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Permit i$(` �' ' CITY OF TIGARD ELECTRICAL PERMIT dr d q ` a COMMUNITY DEVELOPMENT Permit #: ELC2010 -00155 i Date Issued: 04/07/2010 :.T . I G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 1S134AD03400 Jurisdiction: Tigard Site address: 10945 SW 108TH AVE Subdivision: BLACK BULL PARK Lot: 12 Project: Project Description: Add /alter (2) branch circuits. Owner: FEES FRISCH, JEFF Quantity Description Date Amount 10945 SW 108TH TIGARD, OR 97223 2 crt Branch Circuits 04/06/2010 $63.60 wo /Purchase Service or PHONE: Feeder 1 ea 12% State Surcharge - 04/06/2010 $7.63 Electrical Contractor: HEBERLE ELECTRIC 29012 SW EGGER RD. HILLSBORO, OR 97123 PHONE: 503 - 628 -2095 FAX: 503 - 628 -3076 Type of Use: SF 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 thro h 0 R 952- 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246 6699 or 1.800.332.2344. Issued By: llA_Q U ' �)� Permittee Signature: 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: I— - LICENSE NO. Cali 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. {- 04/05/20100 09:17 g�y 50362 d 83 ©76 HEBERLE ELECTRIC INC 01 EO cfflC8� Permit �1ppAitcRItIUI1 lT I r j } ^ }} 1 iI s a :11:- 1COwon I(1 a tit? P)tihl t } � �''. ,4a n . H ., . . .N .tom. „4, kt, . • _ ..: ,. i r - in . . t •fo r ` f'P,ivAlt. ; "� T. . 1 City of Tigard Received Q) ' " 13125 SW 1 -tall Blvd., Ti ard, OR 97223 Untc/13 ' J Permit No.:� l \ )/1 Ln Q L Bt. 8 APR 0 5 2010. � MaRc Review �ei/ v(�V! �l Phone. 503.639.4171 - Fnx: 503.598,1 960 Date py: ("dim- Permit; inspection Line: 50 ?.639.4175 � 3 � f, I)at Rw1dv D t i,r -11V CITY .>f B IGARD !a 9eol a - 1 M Internet: www.tiplmti•or. I r .: ° W,r Nnh t T fled /Nettled _ „La Ili jih ftl ",imi t tyl Supptementnlln(nrmnNnn • C7 i pt . w Rl[� o — ' , / [. J?'LAP'T IREV:E* ... . New cc:dig ruction /4Addit .ionieltcretionh•CplACerllcnt Plea NC ahcck an chat apply vtbmit s plans PP ( 3 pans vulrems chocked Imlow): © Demolition ❑Other: m Mn 0 Sort•ioc or feeder 400 P rop% or mote 0 r iu nrr o ver three smrica, whore the mailable fault current El Mn rind Mntynrds, C,A of CONSTRUCTION exceeds 10.(100 [imps at 150 volts or P ❑ Floating buildings, 1 and 2- family dwelling 0 less in ground, nr exceed, 14,000 Commercial -use agricultural 1 g ❑ Commercial /industriat n Accessory building i amps .(or all cqur installations. buildings, M ull.i- family ❑ Master builder I I ❑ Other: ❑ fire pomp, 0 Inntnllat on of 75 KVA or . . • JOB Slre;h'' B OORI 1[A' 'T AND tocA'1<ioN. iiii ( Emergency systcm, trigger separately derived vyvlcnt. in Addition of new motor lend of Job no.: I JOb site address — 1°°/ or mere, occupancy. City/State/2,1P: 0 C' � � . 3 Si x or MOM resieeutini units, 0 Recreational vehicle parka, -• �' _Y / ❑ T'IeAI(II -Care 4RSililinn, . LJ Snpply voltnga far moro tltnn C.f 19nzArdous locations. 600 mlta nnminsl. Suite /bldg, /apt. n o., Project nalne ❑ Service or {ceder 600 amps or more, Cm9s strc_Jdiracuons to job site: � . — FEI h;' • _ ` 1 y �� -,---- .