Permit CITY OF TIGARD ELECTRICAL PERMIT
IN
0 COMMUNITY DEVELOPMENT Permit #: ELC2010 00610
T I GA R D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/29/2010
Parcel: 2S103DD05500
Jurisdiction: Tigard
Site address: 10895 SW GARDEN PARK PL
Subdivision: GAARDE PARK Lot: 38
Project: Demaree
Project Description: Reconnecting electric furnace.
Owner: FEES
DEMAREE, THOMAS E & JUDITH A Quantity Description Date Amount
REVOCABLE LIVING TRUST, BY THOMAS E &
JUDITH A DEMAREE T, PO BOX 23944 1 crt Branch Circuits 10/29/2010 $56.18
wo /Purchase Service or
PHONE: Feeder
1 ea 12% State Surcharge - 10/29/2010 $6.74
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 $62.92
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 may obtai c py of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signature: c 0 7 —G2- "`/JG∎ .-
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.
/,
OCT - 29- 2010(FRI) 08:59 Bear Electric (FRX)5036781108 P.001 /002
Electrical i.:(: `� ri)1: tii..Fi:'I: :r: ()Ni.,
G�
City of Tigard % e .� simormErzwomr_mi
1315 SW Hall ... Tiµsud. Ott Z7223 t 'i \s :, . o .t ,�: Ih�, Review
N ' Phone. - 503.639.4171 rem 503 .548.1. 9, V r Q Ihdents-
. c: It )mtpet:tion Line: 503.639.417 Gr' '0 ltmcltc.,mw: B Sae Pagel Ate
inland: www.iIguNrur.gtri G�� 0 ' � \5� NutIllcd,llnhnd: EM tiulroMaunwt Intarrnrdnn
❑ New conStruction ® Additionlaherat n/rcplaoement mew cluck all Mutapply (POMOO Wink' I:
0 ben/ice ur Imam 4tnl amps urmitre O 'Wilding user mtecstorms.
❑ Demolition ❑ Outen o availably fault cuttau 13 Marinas and boom&
-_ .. I � Q %:'� - ft',: . :! V,i- dvlll,0009mp+:u volts or CI Mating buildings.
lass In mood. air aw•u:ds,44114) 13 Commctclol -uww agricultural
RI 1 - and 2- family dwelling ❑ Commercial/indteariat ❑ At:cteysory building .nom go all mho in»oIlasinns. hull,lin t..
❑ Multi-tinnily ❑ Master builder ❑ Other: Olin pump. Olrutalatatn tit 7:4 kV tw
iti�di+`6T,Q '41:.. O & „c „ m - I ety *Ian. 0 A d'Ginue nrMv' ml.an t.a.1 nr ❑ - .�- - r; - . - 1 = ~. ~ i -3 ^.
1111111r or Inure: t+p�•
Jnh no.: 1 Job aito otkbeno Q ItecreWamal schkk pule..
1 �U �t ` �1> [�t�lXl T�til■tKtrluroraWenl{al
Ciry,�tale/7,1P: % � . `� 1� 7 Z 011011th-cm taataics. O suprdy sond a ror mot than
T (1(') `� O I loradnis Maui ms. Mss vnir. MmatLd.
Suite/bldg./apt.no.: Project mum: 'Kr, Vy.4--- C1 Service tKgoal,(Mtuthug,urmore.
Cross street/directions to job site: 2 ..rnjlxn» 1 r)rv. J rrr. 1 loot 1 -
New residential single. ur multi-fondly dwelling unit.
Includes numbed crime. • SUbdiv %ion I Lot 110.: 1.111111 sq. It. or Less 1101.34 J 4
Est. add'I 500 sq. 11. or portion 33.92 1
Tux map/ptlrccl no.: Limbed energy. mraldc ulal
�OI!sO O (with Awe N. Il.) 75.011 2
LumON enertp'.Mnllwlannly - W
Reg l e�.�
� \P c - c
., ��).�c'c,Q.c a rcaldallal IwIth td ay. ill _ - -
!iervkt i or feeders Inntnllutlun ulecrnthm. amtlnr rctttentlnn
200 =mar low 100.70 2
CI , . . ,; °.,,a .P`r+<;x,;;,, >. nl Bizer4a8MMIN L 201 umpsh,400amps 133.56
401 ample) 600 mugs 200.34 2
Name: 601 nmpsto l,0004rrlps 301.04
2
Adelman- nada. I ,M111 htnn. .'/w 7. 71
1.6/ 7
City/Suite/ZIP cloth Lan licrvkcs or feeder,' inatalluainn. attcratiuo. and/or
Phone: ( 1 1 Fun: ( 1 200 wnp+or Icsa 59.36
Owner Installation: This installation it being muds un pruperty that 1 own which is nun en emir. W 100 amps 11
401 amps la599uni IMI.54 I 22
intended for sale, lease. rent, or ceu:hange., according to ORS 447, 449, 670. and 701.
Brunch clrculty- (saw. ',Iteration, nr c•tcnsbw, per panel
p owni r signature:
,� t��(�/�ttt!rM (.,t(��{ A. Fee tor branch circuits with
$7S9AIS m3. 6 • nb'e �,.� • �‘5. .: 1: %;�.?ya --- .�"'{ar�,�.1a`,/� .. °tom atMrvl'UlI Kt: tit ll.�dt.TlIi:. 7.•V 2
•
melt brunch circuit
I3usittctra nitrite; U. roe for brunch circuits whgrnu
scrvleenrrectler lee. iilvt \ 5rt.i11 51D tit 2
Contact ttalTt: hntnch circuit
Each WWI munch draft 7.42 2
Addax%: Mi icellaaeum (service or feeder not included)
City/State/ZIP: /StatCfllP: Each munutbcturcd or modular (7 tG1 2
Y dwaing, service arch( (ceder .
Phone:) 1 I het: :1 I Itcconnaci only 67414 2
Punip or irrigation circle 67.114 *2
li -nwil: Shen nnatl I1nc IlRtllln11 07.54 5 2
IVIIROMEO r - 6igw1 circuit(%) or ,united w wrp
Business name: ?)QC VC - E\ c 1nC, puntaheratum.orottemitta Pram: I 1
. 1 Ench additional Inspection over allowable in unv ar the Anus!
Address: P. Q • l'7cX 3 Cd _ Additionalimpa tion (1 hr mint 66.25 hr
City/Suite/ZIP: 1� yvl`� (j . Cell Invcs tigtttianll hrminl GriZ5l
Industrial platy (1 hr min) 78.111/ hr
/'Ilan: (503) t$\< ‘ r 3 5 Fax: ( Wr \ �nc6 Irntpcahlas lug wllldt no 1'cc 1s 90.00,' hr
specllicnlly listed 1. hr min)
CCD Lit:.: '2 ICs 1, Clcctrit:ui Lie.:` . 4-\ISle.1 Suer+•, Lie.: L J\ S P.CE+CWtt _ 3.ur t4f az
Subiotul: 510. \�
Suprv. Electrician signature. required:
��.•," !a r. Plan review (25% of permit roc):
Print namr15 \j M.L . • 1 1ka h < n''''' 1O/ /Z0IO Statesurew nc(l2' . orperthitrev): LAnLi
Authorized Sit ' lute: TOTAL PERMIT FEE: \ i77 . Cl
This permit applkmlun aspired )rn permit Is twit obtained %Mtn 180
Print ttatrir I Date: days titer it etas peen accepted m complete.
• M annar d ln,rrrtG»w W LwwJ pa. purmit.
I::1t Mildinac iftlq0l'iLGi'anntAtv.614 0 4JM»gy11inUn,:tlht/W'1i1