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CITY
I�� O� �����® ELECTR KCAL PERMIT _
/ PERMIT#: `'_C2000-00427
DEVELOPMEN i SERVICES DATE ISSUED: 7/28/00
I A 1110-OA 13125 SW Hall B!vd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S1021313-00410
SITE ADDRESS: 12050 SW KA�tOL CT
SUBDIVISION: KAR.OL C_)URT ZONING: R-4.5
BLOCK: LOT : 009 JURISDICTION: TIG
Proiect Description: Iristallction of(2) branch circuits w/o feeder
RESIDENTIA'_ UNIT TEMP SRVC/FEEDERS MISCELLANEOUS
1000 SF OR LES,a: 0 - 200 amn_ PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HM/SVC! FOR: 601+amps - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDcR _ BRANCH CIRCUITS
—_ ADD'L INSPECTIONS
0 - 200 amp: W/SERVICE OR FEEDER: � PER INSP9CTION: —
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 1+NITS: > 600 VOLT NOMINAL:
Reconnect o-1IL _ SVC/FDR >=225 AMPS: CLASS AREA/SPEC OCC:_—_
Owner: Contractor:
KRAUSHAAR, SI•EPHANIE E + WEST SIDE (SEE 13306)
BEDNAREK, CHRISTOPHER F JR 1834 SE 8TH AVENUE
12.050 SW KAROL CT PORTLAND, OR 97214
TIGARD, OR 97223
Phone: Phone: 231-1548
Reg#: LIC 000133
SUP 1556S
ELE 26-1350
FEES _� _ Required inspections
Type By Date — Amount Receipt Elect'I Final
FRMT GWL. 7/28/00 $42.85 0004052.
5PCT GWL 7/28/00 $3.43 0004052
-
TotalV $46.28
This Permit is issued subject to the regulations contained in the Tigard Municipal Code,Slate of OR Specialty Codes and all other applicable laws
All work will be done in accordance with approved plans. I his 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 am set forlh in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules ordirect 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. EI_EC'N: _ — DATE:_
LICENSE NO: Call 6394175 639-4175 by 7:00pm for an Inspection the next business day
0-5 :07 PM WEST SIDE ELEr_TPII- 503 736 0577 F'. tet
CITY16F TIGARD I Plan Check 0
Electrical Pe:mit Application Recd 9y_?�itT
13^1 t W HAIL BLVD. FAX
Dale Recd -1
TIGto OR 97223 I I Date to P.E.
Phon ( 03)639-4171, x304 Dole to DST
Inspe,ton (503) 6394175 j Print of Type
Permit0 t � � Zdc�O -puc/27
f- "
Fax( ) 598 1860 I Incomplete;or Illegible will nOt be accepted caned
J Address: 4. Complete Fee Schedule Below:
Nome Development__ I � Number of Inspections per permit allowed
Nomename of buatnessl _� 4A A Service Included,. Items Cost Sum
- -- --
1lddrea O _.rr50 4 ��` 4a. Resldentlal-pat unit
CitylS /Zip �� q y Z—' 1W0 sq II or less ! 117.15 _ 4
--S-u�•- r Each additional 600 sq,it,or
/ portion thereof 6 29.25 1
Comm ial❑ Re5id nli4a I Limited Energy T` $ 90.00
J For_h Msnurd Home or Modular
On. tractor installation only: Dwelling Service or Feeder , $ 72.75 2
(Prior nnit Issuance,applicentO must provlds r.ontractor license I .b.Services or Feeders
lrRarma for COT data twoi. Installation,allerallon,or relocation
FIecM I Contractorf� S_--i�r{y/t ' ;L 100 amps nr lana f e+1.25 _ t
Addre P ( y�"L. — L.t r 201 amps to 400 amps 3 86,50 __ y 2
City /�l Slate ' ` Zjp �/ 1 401 amps to 600 amps 1 128 50 2
` -- 601 amps to 1000 Amps 5 192,50 2
/ f (./ _ -
Phone ✓ ) 0i,!-r 1000 amps rn volts = 3d3 75 2
Job N a Rew sect only ! 53 50 2
Flec t lice No. -Z // 1 -��j-Exp Date I, r C' 4e.Temporary Services or Feeders
DR SI CCB Reg. No. � U It Exp.Date_.c' l�� , Installation,alienation,or ralncallon
col B inetss Tex or Metro Nn, ' - Exp Date i�/C r eon amps nr IeRa _ _ $ 51,50 2
e 201 amps to 400 amps S 90 25 2
signal of Supt Elec'n 401 amps In P00 Amps x 10700 — 2
- - Uver 6^_^smpa to 1000 volts.
