Permit CITY OF TIGARD ELECTRICAL PERMIT
II I . COMMUNITY DEVELOPMENT Permit#: ELC2010 -00590
Date Issued: 10/22/2010
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S104CA00900
• Jurisdiction: Tigard
Site address: 13285 SW ESSEX DR
Subdivision: HILLSHIRE Lot: 9
Project: Goodrich
Project Description: (2) branch circuits for reconnect of A/C or heat pump and service outlet
Owner: FEES
GOODRICH, DANIEL A & JOAN M Quantity Description Date Amount
13285 SW ESSEX DR 2 crt Branch Circuits 10/22/2010 $63.60
TIGARD, OR 97223 wo /Purchase Service or
PHONE: Feeder
1 ea 12% State Surcharge - 10/22/2010 $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 0 952 - 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: O v /9-7°,614 e 4z-- r 7 0 A)
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.
0 `,11u t ' ED : 38 Bear Electric (FRX)5036781108 P. 004/005
OCT 2 2 2010
E ectrical P it A r t licatio , ED i.(),, Or It t: t ,r u\ l.,
A Q � � ' dgard ' o ?� >0 remu �tt� a0 /� i S B is„ I1 o 1vd...Tiganl. OR( 9T'� 9 1 2 U
Phone. 503.639.4171 nix: $03.. .I V 1 "the 11 •milio - IRra0/0 '--/ 05i
T lmtpeCtinnLinc 503.639.417-5 iliac ltcah tst lee rode 2 Inv
I nlsrnict www.tigunkir.gcw :MMlrlctiAlis wd: IleMI Su Mirmental Inlbemrtion
. 414240w . =801 1 MSS . ti �i 'uKli �S "='.i
a 11:�`eir`::I..
❑ Newconstruction l Addition/alteratinn(replacement I' icaetstaumluua2pptyhwt+ mu .ietsof plum wlitcras Medial below I:
❑ Demolition ❑other • • C I Soslceurlwtk*41aralnp+Wmore Qliuddmpur
nh.. the available fault cumau 0 Marinas and b agnalw
y .• l,+A7 GORY.iOLlCsO u *it i "•'i exemi5 111.14111 amps at 1511 vtrh, I
r D Muting buildings
; k,wu, wind. in mends I4anlll p Grmmeniol - u,eaprIcullurol
® 1 -and 2-family dwelling ❑ Commercial/indu Trial ❑ Accc,.'ury building .al go. .u.n11wI...1.utNinl.. buildlap.. .
❑ Multl- Gtmily in Master builder ❑ Oth+:r: D fire pump. 0 Installation of 75 KVA or
r -7 • ' tiglig I NR,¢1x it41ON 1".Q A +sa.�'�+ '" ; 0 A Ql�7• •.ytcm I:Irgp' 17. - 1 er . dcrhal *van.
tan
c� � A ufrlew muurr load of Q ".� ; "1'. -t .. -I.3'.
Jab no.: Ja� l ute ackln o: 4 �W W5521X ('1 a kar ' t mom 11elallltkm pa
s-+�� VKnrmcnrerkkntialunila D ltl�rcatburalwhfcle rtc%
Chy/StaterL1P: — 7 1 ` I vh, ` t la I Itallhvtm: fad idea D homily ttglage ITN mum 'him
/',,� 17 I damning) limn Ions. 0011 'iih, nominal.
Suite /bldl;Japt.no.: Proiettnttme: Goo 0 Smit - cur1 - dtrioii mos or room. •
UCIMalgiailEW4 ali:?''1+i
Cross street/directions to job site: ' it..opon.. f tilts. I w.. I limo 1 - '
New raddenthil sink - maltl Gtmily dwelling unit.
. Includes attached garage.
