , T. :_e ,�.t, rs..a ,,. :.aa .,., ,,, - - - - "Nian o f inspections per Number permit :lasmainolsmtattte trosirappdne 1 181 440.4e/37•foujvoa/WE3 • CITY OF TIGARD BUILDI DIVISION PERMIT #: ELC2005- 00330 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/18/2006 Phone: (503) .639 -4171 :m Inspection Re )uests (24 Hrs.): (503) 639 -4175 ...' INSPECTION WORKSHEET FOR DATE: 6/6/2005 TIME: 7:13AM PAGE: 71 SITE ADDRESS: 10270 SW KATHERINE ST CLASS OF WORK: SUBDIVISION: GREENBURG HEIGHTS ADDITION LOT #: 017 TYPE OF USE: PROJECT NAME: KRALL DESCRIPTION: (5) branch circuits for bathroom remodel. Job No. 2033 -4 OWNER: METRO, PHONE #: 503 - 522 -6733 CONTRACTOR: GREENWAY ELECTRIC COMPANY PHONE #: 503- 620 -6020 Inspection Request Scheduled For: Date: 6/6/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 008491 -01 603 - 016.1645 N Corrections /Comments/ Instructions: / 1 0 _•,,,9 1 ( - - - - - E - - - - - ,K PASS ❑ PARTIAL APPROVAL - - -- - ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: kg, . i 0 Date: _ / #: (503) 718 -