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Permit CITY OF TIGARD ELECTRICAL PERMIT -• COMMUNITY DEVELOPMENT Permit #: ELC2011 -00382 I1GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/12/2011 . Parcel: 2S 108AB04300 Jurisdiction: Tigard Site address: 14104 SW 155TH TER Project: Brentwood Estates Lot 5 Subdivision: Lot: Project Description: (2) branch circuits for landscape lighting Contractor: BEAR ELECTRIC Owner: FIRST CHOICE CUSTOM HOMES INC PO BOX 389 13115 SW ST JAMES LN DONALD, OR 97020 TIGARD, OR 97224 PHONE: 503 - 678 -1355 PHONE: FAX: 503 - 678 -1108 FEES Quantity Description Date Amount 2 crt Branch Circuits wo /Purchase 07/12/2011 $63.60 Specifics: Service or Feeder 1 ea 12% State Surcharge - 07/12/2011 $7.63 Type of Use: SF Electrical Class of Work: NEW Type of Const: Occupancy Grp: R -3 • 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 OA 95 090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: /U 197 ea/1 *9 7 O • 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. JUL 07 2011(THU) 15:00 Bear Electric (FAX)5036781108 P.001 /002 Electrical Permit Appl ca rolt c >r'ric. :r usu.. oNix ' City of Tiga rd \ % 111 �� • 13125 SW Hull Olvd "' ♦le 972'� � � II Phone: S o3.718.za31 r t'.� �.: 507. 59R.PF1rt0 O n1he it 'mit: TIGARD Inspection Line: 503.639.4175 40' t to See Pour for Internet: veww,tigarti -or,gav QN o� Sn lamentallnfarmntfon -rf-., �r*• - ,. 12r�.i let, ' •. :7.'i t Y ..:' I _ ,k A,i4�.,, ' . _. a � ' ', x ...a Y as,L':V II"'' :..IJ ''i �M, ..':R 4 �+._ . , a _. � p . t�� t�,JPJ,- n £ 1:1 New construction 24 Addition/a 7 .Y . r t / rcpmeemenl i'l eeheCi. all that ap,aty (submil3 sets d[pluns,,.'Ilumsehecked below h ❑ Sts,icc orl ' ectkr *III ttmasurmme ❑Uulldingavcr dime storks. ❑ Demolition ❑ Other: what the avujuble Iltult current CI Murinas and boatyards. volts or " " tw ;t� +^ _ ' (=reds 111,01112 putt a at 1511 ❑ 1'luotl builds ~ ,i " r G � -� RI IjIA�'( 2 " ' s , . , r ' ^;' • * ; less to ground, tie eccevds 144110 ❑ Commercial-use aurleulrural ]X[ 1 - and 2- family dwelling Q Commercial/industrial 0 Accessory building amps fur all other installations, buildings. ❑ Multi - Family 0 Master builder ❑ Other: 0 fire pump. ❑ installation or 75 I:NA or - , _- ...:. -" ._ �.. Iinxrgmcy system. larger separately derived system. sl v t ai rr B t � _��.� b �n t , :i z�7m 1'i7re OL ❑:Wilburn ul' ❑ " "r. 2 ". � now 'moor l aud of "A , 1. °1 -1.7'; Job no.: 1 Job site address: l l_ tD ;.., < 1 t \ t -'t`* To, l h, r•e, uacupaney. r ❑ Six x o or more ore residential units. ❑ Itcercutional tch chicle parks_ Cily/Stnle/211): 1 \ x'--�-•►) nc� r ]..�..F�� -'2 / f 1 I:1 l'ILatthwiii rrillltk.. ❑ Supply voltage for mote Oren I. ❑ I Wrounk+ux 1uo,tlans. 