Permit CITY OF TIGARD ELECTRICAL PERMIT
• COMMUNITY DEVELOPMENT Permit #: ELC2010 -00508
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/16/2010
Parcel: 1S134AB90181
Jurisdiction: TIGARD
Site address: 11341 SW SPRINGWOOD DR, UNIT# 18
Subdivision: Lot: 0
Project: Mann
Project Description: (2) branch circuits for heat pump and service outlet.
Owner: FEES
MANN, JAN Quantity Description Date Amount
11341 SW SPRINGWOOD DRIVE
TIGARD, OR 97223 2 crt Branch Circuits 09/16/2010 $63.60
wo /Purchase Service or
PHONE: 503 - 350 -5099 Feeder
1 ea 12% State Surcharge - 09/16/2010 $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 OAR 952- 001 -0100. You m- obtain a e nr es •irect questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued = _ - _- / Permittee Signature: e�
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.
SEP-16-2010(THU) 07: Bear Electric (FAX)5036781108 P. 001/002
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1
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Electrical Permit AaolicatiRECEIVED Hilt 01.1. ICE 1 l t\1.1'
City of Tigard lagligififfig limit N4/ --- _, 1 i -
III ...• , 13125 SW Hall Blvd_ Tigarti Olt 976.E ip 1 6 2010 Pim Review
' • Phone: 5(13.634.4171 Pux: 503.541(.1460 llnic411,1 l'IlIver I'm*
TIGARD nn Lin: $413-09-4175 CITY OF TIGARD Mac Itodynty i
'Mena: wun.liFtnlyttr.gos NutlilattMethod: Mil fiEFE
1 :1';;;IIP.gtial2g0.47;;f s Zil".;.?, : fiV:aq...itttit&-W iifiK416 .P.....: ..= >7'"?..i4F-
0 New construction pg Addition/alteration/replacement rwoe lows all mat apply isuhrnit lax, mitten, whom. occuut tam g
0 says:cot teats' 4no masts' mile 1:1 !tinkling Ina ilutv•IlitroN.
0 Demolition 0 Other: the the twailahle kith eumau 0 Ntarinas ant( /stools. .
t Ig;.5134CATiaintitO*COKSTRUCIIONn41::•.:Z011:Ail-1?Z';.f.; marsh I Raul amp-. at 1531.1415 or 0 l'Inaina hhiWirliVh•
Iglu le unsany.ur ouzyth 1401111 0 Cfinittwwitil-taw Agfiruliural
1E1 1- and 2-faMily dwvIling 0 CommercialAndtpwriul 0 Accosory building ,i e.i,iti othelP imuslkulun. hulhilne..
0 hilul ti- family 0 Master (Wilder 0 Other: CI ritc rump. 1:11nstallation 14 KVA lir
1:1E1nersteney sy•nern. terser serionely sated -tyska%
1.'' W.; I:1 maim anew motor lots.1 or 13 -A-. -17. -1-:-.
10011r ur murg, oonspinc:,
Job no.: I Jub ' " il SA F71;)C\CNCNI A tedl ['Sista ore radetnial ohs. 1:1 Kg crot k mai I v ti le It rows.
City/StinciZlP; I (-13C M . Cf '-' 1
11 I lath-care facilli it 0 supply soilage Mr mow thnn
- 1 , CI latinanirs Motions. WI volts nitrninui.
Suite/bldg./apt. no.: I Project name: 0 Soniecot littli, WU alum vr mure..
MOZIFINntfettle"sEMINEEDSCHEDIIMEIMML110111117X1111ift ::
Cross stmci/din:ctions to job sill:: thwrrislow _I 4p.. L NC , I um 1 • '
. New Paden tlal sioglo. or multi-fumily dwelling unit.
Includes al Nebo( gunge.
