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Permit 1 r CITY OF TIGARD ELECTRICAL PERMIT s > COMMUNITY DEVELOPMENT Permit #: ELC2010 -00665 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/24/2010 T f Parcel: 1 S 134CA02400 Jurisdiction: Tigard Site address: 11900 SW BURLCREST DR Project: Jarvis Subdivision: BURLWOOD Lot: 4 Project Description: (2) branch circuits for heat pump and service outlet. Contractor: BEAR ELECTRIC Owner: JARVIS, RICHARD G & PO BOX 389 11900 SW BURLCREST DR DONALD, OR 97020 TIGARD, OR 97223 PHONE: 503 - 678 -1355 PHONE: 503 -627 -3125 FAX: 503 - 678 -1108 FEES Quantity Description Date Amount 2 crt Branch Circuits wo /Purchase 11/24/2010 $63.60 Specifics: Service or Feeder 1 ea 12% State Surcharge - 11/24/2010 $7.63 Type of Use: SF Electrical 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 -0090. You may obtain a co• • t - u e .r direct questions to OUNC by calling 503.2 .1987 or 1.800.332.2344. C / ti Issued By: . ' ��� �G 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. 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. NOU- 24- 2010(IwED) 13:57 Bear Electric (FRX)5036781108 P.001 /002 Electrical Permit Applicat , (10 \` t oil, K h, 1`sr, ()NI .N 1,,,,,, City of Tigard O P:;l >fi �._ 13115 SWILL!' Blvd., Tiiptrd, OR 9r-23 S ,'�1 � 1Sl Phone 503.639,4171 Fax: 503 598.1960, `1 �l� 1 ' - r rr: n l , inspection Une: 503.b39.4t 75 C , �r3 Date Itcadvrlly; 0 See rage 2 fur Interne: www.t gani.ur.gov , \ ,V I ' Nutlticdlltlethttd: 1t Suppkmentil intorntatlon :0.'4 . t r „F:p ,+ ".3 -yir ;Sil;yt 17_,..en. :ere 1 1 t7� .,aRt;.S.`:ai+'::, :}t?. /4•4w•.:: $',t, aF. .A.i,;'< j q;, • a , 1 418.x. . i s ' `t ' -� 1!b' ❑Newcan..sruction 1 Additinrt/ulterwinn/replaccmcni None dwek Withal untilyI WrInlitj,stt.s of plan, WWI temschRkullwow): ❑ rvili orImicr.t)uumpenrMorn ❑nulltlInn over tnrcesa,rtL. ❑ [3Cmolldon © Other t%httc inc available fault total( ❑ A1lrinat and boatyards. t"i!dK.03�tH•,trr t-- � ottaxls10,01111 amps at ISO volt, or ❑ flartirgt buil imp. ti Ci :.. ,YU, «: a 1 ,..,. o:- , n, of n • °ra „ " s a _ ::.� + „% Iesu to nmet!. or exceeds 14410U It ❑ Cammerclat•ux ivlc +dlunll 1211 - and 2-family dwelling ❑ Cnntmcreialftndtrrtrial ❑ Accessory building v,ar,, ii,r all .•ihar lnowtlwl „ n. holland.. ❑ itilulli•frunUy ❑ lvlutater ❑Other: ❑IIIrenum. Minutia lalitmof75 'i',4'.%';' yy.. ,y EMO a,:.N,4w � pyy�!y.Y'[��ty� a ❑ Lmclgtnl' system. irsua ecpaatcly 'Jerked »sicro. .�;. '. r,,r;:i s HIM t4to tit O "t. . ',. S 1 �V , �- .. ' ” ',�'” ❑ nddhkinol'nnv motor load of 0 - A ^. "17. 'I.2 ". - 1•3 oho ncldmm: �,� 100111' or mtxc. occupmcy. Job nn.: Job H �.IL� C t! l )u s \s , ❑ 14 nr min rrnldotulul unim ❑ Itcmationul vehicle rurv,: City/Statc/Z1P. � . c ,f C)P rV� ^► 1 ❑ I Imllh -earn facilities. 0 su ly voltage for mare than L \ '1 � L \ i i \ 1 t"- e \� L, L Q duo volts nominal. . , linrnrdtwe icrlatiunr. Suiti/bldg„/upt, no,; 1 Project name: ❑ service or Q,:dtrtinrumrnor more. UCEllaatiliitlt 3ldt 11571412 Crass street/directions to Job site: - 1:e. gae„ 1 r/,.. 