Permit n CITY OF TIGARD ELECTRICAL PERMIT
• - 2 COMMUNITY DEVELOPMENT Permit #: ELC2009 -00485
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/16/2009
Parcel: 1 S136AD04301
Jurisdiction: Tigard
Site address: 11475 SW PACIFIC HINT
Subdivision: Lot: 0
Project: Gators Pub & Eatery
Project Description: (3) branch circuits to reconnect (2) units and service outlet.
Owner: FEES
SEE YOU LATER PROPERTIES LLC Quantity Description Date Amount
11475 SW PACIFIC HWY
TIGARD, OR 97223 3 crt Branch Circuits 09/16/2009 $60.15
wo /Purchase Service or
PHONE: Feeder
1 ea 12% State Surcharge - 09/16/2009 $7.22
Electrical
Contractor:
BEAR ELECTRIC
PO BOX 389
DONALD, OR 97020
PHONE: 503 -678 -1355
FAX: 503 -678 -1108
Type of Use: COM
Class of Work: ALT Type of Const:
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 0 952- 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: Permittee Signature: IA 4 � r "/Z� /SON
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.
Cali 603.639.4175 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.
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SEP- 15- 2009(TUE) 15:47 Bear Electric (FRX)5036781108 P.001 /002
Electrical Permit AppIi CEIVED r OR OFFICE USE ONLY
1
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Noll OR 9 ® 9 Permit
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k.. ' � 50.639.4171 Cam: so33 51960 Rover. �// C 2D � .Z y
1 1 ,....0 D I°0° Lice 503.639A 175 CTTy OF TIG ARD btsty ww1s+wr .r"�`//� 0 nee eve n: ran
bun= onw.dpad.er.8try Iv iSION wddrdtwtmd ! iV I lnbn"'�M"
OIll.DIlyC
OF WORK irtrte.t tttEvsw . ■
O New eoratrualon giisic ition/aha1Iaalrwplwom ent noon elite o0 no coon (onto rt 3 mu orate wfifiegl el..0 d WWI:
0 5avke a fordo e00 coon arteae O Buitdiaa inner Ihtee gorier.
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O Demolitiat O Other own Ire tmmbk hob coma O Nixie* sot loortoodo. ,
CATIR2ORY or CONIIIIROC11014 sends 10.000 orep. st 130 volts or O t solidinp.
louts pound. a mordt I4 0 Coeueoctsl+.n aleienaeel
O I- and 2- family (ladling taCanmaeialrmdusttial 0 Amory building asps De nq oiler tee tedldigps.
O Mali- family O Mauer builder 0Other. O Fug peep. ❑IasuwtieeafnKVAa
• JOB St1Tg1NFORMATION AND LOCATION O system. 4r .- .rrepsrstel . - 1. 1 : nom.
�y � , CAad'wiw..l..- .�..w at D "w "C: - 1'
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Job no.: I kb etc addta .A K7.L 0 � f)0 , > O m ere nl *aim. o mammy. 1 Week pa
Cb dStatterBP: � � t ('Q Q . a - ` � 0 II Iowt ° Upon voltage �. a.� mm
t 600 ttttwled.
SuisdbldgJapt.aa: ProjectmunC R A\C, 12, O Seaiteor bade eo0
FrE SCITEDVLE
r��r
t 1 T.W ■ Cross stroet/d'noetials to site
New w t.- -. l fhda - � amm•(smlly dr .. onit
Ieemdan mambo! Wogs.
Subdivision: 1 Lot h _ : IJ100sq. ft. alas I 145.35 4
.MPII.
Tmt nnplptBgd q0.: Fs add? 500 ett. A or�Onkre 1 33.40 1
Lioduzi enissy. tesldentis1 75.00 I 7 .
: • • AIESCRI3'17ON.OP. WORK (van sin.. rq, a)
gerp -c\r ZO 9 C\C '/ F1QCk n� (
C � a ' a.) 7503 I 2
J r ` -' Senders or radon lna tloo ag4lor Memnon
. 4 I `(,1a `0 t 1 ( CS\ \le�Xki 1(0 ( - P:b'. 200 adios orles. _ ao.3o ` _
PROPERTY. ( �ps
0 TWAKT 201 anto400 106.30 z
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Name 401 amps to 600 tulips 16040 2
-. 601. naps ia 1,000 amps 240.60 2
Address: over 1.00 �s 45465 2
CftylS�te21P •
Twopenny cervices or feeders installation. attemtloa. aed(or
. Montle°
Phones ( ) I Rant: ( ) 200 amps or las 6615 1
being node on roper/ mgt, i o 400 auw !0030 x
O c tastalfitloa: Thos imtdll)ntioa is that l own which is not 201
Waded for sate, lease, rent, or eadage, aaauding to ORS 447, 449. 670, and 701. 401 amps to 599 amts 133.73 '
Btaa clectel my abtnslaa, or rrtaaaloa. per>n+tlet
Owner signature - Date .i7 ..w A. Fee Re bma� dawns M(th
D AM ON"' .• • • L 0 OONl*cri' r soz shave seviesor feeder fa. 6.65 2
• esebbawl%ebruit
Business n a m e B. Fre for blush circuits
widow
Coat= name breech churn
o lr feedv foe, 4685 1.11035 2
Each add'! beach wire li r2_ 6.65 Jtaagl 2 . Go 3o
...".-... ,. Prikedlsaeees (smvkv err feeder we Included)
CitylSmtcJZiP: Each resnefactured or modular 90.90 2
dwrt*lnc, swabs wet/or facto'
Phone: ( ) I FtuC : ( ) Reconeo_ 66.85 ' _2 .
E•ttnUt Pump or ird imahcle 53.40 2
. CONTRACTOR 571ss arcuate lislaiae 53.40 2
Busia�l mg= Bar Electric, Ina Sltrad cu ci, sl er hobos-
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Adair= PO Boa 389 eueasloa. Deicriba Pate 2 2
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b rte (303) 67B -1355 Fitz (503) 67!.1108 Pa itupwysoa 62.50
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/ I ,� Inveo�rianperltwvlt 62.50
A CCR Ida: 20919 V I ga1r1+n1 Lin.: 24 -I07C uprv. Lie.: S �Y.a'� ! P baur . 73.75
(J 1! E[ aC770G► reKMt l�Ls
Supra. F7oaridarn signature, required; ? . y� Subraal: C , _.
Print on= F. t7 yI Vh rt. 1 S -e � Daam cl.. k p Man r e+�iaw (25X or a�+l' fix):
f i.� Stair amebeete (12'15 orpareie feet 1.
Authorized signals= TOTAL PERM (1 - FEE L0 - 7
Print name I Date its appaMbe wino II. prank b eat attel..d u Ia Ito
&mow P ass boa .tuupadsocomplete,
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