Permit A-A. CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2003 -00464
DEVELOPMENT SERVICES DATE ISSUED: 7/30/03
'IIII 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S102CB -02700
SITE ADDRESS: 13050 SW PACIFIC HWY
SUBDIVISION: FREWINGS ORCHARD TRACTS ZONING: C -G
BLOCK: LOT : 020 JURISDICTION: TIG
Project Description: JOB NO. C513 -78 Tenant Improvement
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 HMI 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: 1 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:
CAPONE, ANTHONY M ABC ELECTRIC CORPORATION
13056 SW PACIFIC HWY 135 NE 9TH
TIGARD, OR 97223 PORTLAND, OR 97232
Phone: Phone: 233 - 7551
Reg #: LIC 288
SUP 1241S
FEES ELE 26 -2C
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 7/30/03 $53.50
[TAX] 8% State Tax 7/30/03 $4.29 Ceiling Cover
Wall Cover
Total $57,79 Elect'I Final
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 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246-6699 or
1- 800 - 332 -2344.
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Issued By: Permit Signature: .4 / , _/ _
i
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: DATE:
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
3t• 1 29 03 O3,: 29p ABC Electric R 503 233 7552 p. 2
■ Electrical P 74
D b
Dew received: i P�T °OLL(2,003- � !j I
' • � R ojecJappl.no.: �tpiredale: -
��'yi:. Cit of Tigard � �� g� _—
'! B y: Receipt no.. _
c i. of Tigc IV Address: 13125 SW lull Blvd. D i ssued: _ --
Phone: (503) 639-4171 CITY OF TIGAHI� r file no.: Payment rypc.
Fu: (503) 598-1960 BUILDING DIVISION
Land use approval �
. • s . ,
t� k J - - r a tF!t Q : p. »S a r .� . , n„ -
} I }, - .., ,r , -, 0 Tesoro improvement
C ❑ Multi -family 0 I & 2 lamily dwelling or accessory U Partial
7 New conswetion 0 Addition/alteration/replacement 0 Other: > -
...w x...r,
�'� ,th e, -..:, r -
:JOBSITC#NFUAl1L1TION. yN \'`. address: C? k IN _ Bldg. no.: Suite no.: Tax map/tax lot/account no.:
Block: Subdivision:
f Description and location/6f work on premises
i PNlect nal7ve LA��� ■�, la
Est:mated date of complction/insp uon: A r , \ t kL;SC11EU1.ILL' i a ' .,. r X : ' t, ? _ i
} r (TOn'�1PrL1CaT�oN. i :: 1 t�
t .•, . . 3 r Q.: (ea) I Total no. irsp i
Job no: • ! Description f — - `Y�� . - - -- 4ch r eidrnripi • nr�}c or multi- (aatii] per 1 I
r i:l:_rne„ r -sine: .r --
.'.cdrett: 1.ilA6711 A. Scnialn lodeiatuncfdgamer. i :
t:i;y: M 7 I a
1(100aq.Ilorinl I f 1 ' - - �
h or onion Uicrc0l ,
i h_' 1- nc s�'' •mail: finch addiuonal SOOr'q� P
o-j� �rir/ Elec. bus. lie. no: _ I Um ite dctergy.reside/Idol - -
__
� li/ -
C B, - 1n S'�S � i• l -
ly *JO'ire.!n 0 .: /num� Umiird y.non- icsidcnt +
1- i 1 - , /f/jljag g in:rvfee hoer: o, modulo dwelling
_
Da t //y Su solo( (coda
`��i.,. ".y( vper ey ►;•Lill) S erd/or e en- yittallaiion, - i - --
Su elcci name :� . 1 /E J .21 aher* or relocation: I i
., +1 r �1Ri[lti!F.F(1Y. A��1�LR . �}� .: `. ° .i 200 amps or 1w -- ---
i
<y r'•7 �. . l � 201 am a to 400 i mp/ — - -
Nttmc ring: 401 amp( t 600 a n.ps
;Aiding address: __ (s01 amps lol000ttmPI - -� -
State: ZIP: Over 1000 snips w volu I _�- --
( i `• y:
E-mail: Reconnect only 1
• 1 t'roae: Fax: �
Temporary xTVic� of (cedes
OHricr insr.&1lation: The installation is being made on property I own lnsodlation ,altctarion,orrclowUon:
which is ooc intended for tale. lease, rent, or exchange acconiing to 200 imps or lea -= i
I ORS 447. 455. 479, 670. 701. 20t asps to 100 scope
40 io G00 air pt . _7..._..- 1 .. -
i Ownet'S Siunaturt Date 7
-r-^•- ; 4,. i Branch cirvuiu • MW,.ltc ration,
44
` � or extension per panel:
1 s ne: A. Fm for brInch citcuiu with purchascor
tentworfeederlu.uc I - -. ----
I ....::dress: B. F e e tot branch circuiu Without purchase /Cry �/ �
—,. Stat ZIP; II W'0 ✓ 4/..•d
_ '
i r�;ry: of seJVi<eor fear'( fu. Gnt brooch circuit: �� 7- '
'hone Pax: E - B ach sddidonJ browch circuit: /p. /& �4
,+ n; ^ :PL4N I (LVIE% (Picric cli qll -1Ii41 ,iIr1ll)�.'. -a.. ".1 htuc. (Sor.icc or 1t.der not Included): i - i
Each o�mp or rmgeuon circa f- -.; ' -%
`.cola ova 125 unVi eominenia! 0 HcUth•eart facility Each sign or outline {i hue.; ----r__ ,, -.- i
v m t ret,n of 182 0 H aurdouslocation panel.
J :rrvia over - 10 a D 8 S i nl circular') of a li ealrgy p
:l7raly d+Siiingr' 0 1)&41(1'0180.w IO,000 squat lcci(ovror t i I - -_ _ - -�
d iysicnt ovu 600 vole nomine! more rcr'identlal uruu in one tl/ucwtt oltuatiort or extension' i - —
7 :scalding aver throe scone& ❑ Feeders. 40 IMO a m Cr
0 Inore • acripnon: __
O Occupant load over 99 penont 0 Manufactured strucrures or RV put Each additional Inspection over the allowable in any of the above: -- _.
0 Other. POI nupcction r I '
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es
Submit — _ Ic of plans wllh any of the above. InvutIgsaon fce - -.
• O ther
The above are tot applicable to temporary construction sertiicc —•_
Penn i( fee
. r.... a . . ,.r.r•1lnir ( ',m cmeut cud,. pteun call 1"n•dicJon for r Wa Notice: This permit application Plan review (at ` %) $ -/-
. J �•;.. 0 A4uterC:vd
expires it . permit is not as been Sute surcharge (8%) $ U i - -. ,
C.swt curl number: _ 1 / within 180 days after it has been TOTAL S -
eta aims accepted as complete.
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