SCHOLLS FERRY ROAD & SW 131ST AVENUE ADL
2
r•
H
M
3.
J '
L'Vecofds\rnicroflm\ta rgeisV)uilding.doc
c�
W
J
ELECTRICAL PERMIT
CITY CSF T'IGARD DHTEIISSUE-DI:C06/28/ 96
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.TIS ird,Oregon 97223.8199 (503)839-4171 PARCEL: 1 S;33DB-04300
a . IL ADDRESS. . . : SW **NO ADDRESS**
SURD r V I S I ON. . . . : ZONING:R-25
B,j<..00K. . . . . . . . . . . LOT. . . . . . . . . . . . . .
Project Description: Installing one temp set-vice or, feeder to 200ampk.
--------------------------------------------------------_-------------------- ------------
---RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS----- ------MISCELLANEOUS-----
1000 SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 1 PUMP/IRRIGATION. . . . : 0
EACH ADD' L 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT '-INE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 3IGNAI_/PANEL. . . . . . . : 0
MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LAPEL (10) . . . : 0
-----SERVICE/FEEDER-- BRANCH CIRCUITS----- ---ADD' L INSPECTIONS.---
0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER, 0 PER INSPECTION. . . . . : 0
201 - 400 amp. . . . . „ : o 1St W/0 SRVC UR FDR. : 0 PER HOUR. . . . . . . . . . . 0
417.'1 - 600 amp. . . . . . : Io EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0
601 - 1000 amp. . . . . . 0 ---______._____ __-FLAN REVIEW SECTION------______.___._._..
1000♦ amp/volt. . . . . : 0 RES UNITS. . . . . . . . : ) 600 VOLT NOM.ZNAL. . :
Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CI-ASS ARTA/SPEC: OCC. .-
Owner: --------------------------------------------------------- FEES
FIELDCREST CONDO type amount by date rec^pt
SW 131ST & SCOLLS FERRY rai PfRMT $ 50. 00 CJS 06/28/96 96-281124
5PCT f 2. 50 CJS 06/08/96 96-281124
TIGARD OR 97223
Phone #:
Contractor: --___-_.-___________________________________.-____--.___-_-_-__--__-_.
FARWEST ELECTRIC INC $ 52. 50 TOTAL
7402 NE 189TH AVE
------ - REQUIRED INSPECTIONS - -- _-
VANCOUVEF1 WA 96682 E 1 pct;' 1 Service
Phone #: 206-89?-102,x' Elect' 1 Fir�p �-
Reg #. . . 6230 i�
This permit is issued s,o)ect to tfe regulations contained ir, the _
Tiqard Municipa'. Code, State of ure. Specialty Codes and a)! other Perm i t t .e Si gnat re
applicable laws All cork will t• done in accordance With
approved plans. This permit will expire if work is not started
within 180 days of is,ivance, or if work is suspended for more
than 180 days. sSUea By
.__-_---_.___-_,______________OWNER INSTALLATION ---------._-
The installation is being made -)n property I own which is not intended for,
gale, lease, or rent.
CL OWNER' S SIGNATURE: DATE:
cx
ti _.-------------------------CONTRACTOR INSTALLATION ONLY------- ---------------------
Ln
r
SIUNATURE OF SUFIR. ELEC' N: DATE
_
° t._I CENSE NO.,
W
-J Call for inspection - 639-41'75
I y CII I I Of.-Mll - Id'AJ 1111 Of 1-,i4ytvf1-+l I RF'Ci fill tqll,
`jo
I ! A 11 IE N (,HUH 14MIAIINT Oil. VHA
Wf 1141' I D 1 0 j11.114
4-16 oP—
(11- I-f(4YM,Nl' f Wit It.04 I PH 10.1 UIVAIIW�4: Col- Pki,10A.,11 f IN( IN I Pill 11)
tVA. 00 8 1 1,4111.1) 111--R
LS FFRR'( P),
-0400N), PAID *0
o
P.
