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11161 SW HALL BLVD BLDG C
CITYOF T I GA R D __—_ELECTRICAL PERMIT
DEVELOPMENT SERVICESPERMIT#: ELC2002-00187
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/25/02
SITE ADDRESS: 11161 SW HALL BLVD BLDG C PARCEL: 1S135DA-04600
SUBDIVISION: SDR2000-0002.1
BLOCK: LOT :
R-12
LOT : 001 JURISDICTION: TIG
Protect Description: Install ree.'er to replace one that was damaged.
Feeds apt 17.
RESIDENTIAL UNIT v 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
0 _ 200 amp: 1 W!S `—� -- _ADD'L INSPECTIONS
ERVICE OR F=EDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR:
401 - 600 arno: EA ADD'L BRNCH CIRC: PER HOUR:
601 - 1000 amp: IN PLANT:
._______ _ PLAN REVIEW SECTI_O_N______
1000+amp/volt: >=4 RES UNITS: ^� NOMINAL:
NO
> 600 VOLT
Reconnect only: _ SVC/FDR >=225 AMPS: CLASS VOLT POC OCC:
Owner:
C.P.A H. Contractor:F.O. BOX DBA SPECTRUM ELECTRIC
TIGARD, ORR 97 ELECTRUM INC
97281 2050 VISTA AVE #100
Phone: 503-968-2724 SALEM, OR 97.302Phone:
Reg #: W-3611td
SUP 2919S
_ ELE 24-3.53C
_ FEES Inn, RequiredInspections
Type By Date Amount Receipt Elect'I Service
PRMT CTR 4/26/02 $80.30 27200200Elect'I Final
5PCT CTR 4/26/02 $6.43 27200200
Total $86.73
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 952-001.0080 You may obtain copies of these rules ordrrect questions to OUNC at(5031
246-6699 or 1.800-332.2344
Permit Signature: Issued By: u'
SGC--
-- --- -- _ OWNER INSIAa LATION ONLY
Ttre installation is being made on properly I own which is not intended fo, sale, lease, or rent
OWNER'S SIGNATURE:
— -- --- — DATE:
----_- CONTRACTOR INSTALLATION ONLY
SIGNATURE OF S41PR. ELEC'N:
�-�------- -- ----—
LICENSE NO: DATE:'� (r C1�.
Call 639-4175 by 7:00pm for an inspection the next business day`
■
07%05%01 THU 06:52 FAX 503 586 1,900 CITY OF TIGARD W3002
Electrical Permit Application Cr
Date received: ('ami no.; ��,b ,�(, p 7
City of Tigan "� Projcct/eppi.no.: Expire date:
CitygfTtgartl Address: 13123 SW Hall Blvd,Tigan i,OR 97223 Dataiesued: By: gl(3 Receiptno.:
Phone: (303)639-4171
Fax: (503)598-1960 Cc fil no.: Payment type:
Land use approve
J I &2 family dwelling or accessory O Commie rc ul'lndu�rnnl n i dli iantal 7 Tenant:mpmvement
J New construction __ >Partial
Job address:.
"Prix ru,dl mx lot/account no.:
I cat: lot k: Suhdivision; 1��.Z _
Pro ect nam - a pct +bra snd location of work on premises: zu 1, _ _--
�:i,timwrd dat^of'oto J.tioWitirnect:on:
Jail era: C - \ \ ' -- -- Fee Max
Business name y Description — �- - (am) real no.Inxp
----��-�---- C�tC�v tt C• New midenwl-dngleormshl-1sm(1>per
Address: ISAiA V�'J( S. dwri(newdr kn.ladrxttachedpnnae.
City:" I Stale: Z IP: 02• 8enicelocWed:
oW K.ft.or iesr a
Phone: 1 1 L c Fax.' 1-$11 V E-mail: _
Each addirlonal 300 ij.ft,or portion Cheroot _
CCD no.: %X Mcc.bus,lie no: Urnited entegy,residential 2
City/metro lic.no.: I.imltedenergy,non•residential 2
Each mmnufaaturedhomeormodullardwellna —�
9i�natur�e olf]tu Isla electriclen(ro alt od
Date rd
Servicoa 'orfeedec ?
liunsero: /I t r Services o(<feerlen•inddkeNon,
Sup.elect.hecto( ring. - alteration orroleation:
700 amps o .ess So 2
Name( rirlt): 201 amps w 400 imps 3
401 atna:0 600 aqo 2
Mailing address: 601 ampr to 1000 M
r 2
City: -— $tate: ZIP: _,J over low k s or vo to 2
Phone: Fax: &mail: Reeorutcou l 1 -
Owner 41aWletion:The installation is being made on noperty I own lregWraryvervireserfeeden-
which Is not intended for sale,lease,rent,or exchange according to IMtatlanon,aperatias,°'relocation:
200 ur
ORS 447,455,479,670,7U1, a 4 2
20: s to 40000 amps 2
Owner s 9 natufe: Da A: _ 40 rc 600 suras
Brxoch ctrcidu-nee,alteration,
or extension per panel:
Name: A. Fee f •h circuitb N alk purchwe or
Address: _ sei,ir. oder tee,each branch circuit Z
City' State: 21P 8. Fee fir-,etch c,molte witho.n purchue
Phone, Pat: E•m0.11: of service or feeder fee,firs,branch circuit: 1
Foch edtldonal hrutch clrtuic
111M a MIA,1jZMj&1M IN rRI 1111 mise.(sorskeorrw rrico eivisea)i
U 4en•laOver 22 UMS-cenrcxrdal J Heakh-ca:efacllll
Each smporYrrtgotiondrde 1
USen't-a over 32Uamps-rnnngor1A2 DAarnrrinuslocabhi Eacha cr ou"s fighinji 2
rem y nwrahnts (]9udding over 10,00 sgcaty icer`ow o• Signal cireuit(s)or a limited anergy panel.
O S.-!amover 603vomnominal mon residentiUwdhrnone imeture alteradon,arexteraion"
o Studiagoverdueeetories J Feaden.100atnin orrhm -Dftcn non;
J occuootn Ion ova 99 persons J Manufeetured M:tura or RV park Each ad t cul h"Metion aver the 111110wohis to any at Me above.
❑FjnrerLyhftpitn ](111tl._ Perfn ctlon
l4gl N_eels of plim Mith lei of the above. toveldiji4don fee
JU above the shot app0eablle to temporary constr action wre'ire. other
— Permit fee..... $
Nor dl jrttdienoes wcep rmdi•rmek,ww call orttctki,no ntrmtrs inFa manor Notice Mis permit application "'"'"""
0Vim 7 MasterCard expires if a pertrdl is trot obtained Plan revle" (at _ %) $
credal eat nutnbcr L— within 180 days atter It has been State surcharge(89b)....$ V'y
"a N accepted a oomplete. TOTAL r
No" ca[ c rest n on c t cartf-
11
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