Permit CITY OF TI GARD ELECTRICAL PERMIT
PERMIT #: ELC2000 -00427
ill DEVELOPMENT SERVICES DATE ISSUED: 7/28/00
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S 10266 -00410
SITE ADDRESS: 12050 SW KAROL CT
SUBDIVISION: KAROL COURT ZONING: R -4.5
BLOCK: LOT : 009 JURISDICTION: TIG
Project Description: Installation of (2) branch circuits w/o feeder
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:
KRAUSHAAR, STEPHANIE E + WEST SIDE (SEE 13306)
BEDNAREK, CHRISTOPHER F JR 1834 SE 8TH AVENUE
12050 SW KAROL CT PORTLAND, OR 97214
TIGARD, OR 97223
Phone: Phone: 231 -1548
Reg #: LIC 000133
SUP 1556S
ELE 26 -135C
FEES Required Inspections
Type By Date Amount Receipt Elect'l Final
PRMT GWL 7/28/00 $42.85 0004052
5PCT GWL 7/28/00 $3.43 0004052
Total $46.28
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 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -1987.
PERMITTEE'S SIGNATURE ISSUED BY: („ (
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 639 -4175 by 7:00pm for an inspection the next business day
JUL -20 -00 03:07 PM WEST SIDE ELECTRIC 503 736 0677 P.01
•
j CITY ; •F ` TIGARD Electrical Permit Applicat Rec'd 8 t3rJt#
1312 . = W HALL BLVD. Rec'd By -14- x Fi ,
Dale Recd ? - 2 c , ° ( Pc 2
ItIG • "'D OR 87223 i I Date to P.E.
Phan • • 03) 639 -4171, x '304 (,1?-- --------
bate to OS r
hap •n (503) 63941.15 { Print of Type
Permit sYE 200o -G0y
• • 598 -1960 Called
Fax ( ) ! Incomplete Illegible win n t be accepted
. ,. it I evelopment . Address: 4. Complete Fe Schedule Below: '
eam . Number of Inspectlons1er permit allowed
e :
me name of business) 1. . , c I Service included: Items Cost Surd
ddres L2- -rte �Q , fi r 4 > • + 4a. Residential -per unit
° • � 3, 1000 sq. ft. or less S 117.75 4
l ity /S Zip r 0. -al of -2 Each additional 600 sq, ft, or
portion thereof 5 28.25 1
�•�••'�
omm El Resid rlkial Limited Energy $ 80,00
Each Manufd Home or Modular
a. :
tractor inst / / at on only;
Dwelling SeNlce or Feeder $ 72.75 2
•
Prior . rmlt Issuance,. ap Icant. must provide contractor license ,4b. 5ervlces or Feeders
flt for COT data ba g ). L tnstalletion, altaretlon,'or relocation
e ctli Contra c tor �) i. S i e ' � 200 amps or less $ 64,29 2
. ddre- . <T ' I i ,L; or ,, ' .4.-t • 201 amps to 400 amps 5 86.50
$ 192.50 2
2 •
� 1 � 401 amps to 600 amps �— S 128.60 2
city ,.41�'„lf�i Slate 9 Zip ��7� 801 amps to 1000 amps
Phone 2 3/ / y J ' 9 e''' Over '1000 amps or volts $ 383.75 2
b N. • n' 4 D ' Reconnect only $ 53,50 2
leo. • • I. Lice. No. s �, � / Exp,Date t I �' 4c. Temporary Services or Feeders
R St: = ?i CCB Reg. No. ! ' t ; ) .3 Exp.Date s' 1 g•
OT B iness Tex or Metro No installation, alteration, or relocation
- i Exp.Date + ' C / 200 amps or less $ 63,50 2
201 amps Ic 400 amps $ 80.25 2
�Signat • of Supr. Elec'n KR amps to 600 amps • S 107.00 2
Over 600 amps to 1000 volts,
• U / � /
Cl / see "b" above.
Opens o. is-,s--4j,..59,,,,i Exp.Date / 6 h one • /- / 5' '' 4d. Branch Circuits r New, alteration or extension per panel
a) The fee for branch circuits
b. • • owner instdllsti • ns: with purchase or service or
feeder fie.
lint • er's Name Each branch circuit $ 6.33 2
ddre-' b) The fee for branch circuits
without purchase of service
Ity . ? St ate Zip or feeder be.
hone First branch circuit 1 5 37,50
Each additional branch circuit i $ 5,35
he in.• :llation Is being made on property I own which is not 40, Miscellaneous
• ntend: • for sale, lease or rent. (Service or feeder not included)
Each pump or irrigation circle 5 42.75 •
caner.: ignature Each sign of outline lighting 5 42,75
• Signal circult(s) or a limited energy
•
S. ' ' i = n Review sectlo' /f re ure ; * panel, alteration or extension $ 60.00
ld
Q Minor Labels (10) 5 107.00
Pie , check appropriate Its' and enter fee In section 58. 4L Each additional Inspection over •
4 or more residential units:: one structure the allowable in any of the above
Per inspection - 5 50.00
Service and feeder 225 ar; ps or more • Per hour 5 50.00
. System over 600 volta•nor final . In Plant $ 69.00
Classified area or structure containing special occupancy as
described in N.E.C. Chap, -r 5 5. Fees: 2r S5
• 1 Se. Enter total of above fees i
• Sub i 2 sets of plans with Epp allon where any of the above apply. 5% Surcharge (.05 X total fees) S
Not' • ulred for temperer) cons uctlon services, Subtotal $ ' init
6b. Enter 25% of line 6a for
. N ICE Plan Review if required, (Sec. 3) S
1PERMI BECOME VOID IF WORK; OR CONSTRUCTION AUTHORIZED Subtotal $
IS NO ' •MMENCED WITHIN 180: •AYS, OR 1F CONSTRUCTION OR i •
WORK SUSPENDED OR oSSAN e • NED FOR A PERIOD OF 180 DAYS rust Account # C 40
AT AN IME AFTER WORK IS C MENCED. Total balance Due $ -t ‘ rZ
• l F,(I41A, r 5 \eiretric Itnc
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Reque ted ?'� 3 0 AM PM B
Location /2-o IV SW ('' c-e �� — 00g06
Suite
Contact Person KD' -A-d -k Ph 3r1 6 3 (cM),2 O —
Contractor Ph SWR
BUILDING `: _ Tenant/Owner 2o4 ✓ - Cj 4127
Retaining Wall ELR
Footing
Access: L.--
Foundation • ,� /„ FPS
Ftg Drain / // v(J SGN
Crawl Drain Inspection Not s: "
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing "
Firewall •
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
UMBIMO
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Drains
eitrP.
A RT FAIL
ANIC
Post & Beam
Rough In
Gas Line
Smo. - Dampers
I
•.;,,;,:T FAIL
ECTRI AL
Rough In
UG /Slab
Low Voltage
��Alarm
V PART FAIL
S
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA Approach /Sidewalk Date 36 /00 Inspector Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.