12500 12508 12510 12512 12514 12516 12518 SW KAREN STREET-1 I I I { a J r14 O OD
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12500, 12508, 12510, 11512, 12514,
111516, & 12518 KAREN STREET -
CITY OF TIGARD ELECTRICAL PERMIT —
PERMIT M ELC1999-00447
DEVELOPMENT SERVICES DATE ISSUED: 7121199
13125 SW Hall Blvd.,Tigard. OR 97223 (503) 639-4171 PARCEL: 2S103BB-03300
SITE ADDRESS: 12500 SW KAREN ST
SUBDIVISION: BROOKWAY ZONING: R 4.5
BLOCK: LOT : JURISDICTION: TIG
Proiect Description: Service and branch circuit.
__RESIDEN'FIA_L UNIT _ TEMP SRVCIFEEDER_S _ MISCELLANEOUS _
1000 SF Or I-FSS: — 0X200 amp: — PUMPIIRRIGATION:
EACH AOD'L 5COSF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENL-RGY: 401 - 600 arnp: SIGNAL/PANEL:
MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LA3EL (10):
_
SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 200 arnp: 1 W/SERVICE OR FEEDER: 1 PER INSPECTION:
201 400 amp: 1st W/O SRVC OR FDR: 0 PER HOUR:
401 600 arnp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: _ _ PLAN REVIEW SECTION _J-
1000+ arnp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL:
_ Reconnect only: _ SVCIFDR >= 225 AMPS: —_ CLASS AREA/SPEC OCC:________
Owner: Contractor:
MARIANNE SHEEDY FRAHLER ELECTRIC CO
12500 SW KARE14 STREET 11360 SW GREENBURG RD
TIGARD, OR 972.23 TIGARD, OR 97223
Phone: Phone: 639-4627
Reg #: LIC 00037410
SUP 1816S
ELE 34-13C
FEES — Required Inspections ^_
-hype By Date Amount Receipt _ Elect'I Ser Ac,,
PRMT DLH 7/21/99 — $69.60 99-317054 Elect'I Final
5PCT DLH 7/21/99 $4.87 99-317054
Total $74.47
This Permit is issaed subject to the regulations conts�ned 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 expir;:it work is not startM within 180 days of issuance,or A work is
suspended for more ttiari 180 days ATTENTION Oregon law require: von:to follow rule?cdupted 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
Permit 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: All DATE:------
DATE:____�-_. -- —
_ CONTRACTOR INSTALLATION ONLY _.
SIGNATURE OF SUPR. ELrC'N: 0A1 _�n�L�TiUN DATE:--- ----
LICENSE
ATE: e_ —_ —
LICENSE NO _ _—_-- —_— --- —
Call 639-4175 by 7:00pm for an Inspection the next business day
Y OF TIGARD EtV?6trical Permit Application Plan Check#_
.25 SW HALL BLVD. RECRecd By_ 1
" TIGARD OR 97223 Date Recd
Phone (503)639-4171, x304 Jill.. Date to PED
Date to DST
Inspection (503)639-4175E.C -/!
COMMUNITY DEVELOPMENT Print of Type Permit# i ?
Fax (503) 598-1960 Called
Incomplete or illegible will not be accepted -
1 Job Address: 4. Complete Fee Schedule Be!)w:
Name of Development _-T _ Number of Inspections per permit allowed
Name(or name of business) 11NU Service included: Items Cost Sum
Address 1250() SLl I:ARFN STIFFT 4a. Residential-per unit
City/State/Zip- TGP I1 1 1000 sq ft or less - $ 117.75 _ Ta 4
- - - - Each additional 500 sq ft or
portion thereof $ 26.25 1
Commercia Resid Ual JL 1� /�,�� - Limited Energy _ $ 6000
Fach Manuf d Home or Modular
2a. Con!ractor Installation only: Dwelling Service or Feeder $ 72.75 _ _ 2
(Prior to permit issuance,applicants must provide contractor license 4b.Services or Feeders
information for COT data base). Installation illeration,or relocation
Electrical Contractor FWWLER ELECTRIC COMPANY _ 200amF,orless 1 $ 6425 $64.25 2
Address 118,60 Std GREE1`113URG ROAD 201 amps to 400 amps - $ 8550 2
City_ T I G A R 1) _ State_ OR _Zip 07 2 2 3 401 amps to 600 amps _ $ 12850 2
601 amps to 1000 amps _ $ 192.50 2
Phone No._ (5 0 3) 6j9-4627 Over 1000 amps or volts $ 36375 _ _ 2
,Job No. _5 9 3 5 4 2.
