Permit 1 114 �,� CITY OF TIGARD ELECTRICAL PERMIT
2: COMMUNITY DEVELOPMENT Permit #: ELC2012 -00587
Date Issued: 10/09/2012
TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503 718.2439 Parcel: 1S134AC00900
Jurisdiction: Tigard
Site address: 11404 SW IRONWOOD LP
Project: Maynor Subdivision: ENGLEWOOD Lot: 37
Project Description: (1) 200 amps and (3) branch circuits for panel replacement & GFCI's
Contractor: MOLLENHAUER ENTERPRISES INC Owner: MAYNOR, GENE P
11070 SW ALLEN BLVD 11404 SW IRONWOOD LP
BEAVERTON, OR 97005 TIGARD, OR 97223
PHONE: 503 - 649 -6991 PHONE' 503 - 521 -0733
FAX' 503 -641 -1902
FEES
Quantity Description Date Amount
1 ea Services or Feeders - 200 10/09/2012 $100.70
Specifics: amps or less
3 crt Branch Circuits w /Purchase 10/09/2012 $22 26
Type of Use: SF Service or Feeder
Class of Work: ALT 1 ea 12% State Surcharge - 10/09/2012 $14 76
Electrical
Type of Const:
Occupancy Grp:
Total $137 72
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 0 952-001-0090 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: � / �•t Q.1 - Permittee Signature: OA. M .A( 7 0/
1
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.
10/07/2012 23:35 #1502 P 001/002
Electrical Permit Ap i tratio>n ,!� �
City Tigard OCT Q R e „OR ��s�. a� L�'
Ci of Ti and 8 2012 «ived
_ • 13125 SW Hail Blvd.. I'ir ard, OR 9 /223 ; '�a:e h
Phone' /D�q a- be rm,• Nn � S�_
kR 03 a 17' Fa.. 503.598 196 C, I Fl R e v ,; — —�Ow�� Vd
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Internet www tigard-or LCv �Vri Date eady;By' - --
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i y �-- _ - -� SOppk meata) Id rmuuo
. ❑ Now ccrostruction Addltl ' -- PLAN REVIEW
—
Orva :terar :o:;irc )l.n
1 CETT ukasr ____ a:! — L --
I ❑ Demolition - ;ha' apply (st ? .acs 1, � rr, r, — .' — , — •— -
r ❑ Ot ?en e : or `• ue: l -r! , : ^CC, ed Je'..,
:'A: a :nos or mole
CA <i �`� where nlzhle taw; Bu lC.ap o".cr three ,tor•:
ICdi`b i7C'7QA' a,ceeu::O:.tuo < l tilart d .J :xral. d
j la 1- L °;(� ?•f:Ifnil� dwelling r—' � -- _ maps r . 0 sok.. J, r1 F
f U C ommercial /Indusit•ial .:a .0 would. • �' : ^* :;G•::r<
L G. Jr eaweds, d Mt,
�J �t ccssory oui,d n` L Lwn.47U9•- e dZ■a'Y:t f.l
❑ '�Iu family El Master builder core
- es' _e
amps for mho]. i,scal:atiOna Suamn
Other' • P p V �
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^ - � jt r•� �' .. - - , r71'u ;latmo 0: 75 hvA o
7 y r •1 • (3E�►'�ifl'Z'i V Emergency cvxtem.
• Job no.. 31178 Job site address 1140 SW —'� 71 A�Icht,on at ;MIN MOW: : !o y A- " • "; : d ..V. am
_ _ Ironwood Loop
or mute
."
City /5ta1 Tigard, 0 2 - - - - i at s ', �' �o � °.K
e /ZI} 9 3 - nom -, ei :.n,:
g ! t 97223
i r ,ea :ti�a: _: `
1 .: qma , :..etc
—r e f 2r∎on< C i Suite/bldg./apt L TI 1 — ,; S'-0CI). vo:tate fu: amide men
P no.: 1 Project name I dZa,6u,u lucai.un< snits
— -- ❑ Se rvice off nominal
Coder i0( -mps or r u we
Cross streeUdirections to job site_ " - -- —� FEZ — _
t � ail <ll; — —
- I , N e w residcrttiai single- or dwelling, —Total—
OO
- - - nT{ nattily Uw•rltiag unii
Subdivision:
— Includes attached gamgt.
