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Permit CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC2011 -00507 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503 718.2439 Date Issued: 09/14/2011 Parcel: 1S 135CD07500 Jurisdiction: Tigard Site address: 9713 SW LONDON CT Project: DAVIES Subdivision: LONDON SQUARE NO 2 Lot: 27 Project Description: Contractor: BEAR ELECTRIC Owner: DAVIES, KATHRYN L PO BOX 389 9713 SW LONDON CT DONALD, OR 97020 TIGARD, OR 97223 PHONE: 503 - 678 -1355 PHONE' FAX• 503 - 678 -1108 FEES Quantity Description Date Amount 2 crt Branch Circuits wo /Purchase 09/14/2011 $63 60 Specifics: Service or Feeder 1 ea 12% State Surcharge - 09/14/2011 $7 63 Type of Use: Electrical Class of Work: 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 epyof the -r les or direct questions to OUNC by calling 503 232 1987 or 1 800 332 2344 , Issued By:, �- Permittee Signature: �� �f 2�J1 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. 5EP- 12- 2011(MON) 15:54 Bear Electric (FRX)5036781108 P.001 /002 in Electrical Permit A nnlicatio n � ' i�()1c (.,11' 40 USE O>II, , g,i. , City of `i`i and neeehed ry u' 12 Pent"' Nu.: (mac- /! —06 R r 131 Swiln111314d_Ti¢ard.QR OW v3 2011 ,,,,,,: s phunc: 503 71112439 Pax: 501.598.1960 TIGAiLb Inspection 1.i tie: 503.639,4175 CITY TlGA'rr® m Srs Pa rar Intcmct :.vas . ti or. f Supplrrneutol lnrurnlur Oki III rviikin r iliieCirI 4 r ! r*; , f n • ri::' " ;-: r•d;:rl ' '04'1;',44,,, i k, lx r "k M , ,: �: � r.; � "�x�n � �'vS'r�,�x:M. r .� � ,. tr��s"xwrw.,, .. v "� I v r n� � p..l .�i��.'ia 1 R�i �ilw�.�;� - «. r M1:d�t , r eha" ❑ New construction t Ad Jitiotl/n!terntion/replacetrent I'leorte check till Ihnl eppl) Isohmlt 7 %cis ul r:hl'l'kn.1 hlh,w); ❑laemoJilian ❑ Other ❑' ti4rviccorleedir44111 amps ormore ❑nullding over three Norics. �{ r r� 4 ,rhtre available faultcarrvnt ❑ Marinta and homtynnta, r,, "'1= I " "i4 °. ,' iOtr,o + �"sQl;,ltd"�ffV.6,,NO '�t t Q, Ir,�' "7t . rM ,g _NCttd4 t0,rxt0irtimgat 1511 ,•ulcxor 0111104 buildings. less w ground, or iwceeds 14.000 ❑ Commercial use agricultural El 3 -and 2-family dwelling ❑ Commercial /industrial ❑ Accessory building amps loran other Installations, buildings. Q Multi- family ❑ Master builder ❑ Other: ❑ tire pump. ❑In:uallalionof75KVA41r ,,i;."411,0,,.:' ,. .. - , ,. , rn4y a)slc load I ur¢47 scparut dr:rw:d xtaicrn. Kit " t " aC , ..:� do ." ' (loot¢ m I " « ❑ >ddilion ofncti,• • rrtiolor au o' ❑ "+� . "I; " "I- , "4 - Job no.: Job site address :en ,e l V \ Car Ixx mnr mnrc. oecupane5. c o ❑ Six or mom texiofendat unhx ❑ Recreational vehicle parks. City /State /ZIP:� � 1- C� �+• © i•faaldl.c:uc rlelthks. C1� l upply mtc lhu n n 1 a l��i�c ❑ littnmlous locations. 61111 volt. anmin Suite/bidgJapt. no, Project name: ti Ssvvice or FX 1o' halo amp mow. ,w. W' • ii , 9',1'�';'lily::),iF,...P". ,, ,, :v:�', r@! ^ ItENscu W, re JA,,, • . b4 , ii'r 44 02'.