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Permit (5) CITY OF TIGARD ELECTRICAL PERMIT a COMMUNITY DEVELOPMENT Permit#: ELC2023-00626 Date Issued: 10/19/2023 T lf,'AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S103CA03700 Jurisdiction: Tigard Site address: 11585 SW TERRACE TRAILS DR Project: Roehn Subdivision: TERRACE TRAILS Lot: 9 Project Description: Replace panel like for like.Add(4)branch circuits. Contractor: LITEN UP ELECTRIC LLC Owner: ROEHN, JASON R PO BOX 2758 11585 SW TERRACE TRAILS DR CLACKAMAS, OR 97015 TIGARD, OR 97223 PHONE: 971-224-4247 PHONE: FAX: FEES Quantity Description Date Amount 1 ea Services or Feeders-200 10/19/2023 $100.70 Specifics: amps or less 1 ea 12%State Surcharge- 10/19/2023 $12.08 Type of Use: SF Electrical Class of Work: ALT 4 crt Branch Circuits w/Purchase 11/20/2023 $29.68 Type of Const: Service or Feeder Occupancy Grp: 0 ea 12%State Surcharge- 11/20/2023 $3.57 Electrical Total $146.03 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the 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 throuah OAR 952-001-0090. You m• obtai -coov of the rules or direct auestions to OUNC by callina 503.232.1987 or 1.800.332.2344. Issued By: C Permittee Signature: exr� cx'f- °� c 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. Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Erect i �r CEIVED PP Fou,.01::El C E.p..si:(IN4,>, City of'igard NUV 1 6 2023 t my,33 a ~E/' Coo( Et I 1312s sw 1lull Blvd..,Tcal.uR 97223 Am Review � . ' ' ..�---_- Phurg. 503,71g, 439 fay:: 503.5 ' "'ems faitttl Permit t tOF TIGARD11111 Ins�l�u1 Lute 4G3.SJ9.3'l7? -- - , T" reRr> Fkcad.Lktmlly i.ra tnttt7ueC: Wwtt.ngar<lz,r tav BUILDING DIVISION N°`rt "1eh"4 (f .2 .-3 � Page id sec for ' --_ - ..... . . . 4'aem tak Info ma ripn r�� TYPE OF WC.)RK (M,tt( Ali .REVIEW L_J NewC011titructissn Ea Adrti:i(raw"aIlerttialt±repias:cmcul Ilcasccl:ud all that apply(xulrroitAws0:r�xi'; .:'iemsclxr.:cdt- �.1��fAnittalJ=t (Vier: fl Surviv oe tuili 406anyzs ar annrr a Rmhlilnr„oa>:I lb[ee sluries. .44 "'�>�`. - _-...._.�. �_.. wbcmrhao hd,tcliaukfkiltAi 0Mutisas,uKi3>+,xa,ands. CATEGORY 01 CONSJ7tPCTION. ccds IU.GC0amps.1s Ii0 ccic:ha tFbsn7,1 baiteme. • -iitd 2-ril g ®(•ornireerd ._. C 1-and y-dsmit dwelling ctsr)<indit.�rial [�Acc�txrr haoilclinlr lrss WO pwaul,as rxcruxrs I9,Ctfi [�(:oram„n�ial-ow alrze�r3turs; 0 f amps far al of 1 11e414t1S. buildings. - 7 0 Ia11. r builder Er Other: CI I•`.!e pta,ua. Q 1051.01016aorl`CI KVAar 30R SITE INFORMATION AND LQCA7'3,(FN ID Cnreremsiy oyrason, 3rrger r.econ s y debut Job=' Job site mddfc55 �1 C_p Q•addilirm or new rooter 4.64 of Haul n -dress-�...�.5 s C2 5'-� -ti:;c.4,e_ I l' Yt R loUtiN os loom. p••,q a ..I ? 13', t (`IIW 161, Z1f ��` ,'.Q 13 Gsty c,rnwls utirnraJ twits, uucx nel�y. � �? _ ©'Hc",IAtt�u,r�r�u<tuce Q Raxrcaitcmal tea I i yrw'k.- S4uite;blrig./ap(.Si: 1't"(5jar t otift,c, En ira9az hici ktultino, fl Supply trlwpe lb mon:dot --- ..,, _... --.- "a -.... CS(X'.7-41kSdNb� lrtat Cross$In et/direetionS to Job She: °i 0cs>,-r.tx b.•etlur atl�swy,c-itf II!