Permit ELECTRICAL PERMIT
SIN (DI T I GARD DATE I ISSUED: C 08 /22/96
COMMUNITY DEVELOPMENT DEPARTMENT
PARCEL: 2S 102CB -00 3rcr2
13125 SW Hen Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171
SITE ADDRESS...: 13285 SW PA HWY
SUBDIVISION • NORTH TIGARDVILLE ADDITION ZONING :C -G
BLOCK • LOT • 33 •
Project Description: Installing two branch circuits.
- -- 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
MANF. 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 C I RC : 1 I N PLANT 0
601 - 1000 amp : 0 -- - - - -•- -PLAN REVIEW SECTION - - - --
1000+ amp /volt : 0 > =4 RES UNITS > 600 VOLT NOMINAL..:
Reconnect o n l y 0 SVC /FDR )= 225 AMPS..: CLASS AREA /SPEC OCC. :
Owner: - FEES --
7-11 type amount by date recpt
13285 SW PACIFIC HWY PRMT $ 40.00 CJS 08/22/96 96-283186
5PCT $ 2.00 CJS 08/22/96 96- 283186
T I GARD OR 97223
Phone #:
Contractor: - --
ATLAS ELECTRICAL $ 42.00 TOTAL
4403 SE ROETHE
REQUIRED INSPECTIONS -- - - - - --
MILWAURIE OR 97267 Wall Cover Elect'1 Final
Phone #: 503-659-2212 Elect'1 Service
Reg #..: 1532
This permit is issued subject to the regulations contained in the _
Tigard Municipal Code, State. of Ore. Specialty Codes and all other Perm i tt ee Signature
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 160 days of issuance, or if work is suspended for more ��� % , c
than 180 days. Issued B y
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: fyiegt, DATE: 4r
LICENSE NO:
Call for inspection - 639 -4175
- - - - - -
• • 08/21/96 13:24 0503 684 7297 CITY OF TIGARD lJ002/002
- Community Development ELECTRICAL PERMIT APPLICATION •
A. 13126 SW Hall Blvd.
Tigard, OR 97223 Permit # ELC06-O5 5
Date Issued 8- a a - 9 b
' •I II Phone (503) 639.4171
FAX (503) 684 -7297 '
CITY OF TIGARD TDD No. (503) 684 - 2772.. - - -.- ..- • - • . .. ..
Inspection (503) 639.4175 • - . . .
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development J I M C O SALES & M AN U F A C T . Number of lnepuedene per penult slowed
Address 13285 SW PACIFIC H W Y Service include* Bents Cost(ea) Start
City /State2lp TIGARD, OR 97223 4a Itelideeed - per Unit
1000 sq. R or its 1110 4 T _
Name (or name of business) 7 / 11 #25653 Feat adel1aa 800 an. IL Q
Commercial Residential ❑ Loom away t
Each 1lratd Mss v 11sdwhr Z —
2a. Contractor installation only: osaaoi
411. Sand= or Feeders
BeCtical c on t rac t :3r AT L A S ELECTRICAL CONT. , ID C. kiddie" reersaet. arobiatlin 2
200 amp Q lams - 680Ae a
Addrees4403 SE ROETHE RD__ _ Mt amps a co amps mom
City MILWAUKIE State OR Zip 97267 an ewes to eID=pa ism a
Phone No._ ( 503) 659 -2212 o o irer teOl WOOD 2
Job NO. 9.1,1_()-4721 me t1118ODD o 2
contractor's license NO. 3— 2 C 4a Temporsr)r Services or Feeders
Contractors Board Reg. No 615 2 t>vomroa „,�Ja
,
Signature of Supt Eiec'n 20o saes a MS ---- 2
1 01 ones to ado IMP _,,, _ MOO " 2
License No. 1 4865 Phone wo_ 6 5 9 - 2 212 _ Jam em $7&00 2
Over e00 Ines to NCO vans 6100m
2b. For owner installations: mu ' dim
4d. Branch CUOMO
Print Owner's Name — _ . . smienr or sataekol pa pan
Address a) The Nei tr en =On Mob Illnil 2
prceemofassns ha
City State 7.9 blab ennit Saco
Phone No. _ b) me Fes mr vent+ clanks e+reanr
The installation is being made on property I awn which Is or maw fat �a au 3 5.0 0 2
z
not intended for sale, lease or rent. Eent saw WAWA Mal x,00 —5-.4;4-
Owner's Signature 4e. MISMILIMOMM
(BMW or feeder not included) 2
3. Plan Review section (if required): WI aware lineman 2
Wind dim** s arses maw :
Please check appropriate Item and on fire In section 56. MP. t ce annns al MAO
4 or more maklent units In one McCue tenor Labeb (,0) swam
Service and feeder 225 amps or more 41. QM additional InepeWon over
System over 600 volt nominal
the allowable in any of th0 above
Classified area Or structure Containing spy acculbancy
Per Inman b8 00
as described In N.E.C. Chaps S POr na. !96.00
In Pain $S$. .. -
Stdunit 2 sow of pins whit application where any of the above
apply. Not required for temporary construWOrl Services. 5. Fees:
Sa. Enter total of ebove f 4 0.0 0
NOTICE
06 Surcharge (.05 X toter fees) s 2 ,,0
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Ette 25 S 4 _ 00
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF �' Ester r a of tine A ter
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan III► (S 9
Subtotal
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS n s '�"—'
COMMENCED. a•+�++ 0 Trust Account d 9
ear
Balance Due • 4 0 0
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINAL:
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing -Mech.
PIbg.Und /FIr /Slab Plbg. Top Out Insulation (Elegy
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr /Sdwlk Reins.
Other:
Date: 3IZtQ I l (p A.M. P.M. Entry:
Address: /3 . S
Tenant: - 7 - Ste: MST:
/y BUP:
Con /Own: (� - MEC:
PLM:
ELC: 96 615:52—, THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
er',/,k_c f-
Inspector:�,`�
/'APPROVED _ DISAPPROVED /CALL FOR REINSP. dB CO