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Permit ! CITY OF TIGARD ELECTRICAL PERMIT °'. COMMUNITY DEVELOPMENT Permit #: ELC2009-00403 " ' Date Issued: 08/06/2009 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S 104AA01100 Jurisdiction: Tigard Site address: 12400 SW BELL CT Subdivision: BELLWOOD Lot: 60 Project: Kearney Project Description: (3) branch circuits for air handler, A/C and GFCI Owner: FEES KEARNEY, JOSHUA L & STACEY L Quantity Description Date Amount 12400 SW BELL CT TIGARD, OR 97223 3 crt Branch Circuits 08/06/2009 $60.15 wo /Purchase Service or PHONE: Feeder 1 ea 12% State Surcharge - 08/06/2009 $7.22 Electrical Contractor: HILLSBORO ELECTRIC LLC 21185 NW EVERGREEN PKWY #110 HILLSBORO, OR 97124 PHONE: 503 - 439 -9666 FAX: 503 -601 -3680 Type of Use: SF . ( ' Class of Work: ALT Type of Const: 1 Occupancy Grp: Total $67.37 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 - 00111000. 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: G '!d Permittee Signature: v!i �' "d ^ 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. F• Rug 04 2009 2:10RM Design Build Contractors 503 - 544 -9253 ElvE Eltej Penult Ap ' >~tliGllitlon � = , ' � T I N 'City 255 SW Hell 9 Ti , OR 97223 AUG G 0 4 2009 - 9 �� "'''° -& I, - - po yes ,:„., - Phone: 503.6394171 Fax 503.5911.1960 , ..' odar ttratt: Inspect= Line: 503.6394175 CITY OF TIGARD ' _• aaae�et: �reew.tigand•«.gae BUD now,' rnuisi0�1 N adOed4Aseho d „ : . or wt c > PLAN vittw New •ooas&uc tion Additlo.t/sherttia,/appita»tt Roo • ^ 411% .. , (ad= t eat. of Mew attacked • • , ): ❑ Demolition 0 Qom CI Service or Rods 400 moor more • Building aver tbros storks. when tta available thtdt sums s Matsu 1641 boatyards. - • • • CATHY OP . CONS '4ti1C ION ' oto.ea. 10,000 amps r 150 volts volts or p MI. % • ' l o ees to ground. or abased' l4 Coma bu a , and ease Iy dwelling ❑ Commereialfindustrlai 11 �� C] Wales Hues 11----�t Mnld�lufi � Annedswry building am p, lira VI odor Mora, Waal* in ns ly [� Meader bu ilder ❑ Other: _ la Fire purmp. ❑ lmat�ldloa of 73 xvA or :: J�3s $t�k F.:1AiIE 4 T1Ni AND LOC '0p B � o � n �g s w • ttoolY MAIM' r, b ae.t. ed wow. ❑A11f11{il•1 Wbw mater lad of D NAM n " , M12" NJ", Job no.: i li r Job site address: EP 1 4 . loom er taeA. ' c1tyJ8tateJZlp: , ► I ... '7�7i f o1 i ❑ vo ais wee Own GOO volts moist Suiterbldg./aptno., Prgleet naniniQ ■ Bwbsor feeder Opp.,, ' or meta. Cross m 'directiioaa to Job site: ::{ : " t�.. >r•-�li-.W.sa New t saddert1a1sink. or meld- nifty ae.st11lnd milt. Include► altimbed props. Subdivision: ' Lot no.: 1,000 eq. ft. or lose 145.15 Tax ms 1pencet no.: . . Ba • Id41500 . 8, or poteioe 33.40 �� q• r F _ " ' �' • + �, • r LI • ' r ,' a .. . �.�._ i i wbhrbmve , R.1 75.00 � At Aar, I Alb — Lim . , nauhi•�wlly Rowell e, 75.00 � � ,: M bpi± 1 t . ,'1';`.i..).'..:::',::.;)'. .�,` 200 ,.,, ir1u - ... s ox Ill ^ . . ^ ; , 201 10615 Mil En .. . .o 1000 r.. um 240.60 N..: • ,c/� /s, .s E G 401 fete MOO amp 160.60 _ - Address: ot Iti oaw 1,000 fa rvicei or l v ca mps City/StetsiZIP: T . m�orery tienmtbahtioo, s • , a, cattier Phana: ( ) L?tlt: ( ) 200 arldas ' Owner bittallettlenl This ipaWletiom is being made on property that 1 own which is slot 201 b 400 ' , 100 MI intended for stle �L or toacbenje sooardhap to ORS 447, 449, 670, and 701. 401 r . ' r inn �© • Owner signature: bate: tfi. , 111 .6 y, ;n III • rBusinosnomnium .-�.._ rraeeh o: _ F�65r o 17'r, 17'r, . a.6s Wilma Arvin tx tl4edsr �, 46.85 .83 !a : 11aoh edd'i I abode OM 645 A,mles olZlP: .. i . • : ear ( esre i roj{ Butt neundhotmod ar madillo 90.90 CI ) Fax:: ( ) o andlor fe eder v 1 made: Imamate* 66-115 or t MI 53.40 —El Buslnaee n.mo. p . s r ,� r Ell 53.40 °lp: el, el or t ion, 101101d • wu penal, el or ar Address: 217 @@ 5 NW EV>�RGR P1 C 112 slaw Describe: Page 1 Il Cfty/ ts/2lP: HILLS Bo • 2 OR ' 7124 I ' t. : . :.L,0 1. ", , ever allows. do of Meibova Ful l* (5 0 Fax: Per lnrpeodca MI 62.50 • CCB Lim: 1 4 4 81 ' � Eld�tr(cat I-1°4 u , . _ .. Pa (1 brafe) 62.50 =N M 3.4 — 4 9 9 4, PIN'. Lic.: 4 9 418 tadustthe . hew 8alprv. Bacariclen ad�tan� required: '� 11t �- P19 tlwbtood: 1 11 JOEY VT Date: , w , 1L . Peen review % • : .1111.1111111 Authorized signed J . ........1.4., State w al ow (12% &Pptomlt Pm): Wile,T .- / A th named: .� - • -- TOTAL PERMIT FEE ,'a d' 14ste• P'" h a Imam • not oMeiwed R 18 /