Tax map/parcel no - — — — - - _ — — 5S ;c y
j -�� —__ `dd•! 500 ;L f: or portion — —
` FSe 'i.17— WO/d< . . ^.tltcd energy. :GS 1. sat
Panel replacement & GF ^I —� ;1 aObvC �! n) — i — ; 5 e0 _ - -
v s �ner, . multi-lull ly �
— :CS!OCt:I1;:i (v;ll: v., Sy. P) 75 GO
or feeders installation, alrrrativn� rati
P�(- (�3ili? ��` — amps or Eels and,'or re
!" ' '. , 2UC s %0(170 100 .70'
I soante 0; tT pS�u „ X) amps • 33 6 ' — —
i._ G�ae Maynor _ • 'cu: 11:;y :o aa� ��,•, — _t_-_______. — — —
Address' 11404 SW Ironwood Loop — - - - — - - :., Ips n !�t XY a.-,y, _ 209 2 —---1=-
• 3u: 0
__ Uvc: :.(NK, y::ps o, vale, 557 2 i y
City /stat�zll� Ti OR 97223 ;i le ran' ^�.— -
!—� po services or feeders installation, alterttion, and /or
Phonte: - - - -- - — �elncation
— —
521.0733 ; F x ( ) ° ?oG amps o; less — =_,_ — — —
Owner installation: This installation is being ttadc on property' ; >y 3b ;
3 P Pc y th I own which i not , 1 201 amps To non amps . 1 i —
intended for sale. lease rent, or exchange, according to ORS 447, 4_}9.670. and 701. „ _�T t =5 08 , "
$ ' i 1 401 a mps to 599 am �-- — — l
� _ iG85 -4 � ^
ctrc•.
Owner signature _ i i Branch Circuits - new, Alteration. or exttension, r
Ak11' — Date: _ .. —
73 n A F For branch t:rtul[s wr - ,.f
II t V�I�A(� PERM.
�� — ! r :tool a se: vice t,: "CQC: fee, 1
6� usinesc name: — �zci; bz�c :t c :rc�tt 3 , .I' 22.20' -
9 Fee for branch c :ret:,ts w :our I !h - - -
I Contact name:
- - - i
' sC Vice — —
II ' —� or lower fee. 1;3c
�:— hrr. None!: circuit i 50 , s :
Address: — -! I i:ach add •' S `— —
i nch circus: ' 7 42 —
Miscellaneous sen'ice or feeder not included)
CitylS[a[G'LIP: — —
L ! ; Each m u ul�cturr or modular '`
PhorTC• ( ) • — ! service ? =r bf 44 , T 2
E-mail. - - — __— d7 M; —
P� :r;p or :ge::nr, —1- :.
b'. 81
�. € G'P�k2 .; , >: on lightin = -
Business name: € (s) or lir1:ued-cnore 1
i —
Mol lerhauer E;Iterprises,Inc. i _______:_4...-ye
_ , f 0ancl a!tcra:iu n. or Zzters 7 ,
:)8r� Mike's s Elec � _
Address: Allen — : finch additio ins coon over allowabl in anv of the atwye --
1 1070 W A 1 S n { _
j pity ress. 71 Beaverton a cmnonyl ;nsp�tro,; 11 hr nun) ; 66 251 hr �
, OR 97005 }nvest!�2t1on (I min) i 06.25 /hr
Phony: .- - -- , Indu itr:A ' I _____i_ — —
( •50.3 649 6 n'ar: { hr min) I 78 l ! -
CCt3 Lie. 191094 9 ! a � 7 C ) 64 Z 1902
I ; 'lispedioos to wh :eh no fee is ! —T— sn hr —
, IileCLriC, Lie.: C643 $;, ry, I Z 30S i eLYCI!ICZIIy listed �' /- hr mm) I ' go 09; hr I l
�I)• IC.' �1 r .
' Suprv. I:ICG71Cl2n 5 ��`' � - FEES
1
P ign. ore. retiuired
�e I i 6
Subtotal
fe — .9 !
�` P lan revie 122
P name: D .T Mill_ , - - - � 2- �ot'Nunn �
,ee) —
r s i e : 10.08.12 ' State st :char ■ ~ — —
_ gr( 2/o of perms: reel '
I Authorized signatur , r1 �' c,„1-‘,..,________ —
V - , _-_;_— 14.76
-- — --
nays Jfter a has been accepted as co ft/7.Ai PERM!! FGr . r
Pant tame. Darryl Mol t?P. ^.aUer r' — permit - pphcativn expires 1f a permit_ ig nor Oyta,•,<d ..;thin 180
^� — — )e, 10.0$ i2
• �c c :jCr mpletr,
:-Sw :C, WSmoic :C -lc., ; :po _or .... C. — — _— ..:;,Gi :.. :.i : lo-rd no fit• ^••Y1; ' 3? 7 �i