(i$a, FLEE 5{lllr:ai!1.F, .. Tsr�l Lot 8: NewInd r ea anaiai iiaRle-or mttlli-raindy�iadli t unit. ' Subdiviaion .:..:. dew'resideeUial U garagn I;CtJDs+ i rlcxs lax mapx excel 51; 4 ' 1 as 54 �_ ,_ La.o itft 5(0'al 11. pc port itut. �i- ...,_ D1lSCRIPTION OF WORK t imsu t energy,r sad nuat 339. 0. ._ - (c.atln rhmr I) =_ 91 I�� `\,' ( y '7'l,..pi c_c ro. 4'i- .. I.Imtui rriera5,srwi(I family i I. v roeteeavalto, 'atom Cs,) 75.W ._ _..--- Rsntwabb F.nc : Nee Page I� NAIS a _�1_ I m°a Surfers or Peelers inylstluticm,alteration.iodic rtloealdtnt r' __.�m .. .,: L�� �4teK Ar,,aGntSut[Chirt41.74 if Make:5S a. +R �' 'hc ,)t -cLe- Ail nnpi su•1i7fi wept 113 r - , '"...._ �..,:.�•� 401 amps(0(:,'"i.intps ._�2 C.IL% t.tut.e,/IJ_ ry� d .m l _._.w. .. . . �i L. T`+R_F rtiSti..l l - (,Ul a,pa to I OOfI amps S�i.L�i - 1 rw_.". r a.c.'`.7 (Jeer I,Uln ana�s or toll ssz,.:Za IEmail; °""" ' 'temporary services Or feeil..r.,llr%lnlla(itru,rtl(erst on,sud4rr OMMnerinsiallulroo lh relocation InstallariMI is tiring made.oo Ifroctrf,•1iuit 1 uan�n which 1S nol 2700 amp us bss I3!_6 ) nit1u led[Dr 611le„least,IwiL or exchange,accclrcling to ORS 447.,449,671),anal 7(11. ''IN alnps art tm;mum, .__.�,..r.,".4...: I'7.i1� index fgnatura:_ I]atc: 4.01 mpstu554mmops I, I6M.54 �2 APPLICANT � COp�7 IICi p� q0\ brunch trrtuttt—new,dleratkin or Csltuiluu„per aapt .__�'M..w,._ 4 Etc for branch tirCUKS,ra! 13 uueoeSt nsrnc: nb et.' i'ice ue 1.xde r fee, M y F , C4tata4t name ..� A cdtlt l mdt ettcalit " ._ �_F�� Pun branch certvlLs wilJhnNr _.Address: rearicar u•Iccdrs 1'1.z.tint 3 band:irtY441t .'Wa.IX 1 i { uv S ate l.11' a_leia Adel brothcarewr 7,42 ` 22 t . " ( .�--.- .." ""._` Ninettlancoua(service nr tecarer WI is elussed) Phone-: ) 1 Fax: ) Del) s v , i�t h ar,4aiilur.luixal or iYnaSJI se i ! Email: / a,wlling.service unaini trader u7.N t _ *-. ,,—.._. Rcya mra t only 67.54 4T.CR E'uropat,rrl�tiraiiear"1e 57.9t v_ ,— Susietess name: 1,M,-Ec,,,� ,,.] (3 \e. .1 c, il, tiii0 bt uoilIn iighrinv 4,7.54 2 -- --- -- r .�.ddt>c�c Slvn t�clrcu�lc)bcFimur.�ncr� ❑ Sn P ' 1 _res. i "r' Q 3S la e) " :total,oiarrah0 a txIcnaltm 7 ;. tJRelStIlluL II': , r t4 Pateb additbonul Diu tenon ovcr rllnsunnIe in any of Olt nbene _._._._ `,� O-. 117,E ,.;.,__- +ddiricanuh inuf cetwr(l I f it it l €5 rr yr. 0-7, litusiia niuuri hr0110 1 1000rhr Finull; k--1,"C'C:V ,...t?, t-- ; L-3-7\4 4 `i`Uity-, IrKlrw[aial,llama(Iheeeirl tintlathr f Irrsp xsislm rut wh cA ro C.Si. in ua a. Ct: 11C_: 't3 4.1C1�� .....__.._.. _bc,7 SoCil}CI1IetI 1SFL1r11tlll) ZL +�# fectrlc�t 1 16._ r rM Llr: t. + "i ,v.Electrician signature,required: _ 'C.O.!, Q"IRIc�l, Pi itIsabiirr FEES s�tloial I Z Ci Prim ndtnt tt\ci Ot.+ '� � z.t r,i, ( ate ) 4.t 2 3 _0 1'lau Euvirw Roganrd(25;u or permit frrj s j _.__ ,..._ -"_ ._.__.. ..,...>- Stec sori.Ital V 12%orpditttit dice Authorized signature: J ' IoTAt PERMIT FEE: 1.3 2., ....._ :...> ....__:_-- --.--. --- •. --. fah perndta ttuorraesatrtnlln it s stp nfan l nttla t0Ffni nu tie/��� � �r /Y/� /�r�� e. lai miler at has lima accepted as seauIeFr. timLer or"nupcation: %,6466!sa.00uik I Auidigr,rk nor4rl,C_Peorril,p:_FL.I,,J Rt.10r 14c 0r.'I Y.nuiv 46.4ii 57 I I,rh-rmdiVi iu