Permit 74 q CITY OF TIGARD ELECTRICAL PERMIT
`': g '; COMMUNITY DEVELOPMENT Permit #: ELC2009 00610
T l GARD 13125 SW Hall BIvd., Tigard OR 97223 503.639.4171 Date Issued: 11/13/2009
Parcel: 1S135BC00500
Jurisdiction: Tigard
Site address: 10770 SW CASCADE AVE
Subdivision: Lot: 0
Project: Harley Davidson
Project Description: Change out three phase ballasts.
Owner: FEES
JOHN DURBIN & ASSOC OF OREGON LL Quantity Description Date Amount
10770 SW CASCADE AVE
TIGARD, OR 97223 1 crt Branch Circuits 11/13/2009 $56.18
wo /Purchase Service or
PHONE: Feeder
1 ea 12% State Surcharge - 11/13/2009 $6.74
Electrical
Contractor:
BEAR ELECTRIC
PO BOX 389
DONALD, OR 97020
PHONE: 503 - 678 -1355
FAX: 503 - 678 -1108
Type of Use: COM
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 952-001-0100. 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: ��,�. J J Z ,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' A
, 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.
• NOV 10 - 2009(TUE) 09: 36 Bear Electric (FAX)5036781108 P. 001 /002
Electrical Permit ApplicatiolRECEIVE 1.. " . FOR OFFICE USE ONLY
City of Tigard `' 0 2009 1'rntti Na,; � t
ms's 131 «5 SW Hall Blvd., Tigard. Re :cited
N V llar �h._ S • i'lan How.' i Phone: 503,639.4171 Fat: 503.59H.196u thhcr l'ctmn:
::::::: TIGARD Ins Line: 503 CITY O F TIGARD DIVISIO w h r ll y m Ser Pa�c3 fur
Intrtn 1: a1,cw,tiFarrS -ot lint II LDING 'llcrtn l Supplemental Information
TVI'F} OP � \' RI Oit PI.Ait RF; \71:q' 1
New construction - - -..- -- Neale the& 911 Ilia' apply (submit j rots nrptunr maims dm:mit h k
❑ �, 1Jdittultt stltcnttiun /rcpincvmcnt
❑ Demolition ❑ Other: ❑ Service or feeder400 amps or mute En UuiW(ngt tom duce statics_
s. ictc the available fain salient ❑ alminas and boatyards,
Cr\TECOILI''OF CONSTRUCTION caceeds.10.0o0 amps lit I5) Molls lit ❑ Mauling Iluildings .
less to gruund, or camas 14.000 ❑ Conminciat•uss aencnitmnl
161- and 2- family dwelling jig-Commercial/industrial ' ❑ Accessory building amps for amber inamlutions. buildings.
0 Multi - family ❑ ..luster builder 0 Other ❑Pimpump. (2 installation of75f:VA. to
JOn $CCk ; [�iF01t,�1A'1IQ\ ,\NiD:.LOG \f101 ❑limoncncys}uem. tamer scparaelyt!miscdr)stmn.
❑ Add itian afnnrmoor load nf ❑ i1:'117, "I "I -3',
Job no.
1 Job site a ddress: 0 ` \ p i0ultpm ctcupartc),
l � � V �W�� t`�� a P 1 � 1�,, � ❑tits nr more rcsidentinl onus ❑ Reerc tlonal %abide tusks.
City/Suite/7.1P: `e. 1 _ St * ❑Ileottb- carefaeihties. OSnpply voltage for more
❑ I Iamtdous locations. (1011141n nominal.
Siihc /hldg.apt. nu.: 'rojt:ct mute: j u L1 (1 v Sea ❑Seeks yr realer a mps or more
FEE.SCHE:DLiL 't
Crass al rcct/ Iircclions to job site:
_ .1 - LIL•;7101wat . ,�ytl 1 Vn. i T.al
New residential singly or mrd U•l'unrlly dwelling unit.
trictuitcs attached garage.
