Permit M CITY OF TIGARD ELECTRICAL PERMIT
PERMIT ED : ELC2007-00519
COMMUNITY DEVELOPMENT
DATE ISSUED: 7/26/2007
„,G!`; g 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S136CB-06900
SITE ADDRESS: 11235 SW 81ST AVE ZONING: R - 4.5
SUBDIVISION: HERB + PEGGY'S PLACE LOT : 014 JURISDICTION: TIG
PROJECT: FISHEL
Project Description: (2) branch circuits for new furnace and new a/c units.
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:
GREG & KAREN FISHEL FIRST ELECTRIC CO
11235 SW 81ST AVE. 19093 S BEAVERCREEK RD #305
TIGARD, OR 97223 OREGON CITY, OR 97045
Phone: 503 - 760 - 5940 Contact #: PRI 503 - 632 - 8373
FAX 503 - 632 -7989
FEES
Description Date Amount Reg #: ELE 14 -519C
[ELPRMT] ELC Permit 7/26/2007 $53.50 LIC 147966
[TAX] 8% State Surcharge 7/26/2007 $4.28 SUP 4496S
Total $57.78 REQUIRED ITEMS AND REPORTS
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: ,/ / / / j V Permittee Signature: ' /47.1 // O/ /
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 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.
Jul 25 07 04:13p Mark Lengele 5036327989 p.1
10/0
O/0 i / 2005 08:23 FAX 5035981860 CITY OF TIGARD C& 041
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£Ucct Permit DJI n .as ..4 e i'wV},A, F 'iilcc,c tl,�l1(3.II''.1 (1 \1'1 7 +v a�', '4
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City off 7Cigard r �" 2I' 01 S w- aczoo4 --et6 /t°I
13125 SW mama, a, Tigaai at 97223 JUL 2 5 2007 rlaaRoAn.
Thom: 503639.4171 Pax 500.598.1960 _ iv. Waft Our Peeuni�ic 4 . x07_110441 hospealov Liac 503.6394175 c C 9 ' §' ; o-v' _ ; 44. 1 J .' , -. oim it adjtl2y l L CTl ®Staep�gol tetr
%taut wend. roger eras BU6L t s L, DIVISION 14:46eante wa nd -
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P leases tbeekatlthat eppllr --
❑ New construction Addhlture ontreplooaneat 1
13 Uesteolat 0 Other
05awi orer2?5 toms, eao�e'l QHaandms Iloa�dao I
_ ` fir QSarroeover 320 tamps - ratios ClIkul over 10,000 sq, d., i
. °.�'Yr .< , ` w. T � ,, - � i;: L.:A = .. 5a.+rt, = : 2Lve . , .� of 1- sod ' ►fly dwell 4 a mao<eseertmidatdal
1 and 2 - family dwelling r [] Canmercialrualusnied >w Accettsoey bvildmg OS's= over600 vale halt root emus is old saxcmte
❑ Multi Y Q I►3asox bonder Q Other: O ag ores three dories Modem 400 amps or more
� x;, ;` 7,- e �+v '1 . ¶ . - = ''E7 y`? 7' -'' . ? i 641 344 ❑ ®led 9[�COrGq or
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t o rte, , DpOccap./�� t 94 peaces
sr _._.... . mane le rmee�.,iu�r.w.. ._ 4 - ,.a., >, ..cy r: ,:,,1C`.aa �Nfi�• 8P� 1:1
Job no.: i 2'2 p Job eke addteeas: • / i "7_ 7, S w 2 ; ' j \ il, o od'py nvilL nay oldie above.
Qty/SifeiZlP= 7, q • _ T1aes6orema not applicable tote rporary s mss race.
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's+�.,'+.b' owe.. Q4 fa& Tad
Cross srrees/direaians to job sine: New res8daadal adage- er so ally 4tedly daeDing ash.
• lmelbiea attached p ingo. _
1-000 si. $ ar Lass 145.15 4
Stbdvision: 1 Lot no.: FA dd7 500 sq. S. ar portico _ 33.40 1
, Undid co agy, sesida dal 75.00 2
Tax mapfparcd 110.: _ Llueimd nearer_ 0aaailslld�adal 7500 2
. h : 1: fJ'*:4;4: cj Y ? i ,. ) , L:. IK• 7 1 JM V+'1.'"Aea: � Each ginatthediwed of swage
e �\ , I � daF,9lal7ae atedFOU feeder . 9090 2
�J ,�•` ,�! 1° 1 fti e` C� ��� 1 • C • ' �^ �T or feeders dos, the aBm, cad er relocation
200 amps or leas 80.30 • 2
r-• c ---gi 77.".tr"^ -- •� T .., a ac 201aalpSto400 106,83 2 •
;........,1_2 „,....,,,=-=;2:..11. :rac.•��._ �. - . 401 amps to 400 amps 140.40 2
Nano: 601 daps to 1.000 amps 24040 2
.
Address.: Ora 1,000 or volts 454.65 2
Raooaaectonly 66.5 12
GtyiSta _ Tedgsrarynervkesar tinders Juvendo w. altersden,101410r
Phone ( ) 1 Fat ( ) Meade*
200 amps or lees 66.83 1
O : 'ibis installation is bring made on propettytbat I own whida is not 201 amps to 400 wvip 140.30 2
intended for snip Iattsr" mu1; or exchange, occartiosg to ORS 447.449, 670, and 701 403 amtpsm600 ameQo 133. - 2
Owner signet= Date: Bruck cawing - sew, shamans..., emoeaa loo. Patel
_ • l K:2=' :;� -;��: , , +.�'� . 1 �� A Foateor breach breach c'rrda
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BRusioess >rarnc bleach chant 6.65 2
8 Fees for broods araaits t r i(
C e _ cede truth dank `' 46.85 La 2
Address: Fxleaddi hesoeh cheait / 665 1,,, - 2
(51y15`aaealP: b eate0aoaoas (setvioe or leader toot lamb)
PltetuG { ) l Fs= : ( ) Pomp at O° circle - 53.40 2
Sim oroad®e 53.40 2
E- signal circuit(%) or Ilaieod
c. s v --a-r- 771 _• Pte--• �.; .,;.. ,, et
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Business n mc: (- -j Y,, - a
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tedon over able in any 'elite abort
Address ttSL ; - c*.aer S ' c„ 1 C ,r . y `G S A S Per inspection 6250
C.1tyJStonsVP: C-4,, -cC _ ' `r c c.{ S leveaoget as per doer(' kr OW ) . 62.30
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I hoar 73.73
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State aadomge(8% foe) 9 _
Priut team bA L -S T Data ` l _a_6-) TOTA&rERwrer Asa 2 ,97 e
Authorized sigma: l' I • • 'leis r itakarr anima ire pantie alone 180
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Dot= " Pao omitcabio_ web, 74.E�.ateyl Warm Print name �q �� Levi e� �`
•" t a ab or of iorprobos pa peach alloced.
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