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Permit /of / 5109 Lv%J -- . 0- u a &C CITY OF ARD ELECTRICAL PERMIT II I COMMUNITY DEVELOPMENT Permit #: ELC2009 -00429 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/19/2009 Parcel: 2S110DD06600 Jurisdiction: Tigard Site address: 10650 SW SUMMERFIELD DR Subdivision: Lot: 0 Project: Summerfield Project Description: 10/12/09, alter existing permit to: (3) branch circuits. Replace existing electrical wiring to all 3 rooftop units and service outlet. Owner: FEES SUMMERFIELD CIVIC ASSN Quantity Description Date Amount 10650 SW SUMMERFIELD DR 2 crt Branch Circuits 08/19/2009 $53.50 TIGARD, OR 97224 wo /Purchase Service or PHONE: Feeder 1 ea 12% State Surcharge - 08/19/2009 $6.42 Electrical Contractor: 1 crt Branch Circuits w /Purchase 10/15/2009 $7.42 BEAR ELECTRIC Service or Feeder PO BOX 389 0 ea 12% State Surcharge - 10/15/2009 $0.89 DONALD, OR 97020 Electrical PHONE: 503 - 678 -1355 FAX: 503 - 678 -1108 Type of Use: COM Class of Work: ALT Type of Const: • Occupancy Grp: Total $68.23 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 • - • . - - 952- 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503 .6699 or 1.800.332.2344. f , 1 Issu •d By: - ' I� • Permittee Signatur : G 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: I: • 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. r OL - 12 - 2009(MON) 13:46 Bear Electric (FAX)5036781108 P.001 /002 Sc.s of) LdooC \, Electrica Permit Application FOROFFICGCISI OM.. 1 .. City of Tigard L OU , r , d Pen& r o' `.0 - ooL1 [•9 • 131255w IW18l.d., Ttp �C n1.OR 712:3 1 N , . b. i 2 Phone: 50],639.4171 Fax 503 S91.I%6t1 11rtc tom, I 0010 Pert&&. TIGARD lnspcction Linc 503 n39.4175 not pr,dvuy �� — ter Id tics racy 210. Interne: w yen ligatddr.gn. 11 Pt r• N i(iS " m �ti. . I Sappleentsl lnfarmn .A ' ' - .v: y :Nit 1__ TYPE OF WORK PLAN REVIEW , 0 New construction `p Additron'altq•1, tiontrepbc incTtt (^ 1 2 Paws Cher; alt teat agltl I.abrW : xis at plant &edam Meekest Ixl:•.I I O C T �Sr•.,ir tit ;retie; 403. n mpr or elan Q .,ulas ewe, three Narles I QDemolition ❑Other. • . V'' Nrr inea.atlable rain;crrrnl ❑Manta, And nin -to:. -- CATEGORY OF CONSTRUCTION CITY op rid 10.000 3n ps a ISO win a 0 &Lans w eddtngs - •. r II to (1nond. of ntretb 14.000 ❑ Ctsent6nt ut - O 1st; wIl.ral g I- and2•family dwelling ❑ Commercial +industrial ❑ Acc , I i!DI VG D1 ' , w l a n a tn e l ,n,r t>riw,tt,ts 0 Multi•famil� 0 Ma'ucr builder [] O+he'r: lntmp Q Intlaltauoa at 1! 1:V•s a' ❑ JOB SITE INFORMATION AND LOCATION t: "'c l pc t, cl .r>rrm sarltrr►epar.trly defined .r t., Q naA+lnn of nc. WWI 1641.a Q `A', "G`, - 1 •; -. - l • }'•. Job no.: lob site address; ICj> Ino1n' a rtwrc. mammy �� 1��1�j *1 Is � 51■ w mlm tetldrmiel an,b ❑ Reereatrrtul .rhea furs, L IIy Sta1JZIP: ' + 4. • 1 d o t ` 1 ' ❑ tleaunvre Janina Q Sappfy •olgte la nuns. 'Ash '�{.— (] 1 Walyde,..s ks_at:,ea 600 win &Iowa; Suite/bldgJapt. no.: Prvjc i n a r t i C 13 5c, c or tee x600 a m e n &arc. —' ' l..-Mr-1.2...1. t \ FEE SCHEDULE Cross strcNdireetions to job site C Q Yl k-P twr.,pw rte.. r F.. 1 t.,•, , • New residential Anglo. ar tnuld.fandly dwelling unit. i Includes attached Drage. Subdivision: 1 Lot no.: I1111U sq, p, or less I45.ISJ a Fes. arfd'I 500 sq. ft_ or ponion 33.40 I 1 Tar map /parcel ct no-. limited energy, etaidrntial 75.00 i DESCRIPTION OF WORK trun shove 15 nil t enar f. muhi.family r �j� C tug � nc� �� h } y ,� ��. 1� n 7. 