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Permit CITY OF TIGARD EL ECTRICAL PERMIT • . h ' '• COMMUNITY DEVELOPMENT P ermit #: ELC2011 00565 Date Issued: 10/12/2011 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.7182439 Parcel: 2S103DB10900 Jurisdiction: Tigard Site address: 13245 SW GENESIS LP Project: Marling Subdivision: GENESIS NO.3 Lot: 67 Project Description: (2) branch circuits for to reconnect furnace Contractor: BEAR ELECTRIC Owner: MARLING, ROBERT & BOBBI LEE PO BOX 389 13245 SW GENESIS LOOP 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 10/12/2011 $63.60 Specifics: Service or Feeder 1 ea 12% State Surcharge - 10/12/2011 $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 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 9 - 001 -0090 You may obtain a c he rules or . ect questions to OUNC by calling 503 232 1987 or 1.800 332 2344 i_ 1 11 0 9 Issued By: ------ .. i! "" Permittee Signature: _ ! jr f 1 - __--.A...... i� / 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. OCT-12-2011 (WED) 08:30 Bear Electric (FAX)5036781108 P 001/002 E t Electrical Pcrmit Applicat � rc +lt ul• -I:iC E: tiKl, 01\l. �I1� 01r '11;i1C(� () CT 1 2��� ]utrjtl.d l0�!/ '1 Pernik No.: E/� ., " 13125 SW Halt Blvd, Tigard. OR 971. i 2 : Phone: 503.718.2139 Fox: 50.59((.1960 EEEEIIIIIMIIIIII nlhtT it 117 TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD I)a.a, Rcud,'at JIvu. a See ruce2 for • ,vvaw,tig-rnit,r.gov 1 i l ON Not IliedAklI1od: Snpplemenrat lnrorntutton inl�ntCl. � DIVISION ppt. slh,t': iii" "n, ;rtq 7 r:,1 ;ar. "I6i9: , , , 4 y 1014 '; it ri° 4 1. ' . .lw_,:�r �,.rx .._� ., . ., : 1'. „.M"II,Y,I'g1Cyr �'w�T'�,CI , °�Ar`�N, �_ "I.v_� .., 3!.hi..�; � at"a t�� �1�7_W � 4m�kt: 1 ::,, x, � I,�l�'t' £ "��1 0 ' New CPnSITtICUun Addition/alteration/replacement - pantie cheek all that apil,• txiuhmil .sty ul'P1utn Iwitems checked hcltn, t' ❑ s.r.icc or feeder 400 umps or more ❑ !Wilding uccr time stories. ❑ Demolition ❑ Other" ohm the available !halt current 0 Marinas and boatyards. I '., "mow Iifi .11 _.�.w GATECrr ....... . .. ..._ -- ;.,., -, ;�, , ui,(.,:.e ,. 17 tatceeds I0,0X)0nrn Tut I$o.ultsor �^rcz,a r••.•.:� ^. ,., - p, I "ltwtinybill Winylk (]R1 Q+a S]1�r4 ]Ol!t ,. '{.w1t t',:'. °,f,4 ,,i(,:d_:I'. loon toIIruund,trcacttd. ❑ Commcrciul.use agricultural I - and 2- Imnily dwelling ❑ Comn7ereialfindustrial ❑ Accetisory building amps for all other installations. buildings. E] Multi - family ❑ Master builder ❑ Other: ❑ fire pump. ❑ Installation of 75 KVA or 0 Emergency sysicm. Inrgar ,cPnrutcly derived system. r Jt)1�',S i,T��S�C1RG' 811�1340�148r� {.4i�" " "_ "" M ° �' . , " " ^'� El Addition of netv !Miff loud or ❑ «q••, ..1." "1 .. 1.1 ^. Job no.: ^ l` a ddress: � ( �` � t t� 1011111' nr more. occupancy. i Job Sit jL1A 1 O i { .. ,. 