Permit C ITY OF T I G A R D ELECTRICAL PERMIT
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PERMIT #: ELC96 -00152
;y; DEVELOPMENT SERVICES DATE ISSUED: 04/26/1996
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S113AA -00300
SITE ADDRESS: 16300 SW 72ND AVE
SUBDIVISION: ZONING: I -L
BLOCK: LOT : OOA JURISDICTION: TIG
Project Description: Two service feeders to 200 amps
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 48 0 - 200 amp: 2 PUMP /IRRIGATION: 0
EACH ADD'L 500SF: 0 201 - 400 amp: 0 SIGN /OUT LINE LTG: 0
LIMITED ENERGY: 0 401 - 600 amp: 0 SIGNAL/PANEL: 0
MANF HM/ SVC/ FDR: 0 601 +amps -1000 volts: 0 MINOR LABEL (10): 0
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: 0 W /SERVICE OR FEEDER: PER INSPECTION: 0
201 - 400 amp: 0 1st W/O SRVC OR FDR: 0 PER HOUR: 0
401 - 600 amp: 0 EA ADD'L BRNCH CIRC: 0 IN PLANT: 0
601 - 1000 amp: 0 PLAN REVIEW SECTION
1000+ amp /volt: 0 > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: 0 SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
JOHANSEN ELECTRIC INC
10948 SE VALLEY VIEW TERRACE
CLACKAMAS, OR 97015 -000
Phone: Phone: 698 -8031
Reg #:
FEES Required Inspections
Type By Date Amount Receipt
PRMT BON 03/13/199E $120.00 96- 276520
PLCK BON 03/13/199E $30.00 96- 276520
5PCT BON 03/13/199E $6.00 96- 276520
Total $156.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable Taws.
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:OOpm for an inspection the next business day
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINAL:
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing -Mech.
PIbg.Und /FIr /Slab Plbg. Top Out Insulation _3120
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr /Sdwlk Reins.
Other:
Date: A.M. P.M. Entry:
Address: S O
Tenant: Ste: MST:
0U 'UPC::
Con /Own: E., MEC:
a �11,� ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
C cze, l ( l/l
Cery0
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Inspector. k T � ��
` In / i �, 2 � � Date:
J( APPROVED _DISAPPROVED /CALL FOR REINSP. a CO