Permit r ° � e4 "1 CITY OF TIGAR® ELECTRICAL PERMIT
r
COMMUNITY DEVELOPMENT Permit #: ELC2010 -00229
AlGf RD; 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 05/11/2010
Parcel: 2S 111 DD06500
Jurisdiction: Tigard
Site address: 15800 SW STRATFORD LP
Subdivision: STRATFORD Lot: 62
Project: Wiebe
Project Description: Install new service panel.
Owner: FEES
WIEBE, SUE ELLEN Quantity Description Date Amount
15800 SW STRATFORD LP
TIGARD, OR 97224 1 ea Services or Feeders - 200 05/11/2010 $100.70
amps or less
PHONE: 1 ea 12% State Surcharge - 05/11/2010 $12.08
Electrical
Contractor:
SQUARE 1 ELECTRIC
10117 SE SUNNYSIDE RD., STE. F216
CLACKAMAS, OR 97015
PHONE: 503 - 764 -5289
FAX: 503 - 208 -2992
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Total $112.78
Required Items and Reports (Conditions)
This permit ' 'ssu4d . •'ect to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done ' accordance with - pproved 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. TENTI.N: Oregon I- r s you to follow the rules adopted by the Oregon Utility Notifi - •n Center. Those rules are set forth in OAR
952 -0 -0010 th •gh OAR 952 - ' , . - 0100. ou • - obtain a copy of the rules or direct questions to OUNC by calling • :.. _46.6699 or 1.800 332.2344.
Iss ed By: ��_ �t�� Permittee SignSignature:-- e: - .410k, —=rz
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' , . 4 (�� Date: •
LICENSE NO.
CaII 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.
May 10 10 06:54a squarte 1 electric 5032082992 p.1 i
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Electrical Permit APp teatioil
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wi ARD Otherliernit.
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TosPcCtiOn tine: : DIVISION Dote Reedylar. koi..."-tr See Patti for
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a ,,,,, tioliSrillMathodt Strapiernealal information
.d..._ ' 'Ma." ,:,b 7 '. ;5'• ''.1.' ii..--c&; T*..,
Neale cheat silting nFply (Ribald a ,a, of pions cacao chocked below):
0 New cortStruction C Addition/allzrationireplaccmcnt Osavice o t fiats. 400 saws or mans 0 Marling ovor duce nor+ CS.
0 Demolition • Other. w neegthe n.41111716 fault meant 13 Mariam Pod boatyards.
-..., , , ,,. 0,:, - ,,, t;gz , F.T.;'"e ".% 7 :::•::.t.. T. occoodi 10 nate at Igo walla at CI Floating baildirxt
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kap re greutul, Of CRCCCII3 VINCI 0 Commescial pprimitand
0 t. and 2-family dwelling 0 CommerCial/inidostrial 0 Accessory building moo rbr on atter I nolanariune. buildlep.
0 Multi-family 0 Master builder 0 Other: ZIT= puma. Cliestai Witt* of 75 KVA or
hew ecomocely detivod system.
angk 'P' . . ' • 4 ' : " :1 '''' . ' jr"iirgencY "3"".
- ra Additiall encw mom I OW of 1:3"A"."E". "1-2'.1 -3
1 weir nr more. orcupenry
/ lob no.: lob site addrcsa: f 7 S--
) I (-546 irt •- herri
c.... - 1:3 Six OT mom reskieeciol mac Eil Recreational vehicle
Ellierdth-oac facihtiem, [15oopiy voltago Um
City/State/ZIP: 1 f244
0 r- 6. 1 7) y -57 0. Ebtroorelour locations.
mem Sher
t9 , 600 valor nominal.
Suite/bldg./apt no.: 1 Project name: LLD i cgs... 135creire **feeder 600 =poor MN.
Cross street/directions to job site: manotile I Ow. I P. 1 lisiii1
New resideadal tangle- or nontiti-fainlly dwelling oleic
tricindes attached garage.
Subdivision; LLot no.: I.000 sq, R. or lora 168.54 1 4
I - Es. aderl 100 sq. it or portion 33.92 1
Tax map/parcel no Limited enemy, residential
'':::.'="vg$42111047iMt00140:'i.j:.:-.--r!::.:. ---• ::-.':' :-.:.:--14 . F: 6.402 obr sq. ft.)
