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Permit CITY OF TIGARD _ ELECTRICAL PERMIT 74 ' = '' COMMUNITY DEVELOPMENT Permit #: ELC2010 -00661 s xY' Date Issued: 11/23/2010 TIGARI?: 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S102C605700 e Jurisdiction: Tigard Site address: 13045 SW GRANT AVE Project: Halstead Subdivision: WINSOME TERRACE Lot: 1 Project Description: (1) 200 amp service panel change Contractor: GARNER ELECTRIC Owner: HALSTEAD, ERIK & KAREN 2920 SE BROOKWOOD AVE A 13045 SW GRANT AVE. HILLSBORO, OR 97123 TIGARD, OR 97223 PHONE: PHONE: 503 -648 -4552 FAX: 503 - 642 -7925 FEES Quantity Description Date Amount 1 ea Services or Feeders - 200 11/23/2010 $100.70 Specifics: amps or less 1 ea 12% State Surcharge - 11/23/2010 $12.08 Type of Use: SF Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $112.78 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 95 161 - 0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. J{ a/17 It P6/( Issued By: � y 7 � P ermitteeSignature: lll 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 503.639.4175 by 7:00 a.m. for the next available inspection date. 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. FROM :GRRNER ELECTRIC FAX NO. :5036427925 Nov. 22 2010 10:17RM P2 Jun 29 2010 12:54PM SHELBURNE DEVELOPMENT 503 - 692 v.1 �' :. rl tt I l ' 1 i} i ' \ . fee F!C 1 li It 1 ® od., / /r 'lQ� ��.� �� ��' rornnr N,L�rr j —066/ . City of Tigard __ —.... 13125 SW Hall Blvd„ Tigard, OR 97223 Phone; 503.639:4171 Fax: 503 59R.1 - 4 mesa Review /1 / aharPt.mit: �._. _ f,,,. _, ---- -.,..- -,.�.. .. 59R.1960 G �1" _ er ma heir i • See PPae T tm Inspection Line; M.639 O 1► � C � t d/ntHbod �'r „� �4��roontul loformsH, interne: tvww,llga d Ur, . , a Sro e x r en;Tn, ,, 8 X, ',,. t '' , r r. r r ' z., � • � '.f ^ ` 7 } d 1 a � r`r��r ;� , t �i e r, r �1r w 5� w � r dd 1i 1 7 I f 7 0� (( . , � , M 9 r � r , 1 4 , . 1 . t. Y . ,,. w k ; IV Oh' fiOni ., 1....,w,n1 .arrly „ iO ., t. �' , H Ai . 4.o. 1 , : Y r : , ,, ..ti1x errr• i , ' P AC* all time apply (solaria ; of plans editemx nhpch hole , 1: ,. .. , ;r , ❑ Del, ruction e, Addittcm /alterativnlre 10etnent p g or fax& 4.3.0 Nara or mnrc ©HailAin4 n�er thrtr 'r . ,nen [j Other; Wham fie AYaithb1 ihllh eurlbnl 0 viBnnu9 Sn h oalyer L7et. vlillon ua , mpot, w fit, ;' oxsudJs 10,000 amps lit 150 volts r [� llouuup buildings”, ryy� a r s -, n ' , ' t ;� s t ,r � , kt +' � .. . , 4 .''' 1,m '. 1 . ,,, ' term to g round, m e,eeec! t400P ❑ a , r.'ommci'tlaf nKS nKruadt . jr�6? i" ! ; ft,.��A 1 1��uv>� �,SY.4n,,.+M�trxw i���d>tl�aa,,h. wo t,�_�� . MlilAin e 711! 1 - 2-family dwelling o C ommercialfinduatrlal ❑ AceeSQOt'y building amps lot ell ote<rr ilurouationa d ine Fire pump- T mClriiwr of 75 t;b A qr 0 Multi- finial ❑ Mesta builder LI Other' ©Fireritmp- 1YlIOm. lnr 111141 Jal'nt /Y d. ,rod E. rem r tM 7MN d tifll::d�yl °�YK�1, t ' °r M' t � 'fir ❑ t'^ wr�]i I�� ''''t, , � tM rt'�'� f Z v i 1 , rSr' , ' f t y 6ii / �u,r � Addition of now mtflac lvad'ac G A "; " 1, i ••I . •i 1, .. S u' S ' ( ti k : r , l alit .W pt.:4 :aN :<r ',.u, ,i41i1 , nil�i'M Rtt�imbbn .'' 4 ki h J 01l , •. / .' 1 0GFIP , rr rnurt. u�x.arancy J obdi tCaddr es s' 13O "/5—e11� rn 1 N.ocrelit1ra Supply vnlc,� - ,e for ,..10("4 Job ntr, : 0 Six or more reridendal Mil.. .- -._. .. - - - /( 0 lierhtpe4re!m 0 t0 vnic 1 ,n ! ` / R' .7 ,. aanlous lemit,unb 600 v04.18 rtmtina City /StatcJ7.1P: � �- © lia Service or Too& ea0 ,un , a mot xi, o ry , I 1 .,. , a T Y 1 _ a^,.v �T._. Suite/bldg./apt. u Project frame; - ;; . r�` I', ,l,, 4 i v c' ?.- .- .