600 volts nominal. Suite/bldg./apt. no.: Project name: El Sa im:or lLiedtr600 dams or more. Cross street/directions to job site: 'wenni I taw- I kw, I 't..rxt I - New residential single- or multi - enmity dwelling unit. Includes attached garage. Subdivision: 1 Let no.: 1,000 sq. ll. or less 168.54 .t TtLe mn}alpttreel no.: Ea. add' 500 sq. Il. or ponitm 33.92 I 75.00 2 Limited e _ ,v nil nI e M .11.) t 1 ., 'mow'.w Limited energy, multi - family y ,_ +� -, o ` � ` r - ^9� � _ rilnl (with above fill, n,) 75 "'�( l � ` reside Serviers ur feeders (mutilation, and/or relocation 200 amps or less 100.70 2 Y. L 1 nm to400 an nu t /� ?i:. .h .i. (t Par o�?�� . <�wh,w.a":."1. �lr � �.Cllt : r� r, rv� i1lL$'":1;`.:"!sn 20 f 19 p 133.56 2 Name: t; ,< e / �� 401 atm to 600 amps ' 200.34 _ 2 / / T G � s To s %'`� cu! amps to 1.000 amps 301.04 = Address: s: /3 /LS _CA) 5` - Over 1.000 tunas or volts 552.26 2 City /Stnte/ZIP: 7 6 i .' t// 02 72 /� Temporary services or feeders Installation, alteration, and /or / i .�7� o�oZ relt= flun Phone: ( ) I Fax: I; ) 200 amts or keg I 5936 I 201 amps In 400 arum 125.08 2 On-nee installation: This installation is being made on property that 1 own which is not 40 I emits to 599 "sae's 161 04 2 intended for stile, lease, rent. or exchange, according to ORS 447, 449, 670, and 701. Brunch circuits - new. alit rullun, or extension, per panel Owner signature: Dale: A. Fee for brunch circuits will r '.� _yrvew Yrrv: 9''-"- ' aboHLrviCCdrfCederfee, 7. "" . • M erv�Tiik:i4+1 1" 1 ' , +�++ i d st ,; i Y � : © ��. t�:�7�> r:: ' "^', ,.. �:' , 12 2 - aad branch dn:rr Business name: 73, Pee for brunch circuits without . RCN i cc or fader t'ec, first 56 18 C,l � `� 2 Contact name: branch clrcult zt , Address: heel, Odd' I brunch clrwb I 7.42 "' T t L4 2_ 2 Miscellaneous (service or feeder not in. City/State/ZIP: Each manufactured or modulur 67.84 _dwellinc. nervier, and;or feeder Phone: I ) I Fax: : ( 1 Iteeunnecr. only 67.84 2 Punta or hxigalinn circle 67.84 2 E-mail: Signor outline lighting 67.84 2 . - '-.4".:" aa ,,. t ,y e .'s *t a. L - H. CnN7ttF tiltigift Ilegg., ) Signal circult(s) or Ilnthed- energy Business name: • l u,ncl.nitcrutlnn. ol• =mug km, 1'a 2 e± -_ �,�� � C l �{•` � l� r E additional iuspecplon over allowa in nog of thu above Address: CPt C * J S pry lek Addilionul insliun (1 hr min) 66.25/ lir investigation (I hr min) 66.25/ hr City /5ttridZlP: C ), 57 Indusirial plant (1 hr min) 78.18 /hr 11)11"e: (5(9 (15-14 --- S5 1 Faxc: t 3 (11 1 1 (� nuip4w.iwts for winch on tee Is 90.00r hr — ' speepPc:dly listed ( mint , , CB Lie.: Z . Electrical Lie.: `0 sup-, Lie.: a. I fii l R leant" .,• »a . ,V CB Electrician :signature. required: m� T r Subtotal: Q LDC) op, Plan rvvicw(25% feel: Print name: w� �e�� „lb L jot 0 ad' Date: . -` State surcharge (12% of permit fee): �,, , rR„ TOTAL PERMI'rnu:: — 1 l AUti,t]rtY signature: This penult uppileacud enptreu If n permit is not obtained within dun Orr ii hal kern iinxplyd as C Print name: I Date: - Number of Inspections allowed pa persult. V. nuildinp .PcnuirxitU.C•Purmi6'tpn akYC 117/111 Ili dot i6)Srlt nit ?rco t' .'1:1