15930 SW SERENA COURT c�
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15930 SW Serena Court
ELECTRICAL PERMIT _
CITYOF TIGARD PERMIT#: ELC2001-00545
DEVELOPMENT SERVICES DATE ISSUED: 11/7/01
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S111CD-06700
SITE. ADDRESS: 15930 SW SERENA CT ZONING: R-4.5
SUBDIVISION: KERWOOD ESTATES
LOT : 039 JURISDICTION: TIG
BLOCK:
Proiect Description: Installation of undergmUnd power supply for cable TV. Job ?:C. West 2001-24�—
_ RESIDENTIAL UNIT -EMP SRVC/FEEDERS MISCELLANEOUS
1000 §
SF OR LESS: 0 200 amp: — PIJMPIIRRIGATION:
EACH ADD' 500SF: 201 - 400 amp: SIGNIOUT LINE LTG:
401 - 600 amp: SIGNAL/PANEL:
LIMITED ENERGY: MINOR LABEL (10):
MANF HMI SVC/ FUR: 601+amps - 1000 volts:
SERVICE/FEEDER BRANCH CIRCUITS _ _ AD_D'L INSPECTIONS _
0 - 200 amp: 1 W/SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
IN PLANT:
401 - 600 amp:
EA ADD'/_ BRNCH CIRC
PLAN REVIEW SECTION
601 - 1000 amO:
1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only. _ SVC/FDR — 225 AMPS --_ CLASS AREA/SPEC OCC:
Owner: Contractor:
BIELEFELD, ROBERT AND POWER TECHNOLOGY
LESLIE A PO BOX 1766
15930 SW SERENA CT OREGON CITY,OR 97045
TIGARD. OR 97224
Prone: 503-657-0315
Phone:
Reg#: LIC 129287
FLE 3-511C
S 1P 3575S
FEES Required Inspections
Type By Date Amount Receipt Elect'I Service
_ Elect'IFinal F �
PRMT CTR 11/7/0'1 $60.30 2720010000( M
5PCT CTR 11/7/01 $6.42 2720010000(
Total $86.72
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 _--,endL.d for more than 130 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification
Ce nose rules are set forfn in CAR 952-001-0010 through OAR 952-001-0080. You nmey obtain coples of these rules or direct questions to
r Ise ed By:
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re: —
Permit Signa
(\ , „ � � :r�-�.
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intendcI for sale, lease, or rent.
--
OWNER'S SIGNATURE: ►DATE: __
_ -- —
CONTRACTOR INSTALLATION ONLY
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. /�
SIGNATURE OF SUPR. ELEC'N: —
LICENSE NO: _ � Call 639-4175 639-4175 by 7:00pm for an inspection the next b�aslness day
41%02/2001 09:24 FAX 5035991960CITY OF 1'I000 'k''1""`
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Per imit APPeation
City of Tigard P%faGvoppl.� o•�:
CiNoJfigarAt AddM&C 13125 5w Hall Blvd,Tigard,OR 97221
Date issued: By: Roe"DO.;
Phone: (503)639.41"!1 case me no - paymeattype: I
Fax: (503) 599 196(1
1 a-,r+use approval _
O Multi-family J Tenant imp ovement
:]1 &2 family dwellinr;or accessory 0"Commc illlindustrial J Parunl
7 New constltictio0 ❑Additiodaltcratit>tl replacemcci .3 Odler:._---_-.—
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or tsumlloa per panel:
Name: A Fee for Manch eireelts wink purchase of 2
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