Llcensi No _Exp Date (. // /fit — are"b",cove.
Phon9 0 4d.Branch Glrcults
-- Nuw,shernlion or erlenslon per panel
a)T'r.; fee for branch circuits
iibowner instjillatins: with aureheso of service or
feeder Fee.
PJn! r ier't Name _ 4 Each branch circuit $ 6.15 2
- b)The fee for branch clrculls
City
- ZIP wlfhourpurchaAeofservice
—� _ or feeder fee, I~
Phone S _ale- - - Viral branch clrcult _ i 37,50 _ (�
LL Fech addlllnnal branch circuit _ y S 535
IThe In . Ilatlon I8 being made c�1 property I own which is not 40 miecaltansous
Intend for sale, lease u, ;ent (Servlra or tender rivi included)
Each pump or irrir,ellon circle S 42.75
�wner Signature j Fach sign or oulllne nghing �_ S 42.75
Signal elrcull(s)or a limited anergy
,
9. 1 1 n Review seetlo (!f required).* panel.allerallan or extent on. 8 8000
Minor label,(10) ^-- s 101 00
Plea I check appropriate Ito and enter fee In section 50. 4f.rach additional Inspection over
4 or more realdent,ei units n one structure th.i allowable In any of the above
Service and feeder 225 ar P,r Inapecllon 111 5000 pe or more per hour _ f 60 00
System over 600 vols nor mal In Plant S 69,00 t
Classlred area ur alruclurti containing special occupancy as
+ described in N E C Chap el 5 S. Fees: 2r �,
So,Enter total 0 above fees 1
s
Subii2 sets of plane with appll cation where any of the above apply. 5%Surcharrla(05 X loll'4••s) S
Not uired for lsmp0rary cone ruction services, I Subtotal S ,
6b.Enter 25%of ling iia for Lis
NOTICE Plan Review f require (Sec 3) S
KRM4 bECOMF VOID IF WORK,OR CONS rRUCTION ALITHORWO Subtotal S
IS NOI CDMMIFNCED WITHIN 0 3AYS,OR if CC.V^TRUC TION OR n / - -----
MRK S SUSPENDEU OR ASAMPDHEO FUR A PERIOD OF 100 DAYS I rust Arrounl 0 '�1 7
AT AN IME AF TER WORK IS CU h1ENGF0 Total bal,nnce Due $ -( r
I`r1aa\ rife:AeclrVe rine �`—
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 -
BUP
�— Date Requested y" 3 AM_ PM ZEr Location v >� 5 c� _ oG i-Q Suite
Contact Person i'; -G- _ Ph 3 6 j'Z2 W, 0
Contractor _— Ph SWR
rBUILDING Tenant/Owner 'ELC� Uir ✓ - O c`�Z,
Retaining Wall ELR
Footing • -----
Foundation Access: �'' J �' FPS
Ftg Drain �~-
Crawl Drain Inspection Notes: SGN
Slab SIT
Post& Beam i ------
Ext Sheath/Shear
Int Sheath/Shear -----�-- ------
Framing
Insulation - ----- ---- ------
Drywali Nailing ---------__---
Firewall
Fire Sprinkler ----------------_._ -- ------_--__ _ __._
Fire Alarm --
Susp'd Ceiling
Roof - - -
Misc: ------ _ --- - -- ----- - - --- -
Final
PASS PART FAIL
UMI31 - --
Post& Beam
Under
--
Under Slab
Top Out - --- —
Water Service
Sanitary Spwer -
fjain.,Drains
P PART FAIL
----
Post& Bea,n
Rough In -
Gas Line
Sm Dampers
T FAIL
#E"CTR - —�
Rough In — - --- --
UG/Slab
Low Voltage P�S
' rm
5
PART FAIL
Or, —.-
Backfill/Grading - --
Sanitary Sewer
Storm Drain ( J Reinspection fee of$ required before next inspection. Pay at City He!!. 13125 SW Halt Blvd
Catch Basin
Fire Supply Line l 1 Please call for reinspection RE: _ —_ _ [ J Unable to inspect-no access
ADA
Approach/Sidewalk
Other — -- Late ��._ __ Inspector- - Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITYOF T I G,A R D MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2000-00300
13125 SW H..i Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/26/00
PARCEL: 2S 102BB-0(.1410
SITE ADDRESS- 12050 SW KAROL CT
SUBDIVISION: KAROI COURT ZONING: R-4.5
BLOCK: LOT: 009 JURISDICTION: TIG
CLASS Oc WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O ADPL: VENT SYSTEMS:
STORIES- B_O_ILERSICOMPRESSORS _ HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
v� 3 15 HP: COMML. INCIN:
MAX INPUT: BT'1 15 - 30 HP:
REPAIR UNITS:
FIRE DAMPERS?: 30 -50 HP:
OD
GAS PRESSURE: 50 + HP: C
FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER
DRYERS:
— � ER UNITS:
<= 10000 cfm:
FURN >=100K BTU: GAS OUTLETS: 1
> 10000 cfm:
Remarks: R3placement of gas furnace with like kind, installation of new a/c unit and gas pipirg. Placement of a/c unit
must comply with standard setbacks.