— �• Jtnnerl�,tinn �� cm. GPe. 'tMnl.., —, II New reslticnNRl 91tIRtm- or multi-family dwelling snit Includes attached ttatttRc. Subdivision: _ -..__— Lot no.: 1,000 sq. A, or less i J I6R.54 1 q Tex map /parcel no.: — Ea. ndd'I 500 sa. ft, or portion i 33.92 — -• :� mired energy, residential i I DESORPTI M,, WORK' _ (with above s . R. 67.13 4 ( 7. _ — ,..,�_ . - Li energy, multi - family I J ..• —. C 1 M � G7. residential (with above a c t1 ' I 7 _ „ Services or feeders Installation Mecca nn gad /or relocation J 2COam,a nrlcas • —_ ROP TY • „ ; R T1 M1T 1 100.70 3 56 Nami � ____ Y_ ; � 201 rmps to 400 nmp� 133 � amps re 600 a; n p 3 200 3n A.ddfe5s: 601 amps to 1.000 amps 201. 2 • Over 1,000 amps or volts _ 552.2G� City /State /.ZIP: Temporary — " J 2 n erviecn or feerlerg lnatallntian, nitoration, and /or Phone: ( ) _. - - relncatinn ,—„_ �� Fax: ( ) 200 amps or lass I Owner installation: This installation is being made on property that 1 own which is not �~ p� 0 400 stztps I 125,08 , 401 am 3 to 599 e t I 2 — 401 amps amps J 168.54 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701 Owner signature •` —� -- _ Date: I B rinell circuits - ne Hlterltf at cxMneton, (Mr panel L 1: APQLTCpNT ......-=.' ��° I A, Rem for branch circuits rr'tl/t 1 M CONTACT 1vJ7i R�yt) V I above scrvine or f f Business name' '� en CT ee, _ each branch circuit _I i 42 2 , —F., C �� I D. Fee for branch circuits ont name ! trirlrout ^c,v%por feeder fee, v � , _ 56,1 R r Address: � �6 firer brdnall cirouit I I " l 2 • (_?_\__...16 I �— Each add') haunch circuit ._ 2 City /State/a P; / d1iIRCOtInnCnun sere - i i 7.42 I i /� — ] ( ice nr ftcder not inclndetT �� Each mnuufacomed or modular Phone: ( ) ( ) L I c7 84 - +Fnx --- - — tiwcllinR. ser��cc aryl /ar feeder Reconnect otil E - mail: ` — ` } 67.84 I 2 �` Pump or irrigation __ircle CONTt1ACTOR 67,84 z 1 Business n I Sign or outlitne lighting — name: HEBERLE ELECTRIC, INC' — � � 67.84 — 2 S ignal _.... t(s) or limited Address: 29012 SW F GGER RD - .. cncrgv panel, n .ltcmtion, or -- __ c .enaton, Describe: .LSBORO OR 97123 _ — �� ` —" City/State /ZIP: HIL Page 2 2 inch nddittnnal lnnpcctlnn ever nlfnvrahlc In anv the shat o Phone: (503) 628-2095 — -- — I per it ispc�iion _ — I Pax: (503) 628 -3076 I 66.25 CCB T.,ic.: 152342 Electrical Lic ,: 34 - 160 investigation per hour (1 Irr min) 1 66.25 - - -. -- C _ rSupr Lie.. 3053 - 5 investigation plant per hour 78.1g Suprv, Electrician signature, required: — " -- -- � __ _� .'�I r 1 t 1 S' — Print name: JEFFREY l,. HERE. 411.P4 —_- �— $ubtotnL Date: / �, P review S "/a �/ /sv (2 of permit fee): '- athnrired signature: surcharge (I2% of permit Fcc): 'tint name: JEFFR.Ey L. EBERLE �'� TOTAl. P MrTFT F . _ - - -• ----` i. � ' 1 ` � Date: 1 `I permit an eapleca If n permit is not ohtnined within I841 f pct por Rnn1"a,rermtmv!1_G•romllApp,Onc 14 01/09 '—'��- dRyt1 after It has been accepted Number of ins 1n d Ill cnmplen:. .IAA- A /lr(YII /n3�c:n (WEB !lowed ntit. -- . —•-./, �6 wc `(