Permit a CITY OF TIGARD ELECTRICAL PERMIT
111 Is COMMUNITY DEVELOPMENT Permit #: ELC2010 -00723
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/30/2010
Parcel: 1S136CB08800
Jurisdiction: Tigard
Site address: 11084 SW 81ST AVE
Project: Dees Subdivision: HERB + PEGGY'S PLACE Lot: 26
Project Description: (1) panel and (22) branch circuits.
Contractor: PLUGS & SWITCHES Owner: DEES, DANIEL L & SHIRLEY M
P.O. BOX 111 11084 SW 81ST
SHERWOOD, OR 97140 TIGARD, OR 97223
PHONE: 503 - 969 -4613 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Services or Feeders - 200 12/30/2010 $100.70
Specifics: amps or less
22 crt Branch Circuits w /Purchase 12/30/2010 $163.24
Type of Use: SF Service or Feeder
Class of Work: ALT 1 ea 12% State Surcharge - 12/30/2010 $31.67
Electrical
Type of Const:
Occupancy Grp:
Total $295.61
Required Items and Reports (Conditions)
This permit is issu ct 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 ordance with prove. = -ns. This permit will expire if work is not started within 180 days of issu- • -, or if work is suspended for more the 180
days. A NTION: Oregon law --quire. o follow the rules adopted by the Oregon Utility No - ion Center. Those rules -re set forth in OAR
952 -00 -0010 thr• gh OAR 952 -01, -0090. ma obtain a copy of - rules or direct questions to OUNC by = or 1.800.332.234 '. ^
i A .1//
Iss ed By: Permittee Sign: / '
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 NN • LLATI • ONLY
SIGNATURE OF SUPR. ELEC' ,.;f1,1;1; (�— 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.
2010-12-3013:58 Plugs and Switches Inc 5039250489), 5035981960 P1/2
Electrical Permit Applicatieb!g'
(icil FOR 011:1( E ( SF (1 \ I 1
City of Tigard
, • u 13)25 sw flail Blvd.. Tigard OR 9 722N 4'..1 1
1 1111
Phon: 5(13.718.2439 Fox: 303 598 114 C 10 Fo Received R uill N.. 90/44073
3,r DatellIN 4 711P # rcr Et 3 0 2010
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(dher Puma) ...„.,.
Inripeeti oh I Me: 5113.6.19.4 ( 75 L),;11: Reai611-1) Am( 0 Sur Pdgr 2 Me
T 1 (Li A F1 I)
Intizncl: www.tigdni CITY OFT;CA RD
gov NotifieJ.Methriii S lem
uppental Information
' -- --
TYPE O DIVISION
PLAN REVIKIV
- -........—
1:1 NcIA. cousittUelion El Additornhiitetillitalifepiiteettlettl Please theci all th;d app6 i mbued 2 st.le vilpInns a; 'dam ( hruli oil lielmel
0 "IerVlit- or ti 440 ;mei or mine 0 fluiLling ..me Mice imineir
0 1)1:111011IIIM EJ ()ther: whew NI ;1V;11/ able fault current 0 Mal mas and 1:1140 Ai 113
--......,.... . . ..._____
CATEGORY OF CONSTR1.1C.TION 0....L.Iii.1.1.00 Amps al I 50 volt, or 0 FlvatIng buildings
---__ Inks li. 23 oullii, 01 v.i.terils 14.111,1) 0 oimninclu.d•usi: .4..11i:until al
0 1- and 2 dwelling 0 Commercial/m(10.91)141 0 Access, n'y building .taim ro, ail ,■tha roli141141(onl 11(01 Limp,
O Multi-Iimuly D Master !milder I=1 Other: 0 Fin: pump 0 Irislallanun uf /5 1-;1.A in
larger %rpm ateI■ ill:lived 31 Stein
JOB SITE INFORMATION AM) LOCATION 0 Addition of new midi', load of
— ...... . L. ... ..........._
irctupmai
.11.4) 110 )017 Site addrms: 110 I MIIP or ;noir 84 SW $1 Ave Ave,
0 !:13: Lll Mtn L I Lell arnuni than CI Plecienhima1 vehicle parks
.—
CityiRWILIZIP: Tigaini, OR 97223 D i icanh iaulittri IDSuppt vollage l'io7 Mtg e Mu.
DI lazardom; locativres ,i6I; vii; nronlnal
Stlittgbitig./apt. 110.: l'rojecl name 0 SCINILC in hirtici 000 riffirs5 of lible . .
_ FE StlititULE
Crusg greet/dirt:aims to joh site: PtilTIP11.11 --- 7FITI — Ve;. —'— r 1.... 17
_....... . ,.. • • ••-•---- -- New reildentlal single or multi-family dwelling unit.
