Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT ��� Permit #: ELC2011 -00506
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 09/14/2011
Parcel: 2S 108AB05100
Jurisdiction: Tigard
Site address: 14087 SW 155TH TER
Project: Brentwood Estates, Lot 13 Subdivision: BRENTWOOD ESTATES Lot: 13
Project Description: Install (2) branch circuits for wiring and meter base for co- generation. 12/21/11, reprinted to change scope of work
to (2) feeders instead of (2) branch circuits.
Contractor: BEAR ELECTRIC Owner: STEEL CREEK HOMES LLC
PO BOX 389 7327 SW BARNES RD, SUITE 507
DONALD, OR 97020 PORTLAND, OR 97225
PHONE: 503 - 678 -1355 PHONE:
FAX: 503 - 678 -1108
FEES
Quantity Description Date Amount
2 ea Services or Feeders - 200 12/22/2011 $201.40
Specifics: amps or less
1 ea 12% State Surcharge - 12/22/2011 $24.17
Type of Use: SF Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $225.57
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 acc• _ - - • ' h 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. ATTE ION: Oregon -w - quires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -00 0 through OAR 9524i1 You may obtain a copy of the rules or direct questions to OUNC by callin 232.1987 or 1800..32.2344.
Issued , %y: Permittee Signature:
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.
CITY OF TIGARD ELECTRICAL PERMIT
77 '` COMMUNITY DEVELOPMENT Permit #: ELC2011 -00506
Date Issued: 09/14/2011
TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503 718.2439 Parcel: 2S108A605100
Jurisdiction: Tigard
Site address: 14087 SW 155TH TER
Project: Brentwood Estates, Lot 13 Subdivision: BRENTWOOD ESTATES Lot: 13
Project Description: Install (2) branch circuits for wiring and meter base for co- generation
Contractor: BEAR ELECTRIC Owner: STEEL CREEK HOMES LLC
PO BOX 389 7327 SW BARNES RD, SUITE 507
DONALD, OR 97020 PORTLAND, OR 97225
PHONE: 503 - 678 -1355 PHONE
FAX 503 - 678 -1108
FEES
Quantity Description Date Amount
2 crt Branch Circuits wo /Purchase 09/14/2011 $63 60
Specifics: Service or Feeder
1 ea 12% State Surcharge - 09/14/2011 $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 i sued su•j-, to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable law All work will
be done accordance with a••roved plans This permit will expire if work is not started within 180 days of - ance, or if work is suspended for more the 180
days • TENTION Oregon la eq ires you to follow the rules adopted by the Oregon Utility . Center Those rules are set forth in OAR
952 -011 -0010 through OAR 952 - -0091 o' may obtain J a copy of the rules or direct questions to OUN •y calling 1' • •7 or 1 800 33 2344
Iss d By: _ aA / i N �-�`�'l Permittee Sig � ; 1,441 _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:
/11111111111111. 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.
SEP 13 2011(TUE) 12: 19 Bear Electric (FRX)5036781108 P 001/002
+C r• M 9 Vim:
Electrical P rmi A l i ce Ri f S..e H 1
e t AP Oil, 0. 5, ' 1 UFFICI: USE ()Nil'
City Tigard Received I /3 /Ml petal' : eke oil— D 6576 -
tJ' c Re eive.
13tLs sty Hull 1xtvd., OR 9 72�3P 1 3 2011
i I Phohe: 5 03.718.243q Fax: sa3 .5aa.l y6o
Niiiiiiiierii
inspection Lino: 503.639.4175 (' ,,n -i Dine itea It alrls;
CITY OF a G A '+3i ' Me h ' see Pap for
TIGARD
1ntt:tTICl; +vww,ligaitl- or.gnv tiallllud/ Supplemental Inrarnfatiun
RI ill t`ti1\tf� t�t;r, r: -<::
4'�('Mx9. r . to '"1 " 7 1 . ,, ?"1 , ,. b i *, N '0 ti1"nwr4w , ' A I AG ., r \ i ,.. w 1 44"i,% i'.' a' i" .1\ , r w' m s! q n�., t gy�pp�..'
k: n,. ai rrw I,z,, M�•i�1 Ica t � +R. t
i ' �'\ ta, ,+' i''�h :a ��' I�Id,i t x.r Al+±,r �.: RwA' EMA .nui1
0 blew Consttut.'tion / ldliitiott /:IIteration/rcplaccment atomchwk all Ihut uppl) Isuhmlt? t3 orpiuret i ilemr cttakcd huIinvl:
❑Str.icc feeder 40(1umpsormore ❑ Building over three slorics.
