Permit CITY ®F T I G A R® ELECTRICAL PERMIT
PERMIT #: ELC1999 -00576
1, DEVELOPMENT H B Tigard, 639 - 4171 DATE ISSUED: 09/27/1999
PARCEL: 2S112AC -01200
SITE ADDRESS: 14865 SW 74TH AVE * **
SUBDIVISION: FANNO CREEK ACRE TRACTS ZONING: I -P
BLOCK: LOT : 020 JURISDICTION: TIG
Project Description: Temporary 200 AMP services.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: 1 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: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 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:
KHNS DEVELOPMENT BEAR ELECTRIC
• 26262 S MERIDIAN ROAD P.0 BOX 389
• AURORA, OR 97002 DONALD, OR 97020
Phone: Phone: 503 - 678 - 1355
Reg #: LIC 20919
ELE 24 -107C
SUP 3162 -S
FEES Required Inspections
. Type By Date Amount Receipt
Elect Service
PRMT GEO 09/27/199c. $53.50 99- 318630 Elect'I Final
5PCT GEO 09/27/199 $3.75 99- 318630
Total $57.25 ORIGINAL
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 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -1987.
PERMITTEE'S SIGNATUR >" 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: LL DATE:
LICENSE NO:
� ,
Call 639 -4175 by 7:OOpm for an inspection the next business day