_ Reconnect only _ $ 53.50
Elec, Cont. Lice No 34-13C _Exp.Date__J /1/99 4c.Temporary Services or Feeders
OR State CCB Reg No._3 74 10 Exp.Date 112101 Installation,alteration,or reloration
COT Business Tax or Metro No. E 200 amps or less _ $ 53.50 _r� 2
- gyp.Date /1/9 201 amps to 400 amps _ $ 80.25 2
401 amps to 600 amps -� $ 107.00 2
Signature of Supr. Elec'nOver 600 amps to 100L volts,
License No. / 6-/1(- _Exp.Date_10/U1/01 see"b"above.
Phone No. __ 50) 6,39-4627 4d.9ranchCircuits
New.alteration or extension per panel
a)The fee for branch circuits
2b. For owner installations: with purchase of service or
feeder fee.
Print Owner's Name Each bran^,h circuit _�_ $ 5.35 $5.35 2
Address
b) rhe fee for branch circuits
__
--- without purchase of service
Cay t LIMP I Mill
or feeder fee.
Phone No. (� First branch ciraiit $ 37.50
Each a editions!branch circuit $ 5.35
The installation is being made on prone;-,.y I own which is not 4e.Miscellaneous
intended for sale, lease or rent (Service or feeder not included)
Each pump or irrigation circle $ 42.75
Owner's Signature_ v Each sign or outline lighting $ 4275 _
- _--- Signal circutt(s)or a limited energy
* panel,alteration or extension $ 60.00
?. Plan Review section (If required): Minor Labels(10) -- $ 107.00
Please check appropriate item and enter fee in section 5B. 4f.Each additional Inspection over
4 or more residential units in one structure the allowable In any of the above
-_ -
_.Service and feeder 225 amps or more Per inspection $ 5000 hour $ 5000
Sy:tem over 600 volts nominal In Plant _ $ 59.00
Clasr ifled area or structure containing special occupancy as
des:ribed in N E C Chapter 5 5. Fees:
Sa.Enter total of above fees $
« Submit 2 sets of plans with application where any of the above apply. 1%Surcharge(05 X total fees) $ Y��Not required for temporary construction services. Subtotal $
5b.Enter 251%of line 6a for
NOTICE Plan Review if required(Sec.3) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ v
IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR -
'dVORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Tn.isl llcr_ni nt#
AT ANY TIME AFTER WORK IS COMMENCED - Total balance Aue - --� $ 74.47
i\dsls\I'orms\cleclricdoc
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MSS
�] Bl,'IP _
Date Requested r' – � / 9 AM PM BLD
Location �� S Suite
MEC
Contact Person 1,t. Ph PLM
Contractor _ '1�'c Ph _ SWR
BUILDING Tenant/Owner — ELC r t/ r -1CQL
Retaining Wall
,Footing Access: ELR
Foundation FPS
'tg Drain
Crawl Drain Inspection Notes: SGN
SIS
Post&Beam -"� -�� -----F- SIT -
Ext Sheath/Shear
Int Sheath/Shear -
Framing
Insulation -�—-- - ---
Drywall Nailing -
Firewall ---�
Fire Sprinkler
=ire Alarm
Susp'd Ceiling
Roof
Misc:
Final - - - -
PASS PART FAIL --- --__ - -_
PLUMBING -
Post& Beam --
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final - -
PASS PART FAIL
MECHANICAL - -
Post&Beam
Rough In _
Gas Line -
Smoke Dampers --
Final
PASS PART FAIL
F-CTRICAL, �—
J
Rough IrT -
UG/Slab
Low Voltage -
Fire Alarm
F
ASS PART FAIL
SITE
Backfill/Grading - - -- -
Sanitary Sewer
Storm Drain [ Reinspection fee of$_ required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ 1 Please tail for reinspection RE:! [ )Unable to inspect-no access
ADA
Approach/Sidewalkc
Other Date _ �=` 9--_ Inspector V Ext
Final
PASS PART FAIL J DO NOT REMOVE this inspection record from the job site.