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Permit CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC2010 -00343 Date Issued: 07/07/2010 .TIGARD. 13125 SW Hell Blvd., Tigard OR 97223 503:639,4171 Parcel: 2S111CC12500 • Jurisdiction: Tigard Site address: 10375 SW HIGHLAND DR Subdivision: `SUMMERFIELD NO. 4 Lot: 176 Project: Baltz Project Description: Panel replacement. Owner: FEES SCHNEIDER, CLEO HAZEL TR Quantity Description Date Amount 10375 SW.,HIGHLAND DR TIGARD, OR 97,,224 1 ea Services or Feeders - 200 07/07/2010 $100.70 amps or less PHONE: 1 ea 12% State Surcharge - 07/07/2010 $12.08 Electrical • Contractor: MULTIPHASE ELECTRIC 20701 S. MONPANO OVERLOOK DR. OREGON CITY, OR 97045 PHONE: 503 - 631 -4649 FAX: 503- 631 -4659 Type of Use: SF Class of Work: ALT Type of Const: Occupancy Grp: Total $112.78 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 u, • • - • - • • bf he ale •' ect questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: , �!`•� �i PermitteeSignature- 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. • 03%07/20r/13 12:25 FAA 50i)58$1dt3U \vi %r' l'1uAKU tel vul �j � p ' !a • y ,., � of 1. , . �i7 7 '". Pk "" 1 n '7 i r • • E1ectri L Pe 11 . � ' .r •• r t. l - '.`: Id3o r ....- ‘ O � O 11:4„;,..:,,,'.,,„-,.:.,^'„,,,,,,,,,,,9‘1.'s I ,1 „.., a F .'ni r 6' . n 0 ~( 1 11 , 1 1 ( i " ' I :�',,{ +� I, \.' `' 1". „ �4+",;; '^',m��:;". - uv '4 LLL C j A Reeaved �y o T ga;slrai � � )>s,triB . 7 13125 SW Hall 131oa TtgarcCOR. 97223 - _ Mom: 303 39.4171 Vac 503:598,1960 �"�� �, ° . i W Oda wank Inspection Lino: 543 G)9.4175 3. a " r Interact wwu.ai.tigardor.a9 ��++ �� � _ aoatsrruction A '� � to New J Addition/alteration/replacement Phase eked -all apply: Q Demolition ❑ Other: ©Saviccover225 amps. cormu'l ❑Hazardous lots ioa . .;,. , _ !i 7 , q - 'ilbM,,,; © oft -and farm. d weR3n O4 ormgov�'dent:4i , ..... , . • .. Y � or more own: pt 1- and 2- family dwell(ng 0 Commercial/1 USlrig! 0 Aceess�l building D5ye ova sod volts nominal ' amis in ono structure • 0 Multi-family (313utlddog over throe stories Offrodcrr.acl0 amps er more Y ❑ Master builder • D other 77 • t>aatload over 99 paeans aMaaai eauedsanctum or CI Other: Job no.: 1 Jab site address: /U. 7 7 j l4- i tli= t c i.: - C/1441°.“" fats Submit 2 stag of plans with muddle above. . city/Stal LIP: 77 i 4; ' — d C' Tbc above mina applicable to'tcmrorery Construction service. Sidle/bldg./at. no.: 1 Prgest mule: 3 ti � rl �Qip6o., i Qty. i Vet.. Crosi sma/directions to job site: NewresiQtstial ideals- or math -tamdj dwcBiog unit. Iedadas attached garaje. 1,090 sq. tt or las 145.15 4 Subdivision J Lotno.: Ea_add'1 sq. 1torportion 33.40 1 Tax mein/parcel eat Limited aura, rosideuiial 15.00 Z • '1 r:l• ,q:: t t: ::: -4, : t , 'wi" 4V� R/.t.:3inliK . _ . , 4 ttA tatrgy, n rwduls 75•00 2 fff u. m ar r e, 6.1.:,4. t,.1,1_6.4i.c1;� dwrollmg sarvttotindlor -fae1 90.90 2' . / Streit a er feeders batAUoliao, akaatma, aodJorrelocation • 200 . imps orlt r / 80.30 ,3ti _ ::• 2 ...