0 8k or more rt-t l niinl unfit ❑ Recreational vehicle parks. City /State /ZIP :11 I �( C.,�'�- © 0 In, i lout kit�donA 60 -care t'urll ❑ Supply 00 voltage for own: Man 144i-thus volts lts nominal s. Suilr/hldgiupt. no.: Project name: I ❑ Service or feeder 6110 amps or rhoru_ Cross streel/d`ttection:s to job site: �� ( a; li a„% vr,.i I EEU S UTEDt71:tF a- rr,r. apnon r n j 1., . M1 lotxr flew residential single- or multi family dwelling; unit. Includes attIclied mirage. Subdivision: , Lot not,: 1,000 1, I. ri. or leas 1('L$4 .. 4 En. add'l $00 n . It. or portion 33.92 1 Tax map /parcel no.: reside tea Limited energy, 75.1111 2 �;, atxu r a,ar �m +' 'p. c� 1 rts tm�r *sow fwlth above act. f!.) tea'+ -�:,a; " "G'I;�: "..:;!e .... ° 13ESCI u x " �O „ . ,.,.�..e,.: i° .: 1,1111$Cd enorgy, mutt! -fumil \ rl 'art residential (with above 811.11.) , 7584 l+ Services or feeders instnllution, alteration, nudity relocation 200 amps or less I 1011.70_ 2 ■ � ra , 4 ;;, tow w ,, sa�' ®'' r ' "", + 201 amps tt 100 amp+ 133.56 2 M , �P tj }K1 , .. v t .a wti)(�, fimTtl�a ti'n� 101 amps to 600 amps 20034 • 2 Name: _ 1101 amps 01 as to 1,000 am f 301 2 Address: over 1,000 amps or voles I 552.26 2 '� Tuntporary services or feeders i alteration, and /or city /State /ZIP: rcl000tic's Phone: ( ) f Fax: ( ) ton antra or lass . 5936 1 ()wrier installation: 'Phis installation is being made on property that 1 own which is not 201 snips -... 7011 amps 124.08 2 2 intended for sale, least-, rent, or exchange. according to ORS 447, 449, 670. and 701- 401 alttttr to 594 amps 160.5 -I Orono& circuits — new, alteration. or exteoion, per panel Owner signature_ - Dale; A. Fee fur brunch circuits ibh 1 r Pw�O x . above service or feeder fie, r Mi J F 1- A ,.; , ; tillal T i 7.42 ? w rt o' _.� n :_" .. each bmich desalt Business name: 13. Fee for branch ciriults Leith. w service or feeder fee, OM I 5fr,1 R ` 2 Contact name: Ixanch circuit r r - - Each add'I brands circuit j 7.42 1' , 2 Address: Miscellaneous (vervlcc or feeder not inelnded) Got 'lStaic1Z11'' Each manufactured or modular 67.84 2 } dwelling. scr.ice andlor feeder + Reconnect only 67.11'1 . Phone : ( ) Fax : :( ) Pump or Irrigation circle 67.6.1 2 E -mail: . _ Si gn or outline lighting 67.54 2 `a1 .::., a1inC3f1t,,; aq 1 "".Cl ,, ,,.,fr,,ti gri 4rt „ tii energy Business name' ' /� ■ panel, alteration, or extension. Palk 2 2 :AL Each additional inspection over allowa ble In env of the abov Address: I? ( - . 1 .2( Qu ° Additional inspection(' hr min) 6625f hr Investigation (I hr min) 6625/ hr City /State /ZiP: Ilh ' it i M, . gb — industrial plant (1 hr rain) I 75.151 hr Phone: IC in \ Fax: ( 61 "\�. ■ innpectit)tl* for which no (cc Is 90 Dili hr a • iliurlly Iixted es hr alt) • GCL3 Lie.: 2001 tq Electrical Lic.: 1.4—kale 1.4—kale Suptw. Lic.: 6 11 ,t - " subtotal: kci . kt:Q Suprv. Electrician signature, aired: \ „ - P 8 -� Plan review (255s, of permit tees): Print name; O. C Q 1l ` Date: \ \ •-1 ` State surcharge (12% or fcc): � ,� { �S TOTAL. PERMIT FEE: f 1 ,-7 Authorized -inature: This permit upplreadott expires if a permit to nut obtained within IHit 1 days user it has been acCeptnl us complete. Print name; 1 1 Date: • N umber 01 InspectIons allowed perpermil_ t .mnt•tal.:- PerndAII Joe 07,111110 •i AHbl fill l /iW(a cal; 1;14