Permit j CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2003 -00219
TM DEVELOPMENT SERVICES DATE ISSUED: 4/18/03
Al. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1 S135DD -00900
SITE ADDRESS: 11875 SW PACIFIC HWY
SUBDIVISION: HOFFARBER TRACTS NO.2 ZONING. C -G
BLOCK: LOT : 021 JURISDICTION: TIG
Project Description: (3) branch circuits for warehouse lighting. Job No. 90249 -07
•
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:
LEFEVER, GEORGE & TAMMY NEW TECH ELECTRIC
11875 SW PACIFIC HWY 6950 NE CAMPUS ST
TIGARD, OR 97223 HILLSBORO, OR 97124
Phone: Phone: 503 - 648 - 1900
Reg #: LIC 41868
SUP 21I3s
FEES ELE 26 -418c
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 4/18/03 $60.15
[TAX] 8% State Tax 4/18/03 $4 Elect'I Service
Elect'l Final
Total. $64.97
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 bed ' ccordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more n 180 days. ENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
forth in AR 952 - 001 -0010 tpugh OA' 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -6699 or
1 -800- 32 -2344.
Issue By: .. 4 •:i.�; 0 7 Permit Signature: L � ,
/ 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: ■_ate- .--di DATE:
LICENSE NO: 4/5 713
Call 639 -4175 by 7:00pm for an inspection the next business day
•
04/16/03 WED 14:42 FAX 503 648 3131 NEW TECH ELEC 0001
Electrical P ern't Application ()RICE LitiU: ONLY
u o.: (44,Zoo 8 —GC.2/ 9
Date received: y / G 6.5 Permit n
• Projcctlappl. no.: . p' date:
All#6' i.0. 1 1 1 11 City of Tigard RECEIVED , B ; ) Receipt no.:
Address: 13125 SW Hall Blvd, Tigard, OR 97223
Date issued:
City of Tigard Phone: (503) 639 -4171 APR 16 2003
Case File no.: ' aymcnt type:
Fax: (503) 598-1960 CITY OF TIGARD
Land use approval: BUILDING DIVISION
INTL: OF PERMIT
❑ 1 & 2 family dwelling or accessory Commercial /industrial 0Multi- family U Tenant improvement
❑ New construction
❑ Addition/ alteration/replacement 0 Other: ❑ Partial
.1011 SITE iNE0RMMA'LION
lob address: It •7 61 s,J rites t 4.43..._n Bldg. no.: Suite no.: Tax map /tax lot/account no :
L
Lot: i Block: Subdivision:
Project name: . ,. , • , Ii . • J,e- Description and location of work on premises: W, ,, .
Estimated date of completion /inspection: FEE 5(: J I r Uli LL
�7 CON1RACT0R ,APPLICATION Fee Max fob no: 9QZe¢q —0-7 Descripl1On Qty. (e.) no.insp
Business name: �� T ,...e_ Fiie,-t «r Newrtside al•slrgleoTmum- family Per
Address: fa 4 °a 1 C r► w. ' l� dwelllagtmiLincludes attached garage.
F err
City: ., t(;�bore "State: ZIP: 9.7 I7- 1 sery ate fmduded: 4
Phone: go o 9: • 00 Fax:�,c E -mail: Each additional 500 - . ft. or portion thereof __ _—
CCB no.: t4 I el(O QS Elec. bus. lic. no: Limited energy. residential
City /metro lic. no.: Limited energy. nan.residential
44.—/G —63 Each manufactured home or modular dwelling 2
i D Service and/or feeder
Signarure of superviain tnnan ed) Services orfeeders— installation,
�' License no: 45-7 al teration or re location:
Sup. elect. name (print): A., ?
PROPER r1' OWN ER 200 amps or less
r 201 amps m 400 erne_ 2
Name (print): Lee. . e.4 al 1 - 401 . . to 600 am.
Mailing address: ; 7 • c I •C PIA • Got .. , m 1000 amps ___ 2
City; • . _�! State:0' Z • . .7 Over 1000 amps or volts 1 MEM
• F ax: &mail: Reconnect only
Phone: 1 own Temp °r°iy��°orfee0ers-
Owner installation: The installation is being made on properly tilatipn,alteratiorreed location:
which is not intended for sale, lease, rent, or exchange according to 200 amps or less 2
ORS 447, 455, 479. 670, 701. 201 amps to 400 amps 2 2
Date: 401 to 600 amps
Owner's signature: _ Branch circuits • new, alteration,
ENGINEER or extension per panel:
Name: A. Fee for branch circuits with ptuehuse of
service or feeder fee. each branch circuit
Address: O. Fee for brunch chars without purchase
City: State: ZIP: of service or feeder fee. first branch circuit:
Phone: Fax: E-mail: Each additional brunch circuit:
PLAN REVIEW ("'leasv check all that apply) Mist. (Service or feeder not included): 2
Each pump or irtig;,doa citric
O Service over 223 amps-commercial 0 Health -erne facility 2
6n
CI Service over 320 dtnps-r i of 1&2 O Hazardous location Each al sign oit(s) or outline a limited lighting gpting ited =CV Peel
family dwellings O Building over 10.000 square feet four or gn 2
0 System over 600 volts nominal more residential Wits in one strapmre alttaation. or extension
0 Building over three stones Cl Feeders. 400 amps or more *Description: _
Cl Occupant load over 99 persons O Manufactured structures or RV part Each addttlooal inspection over the allowable f any of the above: 1
Cl Fgrcse/6Stale ; plan O Other Per inspection
Submit _ sets of pleas with any of the above. Invesuyution fee
The above are not applicable to temporary construction service. Other c
Not S (aC. )
Permit f
Lin Jurisdictions uQept credit cards. ply o,il Jarisdiedon roe more inronnotioa. Notice: This permit application Plan review (at _ %) ) $
O Visa 0 wlaster expit� if a permit is not obtained State surcharge (8%) $ ' S Credit cud camber / / within d as days after it has been TOT t fee
$ IO �F- 9
Expires accepted ns COmpletc.
Nude or cmdholder as shown on credit card _ n n /�
3 Am•uat ----, 1),' f n AQ/� a l 440-4615 (6I0O/COM)
cardholder tlpmtutc