Permit . ��:� l' CITY OF TIGARD
ELECTRICAL PERMIT
i ` ' � COMMUNITY DEVELOPMENT Permit #: ELC2010 00245
Date Issued: 05/20/2010
IIGARD.' 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S104DD09300
Jurisdiction: Tigard
Site address: 13520 SW 129TH AVE
Subdivision: MOUNTAIN HIGHLANDS NO. 3 Lot: 51
Project: Connolly
Project Description: (2) branch circuits for A/C and service outlet
Owner: FEES
CONNOLLY, TIM Quantity Description Date Amount
13520 SW 129TH AVE 2 crt Branch Circuits 05/20/2010 $63.60
TIGARD, OR 97223 wo /Purchase Service or
PHONE: 503 - 705 -1302 Feeder
1 ea 12% State Surcharge - 05/20/2010 $7.63
Electrical
Contractor:
BEAR ELECTRIC
PO BOX 389
DONALD, OR 97020
PHONE: 503 - 678 -1355
FAX: 503 - 678 -1108
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Total $71.23
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 through OAR 952 - 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: l / +` ; / Permittee Signature: ����V/
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' Date:
LICENSE NO.
CaII 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
r•Y - 19- 2010(IJED) 13:04 Bear Electric (FRX)5036781108 P. 001 /002
Electrical Permit Ap lication
� .R hQR OFFICE; USE SE ON1.1'
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l _ ~ 13125 SW WI Blvd., Tigard OR 97223 n CDc:3\,\II
d ■ evi
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