., -e
1 4, - 1241it ( Liinard =Ix. inolti-famity ,
residential (with above eq. R.) 1
67.84 2
2
. 47 I ec - i t
Servines or Feeders latbirbreiimaltera6on, and/or relocation
200 amps es len 00.70 1 2
\),) ..,.., , :: -.: :.....l i trAttr.NO.fraiVi r felt--- . .. t*..._,.:? . .k ,::: ?t 20 2 1/1 1 Fe le 4 0081ePe
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Name: " ELL..1 N ..) LID t e_6 e--
Address! 40t ems to 600 arnns
60( amass* 1,000 IMTP3
Over 1.000 ar 552.26 cs or rolls
l' 1 .... 01 lj
.133.56 2
201134
301.04
_
2
2
2
Temporary services or feeders imtallalion, alteralion. andlor
City relocation __
_
Phone: ( ) I Fax: ( ) 200 suites or Icse 99.36 .1
amps I
Owner installation: This installation is being made on property that I own whieb i 201 to 400 amps S hot 125 OB 2
401 amps 509 arntel
intended for saic. icasc, rent. or cXehange., according to ORS 447, 449. 670, and 701. 10 168.54 ] 2
Branch drain- new, atteratio or extension, panel
Owner signature: Date: A. Fie for blanch circuits with
-.,. . • ..;. '. - :7 : t .-:=' -, : - !sit.. '' ". 3°" 9Vv5ien rec. 7.42 2
• • . • :• .. ., . .,_ , •.,,, -, _. - -• • „•-..,„ . __.... - , .
ausie ess name.: B, Fee far branch circuits wallow
service et feeder fee,frst
56.18 2
Contact name: Initosti circuit
East edel branch circuit 7.42 2
Addre:
Miscellaneous (service or feeder not blended)
City/State/ZIP: Each manufactured or modular
7
dwelling., service and/or Roder 6 .84 2
Phone 2 ( ) I Fax: : ( ) Roxamea only 67.84 ,., 2
Penn, or irrigation circle 67.84 2
E-mail: Sign ar outline lighting 67.84 , 2
7 . - T• r : 1 4 - ffeaF?;01000. 1 .4 - 1-' 1.. C.: 1 - . ... ; . r ;"'F' ,44 47,;•, 1 :3:-1- . 3:::, 4 ; Signal circuit(s) or limnedeemor
Business name: , C.i ii.43.1 .. , ,,, ...(z A7 ../.. ,....2, alteration, or exams ion. Page 2 2
Facts additional inepeedon over ancrwable In any of Ibe above
Address: /0 //7 1 ,zi - 1 ,__RA4 . c)._ , Additional inspection (1 mm) 6625/ hr
City/State/ZIP: /-/, ,
r r. 4 0 f ' investigation (I hr rnia)
Industrial plant ft lrrniin) 66.25/111
_, t ..rt
78.18/hr
Phone: 9') )7, 7 _ , - Fax: r 5 ) . Crt). ispections far which no fee in 00.00/hr
.. -'fi - linod Si hr Min
CO3 Lic.: , Electrical Lie.: C 0 l Su • rv. Lic.: . it f
- ..../. 1111.111.-I" 4 92111111111111...1111.1.11111 . Subtaid: 1 00 . - 7
Suptv_ Electrician .; a i - required: (0 1 ( 0 Plan review (2S% of permit fee):
%
Print name: i .4 ,.,....- _ - Dracc---io - - 1 e State sumbarge 02% ofpamit fee): 1 4. 0 e
4 ar
TOTAL FERWITI PEE: 40„ agor
Authorized signature: -
MR Pereesappriwirsom.soaree If.. permit to net obi:Timed withal MO
1 - i I der after at hes beers rreeep6a4 as comp/Mr.
Print mune! K (,,y,z , / ) Datc .7 0 ^ Hendee of terpretiosie aBowed per wink
rteulldlneermit6ELC.-Perettepp.dor 1041/09 404fIST(111/65/COMAWS