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Permit CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC2010 -00317 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06/25/2010 Parcel: 1 S 134C D01700 Jurisdiction: Tigard Site address: 11970 SW 118TH AVE Subdivision: LERON HEIGHTS N0.3 Lot: 47 Project: Langlois Project Description: (2) branch circuits for NC or heat pump and service outlet. Owner: FEES LANGLOIS, J R & E JANE Quantity Description Date Amount 11970 SW 118TH TIGARD, OR 97223 2 crt Branch Circuits 06/25/2010 $63.60 wo /Purchase Service or PHONE: Feeder 1 ea 12% State Surcharge - 06/25/2010 $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 0 R 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: /�-f' .. Permittee Signature: i)/1/ i)/1/ /7-/Y-DG 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. Call 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. 06/24/2010 13:48 503-678-1108 BEAR ELECTRIC PAGE 01 / 02 . _ - .--:_,., , ----) "•• ‘ ■ - ' ',II . ...... . . . . Electrical Permit Applicatioii f \ ,---_, ,; ., -, li :•.'.:.::.: ... • .:....: .. 6 c _ tisE ( ii .1 , ' • .. ' • . • • •• 1 I\ ,;.- . '' ' .--•..•., ..Y..... City .of Tigard 1 , Rcic,cd .: . :;, q I :). 1 25 SVV Hall Blvd.. Tigard, OR 97223 It t NI 2 4 2010 p ' P‘miut Ni)-.477:4C--- 262/° - '0.-.1 / Phalle; 503.639.4171 Vox: 503.598.1961r' `-' " Olpsii 1.3O1c; Pcrioli16.7C - ;4 :T16 Inspection • Line: 503.639.4175 ,,,.. . ,--, -, , .,' ", Pete Reedslis 1 . h;7 1 G„, El N rirn ce for • . noei: smse..tiMd-or.gov e' iN •. .. . . ...,., , - >hrirwlemobod: v„:. • - „ •,:,,,-,.--, ,,- ' Sop plement2iInformaritni . . .. , . • " . ' ' TY1)f:. Or l• ''' • • ' ':,,, :: . • :' ::':,'..:.. '.. • :i, .•.'- .i PL AN IlEvitIV.......::. -.... • .'•'' -'.•:i:: '•• • ••• .. • 0 New consiruction F.' .Addirithihilteri diardrelilace Merit • l'Imma check all thac apply (aubmit Z SCi.: or pbox wii toms chocked below): 11Seicien or feetict 400 m amps ur ate 0 nailtlio ov g er.three znottes, . 0 OCinolition 0 Other • tial6v0te'avillals1: r,iult cluea tt 0 NIalinaa aull'I;aalf0'lliA; . .. -,,.....- euccas 10,000 tamps at 150 volts ga 1:1m.siing badt, .. •• .. „ :': . -. - , . • • cAtEccdr:oP. coNsTitticrioN. ..•.. • .. .• : ..,• ' • • .• • • • . • .. .. . . . • So-541■1 grOwitt, tit exceeds 1.3,000 D Coln tticra'al.u,a; 4ricalitual 5111 rind 2-thinily dwelling J Conunelcial/industrial 0 Accessory building • buildings. . - • • mixt bran oilier instalt.stion5. . [1)&96-family 0 Masterbuilder . 0 Other . . 0 fire pump. 0 installation of 75. Kv..i .,Ir JOB • . . - . C:1 limelr.eney sy'stern brizer supar syslens, . .sr.rtA AN10 iLOO/V110N ., ..: ..:•.: in Addition orrItnerneter tot d( 0"A", - Li - . - i-2 - : - b5 - .. Job no.:. Job s f ----7--- \ ne•addmss: ` c\- \ . t■-\ & ,. . i0P 0 more, oceepncy. a 411 IS • 0 Sri Or mon: iisicicatial.uniia. 0 k&orcationat vehitIc parks. CitylSlalcVZIP 1 - 7 - ,--1. f , C , 0 irmhh•care a:citifies, 0 Supply. voltage formore !Inn 3 I • 1:1112.7irdoirs locationx. (41.0 volts nomima. Sititeibliigiapt. no.: Project name: Z_ /9/1/6--"Z-8/...0 0 Service or feeder 600 amps Or 11107C. -......----,- ... • • "'''. :::' ,:''''. - ' - - 'FEE SCHEDtri 1 •' :;; '. ' '',,, . ' '7, Cross strect/dircoirms in job siie: Ilnolpilon . . ........____I Jit:,,..1 -"----"- --------- . . -_____ 'Ne.w residential single- or mniti-fantily Owctling.unit. • InchideS attached garage. . . Subdivision;• MIMI .. 1.000 sq. ft. arlcss . 1- 1613.54 . 4 i--!