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Permit • •, ' CITY OF TIGARD ELECTRICAL PERMIT ill . ° COMMUNITY DEVELOPMENT Permit #: ELC201000648 T1dARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/17/2010 Parcel: 2S114BB17900 Jurisdiction: Tigard Site address: 16303 SW 103RD AVE Project: Misslin Subdivision: RIVERVIEW ESTATES Lot: 25 Project Description: (2) branch circuits for furnace and A/C. Contractor: JACOBS HEATING & AIR CONDITIONING Owner: MISSLIN, GREG 4474 SE MILWAUKIE 16303 SW 103RD AVE PORTLAND, OR 97202 TIGARD, OR 97224 PHONE: 503 - 234 -7331 PHONE: 503 -639 -8595 FAX: 503 - 808 -9108 FEES Quantity Description Date Amount 2 crt Branch Circuits wo /Purchase 11/17/2010 $63.60 Specifics: Service or Feeder 1 ea 12% State Surcharge - 11/17/2010 $7.63 Type of Use: SF Electrical 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 OA 952 - 001 -009. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. / Issued By: Permittee Signature: f/N /T L/ C `97 -7 Q'd v 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 the next available inspection date. 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. ll l)c177U 1I1017 (' nJ k.,GO,k is I- ;WIZ) 2- ftrniiy &selling 0 C:ornm rciuliindLS1ria9 Q Multi- family 0 \duster builder 1 ; i N" c» �1LC ;[1`�1kU��;x�i7" . 4 ,�> I, � ;�J,trto�t ID Accessory building ■ Oilier ,.,. :, f !nh Ito .� ' �p� S�. (' - 3 r Job site ntldr � ,� 3U� 0 Ave cit : IStttcl�IY 1 1 6t,. (,",,- , ca , Suitejbld6- rag), no.: 1'r c,..et time: t C Cross stre to job sits: 1. Latter.', Subtli iSion: rax map/parcel.l1o„ Each add`1 branch circuit r 1 [ 'IV t l0 1 "�...r y� ( f4 I,' 1 ' �'I�i�1� 1r 'P.gN�,N1. sti 75.00 Add ros � u; �. .,. _..,'= - - 1,000 sq. tl. or Tess 401 amps to.599 amps I0S, 1 2 2 101.5,1 - t l;a. add') .50L) 5q, it us portion ') .42 33 9: 1 h feu for branch circuits *mh crtlat' or (cedar fee, ll:st 1ylaulah circuit 1.iulited 'moo', re8idont9I1 (with ahovcsq. fl.) • p 17 Sets 5� 75 00 Each add`1 branch circuit r 1 [ Limited energy, I I.1i- fw191y Ic3iitenhal with hbove 4l. . ft.) Mist ellutteous !service Jr feeder UPI includcal 75.00 Zilch tnanuthaturcd or ti,oaular dwetlintt, service and/or H;dcr 67 Services or feeders ins:al:adoIE alteration, and/or relocation , 200 1i l)pS or Sass 100 :70 ., 201 maps io 400 amps 133.56 ' 401 amps to 600 amps 200 s. 2 601 amps to 1,000 tunp5 301.14 ' Over 1.01)0 amps or volts 55'' 20 , '1'anmptlrary servic CS or feeders inlsialltaticu4, oltemItott, Ctndlur relucaliuh 201 amps to 400 antes I 1 125.os 1 1 n 401 amps to.599 amps I0S, 1 2 2 Brunch circuits - new, alteration, a cxtcnsiu}I. Der panel A. free for branch :akin& ■40/1 uboyc service or ferdcr let, each branch circuit ') .42 " h feu for branch circuits *mh crtlat' or (cedar fee, ll:st 1ylaulah circuit I • p 17 Sets 5� Each add`1 branch circuit 1 7.12 - i -` Mist ellutteous !service Jr feeder UPI includcal 1 ' Zilch tnanuthaturcd or ti,oaular dwetlintt, service and/or H;dcr 67 lWco irtect onto { 67.04 PUNT of rrrt )2lion circle 67.S4 , Styr or outline llgkl t!!ly ci7 04 I �. Signal eireuit(s) or limited- energy- papal, atte : -tiun. or ask)aian. Nare 2 , . k :Itch additional inspection over allpt,'.