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Permit CITY O .I GA R D ELECTRICAL PERMIT PERMIT #: ELC2001 -00522 DEVELOPMENT SERVICES DATE ISSUED: 12/4/01 '�� 13125 SW Hall Blvd.. Tiqard. OR 97223 (503) 639 -4171 PARCEL: 2S112BD -00100 SITE ADDRESS:- 07580'SW BONITA RD SUBDIV O I CK: X 4 , 60 0 �7 , -v - LOT : 065 JURISDICTION: CTION: T TIG B Project Description: Fire restoration of 3 units and hard wire 22 smoke detectors for remaining units. RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 49 0 - 200 amp: PUMP /IRRIGATION: EACH ADD'L 500SF: 3 201 - 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: 20 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: BOROS, STEFAN A + FIVIA D I ELECTRIC PO BOX 1890 2870 NE HOGAN DR GRESHAM, OR 97030 GRESHAM, OR 97030 Phone: Phone: 503 - 891 -04113 Reg #: ELE 26 -1110C LIC 96978 SUP 3939S FEES Required Inspections Type By ' Date Amount Receipt Rough -in PRMT CTR 12/4/01 $425.20 2720010000( Wall Cover Elect'1 Service 5PCT CTR 12/4/01 $34.02 2720010000( Elect'I Final Total $459.22 This Permit is issued subject to the regulations contained in the Tigard Munidpal 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 r" ules 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 Permit Signature: �` Issue \y: Sit (eiLi;�1 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. c EC'N a � „ -,g- -"�'- C / '�- DATE: LICENSE NO: d ( / 6 Call 639 -4175 by 7:OOpm for an inspection the next business day FROM : ANA. IONESI PHONE NO. 5834888827 Dec. 84 2(7171 117:47AM P1 Electrical Per�iiit Application . r '�iliti City of Tigard an Date received/ o ��/ d Permit no.: g � ^� G / - aa5�� Address: 13125 SW Hall Blvd, Tigard, OR 97223 l't ^ojccbappL __ Expire date: Crty r,fTirdrd g Phone: (503) 639 -4171 Dare issued: 1 <v : (503) 598-1960 — . —,.— By: tzcc cipt no.: Case Ole no.: Payment type: ��" Land use approval: .i ❑ 1 2 family [iwelting or TYPE OI' PERMIT' Y r accessory. 0 Commercial /industrial ` Multi-family U Tenant improvement a New construction Addition /alteratiocl /re lacet_,cnt. nL . , 1 0 ] Ulher: _ U Partial ,,,c . - t, JOB SITE INFORMATION Job address: . • ,. ->gp s ''';: ' ' l " Lot: ! Bldg. n0.: Suite no.: Tax map /tax lot/account no.: Block: !Subdivision: Project name: CA.t ' 079 I Description and location of work on prernises: 54� (� Estimated date of completion/inspection: 1(, "— Spot Q �� ' CONT.RACI�OR �- Iv ('C Job no. TEE: SCI1LnC1L)lA Business name: ��"' a� r m Description !( no. Address: N re sidential - P E <KJ ��7'N he_ singleormtrltl- familyper City: a ,e t t - :., lncludesattached garage. S tat e: ,/j L1P: %T p ' ,e, Serviccincludcd . • Phone: Sb3, 89(- of /3 Fax: 'W e-so 24 I E -mail: `s I 1000 sq, or Less �S 0 0 CCD no.: it. //!S • a ? ' 7 ?Z Elec. bus. lic. no: y • - / / $ ( Each additional 500 s• . ti. or portion thereof r� DD • XD City/metro lie. no Limited energy, residential 2 �• .. 'r� Limited energy. non- residential �� 2 /0,- o� C1 Each manufactured home Or modtalar dwelling • Signature of Supervising clot rician (equircd) — �■ Date Service arld /or feeder � S Sup, elect. name (print): (,fJ, ( Services orfeedets– instatlatlon, 2 1 r m T . r ,� License no: 9 ,3 �. --. —� —-- ?•R41t?ER•;,OWI�I:It =.^ atterationorrelocation: • `' 4 '". 200 amps or less • Name (print). ) ` ` �. 'l/ �� 2 201 a mps to 400 amps =ME 2 Mailing address: © ., f% 1'C. ,/ ,a� 401 amps to 600 turps �� 2 �� �a �, 601 amps to 1000 amps M 2 Phon I ZIP" 2jA I Over 1000 amps or volts �" a 'I,ttr r , • .- lrmail: 'Reconnect only MUM 2 4 Owner•installation: T' le ins . ation is being made on property 1 owl! Temporary services ot feeders - __ I which is not intended fo`i s , lease, r nl, or exchange according to instillation, alteration, orrelocation: ORS 447, 455, 419; / a ,/ /� 200 amps or less • Owner's signature: `' ` ' � -- 0 • . - 20i amps to 400 amps 2 �. l — .— Date: 1 401 to 600 amps mime 2 . • "` ,(° ° , • L'NGINEI;R • �� 2 � I " Branch circuit: - new, a or extension per panel: - Address: A. Pee for branch circuits with purchase of ) service or feeder fee, each branch circuit l T6' 2 City: statc: B. Fec for branch circuits Without purchase Phone: ' of service or feeder fcc, fi tst branch circuit_ Dm 2 JJ5 . ' Service ov er PLAN ant • t " , • Each addi[ional branch circuit: r � ZI:)1LI'V (1'I , sc'ctreeMt all that allpl�•)' 1ViLsc .(See .ioeorf�tter not included): amps-commercial b hlcalth•c irefacility ( Each pump or irrigation circle O Service over 320 amps- rating of 1 &2 0 Hazardous location I 2 family dwellings Each signor outline lighting Funding over 10,000 square feet four or Signal cireu or a limited energy psr'e1, O, 2 O Systcm over 600volt. nominal more residential units in On on, orextension* O Building over three stories CI Feeders, 400 amps or more – • Z. • ❑ Occupant load over 99 pe arson ❑ Manufactured structures or or park �Dcscription; — Each additional inspection over the allowable unary of the Abov ❑ Egress/lighting plan ❑ Other: • • Submit ' sets of plans with any of the above. Per J I • nvestigation fee The above are hot applicable to.temporary construction service, Other – Not all "urisdictions ccc t c ..99 a 1 P r elit c ards, lease c ' di ction ler mote infgmtatiw. Notice: T his perms a licati P er m i t f ee $ p�_ _ ova D Q Visa O'MastetGud i o P lan review %) _ expires if a pe7nit is not obtained (at /u) $ Crcdit crud number: - - / / within 180 days after it hos been • State surcharge 8% ., �� > D'rea acce ted as com plete- TOTAL Al < ) $ �� Name of cardholder as :;lrvwn 011 credit card P $ $ Ctudttorder eilMature Arncae[ 4 40 -4615 (6/00 /COM) •