❑ Demolition ❑ Other: »here the available fault current ❑ Marinas and hrwryartis.
�� ' "° -:'.�4:P,...ti:v' "n p,1" 5,, ^ ,A9,,Z; �p� ---ra . 9 :
�,,,, � " "'
thi�c gs +: e" h ' x''z, •w,w,na . ._ .'W%. � _(y . � ,1Q, : ";;bra " E"Y:I " % /ri ' a %� /i1 (7WCCl19Il1,lA0amps at tSII volts or ❑ I'Icallrtg lsulkiint{s,
, ■ Ill .et' a -- ° �`>li"�iClfi'Rlbt)Ft �"CC,1 � �"�' . >�. +te � ,.
less to ground, or rt cords 14.0110 ❑ Commercial -use agrlculuiral
n 1- and 2- family dwelling 0 Commercial /industrial 0 Accessory building amps fur ail other installations. hulldings.
CI Multi- litmily El Master builder 0 OQter; 1:1 1'Irc pump. ❑ Installation of 75 1CYAor
w ^W • - ;':4, •7 i o f : " 14 , Q, .,1 ,, , ,, v,,y, i chi „ „ ❑ /3 MY utitc n. lather 7rc'Paralci) d.r1*cd in NICm.
' 1 t 611 k 9. h.`.wjA9 � . r, z" : z 'i ,.i ;S: ',h C 1 u, n v mo w -
❑ i JJI n fan tntu r hu doC ❑"A ", "R ". "1 ." 1•:r ^,
Jab no.: Job site address: (� t' H.'. r mare.
otrup u,cy,
V " Mill H 0 Six „r more residcmiul oohs. CI HcCrent oral vehicle '
City /State/ZIP• '• c, Q . ( -1 —1-2.2_,L4 ❑ Htallh�%trc racllltles ❑ Supply voltage I„r more hurt
❑Iimardous;mations. (00 volts nominal,
Suite/bldg./apt. no.: Project name: ❑ _ -^ ,r, .: ... :...
ruwiuc or fu:dcr MO nrnnN or nr
-' - - ' Y r ^: " rTd , ir'',v ' '_. y c%vr it.. w 'rti r ! .
Cross sln:ct /dircetion5 to job site: ;� °
3 nrrrrlM 1 t 1h. I r rr, �r•
1 161x 1 ;"
New residential single- or multi- family dwelling unit.
Includes attached garage. _
Subdivision: I Lot no.: 1.000 sq.11. or lees 168.54 4
En. ndd'l sea sq. tt or portion 33.92 1
Tax Its w A M'f1h'ffirMl - ., __ . _ _
O� d e ti ove rc's,dtentlul
,
�, 'Fr,aw�n o, r t t+i ,itAt rr� a Limiter! 7 ti.t,n
a no.:
'( ,� D _ 1r� ltd � rw,cwhr (With uhmrc sq. R.1 _ "
l.ilnited energy, multi - family 2
_ .1 ` h n ess a, 1 j *%, r residential (with above sq. R.I. __ 1
Services or feeders inshillation ahem don. trod /or relocation
a X'O.k- s 2011 amiss or lets 1 00.70 2
.':.. u'•�...., ... .. d,' ��,... r...',. ":,:'f,`1 �. .0 i, R�: r::A� ^,,:',,:r,.,. , 2
.,.rtrA 1y� �_ 4):, ,.,,..a a ..r .c. . „z,, ^, \, ��. K %,..1q,�7 +” � F' .,1 ivi ^a;W2ia.,�. .. +, ,.., ..0 d
,;. �� yr aR.. �"±�� Y' .. � I �: r +� „ ,I ar'r w , r .. , t .,n..,,• „,;.. vomit) U0 stn s 133.56 ..
