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13615 SW HALL BLVD .. ,.. _ Ai l N �T .i. r r 00 r Q c j I i i I c i i I 13615 SW HALL BLVD n y n r m r� o o Q U p p ©© ft w iJ tz n <• w o r m �a= 8 8 8 8 S 8 N a C 5 �• gN 3i A CITYO F T I GA R D ELECTRICAL PERMIT DEVELOPMENT SERVICES DATE PERMIT 1015011-00510 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S102DD-0120C SITE ADDRESS: 13615 SW HALL BLVD SUBDIVISION: EDGEWOOD 'ZONING: R-4.5 BLOCK: LOT : 008 JURISDICTION: TIG Proiect Description: Install new 200 amp service and (4) branch circuits. RESIDENTIAL UNIT TEMP SRVCIFEEDERS MISCELLANEOUS _ 1 1000 SF OR LESS: 0 - 200 amp: 1 PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNALIPANE_L MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICEIFEEDER _ BRANCH CIRCUITS — ------ e �___ _ADD'L_tNSPECTIONS 0 - 200 amp- WISERVICE OR FEEDER: 4 �^ PER INSPECTION: 201 - 400 amp: Ist W/O SRVC; OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: P_LAN REVIEW SE_CT!ON 1006• amplvolt: __ ! >=4 RES UNITS — > 600 VOLT NOMINAL: Reconnect only: SVC/FDR >= 225 AMPS: _CLASS AREA/SPEC OCC: _ Owner: Contractor: AUMAN,ALFRED W TRUSTEE KELSO ELECTRIC INC 13615 SW HALL BLVF) 545 SE 3RD/ 'TIGARD, OR 97293 HILLSBORO, OR 97123 Phone: Phone: 503-648-6360 Reg #: LIC 116254 SUP 4270s ELE 34-433c -- FEES v – Required Inspections_____--_______ Type By Date Amount Receipt Rough-in PRMT CTR 10/15/01 $106.90 2720010000( Elect'/ Service Elect'/ Final 5PCT CTR 10/15/01 $8.55 2720010000( Total ^$115.45 This Permit is Issued subject to the regulations contained in the Tigard Munidpa!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 iss(iance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to fellow 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(A these rules or direct questions to Permit Si nature:, Issued B OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for Eale, lease, or rent. OWNER'S SIGNATtJRE: _ _ _ DATE: _ CONTRACTuR INgTAy�LL.ATION ONLY SIG JATURE OF SU?R. ELEC'N: _t � L s zt 14 e DATE: LICENSE NO: ------- Call 639-4175 by 7:00pm for an inspecri�ii the next business day r 07i2uAI FRI 13:56 FAX 303 '95 1960 CITI OF TIGARD fti;,002 Electrical Permit Applin DaterocelvAd: A,2t I Pwmltno,:4�-anioo City of Tigard 1 ��'' Pmjecvappl.no.,. &piredate: _ cur�;T gar,f Addiwy. 13125 SW Hall Blvd,Tigard,OR 9 Date issued: By Receipt-no. Phone: (503)63V4171 Pax' (503) 396.1960 Calafile no: Payment type: Land use approval: ;Jobaddress: 2 family dwelling or accessory O Conn er iahindustrial ❑Multi family O Ttsttant improvement w construction O Additl3rt/alteration/rrpiacrment U Cxher' _ U Paflial � ( 7 5 L e .G'[s' r illdg.no.: State na.: Tan ma.pltax luVflccouut m.r x: Bllxk: Subdivision; ojett ntune. I Descri)tion and location of work on premises: A,�e4� i+ev,i 4--4110 stilnated date of com ie•tioniins ction: olima Job no; I fee Ma. -- --- Descrt lo„ lrz tout ' ",I, _. ___.-___ feew residrntlal-sbrgicut■ukt famiv per Address: ,S /S S,d 3'•' _ dneihnguit InciutiftWathrdprW City. yle4 54 1.04 _�State:011 ,Ip: Jil3� Serrimiricbsded: Phone,lvs F.•r.° j3l.JFax: J'N I E-mail„ IP70o JLnrlces + t'CBno.�-Z 6'/ —� Elec bus.Ila no` y yal� I?achadditional 30Ue�'�orpor*lonutcrcuf -_ Lhmrtedenergy.rerfdGtuq 2 Cil /metro llc no: Urnitedeeer y,non resideatial -- J. J'lw Eauh nh&rwfauuuecl home or modular dweitng - --- 9i of aging clecuician iregtrired) -J Dat s service vkWnr f1trAer Li-enseno l>>;; eST—r,lcesor1,Our$-Irtstaflatioa, AN Intlon er tvloci tlont11111111111W lie]Wall 11,xi"WIN (� 200 unpa or;ass JD, :01"to 400 amps — 2 Name(print). -- — a — —- 401 amps to 600 amps Mailllig address: — 601 antpa to 1000 a:lnps [ ty: State:-� .:IP: Over 11100 amps or rola I'hnn E-mail: kwonnecronl Uwne'installation.The installation is being made on ptopetty I own Tesnporar�services or f"4ry +vhich is not intended for sale, lease,rent,or exehan ja according to kis"Ilation,alleratbn,of Mocation (WS 447,455,479,670,701. 200 says oriess —� 201 ru!E!to 400 amps Owner's sl na-ure: 101 to 600 ants r Branch cirrelts-stew,aiteradoa, er ertemlon per parol: Name: A. Fee for branch circuits with purchase of Addreas: __ larvia or foeder[ee,each branch circa): ��' +��• (� : it tate: r'1P: B, Fee for branch circuits without purchuc IL It . — -- -- --—� --1 i ----— f service or feedm lee,rust lattxii drewt Phone faux E:•GlAll r-vh,rlrictnnalhranchcIrcult' Wee,(Servkeorf rnotWlu is Service over 22 S,npt-commercial J Health•:arefacifi y Each up ntporimgadoncitcle_— JSts i:eover 321Amps-ratutsofIR: OHaaardouslouaticn Each sign oroudlnelilhtln4 2 farralydwml nga O Su,ldutg over 10,)M square feet four cr Signal circui(c)or a limited enerjyr panel, i U3yc'.emover600volunorainal irorereaidentWurutafnone suucture Lterriu0!1.CF torsion• U(twfeia`over thrt coria Q Feeders,470 amp i or nwre 7 occupant load o.et 99 Perim O Mamtac:ured it,ctures or kv park Loch additional Inspection Aim the allowable le any of the abort e: J Egms'i.fhtintolsn O Other _ perms eeton _ _ —T-- Subtalt ­sets of plans with say of the allso Invest soon tee �— The above are Not applicable to tesnpoenry cocoa uctlon service, Other --------. ------ Permit fee.. .................S f U(o CIU w �:runxLauom eccrp credt card,,prase call iurimccon ra mon ird,rmauou Nctice:'This permit applicatior 7 vis& Z)Mutercud --vires if a peraut is not obtained Plan rrview(at _. V $ _ cued'n card nvettm1._ wltmn Igo days after It has been State surcharge(8%)....S scoepted m onmplete. TOTAL --'rsTinu air 1r u shown on c'r�i:std __. C;ar•l6of» iuuro Tm�� - ami ant 44(4(15 1 W.VCOAQ