}trl • in um! of II}c above A./Winona] int pCCIto}I (( hr min) 1 06. hr • taws: Lgation (1 hr min) ub 25/ hr bldastrial plant (1 hr milt) I 7 S. 1:t hr 1 j - (ftaj97 ar wk4C9t Ct; ice is % •rit tally WW1 ('3 hr min) q(y,UCll hl �, ^SEA V ED I:11r�:lriG.11nl Al� ��� 7 •., City of Tigard I V 15 2010 13125 SW r(all k31�'d„ Ti ;`3rd, tats 9/ � Moms: 5Q3.718.2.139 1 = :tee'. 503,593.1960 Inspection Line: 503,639.4175 GTTy OF TIGARD p� Iutanlet: rvu "f.,ti�ud- Or.g,UV ` ► , 110N J Atdlititntlalternt ran /rcplaction nt no", ( Sd.3'1 ( 34t - I? ( - t #1: (h*Inr installation: 1 installation is b1all8 made .on properly )halt l own u 15 run 10)00004 for sale, tease, rent, or axclttulf;e, :recording ro ORS 447. 670, and 701,, Oak:: Owner 5}g1101uru; Busin0:O name; t :ontaci name Ciq-1Slate /7.11'' }tune:1 1 2..1'iuili ;u }rd' :rmI 1 r--LC :J�rnni1,11,11 d:+r ar;ut /10 al /Z0 3Edd Fix::( 4 �s ` C 0. - t 161 j r o n'A L . t D (1 �G1 13u,inrss ' n�unc; � ,,;, . -:, 'ti �• __..µ ._„ Adclress: ` S C yY l�ll�'ISC}1'A,rf ;,�'� I. 6'✓'r" 1A. ' r'l 'L'I1 i ~i ti Llcctricul I.ic. li Suprt•, l teciric.in }t 5i !otatore. required: .' ti, �1' I t It ;ln7c a " � )) ,7. Awho}'iarcl signal ur : s` 7 ' +v7 ri,' NMI rat Itmint: n1-a CQM l.MG r PER$ON CA-i-.4..0,4„: .in ;44 1 w . � $� tf f 77/spry. 1.iu,: "7Q4r.�, -E" • Date, ( f 1 5"' / hate: JNIldaH SEOOdf )Iran kev11'sv p5te •Itt :>dy�i By Natitic:,liNkihad: .tea:t,uruI V CO".iAVEfr 1?OR OrI CCE 11SE ONLY , cyu,91 N LC 2 ii /a i91 / 1 [itllar pe,}nil! _ ag 11057 1 ' 1 S 1 :ice (' I fur / Supplemental ln(UfArllti„u FEE,..SCHni0 1 l1tado 4;11c14 all 1141! Ski y Nulyuti(J x11 Service or (eerier +100 wool. or more where the a4'ailal}lo fault G1.144c11t ■x;1.00 40.000 anpls at 150 or Ics+ gtOLLItd, o7 ox•ecdi1.7,006 miws for all 017:7 ie&tolla :ions. Cl 1'ttt: pump. ❑ t :mall;ency 4yStct4L ❑ Adan9un of new mo tor 'o of 1 ot1111 or mare ,oil: ar murc rusadcuual ,u49ts, ❑ rtcaldl -caro fai1Iitirs. O 1'lar,:trl wes,10cat V01 SCr.:aa 07 feeder OW ut1lpi ut more New resideuliol dingle- or ntultl- family dwelliuh Unit, .laden ulln1I14141L'ar -Jge• u1 p1004 )irelnx chcckt:tt 1ir101'1' © 130 0/111144 1110 7 three t:.IluiC ;• ©.'1ari!o 1 :1141 boatyards ❑ Fleshly buildi nb,r. (: tere Yrr -u #c ivr:t1Ulttiret b�ilti +niti ❑ lnaralldls'n of 75 kVA or 9:0041 oep:valc1) dor9�e <9 : :rytenl oecup'aitcy. I(o'e40444■14001 1, chicle reek D Supply voltage for 141111e 111011 6t;4 1.0115 nominal 20'0L413 or less 59'30 ELECEI CALi1"ERNI11. 1 ? : l+I . ' I Stibwlltl .CeL) Plan rcx'icw (2'50 of permit fcc)' 1 State lurch :ae (.12% of permit tee): TOTAL PERMMrr '1'ttu pertnil applii-rrim7 expires if a Nerutit 1t our tibn4lnefl ,vii :riu 11111 days Ater it Itua bceo uceeptLd r.. cumplorv. (umber of 9nsl}eerimu a11W+'od )1e4 permit LGZ88T8895 ZZttT OP /ST/TT