Permit • CITY OF TIGARD
.ei ; DEVE SERVICES
13125 RERkTYI �.�L EeE9pIO74
DATE ISSUED: 06/21/95
PARCEL: 1S134BC -00200
SITE ADDRESS...:12196 SW SCHOLLS FERRY RD
SUBDIVISION • ZONING:C —G
BLOCK • LOT • JURISDICTION: TIG
Project Descr iption : One branch circuit.
- -- 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/O 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 DCC.:
Owner: FEES
CHRISTENSON ELECTRIC INC type amount by date recpt
111 SW COLUMBIA PRMT $ 35.00 SUE 06/21/95 95- 267087
SUITE 480 5PCT $ 1.75 SUE 06/21/95 95- 267087
PORTLAND OR 97201 -5886 EXPIRED
Phone #:
Contract or:
CHRISENSON ELELCTRIC INC $ 36.75 TOTAL
111 SW COLUMBIA SUITE 480
REQUIRED INSPECTIONS
PORTLAND OR 97201 Ceiling Cover Electrical Servi
Phone #: 503- 241 -9812 Wall Cover Electrical Final
Reg #.. : 458
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 -001 -1987. You may obtain a copy
of these rules or direct questions to OUNC by calling (503)246 -1987.
Permittee Signature: Issued By:
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: DATE:
LICENSE NO:
1
+++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ + + ++ + + + + + + + + + + + + + + + + + + + + + + + + ++
C .(11 63') 4175 b 7.00 p. Fur ea„ i,,, nee ed the ...XI
++++++++++++++++++++++++++++++++++•+•+++++++++++++ + + + + + ++ + + + + + + + + + + + + + + + + + + + + + + ++
03/24/2000 Activities for Case #: ELC95 -00074
8:54:32 AM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELCC001 Application Received 06/21/1995 SUE RECD TMP 11/09/1995
ELCC003 Permit Created 06/21/1995 SUE RECD TMP 11/09/1995 •
ELCC700 Ceiling Cover 06/21/1995 TMP 11/09/1995
ELCC720 Wall Cover • 06/21/1995 TMP 11/09/1995
ELCC730 Electrical Service 06/21/1995 TMP 11/09/1995
ELCC799 Electrical Final 06/21/1995 ST 02/04/2000 8/3/98 inspection request sent
to Chuck/research
2/4/00-inpsection request to
Hap
ELCC500 (F)Issue permit 06/21/1995 SUE RECD TMP 11/09/1995
ELCC920 Miscellaneous action 08/05/1998 CD FAIL CD 08/05/1998 left notice at job site to
reschedule for inspection.
ELCC510 (F)Reprint permit 06/21/1995 JT 08/19/1998 reprinted, could not locate
original permit
ELCC590 Expired by limitation 03/05/2000. HAP DONE No Hold AKJ 03/05/2000
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