Permit 4,06„ l C I T� �O F TIGARD
ELECTRICAL PERMIT
PERMIT #: ELC2005 -00500
DEVELOPMENT SERVICES DATE ISSUED: 7/13/2005
� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S125DC-02500
SITE ADDRESS: 07050 SW VENTURA DR ZONING: R -4.5
SUBDIVISION: WASHINGTON SQUARE ESTATES LOT : 026 JURISDICTION: TIG
Project Description: 3 branch circuits.
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: 2 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:
DIANE BERENTSER PERFORMANCE ELECTRIC
7050 SW VENTURA 14674 SW SUNNYSIDE RD #170
TIGARD, OR 97223 CLACKAMAS, OR 97015
Phone: 503 - 244 -0384 Phone: 503 - 658 -1680
FEES Reg #: LIC 161535
ELE 3 -582C
Description Date Amount SUP 4210S
[ELPRMT] ELC Permit 7/13/2005 $60.15
[TAX] 8% State Surcharge 7/13/2005 $4.81 REQUIRED ITEMS AND REPORTS
Total $64.96
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Speaalty 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 a re 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 V1461-332- 4.
Issued By: ; A .(,7— /27: Permittee 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: DATE:
LICENSE NO:
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
. . JUL 12,2 L 05 12 : 32 PERFORMANCE ELECTRIC 503-558-1949 Page 2
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CITY OF TIGARD . - . t �
BUILDING DIVISION PERMIT #: ELC2005 -00500
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/13/2005
Phone: (503) 639 -4171 NM,„li�
Inspection Requests (24 Hrs.): (503) 639 -4175 _ ,4_,A • _..
INSPECTION WORKSHEET FOR DATE: i/3/2005 TIME: 7:06AM PAGE: 73
SITE ADDRESS: 07050 SW VENTURA DR CLASS OF WORK:
SUBDIVISION:. WASHINGTON SQUARE ESTATES LOT #: 026 TYPE OF USE:
PROJECT NAME: BERENTSER
'DESCRIPTION: 3 branch circuits. • •
OWNER: BERENTSER, DIANE / PHONE #: 503- 244 -0384
CONTRACTOR: PERFORMANCE ELECTRIC PHONE #: 503.658
Inspection Request Scheduled For: Date: '9/3/2005 , Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 012658 -01 503 -307 -6659 Y
.-ACkC
Corrections /Comments /Instructions: MI fPoOL4,-+ 3' CAI C'
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2 7 , 4SS ❑ PA IAL APPRO , L ❑ CANCEL ❑ NO ACCESS
❑ FAIL • %ALL FO' -sum ❑ ADDITION . EES SSESSED
Inspector: ! / AS Date: Phone #: (503) 71 s