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Permit
7 "'474 ELECTRICAL PERMIT �yq CITY OF TIGARD '11- COMMUNITY DEVELOPMENT Permit #: ELC2010 -00381 Date Issued: 07/23/2010 TI ARL? 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S111 CCO3000 Jurisdiction: Tigard Site address: 10330 SW CENTURY OAK DR Subdivision: SUMMERFIELD NO. 1 Lot: 53 Project: Phipps Project Description: (3) branch circuits for A/C, gas furnace and service outlet. Owner: FEES PHIPPS, FRANK E & WANDA L FAM TR Quantity Description Date Amount BY PHIPPS, FRANK E/VVANDA L TRS, 10330 SW CENTURY OAKS DR 3 crt Branch Circuits 07/23/2010 $71.02 wo /Purchase Service or PHONE: Feeder 1 ea 12% State Surcharge - 07/23/2010 $8.52 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 $79.54 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 - -d by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952 - 001 -0100. You ma • • - •• - • • • • - • dir .ct • uestions to OUNC by calling 503.246.6699 or 1.800.332.2344. i Issued By: %� 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. 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. 07/22/2010 15:28 503- 678 -1108 t; BEAR ELECTRIC PAGE 01/62 �trTCal Permit AppiicafiT> ECEI V �] �� ._, -i.>li •i ii ii< i ,l , 711 City of Tigard 2 20x10 ' 131as au e gard, t 97zz3 JUL 2 E _ Ph •503sw lu.634.4171 ivd, Ti , Pax: 503.598.1960 p : Other Permit. Inspection Line: 503.639AI75 CITY OF TIGARD Dais >ar. V G ' ,L // o St?Pagp2for Internet www.ti8arda r8ov BUILDING DIVISION Nodfio l'f Sopptem toad l em . TYPE OF WORK ' Q New construction Ji 5tnanitiabb/al ratte ion/replact sent Please C all that apply W indt= rtes orpbrn aditems tdteeltad D ,Critulition ❑ Other. D sr+vlen or feeder 400 amps ar mme D Building over these etoria. whew the mailable Mt aimed D Mali= and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or D math* hudadings, hats to ground. or exceeds 14,000 DCammure4al.use tquituhun l 1 -end 2- family dwelling ❑ CotnmerciaUitedb� trial Q Accessory building amps for all albs installations, buildiop• 0 Multi- family ❑ Master builder .0 Other: 0 Piss pump. 0 twtmlbtiom of 75K VA or JOB STYE INFORMATION AM) 'LOCATION daiv 0 Enererraysystem. larger cparalotyodsystem. 0Addilietof 0.10.. "1:".°3.2:•1.3 ". . Job no.: 1 Job site addrgsr 103 " C � YV ZI_rU Cr it I ib erma� ee ocy v D sbr err more residential unit O ltearstioa d vehicle Pala. City/Stale/ZIP: `T' ` ( )Q e 2 D Neagh -ewe fad vamp litiea. DSupply vamp Ibr more thin ( \ 0 Honed= loeatiam. 600 oohs nominal. Suite/bldg./opt. no.: Project name: A I to p S 0 Savieo or ceder 600 maps remote. Cross street/directions to job site: f o FEE SCIDIDU 1 tx_i. tree t Tow t • �.. New addenda' sioglr or multi tawHy-dwdgag opts. Includes attached garage. Subdivision: 1 Let no : I A� r9 ti nr tees 16834 ' a Tax ma sltl : Ert. add'' 500 sq. R or portion 3392 1 map/parcel Limited enwgy. tesidentia1 DESCRIPTION OF WORK („rid, above so . R) 7500 2 Limited energy. mu1b rosily 75.00 2 11 ` A 1 !.' . fa - _. r - . r Service or feeders inldallado mlarodan, anew reloendoo `� - • .. ,° g* i 20pamps or less 100.70 2 D Pawn= OWMIR © 'TRNANr 201 amps to 400 amps 13356 2 ^-"""•"" • -- 401 amps to 600 amps 2004 Ei Name: 601 amps to 1,000 maps 301.04 2 Address: Over 1,000 limps or volts 552.26 2 • -- Clty/StutelZlP: Temporary services or feeders Inata1btiati, altenlilon, and/or rebottling . Phone: ( ) 1 Fox: ( ) 200 amps orlesS 59.36 I Owner Iastafatlon: This installation is being made on property that I own which is not 201 to 409 unps 125.08 — intended fbr sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 999 uahls t6g.i4 2 Branch dreads - new, alteration, or extension, per nand Owner signature: Date:. A. Fee for bomb circuits with 0 APPLICANT 1 0 coN rACr PERSON above service or feodc► fee. 7.42 2 each blanch circuit • Business ntlme: &Pee for branch circuits althorn service or feeder few first t i 56.18 �,1. 2 Contact name: branch circuit _— - Each min branch circuit 2_ 7.42 t t4. "• 2 Addrr • Mlscelooeous (servlre or feeder not included) - - City/Stale/ZIP: Each manufactured or modular 67.84 2 _ dwelling. service andror feeder Phone: ( ) I Frtx:: ( ) Reconnect only 47.84 2 Pimp or irrigation cantle 47.84 2 E•mail: Sign or oudina bid 6714 2 CONTRACTOR Signal elrcuit(s) or l imitcd-taergyr - a. .. pond, al:eta:km. or extension. Pose 2 2 Business name: t r Eacb additional impeetioo over allatrabtc In any of the above Address` P, Cr), R , Additionalinspection(I lirmin) 66.251br Investigation (1 hr mil) 66.2S/ hr City /State/ZIP: • t ,, talus tial plant(1 brntin) w XIIIIbr �Phtme: ( 1 \ F ax: G50.9 ."�' - C A hi paelim for which no See is 90.00I br • • specifically listed OS br min) VCCB Lis.: 46 O \ CA - C_ Suprv. Lic.: qai — ELEcnitreAt, 8ER1MTr rm. ', Subbing o Suprv. Electrician signature, required: 'Matt review (25% of permit fcc): r , . State surcharge (12% of permit teak ' , •'2_. Print flame: • Va rl as Date: r ,.. ,• TOTAL PERMIT FEE: "1 q,,, ill Authorized sigttatltre: This permit ap pit= duo aspirrs Ira penult is list crowned within tae days aver It OAS bees stapled as complete. Print name: _.. I Date: • !lumber of impactions al lov d per math. lIgho Poa71tOO PnmNtyp.aae 07101110 4W 4edsr(II10 OSUN7Fa