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Permit CITY OF TIGARD ELECTRICAL PERMIT Ill Q COMMUNITY DEVELOPMENT Permit #: ELC2010 -00617 T 1G A R P 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 11/02/2010 Parcel: 1 S135CD01701 Jurisdiction: Tigard Site address: 11650 SW 98TH AVE Subdivision: GREENBURG HEIGHTS Lot: 2 Project:. Vezey Project Description: Reconnect heat pump and furnace. Owner: FEES VEZEY, CHERYL ANN Quantity Description Date Amount PO BOX 230299 2 crt Branch Circuits 11/02/2010 $63.60 TIGARD, OR 97281 wo /Purchase Service or PHONE: 503 - 620 -4778 Feeder 1 ea 12% State Surcharge - 11/02/2010 $7.63 Electrical Contractor: BEAR ELECTRIC PO BOX 389 DONALD, OR 97020 PHONE: 503 - 678 -1355 FAX: 503 - 678 -1108 Type of Use: SF 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. ATTE Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 -0 0 through OAR 952 -00 0. You y obtain a copy of the rules or direct questions to OUNC by cabin! I - . 46.6699 or 1.800.332.2344. Issued Permittee Sign • % .` / ' i 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' .f.,_.......://#11/14.11701_ ` _ Date: LICENSE NO. Cali 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- 02- 2010(TUE) 08: Bear Electric (FR)05036 ?81108 P.001 /002 Electrical PermitAoolicatiij' ruic ) :1(.1.:t`t :r)N1.1 ECE\\IVII s,n City f Tigard i Permit Vin.: _IR 131 Hall Blvd- Tim Olt 9722 01 2 2 R �O _ G.� V. • D l Ilan Kctic•t Phone 501639.4171 Pax: 503.59 &1 macaw (ma K-milt: • TI It tr leetirm tine: 503.619. i175 �F TGWU tie It ,�w: son, See Psi 2 far Toler/id: www.Ilganl. s)r G1 1510 , :rwilicalrMc,hal: twtppkmetitA llu .. ,1 t Ij,.1!i"q,.: !' 'e'. A „-'4 :if i . ^'' ' �' ". .. 1�131flLfl%WY�1Yttalli -I O tt ❑ New tamstruction NI Ad dilionlalttxation/reolaccmenl Plow chuWh all that apply l .uhmt ism orphan *n=50=1:111 lataiskl: 0 1aStee or lealtt.iini amp, ur mere D IhriIJmg ma tine Pones. ❑ Dem olition ❑ Other. nhere the mailahlc limit l:um i' DMwlntu IOW hr spy anl% .Plitit blfteitttiQ :1 ∎th 't . q .:N * 4Y ;; iuF s :s.• t7 '' omlk IIr.lAIO imp +al I5U %oh + ur 0 rimming building% Ica, to enwnd, or oveeed, I4dunl ❑ Crmrmerofal -u.c agrifuIrural I - and 2 ❑Commcrcial/induvtrinl 0Access.nrybuilding ,tmp.44. all other in.lallarion.. bulkalig.. O Multl- I"umily' ❑ Masterbuilder 0OIhe'r CI ircpunt. 0lmsallullun .. .. ..._ .... ... .,.. _ ., ,. r. ❑ 1 W u,epanacly .swan. �' Oa .RT►001.11 D 1'y�'I70N J�, � MwtionomennaiInr ❑ - A• "In - I - 2 - 1 -3•. Job no.: l Job vile nddrenn: � W q3 J`'\V C mtau ocwpiu,tt �� • th ❑ tilrt or mrec residential unite 0 itermahalat vehicle Toni, City/StatclLll'"r`\ ('� OIIl [lumbar( sulkies. QSupply%Wimp:6rrmumthan `� • a p I lamNla,s anmliun t NMI vnll. nominal. Suite/bldg./um no.: I Project mine: 0 se+ictur kda tuft amlrwr more... 311iii3ill latliltitticIrlim tt'i Cross street/directions to job site: ,•••n, i