Subdivision: I Lot no.: , 1.11110 %I. It. itr to,
1 hM.,14 4
-- - lila/111'1 500 al, 11. or nankin 33.42 1
Tax map/parccl no.:
Limited midenthil 75,011 2
;ritUik,,ta41.i7;Fiai"ffV!..i4DCFPCRIPMOTOOPZWORICtM:.?!.±4iWiii.5:;ti.(;A:91:i4ZI:3;':■-14:t,::7. I with above su. f1.1
Lanett corm mum-Rnny
. s 73,041
So 2
nhitlentitil 'with ohm.: itti. IL) _
y ices or Feeders instullation. alteration. untlior relocution
• as
2nn anew tor lei* 100,70 ' 2
AIKY/Xt IM PROURMOWNElelatig 4. STXNAM.fi.VINWISCtii 2333 417 II) 40 " allIP% 133.56 , 2
4111 amp s In AID IIMMI 21111_14 2
Milne: .
601 airw.lo Loup amp* 30 1.61 2
AtIllwyty..• ' rums imm limps .a %silts _ is, 7t. _ _ '7
Temporary sturvleys or riders InstaIlution. al wrath/vs anWor
Cit• /State/7.11 : relocation
Phone: I 1 I Fax: 1 / NO wort or brin t.t.zth I .
-.- 1 at om 1.• 411I1 0011h. 1 2 •
ow histaminic's,: This installation is bein mud an prop thin is
crty 1 own which nut 1 f 3
am us ;Snit 2
intended for sale. lease. rent. or exchange. =cal ing to OILS 447.449. 670. and 701. 401 ps amp% ft .utt
Itruncb circuit* - new. uttcrotkot. or cloctolion. per panel
Owner signature: . Date: A. Po kw branch circuits wish
.;...-R;l:.,i;':Zliig.i1:14erliCAT'4V,Iels,'::.E.R.WiTi5,:g17::',7.'itir,Vrs;;COPIZiti;VIIERSOPigit;:lii':i'igi *how Ns ow: ot mom. lix.
otch twunch eirmili . 7.4'2 2
Busines.* name: IL Po liar brunch circuits iritinutt
. service nr Maier fee, limt 1 9i.111 tigii 1 ? 2
Con Wet name: hnuich circuit ,
Each ald'I branch circuit _ 1 7.42 t .-- .q,_ 2
Address; Misrelbnenum (service or feeder not Included)
Each mannn nal or moduke
City/Staterli Ft 67_11.1 -
dive II is isitiPor Metter
Plume: ( 1
• I Fax: : 1 .1 Reconnect only
' 67.114 2
Pump or irrigation circle 6
circ7.8 x
4
-
E . or outline lighting 07.84 '
•
tA sultan! eireuitun or 1 • ad .e ' ' ,
panel Amnion. or caesium . _ Pane 2
Business name: U %. so • . , Each atklitiurnil inspection Incr allowable to onv ',rot, 41•4Dtc
Bo
Address: p (--, --
`X ... S_R
Addiii„..ii i..,,,ion, I le mho 66:25/ lir r •
, _ c."-•*" .
Imcsuipathsu I t hr min) 66251 hr
CitY/SlalCIZI I tTheTNCX \Ci (2) , QA •
McMartin plum ( I lir mint 711.111ihr . ,
plionc taTf") trg.-- t D..,M-- ) I Fax: 153 ) r nv it 1,s Inspections Int* which on fee Is ..
40.011i hr ..
, specifically Iroc4 Ws lir mint
CCD Liu.; 2c\ \q Eleutrisall Lie.; - A111 1 List.: V740.01. tr-NigiketT.CC1410■11:511`0.144111nPEMAFAIFt's(4,;sf.11::'4;
, SUKIWI: rimaire .
Suprv. Electrician sigruourc. required; . ■ 11 : „... ....e_____-.---' --
- Pluo o:vicw e25'51. urpermli
Print mew y e, • a (,,:„ • .0\r‘ I1A, IInte $ '' t ilb . Stale morchsrec (1244 of Penult resit: lismsc,
- TOTAL PERMIT PEE:
Authorind signuture:
'rol l. permit applirilthIll evitires Ira prrin It Is not otainnl *OM 1 0
days utter It hos been accepted Nto complete.
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Print name: - _ _ Date: • Number or inamOhm. ullous.ltwr uarvnh, '
"
thhilhlutenuthh.`4:1,4:-PouuitAiql..lug 117411/111 .tin.hittri 1 1 1 I I \ I/W Eli