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Permit ` n CITY OF TIGARD ELECTRICAL PERMIT 11 4 °. •' COMMUNITY DEVELOPMENT Permit #: ELC2010 -00589 13125 S W Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/22/2010 TIGARD. g Parcel: 2S102CA00210 Jurisdiction: Tigard Site address: 13235 SW ASH DR Subdivision: VIEWCREST TERRACE Lot: 8 Project: Packer Project Description: (2) branch circuits for reconnect of furnace and heat pump or A/C Owner: FEES PACKER, PAUL Quantity Description Date Amount 13235 SW ASH DR TIGARD, OR 97223 2 crt Branch Circuits 10/22/2010 $63.60 wo /Purchase Service or PHONE: 503 -806 -8668 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: �%'�'(� �`'l/Q'-- Perrnittee Signature: /7 e , G / /9 " " / 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 603.639.4176 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. REOEV FE3:31 Bear Electric (FRX)5036781108 P.001/005 OCT 22 El ..m_ .- - it A r rlication r•(n: rlrrif l•: 1 sr ()Ni., B it .. , , ► : �'igard 1 •� Pconh "'1 , .;�LCao /O —S OS. , I lull Blvd.. Titptrtt ox tan3 • Phone. 501639. t17 i Fax: 503.598.1960 OCT 2 1 j ilikf 1t�fml. ' 9./O 'DO5 2 t r t c n i t. , Impeaiun Lire: 503.639.4175 I)me Read, :Its; �t�^ ��'Intcma_:: wu.w.titynl- or•gov WJ..Incdlst,ahodi liiinE MERMEN s e. : ( Y04. 4Migiri si.7!C�w air 15+1 •. I ...., g r �•: , u , , �;:;�.� , f 1 4�f' c .,t�'� r �,4��'> ° ±l��rt" 1 � i, r 0 Now construction IE Addition/altcrntion /rcitaccmcm'' ...• ,.. rime dI* kaninatuptN ) Nona aIcM 'Otani oi lie %chakolWool; Demolition ❑ Othttr 0 :sow or feeder 41/1/ tm +Irp+ m n: 12 Nud w dlup ur!tam mss. 11tKfe 1110 available Cult eu,reltr O Marinry and h.r1)) Wdti ;11 . _ . ,. .._..... �' +:: d n' L"'1e nteu:ds 111 mill amp-, It 1311 tub, or to Pluming building... ?.fi rt+e1 ! 4R1 (OI OI!iS'xR11 Ct0�{ �; u „�_ . tea- lest NI nnind.orcucta.l +anal 1 -and 2- family dwelling . CommtaciaUindustrial ❑ Aclats o pcammcn ist.usc ayricuhtlra► xurybuilding s «:n.arna . n. I.wllJir,a+ CI Multi-family ❑ Masurrbuilder ❑ Other: El fire pump. p Installation ,a'73KVAor i' �;l.S r 1,�.,`.- Iri nik'A [Q IA ZON ',��et , "�{Ftaa,' 0 A d diti n anew - largo A.1 cpu t. dented von. D A J Jltlun ul'n . wmrwrluaJul' Q - A."I�, 1- r. "I•t - . Job no.: Joh she address: C��++ ` HMI IP or more , .ecapat.;.. �✓ 1/� A�� .. ❑%isor morn residential units. O Recreational tenkle City(SUItcal P• r 0I Imith.5lro fxllhio. Chaim!). tuttade for mam than . \ I l �� _ L L� G] I lorardous location. 600 'Mils nominal. SuiIcIbld>'JapL no.: Project 1741111e: / - e, 7z p ins u►fa der lam amps or mrc. kaittalinniiMIRIUMERSCREDIMEOXIXIM1010111=ii! Cross street/directions to jab site: rtrwlpWm 1 rps. I Ica 1 Ishii 1 - New residential single or multi - rurally dwelling un1t. Includes attuchal garage. Subdivision: I Lot no.: 1.1001 x4.11. or lino . Ml.YI 4 Tax maplpluccl nu, Eu. udd'I 5170 ,a1, It or portion 33.92 t Limited merry, residential = Vig A�ft�CP i e1 �C 7 �OtVOttSvVA�'r f0 10P.W. 