-..:P.:•:-.7,.. , : •._ '' - 41 -.: t je .r... _ 20I141,2 to 400 mare 106:03 S • • I r 1 E✓ti L 7 . f 0t�att: o600amps 160.60 - ® Name' _/ G l t: ,, .0 G 1 601 ' . , o0 1.000 eaipa 240.60 Addle s: L. \:' i Ova 1,000 amps or volts , 454;65 2 City/Size/EP: �f - ( Recotinectooty ; 66.85 2. `l a ✓c Temporary cervices or feeders Mutilation, aItertitioo, and/or Pllone: (y 'l �) 2 4.� I Fax: ( ) _ _ rclacat400 . , 7 s C ' 200 or less 66.85. 1 Owner installation: This installiidivri is being,made on property that I own which is not i 201 ramps u,400 amps '100 .30 2 intended fa 501e. 10890, rent. or exchange. 8C0s»mnglo OIL4 447, 449, 670, and 701. 401 triton, 600 amps i 133.79 2 Owiner stgiattaa Date: Brasek eirttaits - mew, attcratioo, oreuatuloa. erpas/l '' 1+ir " 3c :. f 1 ]. , ; :i `icipt•i la , ,.:;.: • - i A s�nw reek each with Business hare; /2 t,,.{: �- (..7.7-. fm's paaac6'circuit, 6.65 2 ConWCt name ) �`` ,' i c ' S 6--.„... : 1 lc— B Fee for breech circuits wuJrtrr+r staviso or feeder fees 46.15 2 Address: 2,... ! t C, . ` ). .4 C. L'' .; 6 14- G , . , tiro bomb airoalt i eacifed01 bran& circuit i 6.65 2 City/Slate/7_1P: c r ...C.. K...' t c ' y N ).1., : Mixdlaacoas bemire or reader not included) Fhanc (51).3 } 5 b ' t! ( l 1 pax ( > 1, ',7) L . J r { f � c A imp or irrigation circle 53:40 2 SiSa or outlier fistulas 53.40 4, 2 E _ .,'..?".,-.7.....t. .t - t 4 , }qa .. n,.. .� • +�Y �1�, r...�. .. _ .' � ;E:r sips; QtR$y QaAra t tt[ ,—, ax0a arbc aion. Drs: Paget 2 Business ri�rte:2 �� t e y . . (t / r , L (� c Address: [ ;, 7 c; r s i:4 b?,l Lar.7l/0 C 4' e. fA- '::J`� : (,� FSCb a�l llataal `ioipuefou'over:sllosvabk i s eay,atHc above f PCs inspraioo 0 1 CitylStateiZIP: C• r - I.r-` t ‘77,7 - 7 7(} k ' lovtatlgabaaPQ boor Clprte+al 6250 - - I . 7 . , {% 7 . 1 - Industrial glaur per ties u 73:73 C fl �� ' Cxc. :l L S ,7 ¶ F.lectticail Lic.. ,-) ., 5 Supcv. Lie.: 5 ' - - * ;': Subtotal L Uil ,mod Supirv. Elect ictamsignatluc, required: „("5 -f „,.. �t'— Plan review 25 %ofpesenit flee) Print name .�} �-- `= -. f ; . ; .L- .i^- i ,Ditto: 7...--6. _ Stara surcharge (t1 pecmit fee) (� `c � � Authorized aign rc :, 1)L. I., �( ti mac. Liz__ - 1 �ro�ulnr' i j j 1 a . - 7 t This pariah appbeetkar.anion Ira prod: is art Iratrin leo dole .Rar i! am been aceepa44, pi wmprde Prim name:: 17 , .,- v •s,'• _ ,.. k c;.____ Date: ' ` e.- — r`C J ° Fr a methodda0' so by .7i- Glossy Bnd4146leeway Sevvi cc Board .. m - °O Nnrrrneror'iasptic6mi per permit allowed F lauiliicall4 :.Pas n tIt4EL o tpp.aee 12/03 oaua61s aavucoww rs a utp 'd (064c,i i,.d , - dZ0 :b.0 01.. ink