Permit CITY OF TIGARD ELECTRICAL PERMIT
DEVELOPMENT SERVICES DATE ISSUED: C 11/2 769
1 /20
IL 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171
PARCEL: 2S115BA -00101
SITE ADDRESS...: 16200 SW PACIFIC HWY #X
SUBDIVISION • ZONING:C —G
BLOCK • LOT • JURISDICTION: TIG
Project Description : Installation of one branch circuit to commercial site.
- -- 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 CIRC: 0 IN PLANT • 0
601 — 1000 amp • 0 PLAN REVIEW SECTION
1000+ amp /volt • 0 > =4 RES UNITS > 600 VOLT NOMINAL..:
Reconnect only • 0 SVC /FDR >= 225 AMPS..: CLASS AREA /SPEC OCC.:
Owner: FEES
MARSHALLS type amount by date recpt
16200 SW PACIFIC HWY #X PRMT $ 35.00 TJH 11 /20/97 97- 301102
TIGARD OR 97223 5PCT $ 1.75 TJH 11/20/97 97- 301102
Phone #:
Contractor:
STONER ELECTRIC $ 36.75 TOTAL
2701 SE 14TH
REQUIRED INSPECTIONS
PORTLAND OR 97202 Ceiling Cover Elect'l Service
Phone #: 233 -3631 Wall Cover Elect'l Final
Reg #..: 000448
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon 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 the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952-01 -1987. You may obtain a copy
of these rules or direct questions to OUNC by calling (503)246 -1987.
Permittee Signature: / .. .„_ .,_,i ii, , ', sued By: 1.9,( LPern-
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: O74 DATE : // /2 �2
LICENSE NO : /729 S //
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
GI - - - . _ - - ' - - - A
•
6/30/99 Activities for Case #: ELC97 -00769
4:42:56 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELCC001 Application received 11/20/97 TJH RECD TJH 11/20/97
ELCC003 Permit created 11/20/97 TJH PASS TJH 11/20/97 •
ELCC700 Ceiling Cover 11/21/97 MJR PASS MJR 12/3/97
ELCC799 Electi Final 12/3/97 MJR PASS MJR 12/3/97
ELCC500 (F)Issue permit 11/20/97 TJH PASS TJH 11/20/97
ELCC800 Case Finaled 12/3/97 MJR PASS J'H 12/4/97
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