Permit CITY OF T I G A R D ELECTRICAL PERMIT
PERMIT #: ELC2001 -00083
;w DEVELOPMENT SERVICES DATE ISSUED: 2/8/01
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S134CD-03700
SITE ADDRESS: 11960 SW 121ST AVE
SUBDIVISION: LERON HEIGHTS NO.3 ZONING: R -4.5
BLOCK: LOT : 071 JURISDICTION: TIG
Project Description: Installation of one branch circuit for hot tub. Job No. J04878
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: 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:
DURRETT, BARBARA P WEST SIDE ELECTRIC CO INC
11960 SW 121ST 1834 SE 8TH AVE
TIGARD, OR 97223 PORTLAND, OR 97214
Phone: Phone:
231 -1548
Reg #: LIC 13306
SUP 1556s
ELE 26 -135c
FEES Required Inspections
Type By Date Amount Receipt Rough in
PRMT CTR 2/8/01 $46.85 2720010000( Elect'I Final
5PCT CTR 2/8/01 $3.75 2720010000( EXPIRED
Total $50.60
This Permit is issued subject to the regulations contained in the Tigard Munidpal Code, State of OR. Specialty Codes and all other applicable laws.
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -1987. n
PERMITTEE'S SIGNATURE J/ j j � ISSUED Y: '�
°0° ��� OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: . M-U •-00- ! � ;% DATE:
LICENSE NO: /55
Call 639 -4175 by 7:00pm for an inspection the next business day
i , fl
Electrical Permit Application
Date recerued ,- 5"- Penrit no.:' Ac» - 400
u 11 City of Tigard Prole:34ppl,ne.. Layne dubs; •
Ciryof•, gard Address: 1312.$ SW Hall Rh d, Tlgarc, OH 97223 Lana ;wed: By: Racei• tun. !
rhmnc: (503) 639 -4171 — — —
nut: (503) 598 19E0 Coe file no„ payment typo:
L,:,itd use approval: _
1 %11 01 I'tItS1I1
U t de r family dwelling or acvoesory ;,3 Commerci.1/indtestrial 0 Multi - ramify 0 Tenant: improvement
U Net conxrtuellun U Aridititt.✓dtrrrtir n/r; placement U Other: • ... . ..._. . . . ...•_ U PLtttial .
_iI.111 tiI I I irVl " Olt Ott IItrN
Job arlrl=1116 t.J L Iu Suite no.: Tax ma • tan lot/acc Q�� .I M
Lot: Black: Subdivision:
Project nine: V ,,,, ,� , � De•crip�lun and locailun of work on primates; t _,,: �. \ R r -4 i
Estinia ; • • • II ItIiO!Jius t,Uutt — 0 t
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ed. I y par
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Phone liallinn r•�rt� ° � }b, QI,•t�l >: maila��..__
ear•: r - Eke'. bus, tic. nu:,2 1 r l Etch newt •,R, •a on •. �g
-� �' _. L7 re Emir, ,re. dent. N�_
i • I. 1 men -reii annual _ Elm
COP 2. - ' ( Each mmtuiwaaai Acme or ra tlulac JweJioj
nil
31 -.,y, o cons hens e� etrifa kiequlrcdt - - -- - _pre • 9 Mosendlorhe ter 1
Sup nice name (print). Ise ., _ . . _,#, 1.1c :rise no. scalier or r eietn lartallailttlt, 1111
1.1(3)11 II it cE11Nl H dterrelonor a caldam
J Mao amps tin less 1
i+�_ 'A ... R c .* e ) .. 1
r u• ; 111111= 2
Mr atlNrr;BY: i l CY - J1 at... to 690 NM 2 _ ..
601 fungi to • • 0'nips 1111•11111111111 2
► . - _ . _ Q t ' �'tF: �I 7 Over 000 rm • s or robs MEMO
Phone: :i l T1tk: E-i»uil• ece,trectonl 2
`
Owner tall tcnl: The na , being o made on property t utu nm P"n4 eetic. eve foe 1111I11
which i not intended isle, for epic, lease, rent, or exchartgt• according to o MotlaUedan ,rMeratiun,.rrelocrtlarr
ORS • . 435, 479, 670. 701. 200 Amps or less
01 t • E 1 a i mlaE MEM
Owner' S IL:re' Dug: 4D1 - _ eDl m opal are r NU
htit :INI tit •4 a our, 'dissolve,
or e aleaulen par pad;
Name: — A Pee for branch cin:ui4 with purehau or II
Adores : on ties IN feeder fee, such brea circuit
EMI Stale: — 21P: B. Ike tot har tircalte *hived purchase 11111 ,
Phone: Fait naaily of senl+e w feeJar fee, 11n1 brara:h circuit: 2
L ' e . : h ,Boon J branch elrprtt: IIMI II=
I'I .A N I l l t I I II I I'k• -uue rIt ., It all Ihur ; • 4e. St coot soder Del c u e•
O dent. ou•r92l .mga.cmnrnerelel 0 licaith.ceu Cordite Frto11 .en • oclrrt alien curets li
0 Sorel. Yti^er 320ampe -r ing of l 6s2 C] Hrutdorc lncatian Feoh ai nor outlko lighting - - •
temily • sniffing. 0 Buil din; t•vcr 10, :00 squez l'tal (our or Signal c!rcuIKV) ore Heated eucrsy pnud, .-
0Sycte over 600voliinorttinal twit rattlrnUilwdu cue euucture alteration, oreztentduu'
U Build Rovrr three slunei 0 Fotckrs, 4:i0 mute Or 11.10(0 *Doren •tion,
LIOcwp rllosd over 911 prevail" ❑ Manufactured stron m Ermine ■ anal liupectteeoverthealloaablela any *MT NIA re:
O ECM Ithlilliliwi U (rear. _ Au. limmlion _ i 1' I l
Submit ltca of plans nitic any of t obeys. n�caat2eenonfee -
attlove are not ins ,I1cabk to temporary towns solos 'trsier. Odor —
N o t .11 ' •' emu accept eteda ere., plena veil j,.n..rr:ll.afar r e. . , e •Cram Notice: This permit application Pernik r o e 77. _ 1f. :{
U Woe DMamaCard expire% 11' a permit is not obtained Plan lvvlew (at __ - %) S , -
coma eve maims: { rip t 5
within 160 days eater It has Been Stale surcharge %) S , - _
— "' —
accepted as complete. IOT/f.2, $
" r or at r as mown an eiedli' aW -
$
LrdaJer i ol nn 4 ------ --Aiuiei _ aM lBl 14irNC:0M)
EXPIRED
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R .
T0'd LL90 9£L 205 3Iw13313 311ZS 1S3M Wd 6Z =S0 T0- 50 -33d