Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2003 -00387
i DEVELOPMENT SERVICES DATE ISSUED: 6/25/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 25111 CC -18800
SITE ADDRESS: 10375 SW GREENLEAF TERR
SUBDIVISION: SUMMERFIELD NO.5 ZONING: R
BLOCK: LOT : 247 JURISDICTION: TIG
Project Description: Panel change. Job No. 11,604
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: 1 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:
PRESTIGE PROPERTIES BOONES FERRY ELECTRIC INC
10375 SW GREENLEAF TERR PO BOX 628
TIGARD, OR 97224 WILSONVILLE, OR 97070
Phone: Phone: 682 - 4936
Reg #: SUP 3170S
LIC 88482
FEES ELE 3 -223C
Description Date Amount
Required Inspections
• [ELPRMT] ELC Permit 6/25/03 $80.30
[TAX] 8% State Tax 6/25/03 $6.42 Elect'I Service
Elect'I Final
Total $86.72
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 doneip accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for mo than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
forth n OAR 952 - 001 -00, 0 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -6699 or
1 -8 - 332 -2344. i
Issu By: ! i $ I I r /� Permit Signature:
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: ; 00 . J J . DATE:
LICENSE NO: •/ 7() 5-
•
Call 639 -4175 by 7:00pm for an inspection the next business day
Jun -25 -03 09 :15A P_01
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_., Electrical Permit Application
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'\_,., ,, from Adentor 13123 SW IOU Blvd. Meant OR 97223 Date betted: sy:
M (303) 639-4171
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