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Permit CITY OF TIGARD ELECTRICAL PERMIT ' ' a COMMUNITY DEVELOPMENT Permit #: ELC2010 00120 J 1GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/12/2010 Parcel: 2S111DD06400 Jurisdiction: Tigard Site address: 15810 SW STRATFORD LP Subdivision: STRATFORD Lot: 61 Project: Morris Project Description: Add /alter (1) branch circuit for bath remodel. Owner: FEES MORRIS, RANDALL & GLENDA Quantity Description Date Amount PO BOX 23572 TIGARD, OR 97281 1 crt Branch Circuits 03/12/2010 $56.18 wo /Purchase Service or PHONE: 503 - 399 -0411 Feeder 1 ea 12% State Surcharge - 03/12/2010 $6.74 Electrical Contractor: 5 STAR ELECTRIC INC 4676 COMMERCIAL ST SE STE 242 SALEM, OR 97302 PHONE: 503- 399 -0411 FAX: 503 - 399 -0418 Type of Use: SF 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 •AR 952 - 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.600.332.2344. i Issued By: .....-41 I . v 0 _ • A • •_ + i 1 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' � n _`,• p Date: LICENSE NO. `UC 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. 03/10/2010 19:01 503399. =`p IV F 5 STAR ELECTRIC INC PAGE 01. /01 MAR 12 2013 ee � � ' e �'L' � �'R 1A'�,f�fi yy�+ ry3 er I A on . .0 ' » ,' ,. : , , I ,ll ;ltil Ir 1 . :IP • ■1, l Its �. , 14 „ ° ,.E ' 12y iTY OF u bviso L GARD . C of Tigard f . l�i'Z�lt��� � a (3129swHa11t3wa., , oR � b ee/n : 1 o,nerPcrmlk:plu ��1 /G ,'• r;; Phone: 503.639.41 Fax: 503.5 960 r vast i far Invention t,lnnx 503.6394171 bete Reedy/0y: Jun � � �: } T l Nonnod/Mmhed: 1 , M 1 °tatNo . Internet: Www.(I�anttt.?G - • 1 , TYPE OF WORK PLAN REVIEW ition/alien /reply anaYlt Pteese cheek ik all chat apply (submit a nee of plots w/Igmi Wow); ow): a New 0an9trUCtton � tenat 13 S erv i ce or lboaet400nmptormoe C]Naildiagovertlxeesmrtml. Q Demolition CI Other _ when the avahottie Pour current ❑ Martina and boatyenb CATRQORY OP cossutocrioN emends 10 amps M 130 rota or ❑ Meting b,dhliapt tan to wend, or eseeedi 14000 ° Comm ial -on atricuheral E'(: and 2- famliy dwelling ❑ Crnntmmrcl&Uitulusttial 0 Aoccusory building moon far nlimlwr ineentstbas• wilding!, O Ilk pan", 0 tnsunnien of 75 KVA of ❑ Multi family [] MltstetbgiWtx 1:::1 Other: 0%manual view larger moroetelydoew«t«ysiom, JON Sin $NFORMATRON AND LOCATION ❑ Addition of now motor bat of ❑ "A ", "ii", " I .2", -1.3", tamp of mute. motivator Job no.: Job 'Aire addres9: / r' SW .92fAriagA Up ❑ so of wow wildeefial unit, ❑ Reaasennel ukulele Wets ❑ fie f ankor . 0 Supply volthp Ibr man dun CitytStateIZ.(P: _VA "' a..e� per" 97Lv 0Itattronrstreulnm. 6tgveh.aeedaat Sultc/bldgdept, no,: f Project Warne: ❑ SaVIca or teoder 600 • ,. of mere. PIM SCHEDULE Cross stro0t/dilreotions to job site: ct & ' . - - -- an. rod New r4M4 eKel elegle nr routtl fatally doodling unit. , includes attached R ll g e . .