Owner: FEES _
KRAUSHAAR STEPHANIE E + Type By Date Amount Receipt
BEDNAREK, CHRISTOPHER F JF' PRMT DEB 7/26/00 $50.00 0[. '998
12050 SW KAROL CT 5PCT DEB 7/26/00 $4.00 0003998
TIGARD, OR 9722.3 ------
Phone: —_-
Total $54.00
—_--- - —
Contractor:
JACOBS HEATING + A/C
4474 SE MII_WAUKIE AVE
PORTLAND, OR 97202 _ _ REQUIRED INSPECTIONS
Gas Line Insp
Phone:503-234-7331 Heating Unt Insp
Reg #:LIC 1441 Cooling Unt Insp
Final Inspection
This permit is issued Subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
and all other appiicabi'e laws. All work v�,l be done in accordance with approved plans. This permit will expire if work is
not startej within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION. Oregon law
requires you to follow rules adopted in 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 by
calling (503)246-9189.
Issue 6y: Permittee Signature:,
Call (503) 639- 175 by 7:00 P.M. for inspections ,eeded the next business day
Plan Ch #
CITY OF TIGARD Mechanical Permit application Recd
$3125 SW HALL BLVD. Commercial and Residential Date Recd 7�-� ,-O0
TIGARD, OR 97223 Date to P.E.
(503) 639-4171, x304 Date to DST
Print or Type PermitL % � ��
Incomplete or illegible applications ME not be accepted Called
(- Name of DevelopmentlProject Description
�Nr \?� f, ru r C k -, Table 1A Mechanical Code _ _ ' Qt Price Amt
Street Address lune# — A Permit Fee 16.00
Job 1) Furnace to 100,000 BTU
Address I;)C,C.-)(1 (o kc" C including ducts&vents see footnote 1,2 / 9.65 c�
BldgtY City/State Zip 2) Furnace 100,000 BTU+
including ducts&vents see footnote 1,2 12.00
Name(or name of business) - 3) Floor Furnace
including vent see footnote 1,2 9.65
Owner t ' J5 Pd 'Ur` r' It )t? --
Mailing Address 4) Suspended heater,wall heater
or floor mounted heater see footnote 1,2 965 _
5) Vent not included in appliance ermit 4.7) _
City/State Zip Phone Check all that apply "noiler Heat Air
� I r,C, fir 110 fL ��Tao f. �'.18 C, For items 6-10,see or Pump Cond Oty Price Amt
Na for name of business) footnotes 1,2 1 Com
5)<3HP,absorb unit to
_
100K BTU 9.65 (r S
OccupantMailing Address) 7)3-15 HP;absorb unit
100k to 5001 BTU 17.65
City/State Zip shone 8)15-30 HP,absorb
ugit.5-1 mil BTU 24 15
Contractor Name — ----- 9)30-50 HP;absorb J --
1 unit 1-1.75 mil BTU 36.00
l`'►�� '�'�- IA ' " d F\ C 10)>50HP absorb unit
Prior to permit Mailing Address >1.75 mil BTU 60.15
issuance,a copy I I-I'1' A,-- . 11 Air handling unit to 10,000 CFM —�
of all liconses GnylState Zip Phone _ _ _7.00 _
are required if )c l \,�C�1 Ct P j,�c'.=- -�r '1; 12)Air handling unit 10,000 CFM+
expired in COT Oregon Const Cont Bo.ud Lic k Exp Date
_ 11.7E
database _ f I l L 13)Non-portable evaporate cooler v
Architect Name _ 7.00
14)Vent fan connected to a single duct V�
Or Malting Address 4.75 —
15)Ventilation system not included in
appliance permit _ 7.00
Engineer Coy/State Zip Phone 16)Hood served by mechanical exhaust
7.00
