Permit (239) illCITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2018-00030
T"I c ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/16/2018
Parcel: 28113BA00100
Jurisdiction: Tigard
Site address: 7420 SW DURHAM RD
Project: Durham Square Subdivision: None Lot: None
Project Description: (1)branch circuit to reconnect power for light pole located near the intersection of Durham Rd.and 74th Ave.
Contractor: CONNECTIONS ELECTRIC INC Owner: MISSION HOMES NORTHWEST LLC
PO BOX 7136 PO BOX 1689
SALEM, OR 97303-0026 LAKE OSWEGO, OR 97035
PHONE: 503-390-7914 PHONE:
FAX: 503-463-6863
FEES
Quantity Description Date Amount
Specifics: 1 crt Branch Circuits wo/Purchase 01/16/2018 $56.18
Service or Feeder
1 ea 12%State Surcharge- 01/16/2018 $6.74
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $62.92
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a cop : = ules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
-.-.m._ _- ,....,
Issued By: Permittee Signature: --- - '...----____k
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale,lease or rent.
OWNER'S SIGNATURE
Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR.ELEC' Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
03/17/2011 13: 12 5034636863 lECTIONS ELECTRIC 42190 P. 002/002
• "Jo.. If. L VII IV.TLIIIY1 � IY V. I ITV I + L
lectric l erafi+�ln9i,ICI?
, �' . rc,ri crl l u 1.:tl«.i:t)i.l,a
City of Tigard 1% D I 1 r Mt ze Pcnvi,No.:
' .0 `• ra3125 w 03 NailBlvdTT 'r o 97223 i o jpN 1 + 7�� ,w,.. :„ r$
L,- Other t mail: „4,0 Ito a
. , ,..A ,; Inspection Lino;503.639.4175 . '•rR , /tis: 7 e Sec Paso 3 Por
Intenlat: 'ttM1thv tigord-Or goo 1 ` i." t"."' of Apt
—_� • .f.' ) Supplanamtat ra(erraalivn
TYPE raB�►OII g :.:. :1�iA1!IVw.
QNew construction QAddillon/alteratiai }je t� Plia�sechockal,that atpply(gatbllleenciphlniWhams checked below):
le gemollllun ■Other; 0SsniceorRedar4otlamps memo C/31104in,owthree Arias.
r$ currantere dm available holt currant 0 Maims and boatyards.
417 " T : 'El„ ; ',.-' : '1,5‘-,11 ?,;: wends 10,000 amps at 150 wits or 0 Nada;bvii4lap.
.:),.1: ::. e' ` less to mousse,or exceeds 14,000 (a Commercial-ma a$aicultutat
-01-and2-famflydwelling ►: ommercfal/industrial 0 Accessory building „mss thrall otherinaudi.,toaa, building
0 Tvlultl-famil 0 aster builder 1J Other: la Fire pump. CI lnslausdoa of 75 KVA or
.-_.._.__-_—_-- :IOD Silt'YNFORbfiA ON AND LOCATION O A1nerIono(a - larger aaparatuy darken system.
13 Addition or new aw mrnotor load or 1:1"A",11,"12-."1-3".
. lob no.: Joh site address: 7120 shI ,i,, 100111)a raata. �-
---- 0 Shaer Mixt residenlIat units. CI RtcrKMlanal Teldate Perles.
City/State/ZIP: o' 92 z-Xf'71_. . 0 traalth-eare Wines. (wl supplyvolaaa Por raw than
7 Qllrt.udgwlocations, MO volts nominal.
Sullt/bidglapt.no.: Project name: Qw•40h, 0 SCTvtco or Roder Mao amps or vara. !
"BEE•.:3 Iu-::
Cross streat/direelions lo job elle:•�? � ev/ -, m 1�erartatpa ::•' rot,: 1-"' 0E141 x tat
• yt Near residcnttel Ging e-or multi-family dwelling unit.
. 4/______, ,
� Includes atleehed Mage.