TUN 27 196 10:18AM FARWEST SECURITY
: PERV." " Ll`CATt0 •'
Corm-ru-lty• *v-velo miifft ELF. 1r%-
,s
13125 SW Hall Bj vo
Tigard, OR97223 Farm.;-, �'►
d urie issued
Phone (5G:)
FAX
CITY OF TIGARD TCO c!4.2172
!..s v7!ton(503)839A175
1. lob Address! -W10s!4. Complete Fee Schedule Below: I i1
NumbOr impeCOom p►•wrmir\IIOWw1
Nome of Development .S,r
3I 1 S} �� � — I , Saks Inuud•d� �n+a Cestls.� aum
I Address
K Asslnamial •per Ynft
I CiryrScazerZlD - - -- - .��� x . ,-.,:• _— I
I :am a+Mronr an m.n w Ui Uu _
42me(nr nam•of t)uli"SIN_ parka Mar..! --
Q<w I
Commercial lJ nesiodAlieii I ��,ti�yarony,zrmw _ _ I
1 I t�Mng sewnee r►sina�r —�
s —r` 1 ,.r„ll +: dD.$R•iCAM or FeDOsts 1
Ta. Gan.rclvr rr�.a• .a..on only: 1
Init un
aRralar s ataa+s �.00 1
Flrrrnr>tl C nnhnrMr riCl "—xyr� SW 00 —
p 7 s4.�L. I I wI.or u+m WA. (,10.00
Address +0anp+',a"!mN a+low '
Y�..� ✓F!L State f�� Zip �e I I .u,.-:,,..T .. ,
O+Q.C9
C S1= --
s 1' I a4 tl}•r am ar was
Phone NO- -- pacmnacloNr ----
Job NCI.—
contractors Ucense N0 �'777� - I .o T'rl^�1°'y �"'F�r� �p
�; I :n.,a4ra.n.axarnxrr,snsacarrwr �.- Q
Ccrrtrar�nr'a Board Reg No y75—
iiynRiUrw rf Supr ElEc I I ]ot ane+e aW errs. a�.ao -
C p ... N„g13 S W,..o.t.�.••.r lra.00
�icense No ��J� !:'C. -Z`s�E--F I I CNWam0"".n,tm.r,
II ,,,.r•n aw+ I
12b- For owner in6U11at;*r,3:
I y ei..,nl.firr;.poa I
Print Owner's Namo or tam
al iTa Iw Is brran uuxt.ret
Address- n+n=TM
Slate_ Zip I I It am 0, caor _- Mug
CRY - I L I n,r,tw.•rs(vane(r)RUM erPaar I
(Phone No T „-M„•..�-k-W��
iitie ii uieiieLi�il ri`viifr3 Made on propertrj 10 .�tii`�i+ rlal�m'lc.cw. ------
rt! PJ'fr'M.1 a Q(r^D�G+W+ �
I n�!-xr.deC for Sale, lease or n -- — I
IJCrwrg or frvMlnr Ma i.lthlllln) ^•... t
�. Plan Review section cif required). ,F,drrianorea"'yrrart
6vr•al ire.•I,I w a anxee arwral
l`--and"r flaa In 22t* ' 'Awn
k 1` 7 -�•- IOU -
Iote.%% 2.`•�•r-r- I ( Mra.a4aa 1x01 liQu 00
a or riore MaegrQal Wort n Orin aalutum
l;aa(rlce ert0 lard!( 225 ays or(rote a. . :t'. lrpWdm ewrr
i Syalern rnwr 600 rots Tarsal the ade, We In em/sl go Abu
ClassrRwi area nr AIrur_tuie c-nielilry ;pa,-.al or_;:Ganey I ret hg/u un LiSm
,y.�ri.,A M M f f. fhDpA. r4 Ss w l
>Wr>e
' i
I �trMnll]tlsa d plana tcrlVl apolcarmn .Mra any of the aEnva I
i aDVNConabuctlon vvrvicor. 5- Fees: t.
MM PraQulrAd for rcrnporary I I
��.Frdar total o/abor.rrtao S
MCIrICF� r..+ lrp{=/Aral
SWeuref s
a I .•LNMI I S ee_:Utrtc ,oUlo is;WORK OR ComsrMLIC-TIONI by Fn4r 931p af Vine A for
AI-rTF1rJHt71:fl IS"ICT CC1M*s!'npo v4rr m ,n+ruva me it pian Bearer.i ap�irtad t3ec3i f - I
�- Ct)mMUCTrOla ON IAIOIIK 1S vide ")UR AeANDON9D FO;' '.;�
t ; ---- - I
o A r rn100 OF Iso DAYS AJ ANY TIME AFMR kVQHK IS i 1 ----
� tract Arjmkaa 0 S
� UUMMtn<.Vu � I �^` 1
I
w
J