00 I 7 LIaS P_ Y 1nM +M+ --n-s�' l wl l Cl� 1 Al , - mss C V •t \Sp - resid ential l •hnabo! rt y A , knees or feeders Insidtallo0 andJor relocation t ! - ♦ ' out • ,' t. a. •a, IS R. alb , a 2(Yl or less 80.30 - TrI ❑ PRO • a' OWNER ❑ TFJt1ANf� fl 1� 201 arnl to 400 amps 106.83 1 ] Nome: r � r � 401 an ns to ti00 omt,s 160.60 1 �/ \�Q t t� 601 amps to 1,000 amps 240.60 Address: _ �� Over 1.000 Zinn or won/ 454.65 CityfStrtte/ZlP: •Temporary services or feeders Installation. allrrsllon. aacunr • I-elocution Phone ( ) I Fax: 1 1 . 300 am to lea F 66.85 .1.____ I iTz, Owner Installation: This installation is being made on property that I own which is not 1 201 In to 4W amps 100 30 intended for sal[, lease, rent, or oatchanfe, according to ORS 447,449, 070. and 701. . i 401 amp% to 599 amps 133.75 Brunch circuits - new, alteration, or extension, er panel Owner signature _ _Dale _... --,- -- / A. Fcc for branch citrons I.ilh ❑ AP.rucar T 1 0 CONTACT PERSON at.r.c service or fettle? (cc, ` rich branch circuit 6.65 Businsss none H. Foe for branch circuits r �- t �UOtad name: Jhour service feeder fcc, c or �� : — ..s...�... - . , _ firs hrancb circuit o r 46 85 1 ek t. I Address: 1; ch edd branch circuit I I 6 e5 1 (.241S... s ` 7 Miudlaneous{sersfce feeder nut Included) CityIStale'2l1 Lad, nunufactutad Or ItgdUlar 911 90 w n- • L dellirn!, setec andlnr leradct -, Phone: I ) fat:: ( ) Rrtiunntzt only ion H' / -H ~ E-mail: Pump or srtigation circle 53.40 CONTRACTOR Sign cr outline lighting 51.40 8usintss non= Besr Elect Plc, Inc. Signal ctn uitlal or limr;ed- energy panel, alteration, us Address' Fla Boa 389 exteluiun. t) tribe: Face 3 : City/Sur/VP: Donald, OR 97020 r 1 Carts a ddblunal ln.geetlono.rr ollowoblr In .1” o1 the &hone rrrinspeetinn 62.50 I 1 Phone: (5031 678 -1355 y ^ - � f ax: (503) 678 -1108 In„m,igat per hour tt ter taint i 1 62.50 I ( ' Ck tic.: 20919 Electrical Lk.: 24.107C I Setprv. lilt.; l . f , ; lad atrial pram pt� k", 73.75 I 4y f ELECTRICAL PERMIT 1, Suprv. electrician signature, required: I : __ Subtusal: e �- -- Planftvitwl2SSLoffKZrniefcel. s D Print narnc (n f jc, to 7 r S s •f'- A f39er.: �1� ! —J L. �— SLite sun lunge 113`L of Dennis fw i, Q � Authorized signature: TOTAL PERMIT FEE: _ I • 1)I .__ _ ""'_• luta permit application esptres It 1 permli is rot ubta s0 i Print &hint; Lease-. dap seer h has heen rccepnrd a, reknyrr.. 1 -- - . ._�- -_ • k•.nl• or ,nrrr.nans allo•• ed re* Donn. Ip,. a=hn.as CI,C•Yemitsn• I.-el:1 0. s.nt.osslis a? en ensi u7& Q 52.11) _t „ CITY OF TIGARD ELECTRICAL PERMIT I: COMMUNITY DEVELOPMENT Permit #: ELC2009 -00429 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/19/2009 Parcel: 2S110DD06600 • Jurisdiction: Tigard Site address: 10650 SW SUMMERFIELD DR Subdivision: Lot: 0 Project: Summerfield Project Description: (2) branch circuits to reconnect A/C and service outlet. Owner: FEES SUMMERFIELD CIVIC ASSN Quantity Description Date Amount 10650 SW SUMMERFIELD DR TIGARD, OR 97224 2 crt Branch Circuits 08/19/2009 $53.50 wo /Purchase Service or PHONE: Feeder 1 ea 12% State Surcharge - 08/19/2009 $6.42 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 $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 OA 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: c7� �, Z en---7-70"/ • 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 603.639.4176 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. . AG- 17- 2009(M0N) 1 -3:40 Bear Electric (FRX)5036781108 P.001 /002 Electrical Permit Application R IL.r F012 OFFICE USE ONLY A UG 1 7 2009 i„,, p , No City of Tigard r 0.2,, P" L� d �% v -ELC�O 09— 40_9019 11 125 SWItalllllvd.Tigard. OR 97223 . 