Describe work to be done. 17)Domestic incinerators__ —
_ 1200
New O Re air O Replace with like knd Yec�NO O 18)Commercial cr industrial type incinerator
Residential; Commercial _ _ 48,25 _
19)Pepair units
Additional information or description of work, __ _ __ _ _ 8.40 _
20)Wood stove/gas FP/other units/clothe dryer/etc
7.00
NOTE: For Commercial projects only,Units over 400 lbs require 21)Gas piping one to four outlets 7 —
_ structural rias talcs. See footnote.i _ x.75 J 'r)
Type of fuel oil 0 natural gas I_PG O electric 0 22)More than 4-per outlet(each) _ .75
Minimum Permit Fee$50.00 SUBTOTAL T
I hereby acknowledge that I have read this application,that the infonnafion — %SURCHARGE tL nC
given is correct,that I am the owner or authorized agent of PLAN REVIEW 25%OF SUBTOTAL
the owner,that plans submitted are in compliance with Oregon State laws. _Required for ALL commercial permits onl
TOTAL
Signature of Owner/Agent — DateC1
1 Other Inspections and Fees:
Ll. �. c)C' 1. Inspections outside of nomtal business hours(rnininum charge-two
Contact Person Nam Phone hours) $50.00 per hour
2. Inspections for which no fee Is specifically Indicated (minimum
3`� '3 charge-half hour) $50.00 per hour
Foonotes for commerelal projects only: '. Additional plan review required by changes,additions nr revisions to
1 Provide full schematic of existing and proposed gas line and pressure plans(minimum charge-one-half hour)$50.00 per hour
2 Provide drawings to scale showing existing and proposed mechanical
units. "State Contractor Boiler Certification required
"Residential A/C requires site plan showing placement of unit
I trnechperrn doc rev 02/4/99
2S
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503 - '3,1 733/
rRx TO I- 234- 6,952
CITY OF T I G A R D PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT#: PLM2000-00275
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 619-4171 DATE ISSUED:
SITE ADDRESS: 12050 SW KAROL CT PARCEL: 2S102BB-00410
SUBDIVISION: KAROL COURT ZONING: R-4.5
BLOCK: LOT: 009 ,JURISDICTION: TIG
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R�) FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: 1 CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Remarks: Replacement of water heater with like kind.
Owner: _ �_� FEES — -- �
– ��— ----�-- Type By Date Amount Receipt
KRAUSHAAR, STEPHANIE E + — —
BEDNAREK, CHRISTOPHER F JR PRMT DEB 7/2u/00 $50.00 0003998 —
12050 SW KAROL Cf 5PCT DEB 7/26/00 $4.00 0003998
TIGARD. OR 97223 Total $54.00
Phone 1:
Contractor:
JACOBS HEATING +A/C INC
4474 SE MILWAUKIE AVE
PORTLAND, OR. 97202 REQUIRED !N3PECTIONS
Phone 1: 234-7331 Top-outlnspFinal Inspection
Reg #: LIC; 1441
PLM 26-548PB
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 952-0001-0010 through OAR 952-0001-0030.
You may//obtain copies of these rules of direct questions to OUNC by calling (503) 246-1987.
Issued By: r^� [-G�CQ_ Vt� Y Permittee Signature
_ ► ,.
