Permit CITY OF TIGARD
ELECTRICAL PERMIT
� DEVELOPMENT SERVICES PERMIT #: ELC97 -0789
IVA( DATE ISSUED: 12/01/97
-.. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1S135AA -00900
SITE ADDRESS...:O895O SW LOCUST ST
SUBDIVISION -TOWN OF METZGER ZONING:R -4.5
BLOCK • LOT •004 JURISDICTION: TIG
Project Description : Installation of one (1) branch circuit or service feeder for
heat pump at existing SFD.
- -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS
1000 SF OR LESS • 0 0 — 200 amp • 0 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
MANE. 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: 0 PER INSPECTION • 0
201 — 400 amp • 0 1st W/0 SRVC OR FDR.: 1 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: FEES
ZEHNTBAUER type amount by date recpt
08950 SW LOCUST PRMT $ 35.00 TJH 12/01/97 97- 301312
TIGARD OR 97223 5PCT $ 1.75 TJH 12/01/97 97- 301312
Phone #:
Contractor:
PARKIN ELECTRIC INC $ 36.75 TOTAL
20250 S MOLLALA AVE
REQUIRED INSPECTIONS
OREGON CITY OR 97045 Rough —in Elect'1 Final
Phone #: 246 -1301 Elect'1 Service
Reg #..: 000351
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon 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 wore than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001 -0010 through OAR 952-601 -1987. You way obtain a copy
of these rules or direct questions to OJNC by calling (5031246 -1987.
Permittee Signature: Oh ,1 4? ssued By: SAAt.•,44717r1.,
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: 074 DATE: fail /0 7
L I CENSE NO :
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
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