10370 SW CENTURY OAK DRIVE O
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10370 SW Century Oak Ur
ELECTRICAL PERMIT
CITYOF TIGARD '
PERMIT#: ELC2001-00549
DEVELOPMENT SERVICES DATE ISSUED: 11/7/01
'13125 SW Hall Blvd., Tigard. OR 97223 (503) 639-417'. PARCEL: 2S111CC-02600
SITE ADDRESS: 10370 SW CENTURY OAK DR
SUBDIVISION: SUMMERFIELD ZONING: R-7
BLOCK: LOT : 049 JURISDICTION: TIG
Proiect Description: Installation of underground power supply for cable TV. Job No. 2001-25
RESIDENTIAL UNIT TEMP SRVC/FEEDERS — MISCELLANEOUS
1000 SF OR LESS 0 200 amp: PUMP/IRRIGATION:
EACH ADD L 500SF. 201 400 .imp. SIGN;OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HM/ SVCI FDR: 601+arnos - 1000 volts: MINOR LABEL (10):
_—_ SERVICE/FEEDER _ _ BRANCH CIRCUITS _ ADD'L INSPECTIONS
0 200 amp: 1 W/SERVICE OR FEEDER: PER INSPECTION:
201 - 400 a:np: 1st W/O SRVC OR FUR: PER HOUR:
401 600 awn EA ADD'L BRNCH CIRC: 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:
WILLIAMS,JAMES E + POWER TECHNOLOGY
DORIS E TRS PO BOX 1760,
10370 SW CF_NTURY OAK DR OREGON CITY, OR 97045 T ;,T,,r P•; ,,
TIGARD, OR 97223
Phone: Phone: 503-657-0315
Reg #: LIC 129287
ELE 3-511C
SUP 3575S
FEES Required Inspections --
Type By Da'e Amount Receipt I Flect'I Service
PRMT CTR 11/7/01 $80.30 27 00 10000( Elecl'I Final
5PCT CTR 1117101 $6.42 2720010000(
JTotal $86.72
This Permit is issued s!ihject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and all olner applicable
laws. All work wi"be don,in accordance with approved plans. This permit will expire if worts is not started within 180 days of iFsuance, or if
work is suspended for more than 180 days. .ATTENTION: Orcgon law requires you to follow _,desBdopted by the Oregon Utility Notification
Center. Those rules are set forth in OAR 952-001-0010 thrjugh OAR 952-001.0080. YoU may obtain copies of these rules or direct questions to
Permit Signature: ,� - L. +ssu�d By:
OWNER INSTALLATION INSTALLATION ONLY
Thp installat;on is being made on property I own which is not intended for sale, leash:, or rent.
OWNER'S SIGNATURE: __—__— DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: .�„Q T � /� Y ._ _—_ DATE:
LICENSE NO: ------- S�S --------
Call 639-4175 by 7:00prn for an Inspection the next business day
11%02/2001 09:24 FAX 5095981980CITY OF 1'16AKV quVv&
� k.jectric�ai Per init ApplicaflOn
ivlm�kCity of Tigard
Ciry o//igartl
Address. 13125 SW Hall Blvd.Tigard.OR 9723 Dat/issued. - By� - R•cNp�
Phone (503)639-4171i Case filo no Payn+ent ty4e:
Fax:(503) 598 1960
Land use approval:
U�ltrld-f,tmtly3 Teoe:lt improvement i
J 1 IRs 2 family dwelling or accessory �Crnnmrrctal/industrial p Partial
New conslniction ❑AdditiordaL'eratioo/replacxmcnt J Other
Bid .no Sate no.. Tu mn tax I ithirc"ount n0.:
lob address:10; -- - — -- —
��; 5vb
Lot: on and location of work on :� t� =__►t' 12.
project taints: ���� ,
Fat'uwed dart:of cotMeded Me -:ia►:
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Job W: 1 � _ Dsscril�n Ulv (ee.) i'obl ae.Yu
Buslnom aaM: _ s sdiewad-/6je se wdd4ewaY W _
eMa
Address: O RSR )��OSL 4StteaieROWLIKleme/kkd"rr'aa•'
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City: ( - 1000 eq.h nr Its,
Phone: C `- F &�) �. Exch oAdinoer�iq R«perrIon rtranot 1
Me 110.: � � fiI00.bttta bC.a0�c_�,��._ Limited rneryy�reeideadd-
Limltedrneepy,aon-ietrMnnd i 2
City lie,m.: - OU
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Kd+ell
Ser�rce andlor ftedte
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S{ Weme1 t• e
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t M rtelseatloen
200 amps or less
201 Mope to 100 amps
4011 toomon s 2
— s 01 am"a IOW amps 1
MaWng address: f _—_
l State' - 7.1P (twat i000mpg0,vela -- -
..(city_!- _- _. __._.- - .--_ � RacnoNCtonly
Phone. E-trtail:
Fax: _�—___ - unites e►t
t'.n"instnllahon:The ffWWjmkm is being made on property I own ayg elar�s`iort.errtMrsawn►
which is not intended for sale,leve.rent,or exchange according to Zoo an,pc or Irsi — - 2
ORS 147,455.479,670.701 2 t amp2 to 400 amp+
E)a1c sotto 600 imps
Owner's S nldr=am Drannc�lrceih tKw,dter>s1ae,
w etaetuba per paaek
Name A fee for bre>Kh cirestts whh lwrsMeaall 2
- -- service or seeder tee,eachbmmh circuit
Address p for to txancA crtcstu wld ow purtha�o
LIP. of aei.ks of far&f res,tint hrmoh cimrit• 2
Fhooe: f a� P,mail teach W&uonu!bm—Wh ctrcWt.
Is 111�UN I Nil wll= it (;erv;eeaf..arrtsrtehteh )' 2
Healtb•aec fectiliiY Ettein pem•M irftgtisia•eirok__ _ 2
O Semets ism 225 amps-cumniterrtd Eads ai{a«oudiae lV ting _-- -- -
Otienbo'ef320aatps:eeriaoflQ2 7Hrardouslondoo
rmWIy dwellings O 1luudin{over M000 quare feet Ibw or Signal dreuitl/1 at a aetlt••cwagY ptttaN, 2 -
O
rttote mmcn
dtial units in are atrucluR elia•tiost,a erteesioa` -System over 600 volts norun.+1 _.--- --
• -
D OuSding ova stems.Nona Pad n,400amps smart
U(kcepue 1,30 mu 99 peromm t]Menutsetured tMrectnres m Rv pttM �•Rer inapaetltM star tela aM r7����' ---
O Epe vWfibnrptsn O Other -_._ , teslas rtion
S'W'* to of Mara Ielth my of do u1sme. levead{mon tee .. --•-
The above eine slat aNraiM tis orlbtVlhlw sar.ioe
— Perolil fee.....................S
- -- eri)rile'' sr risen Miwiawa Nak•t (iiia prseai(app inetinn plan revue(at �►) S
blas di iareleea.steep -
Oate O11reeCaM "Mires 1f a permit Is not obtairii d State sarchup(d*) s
....
rndit cad marMr within Igo days after,t Nu been ct t'
---'."-- rw ectrpteA s9 complete TO•yAj,.......................$
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