sr.. 1 w.. j laws 1 • New residential single. or multi-fatally dwelling unit. include, attached garage. Subdivision: I Lot nu.: 1.000 sq. tt. nr less 168.54 4 fax map/parcel no.: Ea. add'I 500 so. 0. Ur nunhM 33.92 1 Limited amity. wwcaum 71.66 2 p oNi'oRiWd (with ahtwcul.Il.l I.Imlled energy, multi- tunttly • 71.011 2 2PCc'it - W\ CI' Cr ,SIC . c\r \ -PC111/4' (71 tocippori Mld(2,lwl mi. n.t Services or feeders install uIlan. i,ltc amUur relocation Z•k 'l(‘K '� �X`( -&°•,QJ J -tm umpn or Igo 11111.70 • u.i, 4: r ! > ®''',1" a aver; - '1''U �1 : ", 'lt; 2"1 41 t"ta4a"21 '` 133.56 - Name: MOM ur bon amps _I11.3J . 6411 amp,lo 1.000 am* 301.04 AdrIr mr: rum. 4 1HU) unrp. or will. SS7 71. 7 CI /5totd7,lP Tatalwt iry,ervice, ur feeders installation. al teration.audher ty relocation Phone: ( 1 J Fux: ( 1 :olt limps or hies 59.36 l Owner installation: This installation is being made on property that I own which is not • =,S amen ht alto mnnr I :S.Ini intended fur twit. Imtse. rent. or exclutngc. uccording to ORS •407.449.670. and 701. do I amp, to 599 amps 168 44 Rrund, elrcutta - new, ultcratiou. or extension, nor panel Owner signature:. __ ._„ _. y r�}� A. Hee fur Moll cIrcuns with iiE ©� y a > ;Ie w. 'cm olwrAci eta WNWe ski le NA: 111 rr'f.Yl01134 7.42 2 1 : ' slash brunch &null Rtziflats nunie ti. Pee for Munch circuits wp6rna service ur lender fee, firs: 1 n 56.11 51o Vii. 2 Conine t nurse: branch circuit Bach sJd9 hunch elreuh 1 7.42 1. i. j L 2 Address: M Wells seam (service or feeder not Included) , City/State/71P: liuchImuttti,ctu rot ter mi,dukur 67 , dwelling service andtnr Pastier _ - Phone: ( 4 1 Fux: : ) 1 Ka tnnat tmly 67.84 2 Ni Iriitgt ion clrelc 67.84 2 E - Sign or outline lighting 67. 1'1 2 , $ e 7a4NASZlr" MieSCO1tk' ll=0 MMi 1 KIWAV .ae >z;$"C:k AMEit: 2l£ 0it,aul „4„„1 , tv lirahwl ..tkrK; Ciusinestname: [�.(� `p - 1.��1 Hanel.uhcrrrinn.tKc>1uw . hm. I'alet2 - } �}.� r .. )5 `- j Each additional inispectiun over alluwutde In any of the above Addrtas: % r - % Addhinnullnnpccdrmt 66.25: hr City/State/ZIP: lb 46 ``t l a b II ,nr<ar it O r 1 I mini 78 . u hr imlualdul Out I 1 Willie) 71.IA/ hr Mona: (5o3) 45 ` 55 Fu.: (503) 1.6 \\9% Inspections liar which no fee Is 1711.INI! hr � ` pCtvilkalb+ limed fit lirmini CCD Lk.. 20G 1\ Electrical Lk.; 21 I �'L7 Suprv. Lk.: 90P ?' irwE/@i 9Mat jeeritICAutatiGicktrIK {'iImP.:16 a:8:!tcti'i.9i liln +i Suprv. Electrician signature, required: U 3 [r^^ �-+ 1 I'fan ivy lot 025'Hauftiennit Net: Print nnmr � fl v b i t „ ass ,-e-1 I now. \ \ 2 \0 State surcharge (12% of permit feet ., TOTAL PERMIT FEE: . k, 1.3 Authorized signature: Thbr permit apptieutirar rtphet ins permit h nat nblalnra ■lthln ISO • Print name: [Date: • e. daps after It hat been merited as complete. upriver..r i moral MM. al M011..1 owe lrrmis. I ANA ld62JTmnnYiLC -Itrn, Arp.th,c mau to 1l■14n1!tl 114ewllnUwl;l1