Permit CITY OF TIGARD ELECTRICAL PERMIT
n� ; : COMMUNITY DEVELOPMENT Permit #: ELC2010- 00031
13125 SW Hall.Blvd., Tigard OR 97223 503.639.4171 Date Issued: 01/20/2010
TIGARD: Parcel: 2S111DB04600
Jurisdiction: Tigard
Site address: 15244 SW ALDERBROOK PL
Subdivision: SUMMERFIELD NO.7 Lot: 414
Project: Auger
Project Description: Add /alter (2) branch circuits for furnace and light/receptacle.
Owner: FEES
AUGER, FREDRICK V & FRANCES J Quantity Description Date Amount
15244 SW ALDERBROOK PL
TIGARD, OR 97224 2 crt Branch Circuits 01/20/2010 $63.60
wo /Purchase Service or
PHONE: Feeder
1 ea 12% State Surcharge - 01/20/2010 $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 $71.23
Required Items and Reports (Conditions)
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This. permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work wit
be done in accordance with approved plans. This permit will expire if work is not started within 180 days' of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copy of the rules or direct questions to OUNC by calling 503.246 6699 or 1.800.332.2344,
Issued By: IJ C V `-' \ 1. QK J- Permittee Signature:
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease or rent.
OWNER'S SIGNATURE Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'^ Date:
LICENSE NO. �' J 1 �
Call 503.639.4175 by 7:00 a.m. for an Inspection that business day.
This permit card shall be kept in conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each Inspection.
1 08:48 Bear Electric (FRX)5036781108 P. 001 /002
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L of Tigard Permit:hi] KZ:AO C,50 3
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'SW Hall Blvd,. Tigard, Olt 97,2V
Mune 503.639.4171 I:as: 503.5981/AN 2 0 20 in 1,.„.,• .0111n Pont: f,u .oe,e,,
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Inspection Uric: 503.639,417$ • • - . naicitcai611): -1`2.L.. E1'Seii.t401-.
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tee www.figard-or.gow Not itic.Vidotiost'
_ . CITY. TIGARD PLA
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- „ lcl, all lhat apply (submit 2 SC% ofplans whims, chocked behlw I
0 NM Con:anti:lion . $6.ddillulthillentlitm/renineenten;
0 service Pf ktal{r 401) DIV nr TIMIC 0 114111ding aver On it
0 DCMOlitian 0 OtriCr: 1.61ICIC IIIC nvniloble Inuit current 0 Mai ilia and blatyarda. •
' . • CATEGORY 01: CONSTRUCTION . • eseeedx 10,000 MAIM m 150 sob Of 0 1 hiliWir1133. .
U,,%T. to grnund, or evened% 14,n00 El Couuncteinlque agriculimal
• . 1. and 2-furni1y dwelling D'Curnmere in Wintitistrial LI Accessny building 3mpo for all other lostallallonn, holdup-
Multi-amtily 0 Master builder 0 Other: n ri,g p.„up, o Invailaiion at 75.KvA or
0 Ern agency a■srem. larger gpararely Mit cd item
.. .. :' . '. :..• '.: .,, 4011 INI:011N1AT1ON 4tS1) LOCATIOS • • El Addition of new motor load u I Cl,"A"."E", "I 1-37.
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Job Sitc address: 15a 11/4 5(4) HA.etely-D Pr. luau", ct more. occupancy.
Job no.: 0 Six nr more residential onus In ay.-m.36a m, ‘LlliCIC nA3 .
0 IY/Slaleat P. i i4ardt$, , Op q72:91-- 0 iicalitt-care facilities, 1:1 Supply voltage fir room than
0 i loartlous loortionc. 600 volt. nominal. .
Suite/bldg./apt, no.: Lj Projcci.nante: 171:CCIleicC Pr fccdcr 600 mum nr ITIMM,
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Cni street/directions. ro job site: _iir.rrl %Ion i 1 INCEMMUIBMIII '
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New rcalticruhaslugle- ur undil- family clivellIng unit.
1 Halides snitched garage. • •
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Subdivittion: 1.01 no.: Lono.sn. It or 1ms _ 161154
Ea. ad 33,92 1 I
Tax inapfpurcel nu.: lintiled energy, resideni int
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, 67.84.