'u�.2. (wit atrnvesq. ft 7s.an Limited energy, mu Itl.tamuy 75 .Gil RPCzr rP0?c P ie___. hp(--‘ M� ' j p� nnidential(with above ea).n.) FA VW , , ,,___.- (�e� t l !kr. let+ or realm immliation. ultorn relocation lion. undlur relocation P. 200 amps or kfv 10%70 - itd `GI1 l ,' 1:1.:M 1!h'>r . t 1..g 2° I amps to 4" 11111ps 133,56 � ,9—e...& — z._ / /� -GL L! _ •to I amps t 11. 00 0 uu 3 : Name: riot amps to 1,000 Wilt 3u1,1u : Alirinvn• s(¢- 4/ Over I INl0 amp. rw wll h 4%1 ?h ? City(Stute,,,IP. Temporary tervlcur feeders installation, alto $(ua.andlnr rek I'hone:1 1 I Fax:( ) 200 amps or less :MN 1 201 snips to 400 amps [ 1 123.110 ` —' Owner installation: This installation is beings made un property that I own which is nut 401 amps amps t !1lLS1 intended for salt). lease. rem. or =change. according to OItS 447. +419.670. and 701. • Itruach circuits - acw. alteration. or extension. per pad Owner signature: _„ Date: A. Pee for brunch circuits with r 1 ,o caw W g :+ • c ♦ :c ;; ,,..' ir • kF,'.r_^' ,• !:. elem. x 1 lc[ ul ri:CL1U' Ile. + r6�t e,.saut. I� f ATVS""„sU +, t,:� : . (� :,i.k re.�S a 5C4�I A�7�ON cacti launch cinmit 7.42 Business nano. 11, Pee Ibrbranch circuits Indoor sari kc or feeder fit. lino 96.I8 51.0A7? Z Contact name: brands circuit adtl'I branch circuit \ , 7.42 -1.1-17,1 2 Address: Mlicellancous Service ur feeder not included( r I sic11 manufoctund or modular Cit ri5RIl1 SLIP: dwelling, nee uieg anchor feeder 67.114 2 Phone: ( 1 I Far :: 1 i Rccnimccl tally 67.141 2 E-mail: I: Pump or trril slim circle (,7.8.l 2 �� -...,, sign ,r nut line licit dnF 07,114 i340.CY!:! iiel,tilii✓.r l�e @t',ISi 51f46 c, ONIsti(i(CroIe'.Ru' rP0 k1 r Srii ''J, iFA i'` - gi uirouit t,)1wlimil.al.rangy Business name: -r s '- L � . E_\ \ �t \VIf , pit . alteration..rcttl.,t.kn. , page'_ - 4.r Each additional Inspection MIRY allowable In a nv or the *hove Addtm: Q- C. � '"1 Additional in:pccllrnU hr min) 66.2.51ier C Iavwlltalthr, l l la• mho rwrzsr hr City/Stutc/T.I P: bcrl'CY'�\(A I "1� G hldtmriat plan l i Iv mhq ' 74.15i la Men: (503) 35 Fax: (a') 1sl� \ ��� Impections for which no foe is - �� - rpcdficalN limed l'yhr( mini 90.00/ hr CCU Lie.: ry�, ` eke Electrical Lie,. — 11 Sum Lk.: : ISMILiI Sires NI CCR1 PERSiiLt! ?UF4iNi)Vg; :tt : Suprv. Electrician signature. rryuircd, . . S�tS'� , Suhrolul. �1 f� • _ r. , Plan review (25%ol'pl:nnh I'oct: Printnamr• �tu.t J_ S �©i� Stolevllreharce (12%ofnt:n11IIfeet: IN . � TOTAL PERMIT PEE: 1: 3 Authorized signature: CG' //3 Thlk permit application opus .Ifs permit 1 not obtained within 55 Print name: cu a1�/E 7 SZE/ 1e: // S2 59 ,,$' days after It has been accepted nit complttc. %mirth. nrinsi wtimw 141•.....1 pier r rmll, r11wlktillOsolait.t s.l'cnndArtl.,are117a1pirl aio-ti m1tII'O,t11WW111 • •