4 Phone 3 .639.41 71 Far: 503.598.1901 ! T -1 f `!fi r �PtsnR'rri Otter P Permit 50 Inspection Line 503.639.4175 rt-•:: I ` t� 1 t..1 • 3 r° �' • "' t_E R adylny: twra t i 3e e Page 7 toe 71GAIlD r !l t� _ ' NotirredJMeshod: I i( . SapplemeaioI formauoa Internet vrww.tigatd.orgov . TYPE OF WORK "y PLAN REVIEW . . — home check an that Voir (submit 2 was or plans Wile= checked Wow s ❑ New COtlswelion i2 Addition /alteration /rrplat:attene (3 Say ieeor fader 400 wiper more 0 sai14ing own three stories. ❑ Demolition ❑ Odom where the available fault current 0 Marinas and boatyard& , CATEGORY OP CONb�tI1C CION awards 10.000 amps at 150 volts or 0 Muhl; building. ICU lo ground. or mends 14.000 0 Commercial-use agricvburat ❑ I- and 2-family dwelling ® Commercialrndustrial ❑ Accessory building amps Ibrall ather iilentluiees. buildings. 0Multi- family ❑ Master builder El Other: 0Fire 1]irtrtaltati000f7S • ' JOB SITE,I FORIKATIO AND LOCATION ( Additi000r em. kl 1 i• ". vd:darstcrrs - Q Additioaor oear mo tor lead o r O M. 1.x 10010' or mole. orcII 3 m7 Job Ito : Job site add • 0 Si. or more re,idem6l min. 0 Reertatioaal .chick parks. si, 0l ktalt.desre fxilitia 0 Supply voltage for mole duo `� '* 01 Imardow locatiora 600 volts aaminoL Suite/bids/opt. 0 Smite air feeder 600 amps or more FEE SCHEDULE Cross street/directions to job sit= �p..Iworkw 1 94. 1 r.. I Taal I • New residential single-or multldamity dwelling unit. Includes attached game. Subdivision: 1 Lot no.: 1.000 sq. (L arias I 145.15 4 Ea. add'I 500 • . Aor ion 33.40 1 Tax map/ptueel no.: (,anted energy. residential 2 a.. w • d °NOP. WORK _Milb above se ft.) Limited merry malti.far gily d r 2 4 v ` d■ taidaulal(withabove R. orederslaatallatio alterttp nd /otrolocatloa 200 amps or less irSentices k ■ s ■ 201 ampsto40 0 mp 401 as to 600 amps 60(am to 1.000 amps Over 1,000 amps orvolts Temporary a cMccs or /:alters installation, alteration, and/or relocation • 200 amps or less 1 201 amps to400amps 100.30 2 Owner Installation: This installation is being made on property that 1 ovm which is not intended for sole, lease, rent, or melange, according to ORS 447,449, 670, and 701. 401 am to 599 amps M.75 2 Branch circuits .- new alleral orextondo • er • gel Owner Pate A. roc for blanch circuits with ■ ■ CONTACT PERSON above srniee or kola fce. 6.65 2 eac branch circuit Business B. Foe for branch circuits without service or feeder fee, 1 46.85 2 Comet nom= first branch circuit Each add"' blanehcircuit 1 6.65 1 2 Miscellaneous (service or feeder not Included Faeh manufactured or modular 9190 2 dwelling. service and/or feeder • Reeonnoct only 66.85 2 Pump or irrigation circle a 53.40 2 • • . Sign or outline lighting ' 2 Signal circuit(s) or limited- - energy panel. alteration. or L irriii' extension. Derenbc Page 2 2 Donald, OR r d Each additional lospeellon over allowable In an of the above per action 62.50 Phone ($03) 678-1355 I Fax: d 8 nvcslil anion per hour (I br min) ' IIII 1 i FY/ Indtrsuial slant perhou► ELEC[R1CAL' PERMIT FE i:S Electrician Subtotal ' IMIL I Plan review (25% =nit fee): 1 • IPA, ' II Statc surcharge (12% of permit fee): ,. Authorized signature: ' ) D O T A L PERM FEE: ,5° V Thb permlt appnOlton expires If a permit it not obtained.drhte l90 Print name: I Dale: days slier It but been accepted a■ eawplttr. • Number ermpcedonc Allowed pee pcnnil 1.13kalaug'Pmtss PamisAt tee a1•23 0n 44o-tat STt Ii OS COS.IWI'b