Call (503) 639-4175 by 7.00 P.M. for an inspection needed the next business day
CITY OF TIGARD Plumbing Permit Application Plan c ck#
1?l25 SW HALL ULVD. Commercial and Residential Recd
TIGARD, OR 97223 Date Recd -7-ala -7(�
(503) 63S-4171 rrate to P.E. -------
Print or Type Date to DS _
Incomplete or illegible applications will not be accepted Permit# j�l` f _-rr +�25
Related SWR#
Called___.___
Nance of Development/Project FIXTURES (individual) QTY P IR CE AMT
II 1 ( 1k 11.50
Job
Address Street Address Suite Lavatory - 11.50
Tub or Tub/Shower Comb. 11.51
Bldg# CitylState Zip Shower Only r 11,50
�— -- Water Closet — 11 50
Name _ —
i Urinal 11,50
Owner Mailing Address Suite Dishwasher - 11.50
C 1' Garbage Disposal 11.50
City/Slate Zip Phone Laundry Tray 11.5E
Na a Washing Machine/Laundry Tray _ 11 50
Floor Drain/Floor Sink 2" 11.50
Occupant Mailing Address Suite 3' —_ — 11.50 —
4" 11.50 r
City/Stale Zip I Phone - —
Water Heater�onversion C like kind 11.50
_Name - Gas iping req ues a separate mechanical permit
MFG Home New Water Service 3200
�V\t t , , Fi 1 C'_ —
Contractor Mailing Address Suite MFG Home New San/Storm Sewer — 32.00
Hose Bibs — - 11 �0
Prior to permit City/State Zip Phone Root Drains 11.50-
issuance,a copy ir , ( 11< <t D inking Fountain 11.50
of all licenses are Oregon Const.Cont.Board Lic.# Exp.Date -- -
Other Fixtures(Specify) — 15.00
required if / /c / I
expired in COT Plumbing Lic # Exp Date
database —
Name
Architect MSewer-1st 100' � 3800
Or ailing Address Suite Sewer-each additional 100' 32.00
Water Service-1st 100' '18.00
Engineer C4/State ZIP Phone -
9 Water Service-each additional 200' 32.00
Describe work to be done. Storm&Rain Drain- 1st 100' 38.00
New O Repair O Replare with like kind Yes P� No O Storm&Rain Drain-each additional 100' 32.00
Residential O Commercial G Commercial Back Flow Prevention Davire 32,00
Additional descripLon of work
Residential Backflow Prevention Device* 19.00
Gatch Basin 11,50
Are you capping,moving or replacing any fixtures? — insp of Existing Plumbing or Specially Requested 5000
Yes O No O Inspections —�_ per/hr
If yes, see back of form to indicate work performed by Rain Drain,single family dwelling _ 4500 --
fixture. FAILURE TO ACCURATELY REPORT FIXTURE Grease Traps 11 50
WORK COULD RESULT IN INCREASED SEWER :EES. QUANTITY TOTAL —
I hereby acknowledge that I have read this application,that the information Isometric or riser diagram is required n Quantity Total is >9
given is correct.that I am the owner or authorized agent of the uwner,and - - "SUBTOTAL <- f
that plans submitted are in compliance with Ore on State Laws
Signature of Owner/Agent Date ------8% SURCHARGE
' t.� 1 -- _ 1 z
Crnt�ct Person Name Phone
- I1 1 - j �•� �tC, c� ,� �r�• 733 **PLAN REVIEW 25%OF SUBTOTAL
Required only if fixture qty toiil is>9
1 BATH HOUSE 517800
TOTAL
T.BATH HOUSE a250.00
3 BATH HOUSE$285.00
(This fee includes all plumbing fixtures In the dwelling and the first 'Minimum permit fee is 150+8%surcoarge.except Residential Backflow Prevenlion
100 f9et of sanitary se'•ror storm sewer and water service) _ Device,which is$25+8%surGtarge
•AIINbw Comrnerdal Bulla cps require planA WMrlswne4ncor riser diagram-and
plan review
I Wsisvio"mplumapp dor 1111"9
PLEASE COMPLETE:
Fixture Type Quantity by Work Performed
New Moved Replaced Removed/Capped
Sink
Lavatory
Tub or Tub/Shower Combination
Shower Only
Water Closet
Urinal
Dishwasher
Garbage Disposal
Laundry Room Tray
Washing Machine
Floor Drain/Floor Sink
311
4"
Water Heater
Other Fixtures (Specify)
COMMENTS REGARDING ABOVE:
dx I III W'49