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Permit I ELECTRICAL PERMIT „ CITY OF TIGARD D /��- J "� Permit#: ELC2013-00711 a COMMUNITY DEVELOPMENT _ Date Issued: 12/02/2013 TIGARD 13125 SW Hall Blvd ,Tigard OR 97223 503.718 2439 Parcel: 1 S125DB08800 Jurisdiction: Tigard Site address: 7137 SW LOLA LN Project: Harris Subdivision: RAZBERRY PATCH.THE Lot: 8 Project Description: 3 circuits and garage lights. 1/13/14.reprinted to add panel change to permit Contractor: CLASSIC ELECTRIC LLC Owner: SHANKS-HARRIS, COLLEEN R PO BOX 1335 MANCKE, PHILIP R SHERWOOD. OR 97140 7137 SW LOLA LN TIGARD, OR 97223 PHONE: 503-259-0459 PHONE. FAX 503-345-0912 FEES Quantity Description Date Amount 1 ea Services or Feeders-200 01/13/2014 $100.70 Specifics: amps or less 3 crt Branch Circuits w/Purchase 01/13/2014 $22.26 Type of Use: SF Service or Feeder Class of Work: ALT 1 ea 12%State Surcharge- 01/13/2014 $14 70 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 accor ance 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 AT TION Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-00 010 through OAR 652- Oi1p . You may obtain a copy of the rules or direct questions to OUNC by calk 32 1987 or 1 800.332.23,44 Iss ed By: +� CW-All_ !\ Permittee Signatu • W 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. Classic Electric,LLC 503-345-0912 p.1 (� `r FOR01VICE.l SE ON 1.1 ermit iicat >�� VIED Received permit No.:Elcctr�ca! F � City of Tigard oft a 2014 Plan Review Other Permit. 1 S See Paget for 13125 SW Hall Blvd., 'S03'�"" 3 D.,-■ .�+B) NM Supplemental for--I Phone: 5n Line: Deis ell dye I Interact:n Lute: 50 d.or•4175 OE TIGARD PLAN l�vlEw ?J(„ K p Interact: rya �d ar.gov CITY ,, arts w;itetns Checked below): all that apply(submit 2 sets of d 1—L-1/1 t31— .-------.---- Please s or mots ©duiIdiog ovcrtl three sco^� ion/replacement ❑Service or feeder 400 amp D Hennas and three rds. ti0Othei0rdaltoret where the available fault l flodiagbuddinps New construction exceeds 10,000 amps at 150 volts or fl arsiaornialbt5e aYrtCOhural ❑ Other: -----I toss to ground.or exceeds 14.000 Demolition CONSTRUCTION buikl'ng's CATEGORY OF Accessory building amps far all orbcr installations. �installation of l50 KV A or 0 pump. largell separately l5 derived aystero. ® 1-and 2-family dwelling ❑Coaster b iii industrial ❑ El Exam; )syste+t. D��: 4-.=E-.-1._,..,,.1.3.., Multi-family ❑Master builder �O Ci Addition of new motor load of ❑occupancy. 11`FORMATlO°I A1K11 LQCA J00t�T or acre. � atiooal.elriele Wd`x 308 5C!E C1 S,a et more residential was. 13 Reeica vottare for more than Job site addre SS:71137 5W Lola Lane O Halttr care factGtcs. d0D�Dits nominal. —� Job no.: �}{ayardous(ocauons. Cit}T•tState'ZI P:Tigard,OR 97223 []SmKC or feeder 600 amps or ware. FEE SCHFDI111.2 ` 1 Tow l0 Project name: Suitclbldg fapt no.: •• Cross sheet/directions to job site: - New reaideatiel single- multi-family drdlttE unit. lnclodes attacked page. 16&54 1,000 sc.ft.or less 1 � � Lot no.: Ea.add'l 