s.r.» N,,,.(i.•a , Y m� x^ , '� , wr,re,;.... ..a I a11I p
41 MOM 10 600 tllops 200.34 2
Name: 601 amps lu 1.000 snips 301.94 2
Address: Ovur 1.000 amps or volts 552.26 2
City/State/ZIP: Temporary services or feeders installation. al term kill, an /or
relocation
Phone: ( ) I Fax: ( ) 200 amps or less 5936 1
201 amps to 400 amps 125.0 2
Owner installation: This installation is being made on properly that I own which is not
intended for sale, lease, rent, or exchange. according to ORS -147, 449, 670, and 701. 401 amps to 599 amps 168.5 Y 2
T Brunch circuits - new. alteration, or extcnxion, er pa net
Owner signature: Date: A. Fcc for brunch circuits with
�,,, � ..,,. , ..z z r'f ,ar;, 'v •+. mar: %ilisa 'altn :,� ..�, ,. �.,, .
p+ ... 3''iii:iiij %': il.!j'ii!!: +s t u 8 `n : above service or !! iii:.. ":i: i'': i', °ru!':i:: Nodes fee,
w1W ! 19, ". + : „ � r ..............w.......... 7.42
, ,, ,,,,,,, »l ,, . �, ,M o,.., ": „ ,. - rM each branch circuit
Business name: IL Fee for branch circuits want a,
service or feeder rue, (InR) % 56.18 54 2
Contact name: brunch circuit
Erich udd'1 brunch circuit I 7.42 --- . 4 -ii i 2
Address: miscellaneous (service or feeder not included)
Each manofucturcd or modular
City /State/Z1P: dwdl log. scrv(cc and(nrfeeder
()7M 2
Phone: ( ) I Fax: : ( , ) _ Reconnect only - _ 67.84
- - - . Pump_or utlon circle 67,84 2
- --- , . .
� i rh u0irun :, Wes- ",r ...„ .ra .. 7o Sign or outli l( Ii r li m i 67.114 2
u� ...,».�..n�rr^m*^' k ��m�. ,�� � I r ^raw '�:':r W " sow Signlltirtuil (s) or lrmltccl- energy
Business name: %� • r pinel.alteration. or extension. Pace2 2
�� End additional inpcction over 'Ilion bin in any of the above
Address: P d- e,, 76 Q., Additional laspectlon (1 hr m111) f,6 2Sl ltr _- 1 investi + tion 1 hr min) 11625/ hr City /State /ZIP: n��f^.lC "Q. �1 CrIO indushiul (I hrinlul 78J8 /hr
Phone: ( t r5 -N- Fax: ( _0"--‘ \ `(5Z Inspwtions For which nu fcc is 90.001 itr
CCB Lie.: \,c Electrical I Suprv. Lie.: LA '5!).% �5 icd (!', hr mini
B COHICIJly lie
� p Lie.: ,x ":., r . . ,...., .. �lw"�Ef1;l1t17a frrr s ' +,±+ „'` . ..
•'. rwWrl"�u �n'761'1'1 Ir�haKr.x:rw
Supr�r. Electrician signature, required:
Fe ui: � i►a
- �, . C Plan review (25% of permit Run
Print mate : %Irep ` 'e S lP 1 I Dntc: - 1 '" 1 \ Sultesurebarlte ( l j°4, 1
- - TOTAL, PERMIT FEE: —I `- Z
At]thuri xtl signature: 'This permll nppllentlnn esplrex Ifs permit Is not abmincil within 180
days after it hos been accepted its complete.
Print name: I Date: • Nhnnbcrori j,rn allowvwt per permit,
1 lnuildu,gtlknuilsslpl C•IkrnutAnn d.,c 117 4,10.1b1 511111e5(l'ost.wlilI