�x,,, a v. , � :'�'vS +:,. i,. ,•r le � � . . Dumlalipr 7_, , Pee. ...... ' _,•iatal ... ,..' Gross strGrt/diraction5 to job site: — — — �* rl eldeltital aluRte or aau1M- Family clwrtllnlR nail. —... .. — monde' attached aarnjlr_ -- .._ .... ,_ -- - 1,000 sq. ft. or less I n8,..1 - ... S u b d i v i s i t m : — _ - - E a . portion ;? -` Lot no.: Tax map/parcel no - 1,imited energy, residential __ - 67,R�' - _ , 7.7 ^Te k01 "1 17 ; . 7 r 7. n +r atiw , pa , , rf s y l s r` , ,..,A� (, shove s f1) I r ° I " d l ` l,a i ! , 1 Limbic-1 ieedrrx andlorrrlecatklra ' u. '} „'•,, na L J' ,,.�� w,nmrMN nlai b� rBBldutil3Al (tvlt fl. ,Se L V? 5,. lc..,. • N. _. i pane L4 .., t 3er esid — . „ L 200 amps to lase I0076 7D t' ";, Ftt{Y 1 a nAF�iu , ,. , T , s. > > Yl a r , V i r 201 props to 400 amps 133 ii*) _ - d> ,: / tt s F VT I, a I 1 1 i..I. u,r r ' Si .oAisir I at,� Y ei 1 4, i..l.,.t 2.00 34 M ,� ,u m)na ' , , ,i£r „a;x:<, 401 amps to 6 amps Nettle ], —� + - / � .. 601 Q ver n0t >n l ernpa o lf t y 3 . - -,.,. p 5 - n QQ _. Adclrc9s_ � .. . � Temporary services or feeders In t allallen, alteration anrr t:ity /StatdZ.TF: on, inv. alteration, circuits relocation _.. .._. is being rtiade on cli that I own �' 200a 1 —. ._._�_S M 201 �.M„ mr1 to 400 a _.. �..... 5 : Phone: ) lien This installation P” Y 401 am to 599 s _ Fax: ) •� - �- ~._. - which is lis • inn de Itletalla arena -- i ar exctn,uea r _ - inlended ftti' sale, lea= , rent, or exchange, according to ORS 447, 449, 1570, and 701, arena r ono Owner it I signature Date: A. Fee for branch circuits tenh x F c 1 I tcsl t,.: aa� f f ,ti above scrvire or feeder fee, w 0,1 ,1 [anyy ��� i ' I , t, ., la I § r �, , ', ,"1, W It 1 6a , ,I. et �lak YL S ,N5 � 19 1 , I r h ti t a t,iCkl. i4l 1 , 6• ir, r4E io each branch -._ - --' - - • �Y .5 i, ,,i1�. 1 m .� IIFd, „� Wl' d ..... •,,, - H, tae fnr branch G,reuil5 wtthau! };ttainCRB C�. /✓ �c17J (� ____ -.. -. ...,..r -. 1WrVIGe or feeder fee, first 56 IX - Mane _ _ .,, Contact r ono: n G ;.._ �� +� c - -.,. l h circuit 7,4.1 �1 Buell add "c ircuit circuit - ...__.. .a._ r Miscellaneous (rcrrke a ll feeder not llrcludsd) Addr¢m9_ LNCL.IL.6� -/ . �" - . F manuH�cmrwt or mo - _,.. _ n i 67,x•1 CitylStatcrllP: J /l Z dwelling aer vlGe and/ £airier - _ As art only Fax: (,,A195' r - -., . R ACbQn --- __ .... . r litigation c ircle ._... _ .. .__ Phone: ) 1 V • � rump a - -,. - ...... Ft -milli I i s, /, ri e I A,w i , t ® Sign or outline lighting s,clfi� _ r „d + s �' )� 9 ` '' a ,' �; � r timited�encr ... 67 R ^'.• :r�l ” � 's tl , Z t t t < • '1i4. ;�`F2 a u;•T� t, . a. 51(I,IISI GI[f.9li 0 Rv 1 .. ,ti�i� :Y ,i'_,��' ji,'„�tAlt�! t�u waR::i,..,M : ai d<, , & ^ -_ __ _ ...,,. . panel altCmtion, or exttneiaa. .. L Pagt I.1llkin6S3 nAlr'tC, if , rs _ -- Each additional laerieHon over allowable ilrw rtfV o the above T � . Additi midinspection(1 h 7 66, J am ► / / y /f y /1 Address '� � °�' ^ • � / O� ;. e- [nvcslil{Piian (k hr min) _ _ c;4,.::`•/ to __ plant (1 hr h7ia 78. hr c�ly/StitteIZIP: /!I zi ww —._. — — — Industrial pit ) r - - -- � ` ' � r ,, Inspections ibr whwh no far** Is �It nl r hl pltcrnc. � i — s. 10Ga1 mod ' Irrtdn en 2 15 L' 6 g Lin.: - `i�� r v?• . i m ° I"' ti^ #t C i -.8 .`7,r;r �',.:h #► }?lectrica Lip � s hi' —. Subtola . � tL — 1r K �,a dti ri r ' l�!�(1 f ,t�l r.,a, s..vi ur C:CD Lie.: 2 t ..y,.. 1 • ��?,. ■ , Suprv. Flectri P ar .. .� - 1 °7 J cran signature, required: 1s' � � Man review (25pr1, of perm t feet ... - -- - 2 - permit i " 4 Stale surcharge r i.fp ce). Date - . t.,. . _. N Prut1. italic; . -y _ � ~ atilt a laadeo rx roe Liu YMh ^ h ,n r — Authorized signature: 7'hf>" a ppl t N net silt a iv1 i .. . .. -- days otter It has ham pee t a, ,upleh'. Print name; Date: v Nu, uh er0 'flnaltion +wllowedper>xrnrit fig 1 / .- .,,.,.. „ , ...._. 444-4I ITIIlu COMf1VF11 r:laulldlnrU'am,,,,,, ;- Permi,Al,0.4. tomuoe