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Permit
r • II - y r ` CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC2009 -00325 T1GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06/29/2009 Parcel: 2S102BD02600 Jurisdiction: Tigard Site address: 12979 SW PACIFIC HWY Subdivision: Lot: 0 Project: Kim Project Description: Reconnect. Owner: FEES KIM, PENNEY Quantity Description Date Amount 395 NW SILVERADO DR BEAVERTON, OR 97006 1 ea Reconnect Only 06/29/2009 $66.85 PHONE: 1 ea 12% State Surcharge - 06/29/2009 $8.02 Electrical Contractor: AMP ELECTRIC 8152 SW HALL BLVD # 325 BEAVERTON, OR 97008 PHONE: 360- 910 -5805 FAX: 503 - 643 -6798 Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Total $74.87 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: Permittee Signature: e //' "G / 65E77 M 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 603.639.4176 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. Jun 09 07:27a Jerry 503- 643 -6798 p.1 s `} \ Electricall Permit t ,.+ U DJ 'A ti - lf�� r , °s r /d V �' J( � u rf 5 � �` ��� I . � �(��J � 1 1 ��'�F f i id',i I � l�r, ,v�� " �"•` - �' '* Fp a �`. (i ` ('•� .�,+"id.'A * ri+',i'aSi+�t�'�7@i'_dt".'.'f'A ax''M'+�� t�`.' f k �. '4 t �; City of Tigard JUN 2 5 2009 V - , t 4 �� It 13125 Ste a, Tigard, 97223 � a�as� G 2 /G' • ,�i� Na ����00 ) ,1 • Odor Panne . Psron 303.6394171 Fi>G SOp.531 1 ` t 503.69.4173 OF TIGARD � inivinct BUILDING DIVISIO 0 New construction / asdt+eplsaentAet Passel dank 08 mstaaybr. - :c 0 Demolition 0 Mar: ©Be rteeover225amps. cosaml Elffaiardeas 1a„ V's' }a " f , t "� , :7 , 'i .*1 _ - . ' v a ' 1F..... -..?: dle- s° of 1- end 2- i d ^ ..nrga D4 m nee residential ❑ 1 - sod 24corrly dwelling gC niallmdusitml ❑ Aeoessary bulldog — ©System over 600 wits amnia' s near in one area= ❑ Mad6 family 0 Master builder 0 Other: OBizadlag wa dm stories ❑Feeders. 400 amps a mare *pkc' �}[� as'�d+ ! r' . sv r x ` ? '� y � a load aver 99 person Ohdans6tdmedAeaa Job no.: / I Z S I Jab site sa5drese / Z /•7 2 S.w ! y c f{yjc / DEfe7hh<ae D ._ ah�: stt ass ef plmt ofmo astora I / Cc Yf A',1 Q2 . ( q 7 22? The above are not applicable to rempararY asaerined i t erve= Suite/bldg./am no.: fa:! ra3fitw •. true.T.4 4441111 _ _ t^?`4.,`.luarw �'" .d- �aa-#u�l7n � s Qtr. k Fm Cross sneeddirectiotu to job site~ 1 I Tad � GK v� r� /�;G/',��.� ro�►os�s a�. mimes d�ln,tg � k. 1 torarealw attacked garage. L w� L6 V2-4 r s-/ , kz. 1,000 at err less • 145.15 4 Subdivision [it po Bar add'1500 sq. & or per+ 33.40 Tres tr�/parcel no.: Limited energy, residential 75.40 mill : ,., :. :F7.r:..- .4.1-rr1.2. 41.17:-..:. r.. ^ a m ar med r. 75 - - .�•.. .. r :" -'rte. -i -e '�`'�".°�'': >3Amaaadrat � 7 1/a s=plat • Ia wI .: - 6�/�//1l ,7 dwdhn serviwen+Norfeeder 40.9D h10 C ✓ 6672, W072/6 PEZ T ! a7 1,0 ScrokesorEndersta dea,a asdlorratocatiea E 772/c i'a ' erePs arhoe 60.30 2 .0,-, 2.. >. s . .. 