Subdivision: 1 Lot nu.: 1.000 sq. ft. or less . 163.54 r 4
liu. Will 500 sq. It. or portion 33.92: I
1 UX num /parcel 11o.: Lintitcd.enef)y;1l idantlrll
D£SCl2i i"170iC> OI:.�VOltl„ (Mile above s,: tkJ
67.1W
—__ Limited energy. multi - terribly 6754
Ala %r• 4 •,S r �M . ,' residcntird (with abase sq. fi.) .
- - • - Service or feeders instnitatiuf anent on, and/or rcloenliu
200 amps .urlass 100.70. 2
'0 PROPERTY: OWNER :: . . .. 0 TENANT : 201 : to 400 amps 13336 2
Naito:: l .101.amps to 600 amps 200;34
601 amps to 1.000 amps 301.04 2
Adtlrcgs : - Over 1 :000 552:24 2
City/Slate/ZIP: Temporary or feeders htslalfation. !Manakin, and / r
relocation.
Phalle: ( ) lux:. ( ) 200 am(is4r less 59.36 1
Owner Installation: 'Ili s installation is brink; made on property that I own +•hell is not 201 amps to 400 amps 125.08 2
intended for site, leak. rent, or ccchatlgc. according to ORS -147, 449, 670. and 701. 401 s to 599 amps 168:54 1 2
Ilrnnch circuits- new: alteration, orcrtcnsinn. per panel
Owner :
' �. »._.. _.. Date: A. Fee for hranclrcircuits t4ir /1
'•:- ' '"'s tt 0,1PPtICA,N 1 '- ,0,CONTtC1'PERSON': above service or. feeder fee. 7,4« '
each branch circuit
Business sine-ss name: 11. Fcc forbranch.circuits P
�,. Cnnl:t ct Hume: wirhourscrvicc or feeder fcc, t 56.1.4 10:1 D
first branch circ'ul
rlddress: Each 444'1 branch circuit 7.42 i 2
,ltheelInneuussecrvice or feeder not Included)
City /Stole! %II': lash ntamrfacluted or modular 67.134 1 -,
.
d oellir see icdimdlur fecdct
Phone; ( ) Fax: ( ) Reconnect only. 67.1W 2
1: ntait Pump or irrigation circle 67. 84
COti"3'1NC1'OR Sign or outline lighting T 67.34
u er nes% aunts: _ oS` z �� 1�1 energy pn :thermion; lea! •
ll
�\1 \ ref .. .... , . ..
('� (��, �j � energy panel :thermion; air
Address: 2 i ` 'r J + r , l : 7. ,'X `` c _ su:nsiun, lkscribe: . Page 2 ''
City/Staler /JP: ` tQ CO��� Each- additlnnal l n%preuun over allow tale in env o r a t e above
V ` y
Per inspection • 66 25
Ph )hone: ) l' I't : { C/�Q� �7 0 ..
one: .‘,..^--'
� , l ► . • • . J � - �•dJ ( ] � � . 1 J jt 111VeStiflati011 p er hntlf () Its min) — ' 46.
Cell 1Jc.: • 4 Electrical L.ic.: -101 rv_.I ie.: `'1 gals Indnstna l tIon. crhaur E1 FC1It1C, \L 1'E 7IUX
Nay ' ' rL'1l lr IrEES a t ,. ,. Ti .
Suprv. Eli:etrl:anu Signnutn, required: . I tin hlot l: • (U,
t Plan tevicw (2576 of permit (cc):
Print name: j , S •t it 0 /, Owe: ii ` - • 5tntcsuiiat (129 of (x:mttl fcrX b L4
,AutNurircd. ^.ignawtt: .rOrm. p1 =Rh11T FEE: . to L -,
7
- - Te6 permit amines Nail eantres if a tsermltis not obtained sslhio Ian •
Print matt:: Date: • daps after 1i !mu bran accepted au complete.
. .. • • !:umber or in.peetiansallirmed pert+ennyl.
l.' 1Wilsiey'iYeaiut111ii.C.Pt,n tAm'do,:•10(1101) ;,n - a.I I(I tr'oxti rods
cla-Q_OlV 0 i. C— CAC,.