500 sq.ft.or portion Subdivision Limited energy.residential 75.00 2 ' twit'above ..It 75.60 2 Tax map/parcel no.: fit• Limited mem',multifamily DESCRIPTION OF WORK residenti at(veldt above •.ft 2 ..i8 OAP, 911,payment difference •� Renewable En- --s Add to existing permit 1'CZ013-� Q y Set-Amor feeders installation,alteration100.70 or relocation l 2. plus 3 circuits and garage Lights 200 amps to less 133.56 Panel change p 0 TErA�T 201 amps to 400 amps 0 PROPERTY OWNER �— —— 200.34 601 amps to 1.000 antes 301.04 �© Name: 601 amps to l.000 amgs Aver 1,000 amps or volts A — Temporary nen-acts or feeders installation,alteration,a.d/ter 1P: relocation Phone: 200 amps or less 2 Fax:( ) � 1'L.06 Phone:( ) property that I own which is not 201 amps 10400amm t68.5a 2 Owner installation:for s sale, This installation exchange.is eeing made on O`447,449,620,and 701. 401 amps to 599 amps r i act Owners for Sale,lease,rent or exchange,sCt�rding Branch circuits-sew.alteration,or estel�0a+ '• Date: 1,_-- Circuits with Owner signature' "" A.fee for brands 22 26 2 ® C(N�(ACT PERSaI` aho s ece or feeder Pee, 9.1.2 ® APPLICANT `-� eats branch circuit 8 Fee fix-branch circuits without Business name:Classic Electric,Ia I' It or feeder fee,first Comma[name!�nmatt Adams — -- , branch circuit b ob add'I branch.arcutr Address;PO Box 1335 1111tlGCl1lutoaa service or feeder not included City/State/ZIP:Sherwood,OR 97140 _ Eat It uwtwrooutraa or r,od+tar G7 84 Z '�J dvaellin:,service awl/or fader � 2 Phone:(503)ES9-0459 Fax::(503)345-0912 Rdctinrwai only Pump or irrigation circle 2 E-mailt thomas@classicelertricnw.com �---- 67.84 2 CONTRACTOR Sign in outline lighting • Signsl cucuit(s)or limited-en Set Business name:Classic Electric,LLC panC1,dtorativn or eaten+on. Ptc�e Z 2• Face addilgOa l inspeedvn seer allowabk io any of the above Address!FO Box 1335 nddiiionnl inspodion 1.1 br min) i 66 25/hr City/State/ZIP:Sherwood,OR 97140 - Investigation(I he min) 66.251 hr Fax: 503 345-0912 Industrial plant(1 be rain) il 78.18/hr Pbtxte:{503)259-0459 ( ? t lnspecttons for which rto fee is 90.00!hr -CCB Lie.: 1818x+! l F.Itxirical Lie.: C414 I Suprv.l ic.: 533915 spocifinlly listed(!hr min} Is ELECTRICAL PERMIT FEES Sups'.Electrician signature,required:.-•,X .--� SuMaial: ' 1.22.96 i Date: 1/13/14 Plan review(25%of permit fie): Print name: Thomas G.Adams /��,/'� Stllte surcharge 1;12%ofperrmt fee): i 14.76 Authorised signature: e,yL � (L(cC s� TOTAL PER,VIIT FEE: 137.71 r Thin peewit apphcatlon nplres it a permit d lot:MtitrM withi.110 I Print name: Thomas G Adams I- ate: U13/14 days serer n Was exert accepted AS oowpletts • Namber of irspctt�.ti allowed per permrt {1/1tK�c�t5 t:.nuid■ngVerniu\FJ.t-hrritA FL[ERG doe Re,rtX^.l12Jla a4C-061StIl ItOSICOM.t�'FB a•t'>,'1C1.c k a�J[0a Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 7137 SW LOLA LN, TIGARD, OR, 97223 Residential - Electrical 199 Electrical ﬁnal PASS - No C of O ELC2013-00711 Jeff Grove Violation Summary: Inspector Contractor