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Permit t CITY OF TIGARD ELECTRICAL PERMIT `: _ COMMUNITY DEVELOPMENT Permit #: ELC2009 -00443 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/02/2009 T� cn n Parcel: 2S112BD04300 Jurisdiction: Tigard Site address: 14827 SW 79TH AVE Subdivision: RAZE MEADOWS Lot: 25 Project: Project Description: Electrical corrections from reconnect, (4) branch circuits. Owner: FEES BAC HOME LOANS SERVICING LP Quantity Description Date Amount BY RECONSTRUCTION CO, 400 COUNTRYWIDY WAY SV -35 4 crt Branch Circuits 09/02/2009 $66.80 wo /Purchase Service or PHONE: Feeder 1 ea 12% State Surcharge - 09/02/2009 $8.02 Electrical Contractor: STUCK ELECTRIC 147 W MAIN ST SHERIDAN, OR 97378 PHONE: 503 -�f 3 -2322 FAX: 503- 843 -2321 Type of Use: SF Class of Work: ALT Type of Const: Occupancy Grp: Total $74.82 Required Items and Reports (Conditions) This permit . - • •..' to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be do. in accordance with - .•roved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 da .. ATTENTION: Oregon law r6 ThSes you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 9 -2- 001 -0010 through OAR 95 : 101 -11 // I 01. Y • may obtain a copy of the rules or direct questions to CUNC by calling 503.246.6699 or 1.811 2.2344. Issued By: i Permittee Signature: . 69 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: ONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC' Date: 7(M :51 LICENSE NO. ill / C -5 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. ■ 09/19/1902 20:30 FROM TO 15035981960 P.01 E >ivliCAa lll iL'RI[t?I f gilt e )7 + ri'i. t -t. srNl.l `" eel 09 Prink No._ G , . _173 • City of Tigard • 9 l � • Dd 131.2.53W Hal Bird.. Tigard.OR 97= Mont—view thharF�aeiL r 503.639,4171 1= x; 303,598-1960 ..... o- ' r . r C. ; tloo Lim 504 . ! ` , neatat tn[w'+natiea • Intern . Internet W1vsr- hgaarl•or -gd'v . 0 Tice cons+ ❑ Addst+pMaltens ion /replacement cheek al that apply (*brut s v Am �5ts a+R ��ekca below). 0 swviet or5z6araooampsormore 1:181tildiagoveratmslcvies, 0 Demolition p Other: wherein acailabic Stull rmtrne. Ci 1vta+y+as and booty-srdr. - cAlf G ! • C YR TG • 1.003Pampsffi150trAsor C7 FlmtingEmitting. s • Imo,*groaad..ortoieeeds14d,4p0 Dcomn,c1rAsbmce npwri , al © 1 -and 2.vflonily dwelling © Conmtereial/industiial ❑ Access'or'y building wisps ftrr all caber lastollmicom 17 101411 W- 13 Multi4farni(y _ Master builder ❑ Other_ _ j l3FitCt�� 0?a4taltosion of 75 KVA or p 2R l7 Addition of R6wmoiUr mead of Q °A . '`E".. '! - 2^.'•t -2" It* AO,: Job site address: 1 O 9,C? !fi �) I dHl' armoar Y• _ y s ` f . Q"-` ___ °nixorsn raga:mial riRccrrestionnl ' iy� os. ..$ . 6,. . „ o sooty voltage for mete thrrz C iStattlZI f 1 1 / n tvca5ehe5 60.0 WA%nominal. Spite (bldg. ° apt r10.: Project n CI Service or fewer 600 •.: or ram • Cross stmrt/directions to job sits »r+se ioste • . l ' Fee. L TbLd ..------ -- — -- ' New I/aides:3W at m't r dwelling Inns. moles etinenatt plrngc. 1 i SabdiviSien: 1,At no.: 1,000 S4 It or Ices __ 1 14515 1 14 Ea. add'15 p 00sit it or •, t",,, • ?3.00 ( I 1 `1 T mp ax p/psttnel no _ _ Lim rib; residential - - 'o'•d .,af, ,.. $ 75 .00 Limited orgy, n ally 7 ,p0 • • • K Services ... , . . 7-, id. , . . , , aridvor retention - _ _ • — 1 200 ar :aa+ _ 80,30 i 1 2 ,. �"�!:OW[ �. T,R;iVA"ff 1 201 tool; amps 7.06.85 2 Name-. 401 : • ,.. iti 600=1x 160.60 . 2 601 . to L000arepS 240.60 i 2 Address flap' 1,000 or volts 454.65 fl Cit : TtMlpnrrU ystrrices tar feeders installation, itlmAdeu,ond/or ' • Phone: ( ) Fax; ( ) 200. • - **Was 65,85 IIIIIIIn ' Owner insta[hrtion: This installation i8 being mode on property that 1 own — hicil is tot 2°/ 10400 MPS ME 10020 111111111111 • • intended for sale, lease nt. or exchange. according to ORS 447, 449.670, and '701. 401 amps to 599 amps . n _ t 33.75 i 2 (Nonce signature: /sate: ' davits new... • • , er extension. , • r , :net 1 _ /t Fee 5 berth vg ,its walw l . _ ' 'Rr' - . C:81Q'Pt ' P . • above =rake or Omar fee, . 4-6- c Z 13tt9ittcs`: nattlG — h tirwit • }3. Foe rot branch c circuits / • COMMA name: first brmacir cdrettlt £4oAer 46.85 }i 11 P• 1 2 Address: Fstsh.ad branch twit . i . 6X . 1 Pr: ' 2 )41aeelio trosis arer vie' or • tiet' elud CftytSt3te/T -(P _- .. dwei[ii ctviee ftat 90 .9° ' 2 . Ph0e� ( ) Fax :: ( ) Reco onl�r - 56.85 2 j F., a i l : e a g l e Pomp 5340 2 1 ! - • &en Orwilin"e.. : • i 5340 2 Signal eivcait(s) or lien Business name: . t ` _ [. energy panel, attention or , Address extension, Describe: Fate 2 2 . Cit tz ft • 0 (2 - 51 51 g Ear*dair ble.in : , of the carve . • ( VS F&( i S`f •? 2+ L _ n O leans 1 sa,5o SS Lic.: 4 $ EiccA4cal Lie.: 34,..15Q. Supra Lie.: 1 rat t { xr ham 73.75 Sum. Electrician signature, required: � svr- .I. ! /1 .r S ebtQW: r I . Print namme:: {� ,, Dat 4 2_ A ' /Inn tvvreer 925°4 of pest fuc): } • V L! ��• Sza* =dew {Ilb /e Cifpe[i>YttO .' . G7 . Authorized signature: TOTAL TEnMmT Me: , • 'nth O ersals on trout' ire' paisnaa Dot • fined vte0in 1i10 Print name: �: alt.■ gamy 6 alt, Ulna erc,-eeran at , .,.,+v+s, TOTAL P.01