� Lot no.: 1,000 I). or tries 168.34 4 Subdivision: _ Ps. WI 500 eq. O. or portion nazi I 70x map/parcel no.: Limited energy, oneidomlal 11:411111110 DESC1tiPTION OF WORK with abovo. .0. . Limb - , energy, mal*.lbmtly moollilli 4 ^ �,,/ raddennal (Nil .. • o . R �: I171�T7�arer�aA� • : mop or f,;,;_a, , tan do 4 alteratlo • ONO, raincat6oa ° /?9 t''e -$Osi r CSC r NI 1 Aiss F' ` #41/44:1' 200 am.• or ton lam I0u. —Q FROPflTY OWNER 0 TENANT - 201. dope to 400 am MIIIIIIEB3 -© 401 amps to 6001m114 ?A0.34 IMMQ Names b./usi 0- ei00 inch Pr 601 amps to 1,000 amu+ =I IIIIIMIIIIMEI Address: 58f0 511J • i LP ova 1,000 amps orvolts 552.26 2 Temporary wows or radon Installation, alteration, andmr City/State/ZIP: .� jd 41 0,4 0� ' �2 Mona** 111111=111111101111111 ` Fax: ( ) mpi or loan Phone: ( ) 200 o 201 . to 46u . -Q Owner iltatftllpttan: This installation is being made on property that I own which is as to armpit to 599 amps 1611.3 2 intended tin dale, Imo, rant, or exchanges, wording to ORS 447, 449, 670, and 7()1., math dreuits — now eiterado or ,.., • • art - Owner dignaturm .__ . Da' - A. Fee 'n. banish novella with C Q t+rrAer PR1tSON above mei= or (cedar fee, 142 � II Iw APt'LICAN r each hooch clmun le - ,r Irene circuit, wlrhoni Buainaall nittnc: A ff s - S gamine or Wet fen, Stet 56,18 MI bench circuit Contact name: . f�ty{/J~►.t 11111•N© Address, /(93Q std) '• , ,. / hi OV Q , ,eV aeeoaa stroke or feeder ant Included dwo3 manull a or modular 2 City/staurzlP: (( OS�/� o log. 97d dwtilki =Woo ankl/ur tbalcr 69.81 =NIB 2 Fax: ( S6 3) i 4 4 3 60 Recnnneet on, PhonC: ) �� -471( Fa Pump or Irrigation circle 67 ,84 � � Eon** 04? disaNdrb rst/4 • co", Sign or outline lighting CONTRACTOR Steno drau6) or Itmttcd4notgy 1111MINIE alteration nr crtennon. 8u+inesa Warne: 0 5744. t a T ' L b additional in . , iron over allowable ha a • 4 of the a . , r� ,ltd Additional inapcellon (1 to min) 00.2 hr im Addrcs� � �9/J1 COW MN •_ investigation (1 hr min) _ 66.25/1v Ctty/5tatc/ZIP: s/ . ew't of Q73Q 2 " tndaatrial plant (l ix tnlnj 78.18f 1u -- r ) 3eh,e e 64$ ra n .... : for which no (ee is 90 fa nr 111111 Phone ( ) ?� ' / f ham' 17 e, • &rah Ilsted In min $ 1 q5 Electrical hi Olt m • , ELECTRICAL PERt IT1 FEES to Cal Lk.: rir ' � � � 5nbeoml: Suprv. p1CCttiCie0 Sitpatbr6, T04Ut(0d:' ti • i '1 1,111// review (25% of . •• it rely • Shoo sutohattSe (1296 Of permit lee): 1 � Print name: Z� t ' c: O TOTAL o pcnnt FP.E: g;••i i m r Authorized signature: Tuts paw& wookanon entre if a pow' It Is sot , aid rdtbia lSa dove titer it has We nonepted ere aoatplMd Date: ' Number of inspections allowed tar permit / _ Print name: l( � t :�eaeeln,nrtrsderil:wrareGMr� des IQ,n1I09 sn0sdt5Y:I /05COMAVpa c)(e 1 &o 40 cQ s a,nC\ ce\re\ pri\ n-� Yo 0 :30tld 91:19 0V10/010Z 056186;001 :01 MOH uols::a.d :t 01