Permit CITY OF TIGARD ELECTRICAL PERMIT
i
't - ': ° - COMMUNITY DEVELOPMENT Permit #: ELC2010-00374
T1ARD 13125 SW HaII Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/22/2010
G
Parcel: 25110DD14000
Jurisdiction:
Site address: 10650 SW SUMMERFIELD DR
Subdivision: SUMMERFIELD NO. 1 Lot: 0
Project: Summerfield Club House
Project Description: Reconnect (2) 7.5 ton, 3 - phase roof top units.
Owner: FEES
SUMMERFIELD CIVIC ASSN Quantity Description Date Amount
10650 SW SUMMERFIELD DR
TIGARD, OR 97224 2 crt Branch Circuits 07/22/2010 $63.60
wo /Purchase Service or
PHONE: 503 - 620 -0131 Feeder
1 ea 12% State Surcharge - 07/22/2010 $7.63
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 $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 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.
4
Issued By: • Permittee Signature: DA) �,C_ (71 w
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 603.639.4175 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.
07/20/2010 10:46 503- 678 -1108 BEAR ELECTRIC PAGE 01/02
Dent Per D ead
7010 �� w Perage ao I �
City of Tigard JUL 2 0 7 ua+e/a .
',,,,„ 13125 SW Hall Blvd, Tigard OR 97223 - ez er ∎ / / `t 2s
phone 503.639.4171 FaX: • 503.59i OF TIGARD
; bnptxtionLirtm 503.639A175 BUILDING DIV ISION
v err
Isntesrtet wwwr tigard-0r g N! R .
tvra or wow Moe ebxtr oA tiers ( a deltas d below): constriction P2 Additionlslterdionlreptacemef CI Service or feeder 400 ampa or mane 0 Balding over Iluen straits.
whcto the available fault emeeat 0 Marino' and ryarda•
o Demolition 0 Other:
CATEGORY exceeds t0, amps as 150 volts err C] Fleabag braddin8l.
OV « r :`� + 1 lassie groom& or exceeds 14,000 CI eammereiat -use agriealaa'al
0 1- and 2- family dwelling v.'. M aw builder p Other: - Commercial/Commercial/industrial [l Accessory building amps for all other era msralla<toas. bullfrogs.
C3 of xvn or
13 F'om PAW separately derived mu m_
❑ Mufti- family 13 Emergency or new =tar Wad of 0 - A "E"'. "1.r. -tar,
J08 SUE 11i8OlRMATlOD1 10011Permaee. Q0 ` r '
rt ' ' _ . cm ,„,, momit s residential saris Recreational vehicle parks. Job slue addt+as: ilk ► tt pleealdro &atrium a supply voltage for more map
ei o � 600 Amin nominal.
City/StM IZlP. • M. R. psaviae a teals 600 Omer err mete.
Suite/bldg./OM- no.: Project: nine SCHEDULE ttNt
DM Seib
Cross street/directions to job site New residential single or atuiu ramlly unit.
Includes attached gm • • Lot ri MI 168Sa � do.: Ea. adc l 500 ”. s X 92 � O
subdivisi411: Es add'i 500 , R. or
Li c aw, residential 75.00
Tax tnsp/peltxl" with shout R
DESCIOP1101 011 WORK Limited energy, muln-rsrnilY IN 75.00 MEI
residential witha l: e . • tl .
it attend= aadrar reloeatfoa
.. ♦ ik lVII * is 'lb' r Services or feeders Mater. ,. ., . t 00 70 �� IL 1 ov n+
* .r 200amps or less MI D T EN 201 10 400 � �a
i. am amps w boa amps 200-M AEI
D PROPERTY O 601. .. to 1,000 amps gui s al 4
��
Name: _ Over 1.000 ampsar loin 11111
Tempurar r smokes ur feeders instsllatloo, alteration, atidlor
Addsess' rtloeatl0n
City/State/ZIP: rel eon or le ss l 2
Phone: amps 162s4 2
Owner installation: This installation is being made on property Abut i own whi¢lt is trot a01 amps to 599 amps
intended for sale, tease, rent, or exchange, according to ORS 447, 449, 670. and 70 , h 1 - is new alteration or extenslun. per .. ad
A. Pte roe basalt circuits with MI
Date: above service or feeder fee, 7,42
Owner siBltmuro� L7 comer Y$�o4'i cash tuanch circuit branch tNtxtils
El
�� B Fee fo or a of w ile a ��
Business Warne branch circuit �., �
Cord= .... .. Each add'1brsrrsa t
Addres UMW s: service or feeder act Winded
Eaeb rnao alratared err mednlar 11102111111 2
/Sta .�— free' _. service men Ruler � 2
City/State/ZIP: Reconnect o 1pr MIN= 2
Pmt:: ( ) Pump or irrigation circle II � 2
E-mail: { ) _ Sint or audit= l;ahuag
ttil CONTRACTOR . Signal elemit(s)ortimitodmencrgY UMW. 2
or ornslo ti
• Each additional aver allowable fir of the shave
Business Warne: 0. `_ e• �►!L Additional . - ' (1 hr min)
Addre:;s: • , 'e. y . .7 lnvest pla(11u min) al 6625 ME MI 1:103
e Indust p lant (1 hr mat) r 78.181 hr N
�i � � ueapecdons for which rw fee is 1111 90.001 hr
p4tOtie: � 1 � ,. /n� C10/611115S-61" � .,,t S I '/S GAL P 1P6'�, _ ..
i IM Electrical Lie.: 1 V Suprv. Litz: I,4 s nbtatak w'+ r
' "1
, r •
saprv.Eiectrician _ a_ � ststtesmel►�(1Z96ofpentritrar t
Date: -- „r 03
Prot aaute:� r 1:i • i � 0 _ ,:� 'jam � Tam PERMIT FEE: 'V wub I, M lee
7hla poolhamesh expires if a permit is cot abridged
signature: p days afar is ba brae aompard as meta.
fi • Number of i ap:diem allowed Per PrIsIR
Pent name:
ea.tatsrttt�
to aAre6re a77e1110