} 1 .141 ' fi:�:i i; r:rS iiiiill Cross stmet/difeetions to job site: urxrrnption 11r,. van roll - New residential single- or mull{ - family dwelling unit. Includes attached garage, Subdivision: I Let mi.: 1,000 sq ft. or less 168.54 4 fax map/parcel no.: l 1=s_ add'I 500 sq. il• or portion 33.92 mom vxecsrwmw-w ) Limited, ,residential 75.00 2 � ` xw.uw.w.wu' "'"P a".rw�wwuw'rwkv OR4 1 r . �� 1 "'�w' ^rr!7 "rp:.. m' �wm above nq. III .. _ 1. oIledencrgy, f� s _\ nr resId above ldentiolSwidsabove sq. ft.) 15.% �r� \\,.. ` re Services ur fcctierw inst:diation, altenition. a nd /or relocation p (` {■.0 %._ \. 2uut+m.urlets 100.70 2 pi 133 i$ Bali wI O,Yk , a ,;u ,4� ;t "' , i El IJJ. .. 1 d 1 401 tun . 4o 600 alma 200.34 � El - - 60 I amps lu I,00(1 emirs J111.04 2 Address: Over 1,000 amps or volts 5$2.26 2 City/Stoic/ZIP: P Temporary services or feeders installation, al biro' ion, and /ur reinaltiun Phone: ( ) 1 Fax: ( ) 200 amps or lass 59.36 I 201 amps to 400 amps 125.08 2 Owner Instillation: This installation is being made on property that I own which is not 2 intended for sale, lease, rent, or esvh:tnge, according to ORS 447, 449, 67), and 701. 401 amps l0 599 amps 168,5.1 Branch circuits - new, alteration. orcxtcnnlon, C,cr panel Qsvncr signature; Dote: A, l cc for brunch circuits Milt f 7" n -- ' " }� in ry p erg rbucc av4t ur f4ud..r ee, 7 r :7 W ,,. M, w , ,n ��. 7. Al . , a i l 1 :. Mr�ip:0 rµ� • " , . .W. r in t.0 , :j ar'il"_ RAT '$0, '....'.. .:.:: . . 12 2 , • -• each brooch rvf clreuh Business name: B. Feu for branch circuits trfrltnier ger or feeder rte, first ` 56 -I8 51.2.‘% Conlltct name: bninch circuit • - Each udd'I branch circuit ti 7.42 - 1. -1?, 12 Address: Miscellaneous (service or feeder nut Included) City/State/ZIP: manufactured or modula 67 2 dwnllin •, scrvlco : idler feeder • Phone: ( ) F:Ix:: ( ) Reconnect only II 67.81 Pump or irrigation circle 67.84 E-mail: �__ Sign or outline lighting 67.84 .,,..:..;f: :, ...... . ' ,,: :...::,,. 1 , i ,..))' ::. ONTI " "t IV41 v ..,, I ' "'' '' " �9' - - �` i Signal clrcol(s) or limited-energy - Business 7ei.k ti,�.\(' - : C� 1 \ - . panel, alteration. orextcm.lan. Pam! 2 2 Ends additional ias cctiva over allowable in any of the above Address: % ` Addiiii,nal htapseiluri (I hr rub) 1.111 66.25/ hr —III City /SlateZIP: 0c-x � It -- I 1 m•o iv11Ka41ou(lhr am 6625/14, iiiiii ) L . - 4 3Q indusithIl plane (i hrmin) MI 78.1 81 lir n signatur one: ) ( . 3 1 [ Fax: (�) QS-19~ \ \ V. inspections for which no ice is 90.001 hr - - ` r s eelfleulIvlisted('lnhrmin) . qu ' - r , . : Y _ prv. " 1 ,, �"F:#er ,T IC d�Isu'1±+�N1 • Suprv. Eleetri 'M G :., ,� C CI3 Lic.y�� 1 • Electrical Lie.: � Su Lie.: � % vat "rl;,lla;,1; , I �:1;::.',,:. r.a:n e, ied r Plan reel v 1 -5 tb of permit roe): 0-0 )(—) SI Prim Min a% 3 id, ` l w Date: q 12 -1 \ Stale slush lrge (l2%ol•permit fee): 4p , w TorAL PERMl'I' 1rl32. 1 , - 2_ Authorized sigrsatltn: This permit(nppllcation expires ifs permit In net ebtu(ned within t80 days Art it Inn here uIXeplyd as tu,uplelr. Print name; i Date: - • Number of Inspections allowed per permit. 1 :•0mld nr\l'unnita11I,C.'rrnut.anp,kru 117414/10 .w(1-41,15 1 ( 1 1,11;%, I1N1lt4I-H