Include% attached garage-
Lou t wi II of Imo: ifix.54 4
S1111.11VIS100: 1.01. nu.:
P.a. adin 591) iii. IL in postion 33.92 I
Tax map/pot:el no.:
, . , , .
r,i1nOrd ono g . au:U.1mgal
...,. —
75 I /1/ J.
oKst'lorlION OF WORK ova abuVu mi. it. ..,...
------- Limited imsg■. mailli-ramil■
75 00 2
Panel change tesiddlual (with abovu aq. 10 I
_.. .
._.... ......._ _________
---- Scnices or fritdcm installation. alteration. and/or relocation
21111 alma or le.m; 1 100 711 1011 7to 2
-----
,....,- • ''''-- '
ID PROPERTY OWNER 1 0 TENANT 201 amp t
'
: o 4119 amps 13.1.56
.. .. ._ .............. . _...... 2
--...
4111 amp 600 amp; 21111.34 2
Name: ,.
_ (101 ;Limo iii Liam :Limps 301.04 2
......_........._..... .._
Address: (yvel i ,(81(1 amp or voila 552,26 2
. . . , . .. _.__—_............—
Trdnristrary dertleme or feeder); hwitallatilm, alteration, and/or
(70/StateTZTP:
rrho.-ation
„--
Phone: ( ) FILX: { ) 2911 :nape iv less 59.36 I
2111 amps tn 4119 amp; 125.0$ 2
Owner installation: This installatiim is Inilig nude on properly that I own which is not
mp; to i99 moil
intended for sale., lea.se, rent.. or exchange.. according to ORS 447, 449. 670, and 701. 401 a _ . ... _....... ..... .54 ... - ..,--. ., .......... - . 2
kiranelt circuits = new. alirralion, or e Aetysion„ _ ....
()wilt, suAnniiire. I ?ate A I lair booloh airolik IvrrTi
,
0 APPLICANT 0 CONTACT PERSON ahoy,: ,L.N.I.: or 11:t1 14.tv, 2Z
7 42 163.24
2
ail, branch circuit
li1lAmcss 114ifie: R. Fee IM blanch eii units svalv+rai
Avail:4: in Leila Lc, limit
56.1S
CIMiill3 IMP: hatch t.:Iriglit -
Hach midi brand) circuit 7.42 1 2
Address: MbirrUonviiibi (tomb,. fir reviler nut' Includrtl) -- '
1....avh manulaaurctl ur airKluiar
City/State/Zit': 67.154
duivIling, servigt. and nr feeder ...._ . ........,..._..,
....
Phone: f ) 1 Fax: : ( ) Reeinuieut milt
. . . ... ......... .. , , „ . . 67.H4
2
- l'unip in irtivatiun circle 67%4
. 67.141 2
l',-mail. —
-- ___.... -- — -,... Sign w uutlim: Wiling 2
r:ONTRACTOR • ' ' " • '
Signal uirciiilu or limitctl-cncre■
liusiness name: Plugs & Switchrg, Inc ...p.inul.. 310.79 In naityri. . flag': 2 . 2.4
..------------, ....----......-. . . . . . . ..... ._— ____-.— _. Fart' odditionid insprctino 9. er allowablein any of the allov ,.
Address: PD Bo III AddnicAui uup..lion i hi mu) 66.25 ha
Invustigation ( I hi min) 66.I,5 hi
Caty/Stalc//..11': Shenvuud. OR 97140
_____................_ IndilAti31 plant (1 fir min) 7$ 1$ lir
_.___,...... ...._ ........_.-........
Phone, (5113'1969-1613 I.'ilv; (503) 925-0489 Isltitsuctimb in NISSE:fi nu ku is
911,99 lv
. T1=11'14=111 llama ) , h min
CCI3 Lie.: 141529 - 12kt:hie-al 1.k.: 34-527C Suprv. 1.ic.. SDI 7S ELECTRI(Al. PERMIT FEES .......... ... .........
. ....._
subtuLii: 26194
Suprv. Electrician signature. required: — -.
PLUI ICVMW (25% a pismit 11:14 _............___
Pritifilimic• Jody Ray Cook. 7
)atc. 12129/10 Matt machafgu ( I li.10 fu.I.:) 3 I 67
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' ' "" 'IA.) L +I. PER mur FEE: 295.61
Authoize signatur
rd e: . ,
, ThiN !anvil application reply/Pi ir v permit ii: nut obtained within 1htt
an 0 f ,
W.!
11 _ _ f I ,....._.._..._
(bye atter it hoc heen accepted lit I:ampler.
Print mune: Date: • Nuoillvf f nispvulleur; allmv..I no pelt).)