Permit qt,1TY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00112
u. ��� i DxVELOPMENT SERVICES DATE ISSUED: 2/25/2005
13126'SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S102BB -00409
SITE ADDRESS: 12070 SW KAROL CT
SUBDIVISION: KAROL COURT ZONING: R-4.5
BLOCK: LOT : 008 JURISDICTION: TIG
Project Description: Hot tub circuit & outlet.
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:
BRICKEY, JUDY F FRAHLER ELECTRIC CO
12070 SW KAROL CT 11860 SW GREEN BURG RD
TIGARD, OR 97223 TIGARD, OR 97223
Phone: Phone: 503 639 - 4627
FEES Reg #: LIC 37410
tion Date Amount SUP 34
Description ELE 34 - 13C
[ELPRMT] ELC Permit 2/25/2005 $53.50
[TAX] 8% State Surcharge 2/25/2005 $4.28 REQUIRED ITEMS AND REPORTS
Total $57.78
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: Permit Signature: �\V
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
Electrical — P'ermit A 1 !,. • ,A CL u-- N, f r r FOR OFFICE USE ONLY
...--_,. 4, - ..-" '
City of Tigard -- ‘' ) Received
Z_ ay - Permit No.:
13125 SW Hall Blvd., Tigakd, OR 97223
A. 41, I i'' Plan Review
Phone: 503.639.4171 Fax: j03.598.1960
FEB 2 4 200 '
, ,i , 1 Date/By: Other Permit:
Inspection Line: 503.639.4175 1 Date Ready/By: Juris: fa See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: ¶ (r Supplemental Information
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,;: ..,.. , „,,, 4r.,`,..joil,, .., ;Vi '''1.!!, %..,r,:v ,,,,,'-! '...-r44,4?;76,r+0,04,;,;:' ,." .,, ' t" 1, .. ,.',r ■ t...• , ,"' Q t ' ; ' :7 it.;......:_, i,',."... ' ' P
El New construction ellAsialtiXiaii‘diVion/i-eidaCnieiii Please check all that apply:
0 Service over 225 amps, comm'l 0Hazardous location
El Demolition El Other: „ ['Service over 320 amps — rating 0Buildng over 10,000 sq. ft.,
7 4CA
. :,,,,. F , c ,„•• • . . • w, •:,;.., vo. i-d-o .' ; •9F 4"4 :9 7-1, 1 ij 91 -6. t.
k.' iii, ,'' t 4. ,' 4' ;; i';: 'li, ,
4 ' - '4-`,%'''"' 4, 1: T.., -/ Y'', ',:i,!'1Y.::',..'W=....,',°).1, of 1- and 2-family dwellings 4 or more new residential
El 1- and 2-family dwelling 0 Commercial/industrial El Accessory building 0 System over 600 volts nominal units in one structure
['Building over three stories ['Feeders, 400 amps or more
El Multi-family 0 Master builder ['Other:
, 0 Occupant load over 99 persons 0 Manufactured structures or
1...0/;'.., • '''• 49. B '' S fEK; I NY•PN V !AT 1 9N• 7 ,-; Al r4P?, , c -A T.19 3 0 Egress/lighting plan RV park
Job no.: 62780 Job site address: 12070 SW KAROL COURT OHealth facility 0 Other:
Submit 2 sets of plans with any of the above.
City/State/ZIP: TIGARD, OR 97223 The above are not applicable to temporary construction service.
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Suite/bldg./apt. no.: Project name: BRICKEY RESIDENCE
Description I Qty. I Fee. I Total **
Cross street/directions to job site: KATHERINE STREET OFF OF TIGARD ST. New residential single- or multi-family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map/parcel no.:
Limited energy, non-residential 75.00 2
_'',••• ' '''' ' ' 1:21,.f..,:•!..'',1 - ;;;,."!- ;,,• ,::.,,,PESOR1JPTION'py #0RIC,., ; .".: .,•:`,:,..'.. `„, .:- , • :,,e, '-.., • :•i ‘.": Each manufactured or modular
HOT TUB CIRCUIT AND OUTLET dwelling, service and/or feeder 90.90 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
iiiiiitiiii:owEiti -:'-''',---,''' "r •"'" o "TrEik'isii ,‘' ' , - 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: JUDY BRICKEY 601.amps to .1,000 amps . _ 240.60 2
Address: SAME . Over 1,000.amps or volts . _ 454.65 2
Reconnect only 66.85 2
City/State/ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according-to ORS 447, 449, 670, and 701.
401 amps to 600 amps 133.75 2
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
'41itie`At. - 41 ..' 1 " r '' ''' a eciii ef'iiitscokl: -,; :i-',-;: A. Fee for branch circuits with
service or feeder fee, each
6.65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee, -1
i 46.85 46.85 2
each branch circuit
Address:
Each add'l branch circuit 1 6.65 6.65 2
City/State/ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: ( ) Fax: : ( ) Sign or outline lighting 53.40 2
E-mail: ; Signal circuit(s) or limited-
,- c - ',•", ,i , :',•,;, i •-,,,,.,, ',1_1:• ,. ,,..., N 11. , ,:' . /4: !: , ,.: .', ,r, energy panel, alteration, or
extension. Describe: Page 2 2
• Business name: FRAHT,ER ELECTRIC COMPANY
Address: 11860 SW GREENBURG ROAD Each additional inspection over allowable in any of the above
Per inspection 62.50
City/State/ZIP: TIGARD, OR 97223' Investigation per hour (1 hr min) 62,50
Phone: (503) 639-4627 Fax: (503 ) 639-4673 Industrial plant per hour -
,'.. ,;::::::":,• :: l'' -`, : ELECTRICAL : ERMIt'FEES,
CCB Lic.: 37410 Electrical Lie.: 34-13C Suprv. Lic.: 1816S Subtotal 53.50
. . /?,....
Suprv. Electrician signature,letittiittl: lev„. Plan review (25% of permit fee)
• State surcharge (8% of permit fee) 4.28
Print name: R . w . FRAHLER Date: 02/23/05
TOTAL PERMIT FEE 57
Authorized signature: This permit application expires it a permit is not obtained within 180
days after it has been accepted as complete
Print name: Date: • * Fee methodology set by Tri-County Building Industry Service Board
5 * Number of inspections per permit allowed.
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005- 00'i12
13125 SW Hall Blvd, Ti 9 OR 97223 DATE ISSUED: 2125/2005
Phone: (503) 639 -4171 iard, „�n y l ,,,� i � 1i i Inspection Requests (24 Hrs.): (503) 639 -4175 ��
INSPECTION WORKSHEET FOR DATE: 3/23/2005 TIME: 7:08AM PAGE: 69
SITE ADDRESS: 12070 SW KAROL CT CLASS OF WORK:
SUBDIVISION: KAROL COURT LOT #: 008 TYPE OF USE:
PROJECT NAME: BRICKEY
DESCRIPTION: Hot tub circuit & outlet. •
OWNER: BRICKEY, JUDY F, PHONE #:
CONTRACTOR: FRAHLER ELECTRIC CO PHONE #: 503-639-4627
Inspection Request Scheduled For: Date: 3/23/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 • Electrical final 002563 -01 503-639-4627 N
Corrections/Comments/Instructions:
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL [I] NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
i Inspector: /VP-( • Dater =,Z2' Phone #: (503) 718-
1