Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC1999 -00471
4 illi DEVELOPMENT SERVICES DATE ISSUED: 7/29/99
' 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171,
PARCEL: 2S 104AD -01200
SITE ADDRESS: 12745 SW WALNUT ST
SUBDIVISION: BELLWOOD ZONING: R-4.5
BLOCK: LOT : 003 JURISDICTION: TIG
Project Description: Installation of 4 branch circuits.
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: 3 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:
WILLENBERG, ROBERT T + JOYCE G OWNER
12745 SW WALNUT ST
TIGARD, OR 97223
Phone: Phone:
Reg #:
FEES Required Inspections
Type By Date Amount Receipt •
Elect'I Service
PRMT DEB 7/29/99 $53.55 99- 317243 Elect'I Final
5PCT DEB 7/29/99 $3.75 99- 317243
Total $57.30
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
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952 -01 a 110 through OAR 952 - 001 -0080. You may obtain ies of these es or direct questions to OUNC at (503)
2 / // Iss ed By: K ... 0._ ia
OWNER INSTALLATION ONLY
olio
The installation is being made on • • .)ert own which is not intend for sale, lease, or rent.
OWNER'S SIGNATURE: �C � DATE: -2 A S� I
t� til / f
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 639 -4175 by 7:00pm for an Inspection the next business day