1 tor.. 1 lams i - Ncw residential AAPRtc -or multi•rumily dwelling unit. Includes attached garage. Subdivision: I Lot no.: LIMO sq. IL or less I htt.at " " ' 4 tell, udd'I 500 sq. ft. or portion 33 .c.7. 1 Tax map:parcel no.: t.lmhcd energy, m ldcnrlul 75.no 2 n r.: rr t i . i ' 'ii :i+gititungr 1Nl11'g17• ,e #i »`.,:: -.r'; (wilhabove mt. li Limned ent4y, tamtly 75.00 2 V 1:,!ic \\ 0. ' ' 1 a �� Al o c \ - r c-„, - * ? residential (With atsnvc.1. R - Scrvieew or 1 Installation ulteratlou, untUar relocutlon C ; a. •C t tell ' \ Tillk 200 amps or less 100,70 , .. -. ;,' t:." • fl rt ,v145,. i I,..C' i; %: citiOggallitkineSig 201 amps to 400 um pa .. -- 111.56 401 amps to 600 amps 201,34 2 Name; 601 amps to 1,000 amps 301314 2 Atlrlrnxv Over I flan antra „r wilt. 1 SS" IA 7 y — 'rempuntry services ur feeders installation, uluerutlua. uadlnr City/Statcrit l : teltiC5111nii Phone: ( 1 1 Fax: ( 1 200 amps or less _ 59.36 1 20I mom to 4110 Harm 125.0)1 7: Owner installation: This installation is being made on properly that I own which is not 401 amps to 599 it I6 3.54 2 intended far wile. lease. rent. or a:oh:Lugc.:woo:kiing to ORS 447. •149.670. and 701, Brunch circuit* - new. alteration. or 4.'ttenslun. rater panel Owner sigttatum: Date: . Nee for brunch circuits with ;' raa " 1'6'v "; `k �'"" t fit ` 4 , a p aDuvr w: nviw lie Nvdv't{w, r,; tw7 j�l '. t, boa ` a<srt•. , t t �7 �T ri` a,."i,.. 1 7.47 - each b runch email) Business name E1. Fee ter tmmch circuits without service or feeder fcc,firm \ }r,, it: r i p , Contort names branch circuit U Each odd'I branch circuit i '7.42 '1. 4Z Adtltt•at:. Miscellaneous (service or fender not included) CityfStafe /L1P: li:lchmuutuilaun:dor 67.&t LL dwell inn, service and our Cycler Phone: ( ) Fax: : ( ) heamntw ri7.84 i'tinlp of irrigation circle 0.84 2 E-mail: Sign or outline lighting 117.))4 2 ■ 4 4. ,,, ` 4 ..' ' 1 F . r ..- ail.' ". . o:;1 40010 ' IZTORilTiv ARCSI 4 iAL'5 " ANSORi L ,` *i9a hl,nul <IvoulW,) •w Ilmitat .,,ncrit) Business mime: \ ('� `r-�(1 _panel, a hcrurloo. or cviorKian. Nee,. ' _ B• �S� `� . - � ` y '1 Vlach additional Inspection aver ullttnzrhlc in any of the uhuvt Address: 2 ( �. X .- + Additional inspection', t hr mini 66.25(hr tnvwdpttion k lit min) GC, .7:6 hr ` City /State/ZIP: .,C•-- c ► 1 iCY 2_C I Industrial plant (1 lirmin1 78.111/le Phone: ( + • ...... FAX; r tit pcctiu l',tr whic no fee Is ( 1 90,011111r �.[� spcelflutlly listed t ttr min) CCI3 ' ` 7.3 Lic.: 1 C1cctric l Lk.: 1�- --ka+ ' uprv. Lie.: L S \s � e"I'[tl il'. t ►[17 RBeltSr 3 � ?tas 1 =• "z l ik Subtotal: t Suprv_ Electrician signature, required: � Plan na icw (25%01'1km/it feel: Print m n,- I P.4•� n �1 �ct • t-� mot k 1 2 1 4 ''''\ 5 uue xurclulrstc :12.!•4 df Lxrmir Net: n 1 t> Authorized wigtuLttct : + •TOTAL PERMIT III : ..:1 l,2 - This permit appiication esylre+, Ifi permit is not outing-4 , +Ithin 11110 Print ntBrAC: I Dino: drys lifter It has Imo neeeptnl es complete. T,:amivs, or i nopeelinm al II wrvl rvr mrnil, 1.111uildingdhmt oTI.G ornigAnaAprc 07101110 .bnv.tul51