-- fla. add 500 sq. ft: or portiOn 33.92 1 Toxmcip/pareel no.: , • • • Limited energy, residential . - • • . . . :.,: : . ,. , ... .. . . ......... .•.., ,....:,.. : .,:•i•.....: ....... i .:: ..:, • • • . ':. • : p4tlillelfiON,;;OF ,.: : .,....... ..:.• i . , :..,....:!.. :•:.:......; . : • (with obese-ui. 10 67:84 .., ' •••-' .a. ii 116 110116 ■ : .. IRA II 1 _ Iiinited energy. thiliti-family — v . • residential.(with ;Ilior sqd?) 67: ' 84 : . :Services or fectlersinstollo duo., aitcra ion, nnillorrelertntion • r 'zoo amps or, li:ss. • 100.70: - ... - i 2 . , - .j.. , :.'.'.. 1 : • (0 Ppoir.Erri .aWNFO.: .;.'.':H•.:::: '....:.••••: '..• ... ". , • ''...'111 ,IIN •• . ': 2Q! ainps i&400 amps • 133.56. I 2 . . . . .. .;1‘,..:arne: L /9 6-- z.- 0/ 5 401 amps to ao,..imps 20,0.5+ , , • • 2 : . • 601 amps.to 1;00.0,arnpS • .301.04 • 2 Address: . ,• Over 1„000.amrisoryolts• . 55226- . ' . . 2 Tempornry.scrvicts or feeders Installation. aitcration,•and/ar Qv/6 tou:/7.1P: : . . ________ relociltina Phasic; ( ) --- ), ' .200 an* or less: -- . 59.36 • 1., ." Owner inStallation: `Ellis installation is•being, made On properly that 3 Own which is not • . 201 ampsle4.00.anips. 125.08. 2 intended for Sale. leaSe. icnI. or orchange, according to ORS 447,4149. 670, and 701.. : 401 iunps:to, 599 amps 168.54 . 2. . Branch circulis.-• neW, a Ilcralion. or extension.. cr pA ncl Owner signaturo: • _ • Date; . , . ........... . A.1.iee for branch circuits iuh • .: ''':'•::: •' ' ' .. : 0 APPLICiNT • .:'• • .. • .•• i. • 1 .: .,,.-.......,:,.,,;, , .1,,„r..e,viceor.fccitcr fee 7.42 • - : . .. -• • - -..—,...........• - ..-- ' `.. • - • ' • • ' each branch circuit Business name:. ' 13, Fee forin circuits .......--. . • sie.igtour sentice Or feeder fee, \ . 56.1 .±: ... , . Contact:name: • :irt branch r Ciatir . . . fs bra „ 1 Each.:add'Ibrrinelteiruit e 7.42 c 71, 1-2, 2. Address: . .-..-..--. miseethmeous (service ur Secder.oun included) . • City/Staterll I': . • 17;wh manufactured or niaantor • 67.84 . 2 -- duel 1 in...5.erwiecithir.lkir feeder • • Phone: ( ) Fax: : ( .) •Recennect 'only • 67.84. : ... •.• 2 --- ..E4rilil: .. . • Pump or irrigation Circle , 67.84 • • 2 -.,.:•;',.' ',....•• f ',. . - . , '.•. -*. .:..:,• •, ,CONTRAcrcift...:,.: ,;•,.,...,1 : ..•.........."::.. "..:: •• .,...;... . ' .......'..:.::,,::. .Sign oroutline lighting. 67.84 *2 , Si nal circuit(s) or limited- . a ecarcg.c s . ..._ .. .„.. . . .. . . . . • • Business name energy ion, or I • exterision..Ocscribe: Page 2 - y, ,_ ... . . .. .. ciiyisiiiter lbw .• cr\c-5 ... — . . lath udd ig tonal inspcc lion over...allow hie in anyof the ii hove , p ii „. pet i . 6 „... . • • • - 66:25 ' . • • Plione:„. • ). In .,- lax: i'R . • — • 4. • ... ii hivgation.iia hanici humin) . . Lo. th . r - Eic,i : trca ll . i c.: - _ is Suprv. Li c.: \ • • Inustria panr.perhmir. • d l l 66.25 cl . . . 78.18. •.'',:!. ' . '".... r '': :"'..:,-:EI:ICTRItil.L'.P,ERMIT - .: Suprv. 'Electrician signature, 0 . . / . ad li ' • • - Subtotal: .. • .. „ , , , . ' , riab review (25% �f pertinit ike):. Print Ramp: can no, .. , • . • • • Statc of pemtit fee): . . ...,. . / ' AtititOriViCd ■511;PLINfe" 4 eV/ A. C. 2.6 .. TOTAL PFFLM1T FEE : . • • • .i pentil opplicsams explreslr 3 permit is oat atrtalot0withiA0 1 Print.name:. . Date: . lays A ner 11113S her0 a cceptcer as complett. .-------------- • .' NIIInber 41NOSPeeillitl, 110 'VI II it • dc '10.4)1/159 440••■ CI i 5TO 110.5;CON*VELI 1,11oiltting.'.frons'.111.C.,PcoohArp