Subdivision: Lot no.: Lotto sq. IL ar Its., I ha.a4 4
Tux map/parcel no.:
En. midi 500 sq, fl. or p inion 33.91 I
I.ImhN c icrlict. residential 75.00
. 0NktriNVOj a.. 5 iliiti€ (with above *q. ftl
' t.lmuetl utcrp, mulh•tamuy 75.1.91
ceCc voec k- k j c1 `Y cm- ∎Pa\ Qk vrsec `t-i R rc+idcminl lwilh Dhow sq. 04 _
s t Senile or feeders Itnmllutihn nod/or relocation
`\ • `.. , k.!,}.. . 100 anon orlos 100.711 2
El artRoketargowfirourfityz frintormsotratrAmtegma :al amp+ 400 amps 131.56
Name: Goo b2 / ,L1&/V> E L 40 I amps to 600 nape 21H1.34 =
Adrlrr4K• - . 5 . 7 4 - - / r r i o t a m p s to n o00a nIi 401.04 1 row.. t.MU11ahM IM S.11/.. 1 4 7ti y 1 '
City /State/%!h Ternptwnr5• services ur feeders Installation. alteration. and/or
retinal don
Phone: l 1 I Fax: l 1 lair amps or lets or exc c 591x, I
This irmiallation is being trade on property that I own which is not 'O1 utnr. a. gars amp* i'.... Owner installation:
intended for =lc. . lease rent. 4111 alloys to 399 amps 1 166.54 2
.accorrlln{; to OItS •t•l7. 4{9. tend 701. nnlneh circuits - new,ulterution.or extenrinn, per paacl
Owner signatul'C: Date: A. Pecturbmndi circuity with - -
t114' W.'• im : + �.•.. c' .t;'t, •'a..,.. �,,,;. 1 wry its to (6.11:1. el•..
dt /:n�1 alv�iwsl�3,�PAc llrlQNICA1��cs4 utu.ve Bch brunch circuit 7.4 -
Dttr:inr.►.s nlmic: 0. Ftx fur branch circuity aithlau
service orfhdar lee. (lhr 1 5fi,lA �../�1� 1
Con U1C1 home branch chilli
Bach udd'I brunch circuit
1..50,14;03_ 1
Addre,.s: Mi teel)aneous ur feeder not Included)
FAO mm n
:litcturcd or modular
City/State/4P: thin: Dim Ixviccandi*rlieder 67414 2
Phone: un
I mn a tini 67.11.1
' l ) I Fax:
E -mail: Pump It irrigation circle 67-04
Sign or outline lighting 67.14
IgkiiKiffialA 1?6 if" e`.* " CON7rititiarO ''0th° 112.w'^ 1;411 a' ", ithit. ti. 01i �
-
�- 1 d ,4.„ ,, limited enertp
Basins% name: 4i ` e--x ` - IIa11Cl. ahamiaa. nrclltelt mention. _ Mom 1A. � . ♦ ` y X ,�, Each othlidfonni imgrcetlon user Winnable In atm or the shoo
Address: IP. O. V 7V� q Additional inspection(I Iirmin) eiti.25i hr
City/State/LIP: 4..i 1��" ! l . �7C� la.,aripnton 11 hr ininl 76 �. hr
!! industrial plant I I lirmho 711.I hr
1'I1utnc: ( ) � \ '2 j Fax:1 '`�
1 �� 1 \04Z inspections ti,r which no fcvr Is
2 ^ ` t sped fierily listed hr mind _ �•�rlv
COD Lit:.: � 1 Elet:lriwd Liu.: . /4 1 c)� C super. Lk.: w_�- y MMur•Sx3tti:P.L"8taur oiartiYnicregt1!> ittJmwirc.:st:
Subtotal: I , at;�
S�rv. El trician sigrlatun. required: 7 ,� Cd,MS plop mulcts 125% ofu�mn11 of l :
Print mend• 1 I'(ti J � / flal • 6 ^2 {- -1 a Sude eurcharuc (I:°.t, of oe71111L fccl: , l)
Authorized signature_ s'- S TOTAL PERMIT PEE: .1
�s ThI* permit npldle,uun etplrex I ra moat 14 nut obtained wlthth Inn
Print nam b� Gz IE . r S z. -- / /0 // dupe ufler al bus been strewed as eampkte.
alt'.: • turnhe. ul 'imla�tG.n.dl.nw.lt+••rlw.mll.
Blip inel nuir,Vil.Cdlxlui yin.dnc 117.011111 4IWM5111MKAlSUW 1.11