Permit CITY OF TIGARD ELECTRICAL PERMIT
. 7 , ' . COMMUNITY DEVELOPMENT
� � Permit #: ELC2011 -00306
l
1 3125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/08/2011
TIGARD Parcel: 25111 CA13900
Jurisdiction: Tigard
Site address: 9765 SW SATTLER ST
Project: Horton Subdivision: DARMEL Lot: 10
Project Description: (3) branch circuits for A/C, service outlet and furnace
Contractor: BEAR ELECTRIC Owner: HORTON, ARLEN DWIGHT & VIRGINIA
PO BOX 389 9765 SW SATTLER ST
DONALD, OR 97020 TIGARD, OR 97224
PHONE: 503 -678 -1355 PHONE:
FAX: 503 - 678 -1108
FEES
Quantity Description Date Amount
3 crt Branch Circuits wo /Purchase 06/08/2011 $71.02
Specifics: Service or Feeder
1 ea 12% State Surcharge - 06/08/2011 $8.52
Type of Use: SF Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $79.54
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- 1 -00 0. 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: a/11 / �77f) L `C /'OA/
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.
JUN- 06- 2011(MON) 16:02 Bear Electric (FRX)5036781108 P.001 /002
Electrical ctrical Permit A,��li RC ll V E I
ott oFFIcE USE irnia
City of Tigard JUN 7 2011 i ale (°® � fIArA vomit No,: CLC. 0/ 00 _go (1,
■ 13125 SW full Blvd - Tigard. OR 97225
11/2
is Phtule; ;0505.7102419 505.7102419 Pus: sots4 t ?GP- FCo20 //
.� Othtx Ikrmil
inspection Line: 503,639 :1175 VI 1 I VI" L IGARD Da:RcudvIty- Rl lice rage mr
f1G/11tf2
Internet: ww.ligOtrtl- ur.gev BUILDING DIVISION sMtlitdimup.ed: Sup iementnlintnrmotlon
5 c :;.v' A r K t '. 1 , : w'4,17�1,11 ,. ;tl )rla wi 1141 rW.. OtW AW:'11 +.r.:;1 �,wl ,,. ,,1;1•'1 ''1++1 .' '14, 4t { '1 j 1."�x�',0 ,N•,""wki .r :) , ,m Dl,�: }i• atsgoRE•\' „,,,,,avlr+.ht,t1,7W-,4,11,, 1 .
❑ New construction ISsAddition/alierationfreplacement fl tha:k ell lhal apply tsubmit urplaitt wAlcroschcckucl hcItnv):
❑ smite or tinder 400 =prior more CI 'Wilding over dime stories.
❑ t molition �,�,,A(+g � Other: ,mgre the available limit current ❑ Marinas and boatyunit.
r..ti..: ; ;, , r, „t r1,k (1 i” 41 t . 1 ; 1 1 1 4; strM:Wi .; d ffal g ' "r x"i ° 11 1,1 4 ,1 1 ' ; ?t∎ , aecrcda .000 am: it ?3i or Eli bulldlnat•
less to gra or et cds 14 110 ❑ Comm f(ouling crciul•urc Wtr (cultural
® I - and 2 - family dwelling ❑ Commerciel /industrial ❑ Accessory building amps fill all other Inmallatlans. building&.
❑ Multi rumd ❑ Muster builder ❑ Other: I:J lire pump, system CI tnnwltutlon of 75 KV ar
❑ `
Q Cw oar • ttk arney larger scparuui) derived Sym
w,. ti Y 3w* ,1, d1 .r.., '
;, +: ' '.t ,, C� 1 ,..,�Ir�+ �. ....._,�� ,�.', t �!t'ySwt .. t :r i .,11 � >ddl4arn nfn�hvtmuur inadot - ❑ «A «, "ii », "1.± ^, "1.1 -
Job no.: M Job site addmss. • 1 0 - 1011111.". tmlrc. t'cc+trunc)'
II t \ ❑ RIx nr more realdenlhrl unhn, ❑ Rcmuutiknel vehicle parka.
City /Stets fZilr. 11. r 11� P ❑ Iwurs •tun facilities,
I ❑ Supply valtacc or moo then
❑ hvurdtws kxvdonx 600 volts nominal.
CZEMEMIIII name: 0 !iervIt,o or fouler 600 amps or more.
