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Permit
CITY OF TIGARD ELECTRICAL PERMIT { q COMMUNITY DEVELOPMENT Permit #: ELC2013 -00277 'TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/16/2013 Parcel: 25111 CD02200 Jurisdiction: Tigard Site address: 9560 SW SUMMERFIELD DR Project: Miner Subdivision: SUMMERFIELD NO.7 Lot: 343 Project Description: (4) branch circuits for kitchen and living room lighting remodel Contractor: BOYLES ELECTRIC INC Owner: MINER, D A LIVING TRUST PO BOX 1227 IUS, SHERRY A REVOCABLE LIVING TRUS BORING, OR 97009 9560 SW SUMMERFIELD DR TIGARD, OR 97224 PHONE: 503 - 663 -2628 PHONE: FAX: 503 - 663 -9048 FEES Quantity Description Date Amount 4 crt Branch Circuits wo /Purchase 05/16/2013 $78.44 Specifics: Service.or Feeder 1 ea 12% State Surcharge - 05/16/2013 $9.41 Type of Use: SF Electrical • Class of Work: ALT Type of Const: Occupancy Grp: Total $87.85 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 2 -001- 90. 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: (1)Ctar Permittee Signature: DLL /TPP4C' 1O 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. 2013 -05 -15 05:07 BOYLES 1 » 50 P 1/2 `atrlcal Permit ADO R CJ'IED „, FfR r i(•i.: i SE a-.;LI • City of Tigard D Received S I - i 3 S.r Paid Mk: te .90/3'00 47 7 13125 SW Han Blvd.. 73gard, OR sP I. 5 2013 , Review - OtMr Pamir: L.: Phoi a 503439.4171 Fax 503.598.1960 tel: 1nsprAiertLine: 503.6394175 CITY OFTIGARD t`. kdr' a tioePage7ter• . Noritled/Ma�pd: i o C sue» . latanb= www.f�a- or.gev � New construction '1'11R8 � "O alLet8tioNnplecomcne sue deck CmapPN ec Warmsclx ab low); O SOVIll Of 00:err400 amps err mart O &wading over duce Mil. El Demolition [0Other: where d»smutat /ma current 0Minns% sod boatyard: ' `..'• `..'• O � .: °meads 10.000 =Fs s ISO volts or (7 Floating boadiusS. ” . �" _ lefs W a�on4 err ®oeed� 14.000 ❑ CL�Keinbafo aglc hand 14 1- and 24intily dwelling 0 Commer ial/mdnsirial 0 Accessory building rape Ibr ail ode tmralwim9. balm. 0 Multi ID Master builder 0 Q OEtc FURL 0 lraraom00 0f 15urnor Ul�e�a lureEd mom . - _ ..MASITE 011 AND;LOCATION'..... ti .. , ' CImedfben motor wedor o"A."."1- 2", °I,4", IOW or morn Job um; ': lob Sim address: f rho 5 6;461 Or 0 Sir smote to idmdel pmts O Abamdasri vehicle pia. City/State/ZIP; ON th accfe . 0 Supply voltaae far ism than I / . _ ©11 lee20ebn 600 vein 6on6001 Suite/bklg./apt. no.: / Project name: ' O Service or f vier 600 wags grams - .. 1 - _ � . r Cross atreet/dlreetlons to Job situ . 1i9� 5 . T , .., .. " � . . New residential single. of m J -�_r dwe owit; Uchidea attached or> Subdivision: I Lot no.: 1,000 e.4 ti or leas 145.1.5 4 • - Ea edd'I 500 sq. t3. or portion 33.40 1 Tax mop/parcel no.: ,.,., L . residential 75.00 2 • :. '' OF WORIC<:. . . , . , (with above as a) - rsa Limitedew, multgamily , 7+5.00 2 teilamtitl wlffi aboe .0 or Seeders iesh➢nWs 11I0 ,erodes, aadu: r M at _ lc u _ .200 ar lug L 1I 80.30 . _ 2 :011VEft ; , ; F, ¢ 201 emDa to 400 maps 10625 2 Name: I 401 amps 0o 600 soup 160.60 2 _ . 601 amps to 1,000 amps 240.60 2 Addreax Ova 1,000 amps or volts 454.65 2 City/Stete/ZlP: 'Temporeryssrvicea orfetetal relo atian Phone: ( ) I Fax: ( ) 200 r ope or kit 66.85 1 Owner tuSfalhtlaa: This installation is being made on property that i owa which is nit 20 t _ to 400 amps 10030 2 inlcndcd for sale, lease, rend, or erxchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 snips 133.75 _ 2 Breath entails- oew S:fteraxte t, or esteasioaq,Per t>saat Owner '' U : A. Pee r circuits with - ; 01 APrz cAI' ' ' . .. t F _ ;,�:' - Q• o rAGIi.' above sonnet or Mier foe, 6.65 2 each intact airadt Business nam 11. Fee Pia! breach circuls sg 1$' .(a ii. Contact mimeo: S rrt circuit / - i 2 9G Add rens Beds edd'l blenab tort 3 7 l '1 g- ' 2 . tom (savlee or feeder Rot Inducted) tityiStaicJ IP. Each mtodulated or atoaulat 9090 2 Phone: ( ) 1 ( ) - te and/or r Ftnc : a only - 66.85: 2 E -mail: Pump or imi in cUO . 53.40 2 - . . : :.,i'. . `: ... L [t ). ' , . . _ . 51 n oroudino lighring 5340 2 Business n ame: r S ptrl ciraril(s) or limited. vo , e 5 Ier fr _ Rhaetian, a c ion Desrt'bc. Page 2 2 Aid: Po &2r 122 7 GTcy/8ttxe/Z1P: B _ R - O ' 7 O o 4 Each ad ivaat iaa gp,,edan over a lstrable 1n any ormralinve /7r1k P 6250 1 :(S3 ) 16 _ J - % Fcc( l r D3 ) erce •- + oq . (' Invoetll onperhour(Ibr ) 62.50 GCB Lic. L ')p Elecerial Li/. .. y k Lic. :3 yil , al PIM PIT h yy�e�}r� 7733.7 p Supra, requited: �► t o(r l l 3 Sabto�i , �� / POI review 0351 of; omit ADO)_ Print rutnee JdL w1 Cr l� t7 � � S J Dom J -- J - I) Stay pe fee): G /� - Authorized li laws ' Tame'IadtMU FEE: i e6 Print name: ` pam a i ia .apps:ndasapinesWapuadis'sto loo a days Ara a Ms sonslid ss s aarl * v N"erber or'I n allowed per permit. f 0=py 06 44D.r6r5T111/05/CmUw® . 87.8-C