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Permit CITY OF TIGARD ELECTRICAL PERMIT > ' COMMUNITY DEVELOPMENT Permit #: ELC2011 -00369 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/05/2011 Parcel: 2S102CCO3200 Jurisdiction: Tigard Site address: 10340 SW HILLVIEW ST Project: Westover Subdivision: Lot: Project Description: (2) branch circuits for bathroom remodel. Contractor: HEBERLE ELECTRIC Owner: WESTOVER, CHRISTINE 29012 SW EGGER RD. 10340 SW HILLVIEW ST HILLSBORO, OR 97123 TIGARD, OR 97223 PHONE: 503 - 628 -2095 PHONE: 503 - 620 -6846 FAX: 503 - 628 -3076 FEES Quantity Description Date Amount 2 crt Branch Circuits wo /Purchase 07/05/2011 $63.60 Specifics: Service or Feeder 1 ea 12% State Surcharge - 07/05/2011 $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 don= accordance wi' - •prov-• 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 la . requ res ou to follow the rules adopted by the Oregon Utility Notif - '•n C -nter. Those rules are set forth in OAR 9:2- 001 -0010 th •ugh OAR 952 • • 0091. ou ay obtain a co of the rules or direct questions to OUNC by calling • -•' 87 or 1.800.332 • • c -sued By: Permittee Sig •ture: , � 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' 1 , � i �� • Date: 7 S /( LICENSE NO. 463 5 can 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. 07/05/2011 09:22 503S283�7,IL, 'WED l� ED L. HEBERLE ELECTRIC INC PAGE 01 g ectrical Permit Applicati t City of Tigard ' JUL 0 5 2 011 Received .:e. 13125 SW .14a11 Blvd., Tigard, OR. 97223 Dnta�1 � Permit No.: de! " 0036,- 03.639,4171 - Fax: 503.59 : k.1` • Phone 5 PI^�ow Inn Phone: tine: 503. 639,4175 stn OF TI GARD Onte/By: Other Permit: I l l, .1.1:' f 1 p Date ttaady/By: hoe Internet: www,tigard -or w BUILDING DIVISION Notified/Method; t See rant lint New COIlstru " . rma trpplernanmllnib d ett ddi /8 /r lacement PIcam cheek all that apply (submit A sots of plans w /items checked below); Demolition ❑ Other: El Service or &oder 400 amps or ;mono CI Building river three stories, 0 where the available fault ourrmrt [1 Marittnv and boatyards. IIIILl - a '' exceeds I D,000 amps 150 volts or • '" _ P © Floating buildings, and 2- fpmily dwelling ❑ CotlitmCl'eia.l /illdustnal Accessory building less to grand, or exceeds 14, 000 Q Commereial-nso agricultural iar ❑ Multi -famil am ot lt r installations. build ;n inst y Other: p nra n ❑ Fpm pump. mp, 8aiur b der :41:193.: .. j"( 1�1 (J c rgcr cy Aystetn. ❑ su , ntan nt ly 75 KVA Ii�. �' � ' Z �];4; 1rt ", C "1 _ i2", °] •3 ", • derived Ryarern, A Ic: I 0 �ddiAddition new molar land of I: "q ", •'g•', �,l 2•• Job no.: ( Job site address; 1 Q `j 24 Q S t,d O t U b -e� C t "'w i or m occupancy, City/State/ZIP: /ZIP: ❑ Si x or more tes. _eatial units. ID vehlele parks. -- -- G I 1 Nehhh ore {acilit ct ❑ Supply voltage frn more than Snitc/bldg, /dpt'. no Project nanic ❑ Hazardous Mentions. 600 volts nominal, \ V [ Service or feeder 600 amps or more. Cross street/directions to job site: • 4M- .rte t t_':-81t�'�9E. 111 1JC; ,: " 1)mcrl nun .. '� • T ' ' ^ ..., _. New residential single- or mniti•thmlly dwelling unit, Subdivision: Includes attached garage. 1 no.: 1,000 sq, fl, or less I65,54 4 Tax map/parcel no Es. add] 500 sq. fl. or portion ,. ;7CbXr1 '8tk?�Tt�i. Limiteden.ergy.residential �7 ( with abe v`ed. R.) 2 1 OZ (� 1 �j Limited energy, multi-family Service __ r .. ��,• ^� alteration bh?�RRI.a1R' ICEIS 100,70 MIN 2 r e41 ontiril with above •, ft. 2 n or a on and/or relocation t. 200 amps 400 h!' _��( � � j � 201 amps Name: 4- P 400 amps 133.56 N • 14 ��"(�l i G � 401 amps to 600 maps 200.34 Address; ..p..„._...__ 601 amps to 1,000 amPq 301,04 2 • City /State/ZIP: " _- Over i amps or vollts 552.26 2 Ternpnrsrry services or feeders installation, , alteration, and /or Phone: ( ) / ( ^ —_ relocation (R Fax' ) 200 amps or loss II Owner installation This instnliation is eing made on 54... ?6 intended for sale, lease, rent, B property that! own which i9 net 2 to 400 amps 125,08 t, exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168,54 Owner signature: _, Branch circuits — stew alteration or extension er nice! .;:,r1ipy)t.'11'T A. Foe for branch circuits , wfr r '`' ".: above service or feeder fee, name: each branch circuit Business na 7, 42 2 - Contact name; ' � R. Fee for branch circuits -- `-- • .. '"l` 1'16 without service or feeder fns, * Address; } : a ,4 • g• 0� first branch circuit 5l, 18 1,g. 2 Each add'1 branch circuit 11111 42 -- 7 " • ! 2 C'___ to /7IP; 1Vlisccilpi service er feeder not lerclttded) ^ Phcrtte ( ) "r" Pach manufactured or modular a x ; ( ) dwellin :, service and/or feeder 67.84 1 2 E-mail: �_� Reconnect only 57,84 ............,_........._„_„,_____ >tl. .. G7 .84 H Business name; HEBERLE 1 g.LECI'RIC, INC - S ign l circt io lighting 67,84 Signal p al or limited- or Address: 29012 SW EGCER RD - energy Banal, alteration, or City /State/ZIP; HILLSBORO OR 97123 11 1. extension. Describe: Phone: (503) 621;..2095 Each additional ins a over 1tllnwnhic in an of the above Fax: (503) 628 �____ 628.-30'76 Par izi peation IN ,...CB Lic,; 152342 +i 1 Electrical , is -: 34- l60 C ►l Invastr hour (,t hr min GC+.25 uprv, Lic,; 3053 -$ /a , / Industr 1a m ;611•2■5$::•: iuprv. Electrician i p nt per par hour - , s gru turc, require: , . ) 8 . 18 l/OS (12 1111t name: JEFFREY L. T[BBEItL Date: Subtotal; ..gi {e' a `� Pla revi (25% of Emit fee): �uthotlzeC signature: '— staff ____ tyyo %ofpemtit foe): rirtt name; JEFFREY L, T OTAL PERMIT PE; E -- .-ti,�� r IrRFE Z3 Asia: nib permit np Blirntio n ex --. J ° dI4U+alp irog; rrt fmttAtt,A400 I 1/09 ` ^ dnYs ni 1s4/114 am if n permit Is not optalgcd wail) lB0 - e„ — CG •-• " Number of ins uer ce Aceted omplete. 6,17Tt1 rc'UAAIWt?8 Peetioa ter par pcarpnt;t as c . _ �- - 7 4!e•4 `•C