. „,v or ,^1,,,, k 4 ,;,1' to(.i, can 1f i 1 . r hrvv ,, ,- ".. • , i ^ fi
Cross strec1/dircctions to job site: IkrwrfpllttM III, 4w. Iota!
Now residential single or multi - th mily dwelling unit.
Includes attachcd marmite.
Subdivision: Lot no.: 1.000 sq. fl. or Ii:st 168.54 4
Ea. add'( 500 sq. Il. or portion 39.92 1
NP � .... t q_ ft - ) rlllal
, w ^ '' (whir ohmrew
:4 q f ) 75.00 2
ran ante no : Limited energy,
`�+rarr;tla,�� �.il; t a sw a�wiktiewck�kJnw„ i
t Llmilcd cats•,' multi - family ,
h 1 rc :il!Clltlal (with Ji111Ya aq. ft.) gni Services or feeders Inaulllatien and/or relocation
200 amps or less 100.70 2
� +C y° ""gy ry ' 2 am t o 400 a s 133.56 2
+ x„ ', mw VY [[� i u 4' ,t r r+ �:�• I 0 � p
401 Amp: to 600 limps 200.34 2'
Name;
- 601 Amps to 1,000 amps 301.04 2
Addregs: Over 1.000 amps ur vu Its 552.26 2
TeMporary services or feeders Installation, alteration, Ott d or
City/State/ZIP:
Phtlnc: ( ) Fax: ( 1 200 antes or lass 5936 1
101 amr+s to drill amps 125.08
Owner itistutlutlun: This installation is being mode on property that I own which is not
401 amt's to 599 amps 1 0,8.14
intended for sale, 'case, rent, or exchange, according to ORS 447, 449. 670, and 701. i `
Brunch circuits - new. alter mien, ur extension, per panel
Owner signature: Date: A. Re for branch cireuita with -
w,wr" +-' , ,. .rw-• ,, '" , lwti c strvtc or wder lee 7
Z; ,+ry 1' - 11 if , r + ! µ . C7 w i tx l „ t 1w #' ww wr
�I, +r� e? Ivt � .!;1 P. �vl , � 3 n I t .A2 ..
w t:. :rt,..u�v,.0 o hraltch elreult f
Business name: 13, Pee 1 brunch circuits tt+pltnrlr
service or feeder fee. Iltxl ` 56.18 C f 2
Contact name: brunch circuit
-•• ---'W Mich sd4'I branch circuit 7.42 1 l•.4 2
Address: Miscellaneous (aervtcc or feeder not Included) -
Citvf$tttteJClh: Luch or nodular 67.84 2
dwelling. service and/or feeder
lLoeuntttrct only i _ 67.84 2
Pump nr Irrigation circle 67.84 2
Signor outline lildrtina 67.84 2
u +''i 1 + °.vk� ;4„,•w P+ �, '',, P d o 1k� e ,, • i,,,,, ” ; „ , ,r t�w.l , . `� t "tlnr'Cwn , x , i ,�..— _
....� Sig circuit's) or limited- energy
Business name: t+ ` _panel, alteration, or cxtonslnn. 1'atte2 2
Each addltinoal. inspection over allowable in any of thy above
_ --,- - Atitketu:•• - c P1 _ T - T _� —� ..Additiantii inspl:t hr min) 66.251 hr
Investigation (1 hr ntiri) 6625/ hr
City /State/ZIP: * -� as ` 1 alt. • Industrial plant 11 hr ruin) 71s.5$/ hr
Phone: ( ♦+) n ♦ �n ...ions fir Which DU tie is 90.061 hr
s uedieJlly listed leihrmin)
t CCB Lie. :'y0ili t S ' lectrical. Lic. :2 — ilik i t, '1ri• Ii,.... l . „ I 671 m mm2(..µl x,-, ,.i
r Yv itb'iu1 0.A' \ t 'Ar• I.Illll . -•
Supt'. electrician signature, required: e- Subtauitid. �LW
_. ..4 i� ...-' 'r- Plan review (25%
Date i. . 61' - I' State slircttarito (12% of permit fee): bi!
TOTAL PERMIT FEE: s , 0
This permit application rxplrew Ir penal* IS net obtained within 100
Onyx after It has, been accepted ax curupietr.
Print name: Dale: . Number ofinspc +ctiona 'dimmed per permit.
Nnuildiva li'onniNU?I,C- I \7mdhpiidm 1t7101/11i ptctanit' {I Ii' tteCINjR :17
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