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Permit
S CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC2009 -00509 T1G.AR' D 13125 SW Hall Blvd., Tigard OR 97223 503 639 4171 Date Issued: 09/30/2009 Parcel: 2S114BA16100 Jurisdiction: Tigard Site address: 16215 SW COPPER CREEK DR Subdivision: Lot: 0 Project: Swanson Project Description: Install heat pump within 3' side yard setback, reconnect gas furnace Owner: FEES SWANSON, DOUGLAS Quantity Description Date Amount 16215 SW COPPER CREEK DR TIGARD, OR 97224 2 crt Branch Circuits 09/30/2009 $53.50 wo /Purchase Service or PHONE Feeder 1 ea 12% State Surcharge - 09/30/2009 $6 42 Electrical Contractor: BEAR ELECTRIC PO BOX 389 DONALD, OR 97020 PHONE 503 - 678 -1355 FAX. 503 - 678 -1108 Type of Use' SF Class of Work: ALT Type of Const: Occupancy Grp: Total $59 92 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 OAR 952 - 001 -0100 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: 0 Y f (NJ C A Permittee Signature. _ Q 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. 4 SEP 29 - 2009(TUE) 14;22 Bear Electric (FRX)5036781108 P. 001 /002 R SEP 2 9 20rq Electrical Permit Application , FOR OFFICE, Ley:ONLe . City of Tigard Q CITY OF TIG Rmeived gl) 1 fit, l('� UC�4 • C)d 13125SWHa0N1ad,TilRsd,OR 9 72 1UILDING DI�� _ - ". � ' Pbooe 501.639A171 Fax 503.591.1960 Drtarnt. WAY ?Milt 7 r cm u r , Impaction fine 503.639.4175 for ResdlerOr Ism 121 Sce Peel for IntesoM w.rw.tiitd.or4ov Nedredrlaetho¢ I'l . 01eeatatel lnrerweo tlee . d Z t Tyre OP WORK PLA n C1 21 ... 0 riour cot1 nlCtion tr Additiormtetatioaireplaccmort y y Please dwelt ell etas App tnow m of pion whit= acl.a #sw•t: 05arvlee or fader 40n We or nacre ❑ oritdtag aver shoo stone:. 0 Denofiti(a1 0 Otho7 milers u4 aveilreate CPA etnelt O Nation and boarsarda. CA/WARY OP CONSTRUCTION emends 111.000 amps as 110 vein ar d 11.1asnma !stns 9:x • ten to goosed. or meads 14.000 O Coneeselal.we apKV6rnl j$1- and 2-family dwe3Gng • 0 Comma i/ odusttial ❑ Accessory building amps ran all aderr i,estaasioas, bidaliep. 0 Multi- family 0 Master builds 0 Other. 0 refs Pop. ❑ Installation ern KVA ee f..4 wr JOB WIZ INFORMATION AND LOCATION 1MFseer nf enet syateere dognaepa i - - i - ivedryateae Q A4d elms. elms. ~la Q'A . C. `t 2'.�1 - 3". 10010' or neon:. nornpaney. Job ao.: _ 1 Job s wIdntcr i X2 a,PC'� r Cc�P. ' I to sin o moot a tai row• 13 Raaaeeeek Keene Part. City/StatdLlP: [� 0C-02L1 ` O 1♦a to Winn. an. Q URI/y •clog for roars non �1 �� r Q \� 0 l larerdoaa Soudan. KO veto Dentinal. 5uikr'bid9Jopt. no. larojcct tame: O Sarveeer fade, 600 negate nem FEE =MULE Cross stromfdit'CCtions to job site Deole see 1 Oft, 1 »w . j Teea l Now rddaodal shoe- or owIU4amily detain salt. Includes allaehad gxxruye. Subdivisiar: .�. I Lot no 1,000 sq. to less _ 145.5 4 Tax mgplpmrrad t1a Ea. ttdd9 500 sq. f . or portion 33. 1 limbed energy, raldadd - . :arscs11PT1ON. WORK (web 5 a) 75,00 2 """••∎∎∎ cm q y. m Limited ulli.Guaily 75.00 INN. t•~ • . ! rat+ Ies'A ' ,, " r in aqi % midsaliat�ahtt above ses a) „ 1 Servtcee feeders lestabata• 1 b andler ,calk. *AL n . lb. s a 11L t. -! • . t 1 � !1 \ ~ 200awe Lie kw 1.1 Bp - 3 ° NM 2 -f PROPERTY OWNER - 0 ■ 201 Drupe to400 _ 10615 2 401 , • to 600 amts MI 160.60 2 601 air to L000 amps 240.60 ' Arkin G Over 1.000 saws ar robs 454.65 • GtyiStrtttll*. Temporary services or feeden installation. attention, aadkr reload/on Phenc ( ) Far ( ) 200 smpar r lds t 66.85 - -- 1 Owner installation: This installation is being made on property that I own which is not 201 ati 1°400 name 10030 2 — i nlaid/ad for sale, lemte, runt, or m cbanga, according to ORS 447,-449, 670, and 701, 4ot > ..599 alt t 173.7 S Branch circuits — new, alseratlart, or eutrotrtaty mast _. _ A. Fee for branch eiteuito wftit © APPLICANT , 0 CONTACT PERSON above savior orfro:1w 6.65 ? 9tt:int�s name mcb branch circuit B. Fos for branch circuits Contact mom -... aithout Wet rm. 1 4A 15 Lli 2 fins branch Occult Address: r Each odd, bowl cirndt 1 6.65 I (P 2 Meseellaneaasiaer4ce or feeder not ins luded) - City/stelcmr: Each tnanufhcatted or modular Phalle ( ) Fax ( ) ......,.y.. - , ....�... tttxonnat only 9 00S Eliot!: Pump or irrigation ;bete _ 53.40 2 . CoNTRA(rok --- Sign ercadtiacli - , III 53.40 IN 2 Susint s t►sls>ie Seer lcicctrlq Inc 51100 c rat 111 or m tab env pone!. Amnon. ace Addrats: 1 Boa 389 extatsion. Doak: 2 Clry/StatarZIP: Donald, OR 97020 'Lab 114411wM$ l...raetlw* wirer au.,owe to sire. of 0...b... Per ias}wdiaa I 52.58 1 Phone: (503) 678 -1755 Pus (503) 6"T$ -1I08 f mva t ica tioc b oarf l ace st I 6150 CCS Lit 20919 (Elea rical Lin.: 24 - 1070 I Suprv. Lie: 53,1," Industrial plant per hour I J 73.75 �� QQ T ZCrWCAL PERMIT IiKra Suety. f cariclau signature, rsquimd: i ~ (/// a r.. j� 2.d � _ - .... r - subenel_ . b8,„ r A !J plan Devi (25% of perms, fee): Print name • et_ , co S. ( pane (a - Suerewtehar }etl2tiaf �errtti:fec): _10, Authorized signature TOTAL PERMrr ME: c 1 �'_ Tao permit nppaod.Q worn tr r want es mar aheataes ..uhta 1S Print name f.Is m daps after It bee Men .erept.d e* eeasptt/e. • Masao of Irepeeet.ae snowed per perms!. t,4eafire ereeer t'.I.CL,rrilAeedw 0173 tie 4411.4e11 VI I 1 el [LAe SV C t CS, 11 6 . i 5d Orv\ . .