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Permit CITY OF TIGARD ELECTRICAL PERMIT - 2 COMMUNITY DEVELOPMENT Permit #: ELC2012 -00322 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/29/2012 Parcel: 2S 112 BA01500 Jurisdiction: Tigard Site address: 14270 SW 80TH PL Project: Arndorfer Subdivision: WAVERLY MEADOWS Lot: 38 Project Description: (2) branch circuits for NC or heat pump and service outlet Contractor: BEAR ELECTRIC Owner: ARNDORFER, KEVIN W & SHAWNA L PO BOX 389 14270 SW 80TH PL DONALD, OR 97020 TIGARD, OR 97224 PHONE: 503 - 678 -1355 PHONE FAX: 503 - 678 -1108 FEES Quantity Description Date Amount 2 crt Branch Circuits wo /Purchase 05/29/2012 $63.60 Specifics: Service or Feeder 1 ea 12% State Surcharge - 05/29/2012 $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 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 9 2 -0 1-0090. gy 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: ) A LL.I �.[ J !I1 Permittee Signature: i&t ' f�/J C•• I 23 t ' (/ 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. MRY- 25- 2012(FRI) 06:31 Bear Electric (FRX)5036781108 P. 001 /002 5'( ]Electrical Permit A liratio FOR OFFICE USE ONLY City of Tigard `a E.,...,.., Ci t Received DatelB : (a Permit No.; t/� j _ E. 1 3125 SW /tall Blvd.. Tigard, OR 97223 ��,,A�( Plan Review Phone: 503.718.2439 Fax: 503.598.196()1VIM t 2 12 oaternv Other Permit: Tt GARD Inspection Line: 503.639.4175 Date Ready /13y: ® See Page 2 for Internet: www.tigard or.gov CITY OF TIGA D r4etined/Mtdrod: MI Sapplemenual lororro term 'TYPE:OF'i lIN::10Ili1�1101'4 PI • ❑ New construction ® A dditioit/alleration/toplacement Please check all that apply (submit $ sets of plans w /items checked below): Demolition 171 Other: El service or Redcr 400 amps or more In 13uilding over three atorirn. • where the available !dull current ❑ Marinas and boatyards. CATEGORY Of .CONSTRUCTION ' ' ' exceeds 10,000 =peat 150 volts or ❑ Floating buildings, less to ground, nr exceeds 14,000 I] Commercial•use ngriatltural ® 1- and 2 - family dwelling ❑ Commercial /industrial ❑ Accessory building amps tor all other innallstions. huildingv, El Multi - family Q Master builder ❑ Other: it File pump. O installation af75 KVA or - ©Emergency system. urger separately derived system. : JO Slit INFORMATION AhID'ZOCA77ON. . -' ❑ Addition of new motor load of 1:1"A". - 1 -2 ", - 1.3 ", Job no.: I Job site address: 14270 SW 80th PI. 100HP or more, t-- occupancy, Six or mor residential units. El Recreational vehicle parks. City /State /ZIP: Tigard, OR. 97224 0 health -core facilities. 0 Sipply voltage rot enure than . El Hat indents locations. 600 volts nominal. Suite /bldgJapt. no,: 1 Project name: A glot ❑ Scrvlte or feeder 600 amps or Inure. Cross street/directions to job site: nerriptier; NEt [[F�ULE •,r.: i (1tZ. I Fee. I Total New residential single- or multi - family dwelling unit Includes attached garage. Subdivision: I Lot no.: 1,000 sq. Ili or less 168.54 4 Tax map /parcel no.: Ga, add'i 500 sq. fft or portion 3192 1 m residential 75.0 2 Limited energy, DESCRIPTION-XI'. ;WORK.. , • :' ' (with above sq. It.) • Limited energy, thultl- fm 75.00 2 A/C or heat pump circuit and a service outlet. i r rvtktondal ( ove with ab s0. i.) S U-A ie 1 'Scrvica or feeders Installation, alteration, and/or relocation ( 62 ) GaANeli L /2CeitTS �Z- .q /e tat ye-4-rnu e i aches 1 200 amps or less 100.70 2 ?CI:,irROPERT'.Y' OWNtR t3(r; , Q 1 P amps . - "' re ' � > • ,i 201 imps to 400 nm s 133.56 2 Name: 440.0otirk t< v 4• ll'u4 601 amps to 10 00 amps 301.04 Z Address: Over 1,00 mumps or volts 552.26 2 City /StatcrLll' Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) 200 amps or less 59,36 1 . /lone: ( ) I r• 1 201 amps to 400 amps 125.0/1 1 2 Owner installation: This installation is being made on property that I own which is not intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 010110 168,54 2 Branch circuits - new, alteration, or extension, r panel Owner signature: _ . Date: A. Fee for branch circuits with -, :,; 1 t" 1X1 AN'I" , 1'o" tCo1?t ■Ae PERSON. m above SCIViIC Or feeder ICC. 7.42 2 each branch circuit Business name: It, Fee tot brunch circuits without - -- service or feeder fee, first 1 Contact name: branch circuit t 56,1a b.‘ Z Each add hr ;tneb eireuil 1 7,42 1, yZ 2 Address: Miscelianeous (service or feeder nut Included) Each Ittunuftelnted Or modular City/State/Z1P: dwellin service and /or feeder 67.84 2 Phone: ( ) Fax :: ( ) Reconnect only I 67.84 2 . Pump or irrigation circle 67.84 2 E - mail: -- - ..... — Sign or outline :'- ?J ., tit ", � CI,OK ,. , s w. /F// . , ,1i sig dtcuit (s)lora ll n iiticd- eltettty 2 67.84 Business name: Bear Electric, Inc. anel mmtlerutiwt orw(ICusion. 2 Each additional inspection over allowable In any of the above _ Address: P.O. Box 389 Additional inspection (l hr min) 66.25/ hr _ Investigation (1 hr min) 66.25/ hr City /StaterLlP: Donald, OR. 97020 Industrial plant (1hr min) 78.18/ hr Phone; ( 503) 678 -1355 1 Fax: ( 503 ) 678 -1108 Inspections for which no fee is 90.001 hr' I stceificall listed 'hhrntin CB Lie.: 20919 I �ectrical Li • 24 -1070 .5ssprv, Lie.: 1 oA S :.":::-:. -' :-!` i , ::c: ..,: ' :.- :''.':.' .,. 111 i - ` � I ,� � - . r u ':,_' � 1�1j tOTl L'��. :I " : : :=' :. A.x.: :,'x r� / � Subtotal: .1o3-1 .o( / Suprv. Electrician signature, required; LJ Plan review (259'0 of permit fee): Print name: t'"1 Date: 5/25/12 Suite surcharge (12% of permit fee): -3 �Z ^" RD 11._ �� $ TOTAL PERMIT FEE: '1 1 - / Aulhorizr d SI3Ttat11TC: This permit application expires if a permit is nut obtained within Igo — day. after It has been accepted as complete. Print name: Date: 'i .. Nwnhur u1' inspections allowed per permit. laauilding\Per titatat.r -Pw rnIApp di ": 07 /01/10 4.10- 1615T(I l/05/COM/WEB