DESCRII . 7.
7 :'.,• • •:' ; :'7":': . '... '-';':..."' "•. ..:.: TION O
-r WORK • . ,. ,
. . . . . ,i,viirlt above sq.; rt.) '
2 Litnireticiterm multi-fain ily .
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' aktIcl for
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) reitiontint froth abovc nu. 11,)
Sert4ces'or feeders Installatinn, alierationotadf rclocatirrn
\ C . 0A7,04.12._ 200 amps or less. '. . ' 100,70 ' . 2
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El ,f. il i tO 1!,E.IC II' i' OWNER,. • : ,. ' . . 0 11::NANI.. ' ' ' ' • .:'' 201 runpsio 40911'1ms. 133:56 1
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Nana:: . . 401 artipslo 600'amps . , 200.3.1 r
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u arops,u1,1.0110 snips , 301.04 2
Add rt.-ss: . Overl ,000 amps 'or voltS 552.26. '
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Tempura ryservlecs nr feed crol fist:111a tiling alteration. lIntlior.
cu y/Stil teal V.: reluen11t1it•
I'llt)T1C;. ( ') IF:1X: 1 ) 200 amps or'Itzs 59,36. '1
201 m un t ir s , I t , . 1
Owner insiallittintit This insluilation is being toode,ow property dint 1 own which is not
0 tti 4;10 ntt. ,5 125.10 2
interatedfoi• sate_lease. rent, or I:Nell:Mgr:. aucordi an
ng In ,ORS 447, 449, 670. and 703. o o . 1684 2
11runch circuits ;- new. alteration. or externion,r„ponel
Owner•stgruttore:, .. . . _—_____--__.._ -- - - Date: . .. ....,., ... , ., ,......_ A, Fee for branch circuits with .
,..,::••-..,.."•.; .. ., . la APPL1C.ANT • ::" ..:„ :' • • i :' . 0 ' CO '. 4 • I ' tt C r . ril ON . . .. 4bove soviet:or feeder foe.
7,42 -t
each bnineh circuit •
Ilttsines twine: 11.1:cc fncbrancli eiretins. .
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- wirhouriservice•or• feeder ti. . ‘ • $6 5(.0.:1S ,
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ContrIct rtiimet ._
. fintE ltranch•eirenit
Faell midi branch circuit \. 742 -. 1:7, 1 '7.i
Atkin:sit: '-
N Si seelluncatts (service sir feeder nut 1 minded) _
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City/Sla1e/11 l''. Loch witututherttleti or modular
67,84 -,
- dwelti; serviee andfor rectlur
Phonc: ( ) Fa.'.: : t ) ficeonneet only 67,84 : 2
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.E-ritail: pomp ilr irrigation cirete ' 67.34. 2
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• ••, ::.',:::: ': "..::., . . , : ,...; ,'" CONTitACrOtt •• . . ' ,Sign or outline:lighting 67,84
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seglini eircoitto or IMMO-.
llus4ncs5 truffle: 1ly' ,, ,... 4 ,.-i( , - "An L. . . ........,... c netny partikratenti ion, r
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trritention.'Deseritte:. Page 2 2
Address: ..? 0 ‘ \:)..,, 'c .
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Cityttitatel'41P: pv\ (OA \ og q-70 0 . , .
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ili1391:11. ( ' g - I S5 . . t 1:11X: ( 15 ) t ' r S — k 1 0 6 — . in . .. , . . .
vestigntion;pur 110111 (1 lir win) 6625
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CC11 tie.:. (:)(1 (el _ Eletury0.1,1,4,6)4. (y/Q.,.. suppi.i.i,.: it .1MM:10i:it:ph:na hour . 78,18
&pry: Illentrician signatinc, rcquired: .
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Print narr5.3eQ\k„ 5\akort..ercil. Date: • x, I N
• L ' ..12:•./..-- . ... State sUreharge112% or Nina Ceti): .. --- . - T5 ----
• Au thorized signature: . . • TOTAV. Orittm IT, FEE: -a , 3
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. 1 pnrntit opplicotion es guirn 11'14 permit ti. not olttolnell irithin thn
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Print name: 1..)ntc: .. • " • dnytkorrar trip) be Il
fll tenlied MA l fl
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