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Permit CITY OF TIGARD ELECTRICAL PERMIT .111 COMMUNITY DEVELOPMENT Permit #: ELC2010 00573 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/15/2010 Parcel: 2S102BA01500 Jurisdiction: Tigard Site address: 12348 SW GRANT AVE Subdivision: Lot: 0 Project: NORTHWEST INVESTMENT HOLDINGS Project Description: Reconnect only. Owner: FEES NORTHWEST INVESTMENT HOLDINGS Quantity Description Date Amount P.O. BOX 1152 GIG HARBOR, WA 98335 1 ea Reconnect Only 10/15/2010 $67.84 PHONE: 503-789-7239 1 ea 12% State Surcharge - 10/15/2010 $8.14 Electrical Contractor: PHONE: FAX: Type of Use: SF Class of Work: ALT Type of Const: Occupancy Grp: Total $75.98 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 • 2- 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. 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: LICENSE NO. Catl 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. 10/13/2010 15:39 5094691296 AFFORDABLE RENTALS PAGE 01 1 0/73/2 010 10:55 503 -, •- CITY OF TIGARD PAGE 01/02 Elect rieaJ Permit A oti en Qn FM; ; i; r r 1 ( ' I t I, City of Tigard OCT 1 3 2010 Reatival D - . . MEM Pcurtit ., . —a) 13125 3W MO Blvd., Tigard, O Phone: 503.639, Pon: Ti .� OtlerPrnnit St* Pipe 2 for . wwrnepeetionri„, ti 593,639.a17 DAMN DAMN Pate RoadyfOr I na; �_ , Supplemental tInformadon Wan= Wan= o.,�d- or.gov , i tiIJ''•• 71'1r letww; 1.':.. :Y °, 7,. V0 :i LttT ti.,` a q,. aKh fe lt i° Plata dank elf that apply (memoir a sets of yl®ra warms checked aelor ❑ New construction CI Additionlalttertttion/replact mcnt p Service or *Wer400 amps or more O Etdldleg over three earner. ❑ Demolition To Other: %Awe the civil] able tkoltewroiN El MOM amtbestystda. amends 10,000 tangs nt150 volts or I:I Mating buildings. less to wound, or meats 14.000 Demotion wtfeulturel 1 - and 2 "ihmily dwelling ❑ ComzneraiaUindustriaF j] As ocssory buiidi»g reaps for all ottaa insallations bta7tEnga• ❑Multi- tiamlly 0 master builder ❑ Other OFire parnp. ❑ installation of 151[VA err Y moms, saw sopa►e+e1y derived eysam • .. 40;0 o ,' - i' , i ; ` > 1<,ClCA7T 1' • ' UAddidoa ofnewmowrload of ❑ -A ", 'E", "1- 2 -.1-r. - . 10011P or more. ininagnacy, Job no.: Jot' a ire add : L2• LW • 9'c' S.W G Bart St• p 5M more residential state. CI R,.....W... J1 vehkk perks. p 1tealIIi Snaffles. 11 Sappy whops for,re►n there Clty/5tAt0l7,tP: �h 4 .( i V - 4 _/ d Flarardeoa laoraiena, 600 Wu Warred. Suite/bldg" /taps no,: J 1 Project rums% O SCT 1CC a feeder 600 amps or mate. Cross street/directions to job site: G ; "� 1 + t 77 § ` � `• , !�� w7 S d N r �� o n �. - > Nov reaiaentlal single.. or molli- fatally dwelling amt. VK10t. i/.. V b r+. 0Y. VA t" . us‘ • . dudes startled garage. Subdivision: Lot no.. 1.000 lt, or low MN 168.54 1:1 • EC, odtl'1500 ft, or ,... : NM 33.92 MONO 'fax map /parcel no.: • Limited energy, residential 75.00 © Limited energy, ratdti -Bmily 75.00 - — w5-4- GK- • e e c k rfc e j C _ - t ttam ' . a >ravc . a 7. $ef,rlle (atlallailea iteration, and /or Mania ,. R,1 wzv hay r a [Q4\j 4 200M08w'108 100.70 p prr • 201 amps to 4w amps 132.56 2 401 to600amps 200.34 2 Name: K•4 hV zirf11re1r� o j Il11" : r + . � ' i r2� 601 maps to 1,000 amps 301,04 2 AddreM: , O _ ;.. X 152 ` Over 1,000 mt or volts i 552.26 , 2 IV/State/ZIP; G i [�Y b r y1! ' Tempel M7 services or feeders instuffatioa. alteratiap, and/or • relocation Phone: (5)5) 7 54- - 72 3 For ( 503) 53 $ /'.-ST 200 tope or Ian 5936 ) 01 map': to 599 amps 168,04 2 Owner inStatlattott: This installation is being shade on ptbpaty that t own which is no 40 t 4 intended for sale, lea , rdi n g to ORS 447, 449, 670, and 70L _ amps to 599 amps )68'54 2 �^ 4 °� _Iona circuits— alteration, or extension, per owned Owner signature': 1iti ;cult, Or or Date: 1 13 - ! A. Peelle bran*? drinks wuh • - about service or 1 roc, ' '.''. Ctl�N11tC'> •Mail4 • caChbtmxl'ttroth 7.62 z Ausiness aamo: ` W , mV R - b i S f 1 - B. Pea tat branc h circuit@ WORM • ) service or feeder Sm. first 56.18 2 C onrad name: �l 'g, _ -5 y .. 1(� fi'„s circuit 7.421 2 Address; S Q i I ores service or fender Sat 7ateind : • each manuibCmred or madalar 67 "84 ? \ , City /State/ZIP: _ - lee and/ar feeder r 8 Phone; ( ) Fax:: ( ) • • mlaet nly 2W 0 'w t+ S . (-0 n. met at t a o n rian rera 67.84 n 67 E -mail: r1O • C�h� I . s;>ta or 67.84 Sited circuit(s) or li lit cknetgv • mgslaws name; - panel alteration, or extension. Poet Each adlaitienal ;steeds over alterable In any o( the above Address: Additional inspection (I br min) 66151lir City/State/ZIP: 11t+on (1 hr min) 66,25/ hr Inds s$al plan (1 hr min) 7118/ hr Ph ( ') 1 Fax: ( ) h'.apeetkrna ter which eo the is 90,001 kr @pacifically listed /Kip mini_ CCB Lic.: I ' =tricot Lit.; %pry. Lic ;Pr'!_0_ - "11111MT'JFSZI:'; ,. r'r • Subtotal: -S' Suptv. Elccdrlalan eisloatur . requi d: Plan review 9.5% of Re lmaalit ): Print name: I Date: r Stow surcharge (12% of permit fee): • V , I Atnthorizod TOTAL P.ERMITPEE: - ZS -IF 11M permit appraaaa wins if a parse w eat • • • ... tetr6's I!0 Priam Warne: Dec: - 11 days attar k bee boas aot�td as coon/1 taumber of iamcdiom amid per parfait. LMattencra eal-e- venshnp?4oe07m111n 40d61Atoir materwso