207 .. • to 400 amps 10415 0 Nmne. / </"/ 1 .T/i/4E V cow 540.60 2 / 601 ..., ... m 1,000e�arps 240.60 2 Add > 3 ?s /V Ill _Oz. 2 v�7L9-L 0 2/Z Over 1,000 asps er volts 454.65 2 Crga�Stasd7JP ,8c--,977,--72.7--6— / O-72 9240,0 RRammeftoaty / 66.85 x.5 2 . Phone: ( ) , Pax: ( ) doer service or Icahn Via, alterative, erector Ow Owner ihhsEOiilRioa: This irasm11n . is 201 err leas 66.85 ' 1 n i for set 1 X48 madam p roperty that 1 own which is not 201 amps road e, lame, rent, or ere ge, according to ORS 447. 449. 670 . and 701. 401 amps oc600 amps i� 2 Owner signature Data — G d fmo on.or estrah, • .. ,, t," . . , -*- i : apt r - s - . T Brunch drank. Business am= aeivioe err 6.65 2 brume dna& Coma fig >i Foe branch ee iiis Wilma =roles or• fed= re c. 4 6 5 !......„ . Addrt:ss: each brand circuit _2 • Each midi brandy wit 6.65 2 City/StateJZIP: - haseltmence (weft or ender not lad .., Plum: ( ) 1 Fax: ( ) Pamper irrigation circle 5340 1 sip or mediae tit >i 53.40 2 g . r $;I:, i. _ ` e.: 7. _ 4 . ,� _ *?F'' 4s * � ;i i lsal pJ B) or l�ted Busiiless mate: T T i n / LE c 7 ,- < //. f ✓ G , Page 2 2 Addesssc - / 5 SGT! sari Li. 14 1/16' 4i 32 e Eacb oddldeDa1 too .. - -: nv over at5 bh in nay er ahr aDeve _ �t _ Per lancer 6250 _ a v i s t i d a r L I P ' P Z 4 V C , e k i l , 1 7e., , ' tnrads's=pe: hoar (1 er ■ ; Pbon= (360) ""�G j g4. 5 Foie S03 - 3 - 7 98 r taxer - - t:cs Electrical tug : c i 1.5�: _ , �fS Subtotal 46-21 SiaJaw. Electrician agnate scquarod: f l rlcview (25'K of parotit bee) Pont Maine .7z / - .� 44 G. 7 Dal= 4 7 Stole surcharge" of permit fee) - ; G' j . Q - .atmwsiaedt aig 70745..v lsuiair FEE • . 2._ .. `f ? 1 ' C--- � ta�rapp arksemirwdo =Vatbaet°Wised WU j/ Prim:namarx� ,► . , Data m 2$ e j gy p , ' aecaaakse , u aaetade,ayseraa Bawd iiB.ld kinrfermiiApp.ecc tree 'el�bcrolia:p mperpaa3it � 4 w+sis$fooswhatyS8 ..:: ELECTRICAL PERMIT �_4i CITY OF TIGARD ' - COMMUNITY DEVELOPMENT Permit #: ELC2009 -00325 13125 SW Hatt Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06129/2009 • T1 G ARQ; Parcel: 2S102BD02600 Jurisdiction: Tigard Site address: 12979 SW PACIFIC HWY Subdivision: Lot: 0 Project: Kim Project Description: Reconnect. Owner. FEES KIM, PENNEY Quantity Description Date Amount 395 NW SILVERADO DR BEAVERTON, OR 97006 1 ea Reconnect Only 06/29/2009 $66.85 PHONE: 1 ea 12% State Surcharge - 06/29/2009 $8.02 Electrical Contractor: AMP ELECTRIC 8152 SW HALL BLVD # 325 BEAVERTON, OR 97008 PHONE: 360 - 910 -5805 FAX: 503 -643 -6798 Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Total $74.87 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. M 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: Permittee Signature: e /9 / 69771 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 603.639.4175 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. n ` 17z l ~ ' r IL I TL 4 6