Permit - '. - „,
Il j9' . CITY OF TIGARD ELECTRICAL PERMIT
• z Date Issued: 10/08/2009
' COMMUNITY DEVELOPMENT Permit #: ELC2009 00536
*N►A Vi' 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S110AD03100
Jurisdiction: Tigard
Site address: 10621 SW MURDOCK ST
Subdivision: • Lot: 0
Project: Marsh
Project Description: Kitchen remodel
Owner: FEES
MARSH, BONNIE S Quantity Description Date Amount
10621 SW MURDOCK ST
TIGARD, OR 97224 4 crt Branch Circuits 10/08/2009 $78.44
wo /Purchase Service or
PHONE: Feeder
1 ea 12% State Surcharge - 10/08/2009 $9.41
Electrical
Contractor:
STEIN ELECTRIC
17375 S. SUNRISE LANE
BEAVERCREEK, OR 97004
PHONE: 503 - 784 -5054
FAX: 503- 632 -5096
Type of Use: SF
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 OAR 952-001-0100 . You
� n in
may obbtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: - -4 J4' OV'tw` Permittee Signature: CIA-- ad3LCCL li--0
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 an inspection that business day.
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.
740/07/2009 22:48 8325096 STEIN ELECTRIC PAGE 01
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City/Stele/ZIP; a. ,,f 41, 0 R dth• •se moilittos. 1 1 swvlswhin" ref mo.. lb"
/ .. el tnpeardese toonriona. d00 volts swami.
$ Rp(, no.: Project nano; ! OIrvim er hot* see or aloes. _
Crops street/directions to job sites .rg
aw reddesttal iktglo. or match . - y dwelling unit.
Wades t ::_,,
3ubdivist0ot: 1.ot no. ! 1,100 q. h. or loss 1111 168.34 1111 4
Tait rasp/parcel no.' -- - -- Ee, etdd'I 500 ... fl. e► portfon 33.91 I
tD>1�>c"flT!'B ftf W► 1Vtlhtfe Limited energy, rare a 111 67.04 II
energy, multid niily
�` - �v` (AAA - mired ener tw,iaattw (M *eve eq. a.) 67.M 2
c_ua, • lead Intel tten Alteration ad or Mama . ,
1PRG1rdFlTY OoYlYgO 200 s to two 100.70 2
. .4 , _.- MUM 201 alnt�p to 400 amts 133.36 2
Nauss: 401 ,. a to 6000trt , 200.34 2
AddMen: - .01 - .. to 1 00' ., , -Imola. 301.04 EMI 2
Over 4000 amps ar votes 352.26 1
City /9tm /z(P: Temporary anima or feeders itygdiatlon, alteraMoe, tor
rel000donl
Phone: � -- - --
Phone: ( ) FIN: ( ) 200 . or last 39,36 ' 1
Owner insbiletton: This Iaetallation la being made on property that T ow which is not r' 400 , :ice= 125.08 -
Mendel tae sato, low, rota, or exchange, oeeording to ORS 447, 449, 670, and 701, 401 . - 1°599 168 11111•111d
Owner signature: Date: i1 .' ti: zu.,d t .1x1 7 �: ; . I
• A. Fee .r • rsn • oho to wl 11111 111
CI AP UCA.NT d CONTACT ?MON above eorviae or heeler 640,
Business name: oh ai Ir
Coeltect name: 11_1111 14 Address: Bali edd'1 branch cheat n! 7.42 2 , .4 2
-_ """ ' steam or ■ eder tnOfvd
City/8tstsl$PP: EaeI manic atur ot walla
Phanc: ( ) RtDt; : ( ) RwaHit►g, salvias Wier feeder 6114 2
_ R000nnwotonly 67.84 2
Ern 1: Puma ar irrigation elude 67.64 1 2
C01081/4 50 Oft masa *Um 1
also= rim: ,A t �sv S S C_... 881 1 NreWt(s) Cr limMtea• 67.81 2
Address: l - A. s . 5e._ extension. Desalbetaroti'- tin, or trogo 2 2
City/Steto/ZIP: 6t?G,,.V is ' t` 5 e2._ OR, `AT CCU h 0dd1tlonsi ino .o over a • - IA, to a of the a • •
Pltotrc: ( ) -1 iv ( Par ih inn 1111111 66 11.11.1M 11.11.1M ? ^ S p S Ira 'o ( ,,3 ) b 3 a.". rJ Q q L. hwadpdion pa hour (Hama) 66.25
CC'S Lie.: ' L00 5 ✓ LI ifb - ? c 9uprv. [.is -: 31 � Industrial gavot par, how 71.14 J
l en t R14tctMclan 6 required: % 4w l 8
Suprv. signature. req _4.. L i r.' subtotal: INEI
Paint nattto: 5 fe , - , Date: /O O • Plan rot!, C23% Otperrryl(1Mr):
stato
Authorized eigteehm: arec (t2%ofpawtit me): 41 'al
TOTAL PW t1T Fes: a 3-
Mid norm Date: TOM permit appanarke tepees No owe ak b eiie ebaies womb too
fair elan it km ben moved ra eemplert.
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