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Permit CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit 9: ELC2013-00524 T E G A.R E 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/04/2013 Parcel: 2S 102CA00934 Jurisdiction: Tigard Site address: 13400 SW VILLAGE GLENN CT Project: MULLINAX Subdivision: VILLAGE GLENN Lot: 34,FRE' Project Description: (2)branch circuits for A/C and service outlet. Contractor: BEAR ELECTRIC Owner: MULLINAX/VICTORIA PO BOX 389 13400 SW VILLAGE GLENN COURT DONALD, OR 97020 TIGARD,OR 97223 PHONE: 503-678-1355 PHONE: 503-310-9218 FAX: 503-678-1108 FEES Quantity Description Date Amount 2 crt Branch Circuits wo/Purchase 09/04/2013 $63.60 Specifics: � Service or Feeder 1 ea 12%State Surcharge- 09/04/2013 $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 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. IMP ` I Issued By: _ _< Permittee Signature: ► i ice.. 4 ,_ as 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. • AU6-30-2013(FRI) 13: 48 Bear (FAX)5036781108 P. 001/002 'CEIVE City of Tigard lrrrrr„•d t .. {:I_'G sI1 I Ihll Ill+d I n•:nJ n,it v7';:( 11asv it.__...7 1 /3 reru Y N„ 1h.,ae at: , I � 3 2013 l I•IanRenl;.. e��3- ex�saK' Is_-n r ;t1: .n, 1.I,SEP I i ---Ir. I hb.v lyynm TIGARD InapccUt.t1 I Inn 5n;+11X9.11 -- V rl n 13 �3 InscnlC1 s.,ttt Iipril-err 4n CITYOFTIGARD 1'11axdrniI ii. 0 Syri'aRi I 1• x..lrllv.l\lelh.41 �� Supplemental Information _ TYPE O —~� — II , T PLAN REVIEW ❑Nett t;Onplrmeililil dilinnlailelalian/repinee111e111 —T 19c:r.e ih.11,his ihnr apldr IuMmI Z.els apt....ncros.-htt►vd lnl.'••1 ' ❑W1•rii of eh,e -0rin murk nmv ❑nit;blulF mv1!I ce.nvkti I ❑ Delllnll It iilit 1)Iher; I%hole the a%hdahle Shills•'unenr ❑Mauna.AM hIncaub CATEGORY OF CONSTRUI'1QN I.10.1101)amps al 150 vials m ❑Fbuunr Inulrhnra 1•and�•f;tllltlt'dn't lling (�s1ltllTlere tall/Indiicr ri;l) /� ••Ga,ry 1i I•.'.in Frnumt.ess cheerd%13111tH ❑('mmmm;,,1ba.l•nyncolhual ❑Accessory nildin1.! ❑1V111111•l;tlllll\' am .1.11 all I'IIkI nsmallhluht. 14rddnrf• - ❑Master builder ❑()the r; Q I ere laanp ❑1nalill:Dual n115 A VA ni JOB SITE INFORMATION AND LOCATION ❑I'n+elFeniy.catnnn lalEnraµunvl+dcu.�d.cslem1 ❑Addition of new notion mail of ❑"A-.-1..-.''1-2'''1..r. ,Inh nn.: Job site addresi: mil 1k r IIN111Pnr nmrr occIl tnel I': ' P Rlik :Li' ❑Ja.t m mire Iosidcnlial sinus ❑lien minnat.ehmlr 1wrL■ City/St;Ste/7.11 A ae �•• r a17L ` ❑Iicahh-ehre Iacllisses CI Supply vnlihry Ion sN11ell6Ll O l Ia/m inus Illeaauna 8m trills Ik1lWnal Snits/hldg./itp1, nn.: Project name: ❑service Cu feeder NIB amin err more itie,„, Crass street/directions Iiijoh site: FEE SCHEDULE rte. S ,lr,en Ina» _Tats) r. �� New residential single-or multi-family dwelling unit / _ Includes attached garage. Subdivision; �• Lot no„ 1.000 sq rt.or less InM,S. 4 Tax map/parcel no.: Ea.awl 500 sq fi.w portion 33 92 I DESCRIPTION OF WORK Limited energy,residential •- DES lwilhabove�cs -fi,) 7500 2 f ,7 lq 1•Imned rrlergy.multi-family �� -�I _ residential(with above sq.rt.) 75.00 Services or feeders Installation alteration,and/17 r relocation 200 amps or Tess ,00.70 2 ❑ PROPERTY OWNER J ❑ TENANT 201 amps l0 400 amps 133.56 2 Name: ' —' 401 amps to 600 amps • 200.34 • 2 Address: 601 amps to 1,000 amps 301.04 2 Over 1,000 amps or volts S52 26 2 City/State/ZIP; Temporary services or feeders installation,alteration,and/or relocation Phone:( ) Fax:( ) - 200 amps or Tess 59.36 1 Owner installation:This installation is being made on properly that I own which is not 201 amps in 400 amps 125.08 2 intended for sale, lease.rent,or exchange.according to ORS 447,449.670_and 701, 401 amps 10599 amps 168.54 2 Owner signature: Branch circuits-new,alteration,or extension, r and Date: A.Fee Coe branch circuits with _❑ APPLUCANT © CONTACT PERSON above service or feeder fee, each branch circuit 7.42 2 Business name: B.Fee for branch circuits without service or feeder fee,first Contact name: 1 S5� , BEAR ELECTRIC,INC — branch circuit I 5b.18 `2 Address: T �9�s -410130X 300 Each add')branch circuit I 7.42 "1-5,...---2 DOat41 n,GR Miscellaneous(service or feeder not included City/Slule/21 P: CB•2091 9 Each manufactured or modular included) dwelling.service and/or feeder 67.84 2 ery Phone:( ) Fax::( ) TReconnect only 67 64 2 E-mail: , , p t — Pump or_rrigationcircle 67.84 . w i Sires llatir O r _ z . 'TRACTOk Sipe or outline lighting 67.84 2 Signal circuills)or limited.ener1 Business name: - -, 1Jtanel.alteration,or extension. Page 2 _ 2 Address: Each additional inaeeetlon over allowable in anysf the above r Additional inspection(1 hr min) 66.251 llr City/State/7_1P_ o (” 01--•1c^� Investigation(1 hr min) 66.251 hr 1'Iwnc: _I I pC Industrial plant(l hi min) 78.18/hr • e Fa: ` t • } `. -Inspections for which no fee is CCB Lic.: —• specifically listed(h hr min) 90.00/hr Electrical Lis.: Suprv.Lic.; /4,2_5 .ELECTRICAL PERMiT.FEES L Suprv.Electrician signature,required: �/ � n , / r Subtotal: !� �j Plan review(25%of permit rerr- Print name r)�v i Dale; r• Stale surcharge(12%of permit fee): 1 Authorized signattuure: • TOTAL PERMIT FEE: .al_______-Z 1 l Tbis permit 8pplim600 e]plrc if a permit is not obtaineti within ISO Friel t1 Inca C Date: days after it has been accepted as complete, 4� .��_ • Number or inspcclimis anntyed pet ptlruit IrtfuiI l,ry;V`erm,rt\CLC.).,mitAppdac ouornn 41111-463 57(1 UOSICOM/WED