Sltbdivisionn; Lot no.: - t,400sa.It.Or 16854 4
frtx map/patcei no.: /> E adder$00sa.It.orpoltian '�'-302 1
,5i 13 ? .•.., oraanv, . . .
.�,_.. I vN OF*dig. • • . - ; Leith zq•.I} �s 2
- _ "" Looted energy,ulultidhnll(y 75.00 2
At t,Al al `ice r : 1 1 a rasiddelioI Mak above 40.2.1
Seryieea or feeders installationtititeration,andlot reloaatlon
r— Al ,E1-17:411,, -.4)41,0.t..�/'6•{�ktmeN Rel 4-7 st ' 2° Amps Pr Ica.? 100.70 2
® PROPERTY OWMER 0 Ti£NANT ' - 201 au,slp to 400 amps t37.s6 2
-- 401 ami is 600 amps 20034 2
Name:M SSYQIV HOMESNW Gni amps to 1,000 amps • 3or.04� • 2-I
Address:PO DON 1689 Curer 1,000 amts or vein 552.26
cltyisttue rn:LAICE ASW1C�f]/01/97035 'Temporary ureter,Cr feeder*int lla�lon,olleradon,and/or'
relti.4ioe
Phone:(S03)381 7 3 Feat:(503)2!4- 524 ' 200 amps or less 50.36
Owner installation:This lnsteDel(on is being mode on property!hal I Otvn which is not 201 amps tp4a0amps 125.54 2
intended for sale,lease,1021,or a ichungc,according to OHCS 447,449,670,and 701. 401+ 599 mops 165.54 2
Owner signature! -Branch eittniT*-mtwA alteration or e:rtenslan,ner panel
I Date: A.tee for band citetilic with
APPLtcAlVT e.� n cE'Maori. abavo service or feeder t 7
n MISSION HOMES iV ViiAi!tTA ON' ascii branch circuit _' r 2
BusinessB.rlca tor bomb circuits Wilma
Contact Warne;JOSH KELSO �_ . ar rcedartt e,leas I 56.18 .t iS 2
h h eimuit
-- Each edd'1 branch circuli I 7.42 2
Address!PO BOX 1689I1�tne eReouaiservicc or(ceder not included) _
OitY te/ZIA:LAKE OSWEC0JAIt197A3S - Each nwnuteenn�cd or modular 67.$4 2
dallies,service andior reader
P1 one (503)381.3753 . . .. I Fax:.(503)214'934 Reconnect only 6Y7.S4 z
-. — Primp or jailed=circle 4 67.84 2
E+,ma(I:.yOSIIREI.SOaCo01114,041CoM . , Si-noroutdlmlighting 67.84 2
CONTRACTOR Signal circuit(s)or linliledkoetgy
Business mime:CONNECTIONS ELECTRIC
eI allerasloa orexleosion. . 1,__ _______2_,2
Each stdd111otsal Ins retina Over allowable in ears of the above
Address!4675 POIIi7CIAt+lln ED NE 1 -04. dditional inspectlaa(1 hr min) 6_6_,. g.
City/Slate/ZENSALEM/OB/97385j y� sereatigption0 in min) 66.5/hr •
" 3 -Industrial plans(I M inis) 78,11/hr
Phone:(503)300•7'914 Fax:(5 ) 1/43_ 3 . Hapset au no as 90.00!1)1
apetint wily listed ft,i hr min)
CCa Lice: 65444 Eicetrieai Lie.: 242480 TVey.Lie.:36-As ELEcnuCA.I.ilium'PEES
" Subtotal: St,1 I I.
.
Suprv.Electrician signature,required: — - puna rcvlew(25%aflacmit See):
print name; aA.U ti.. rr, r••r30th: -/ �, -State turciarie(12K afpomtit ice):
te
TOTAL PERMIT FRE: ell
Authorized Signatlrr a Mb peiruil appllcidvn opine Ira permit isnot abldbad within 4110
dap alter It hes been led
Print tont: jab': ���ri:J_co Date: /-/,--/f7 , Monter orla!poet ons allowed per Farm t. as mplota.
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