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Permit CITY OF TIGARD ELECTRICAL PERMIT "1 2 COMMUNITY DEVELOPMENT Permit #: ELC2012 -00123 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/29/2012 Parcel: 2S102AB03400 Jurisdiction: Tigard Site address: 9250 SW TIGARD ST Project: Hilary & Oram Subdivision:)ND ELECTRIC ADDITION TO TIGARD' Lot: PTS 5 -6 Project Description: Replacing light fixtures. Contractor: HEBERLE ELECTRIC Owner: MCCLURE, CHARLES J & ELLEN R TRU 29012 SW EGGER RD. % HILARY, JEROLD W & JEAN M HILLSBORO, OR 97123 8965 SW CAROLINE DR PORTLAND, OR 97225 PHONE: 503 - 628 -2095 PHONE: FAX: 503 - 628 -3076 FEES Quantity Description Date Amount 1 crt Branch Circuits wo /Purchase 02/29/2012 $56.18 Specifics: Service or Feeder 1 ea 12% State Surcharge - 02/29/2012 $6.74 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $62.92 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.` VIEW Issued By: I �i Permittee Signature: c7� - �� • OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease or rent. OWNER'S SIGNATURE Date: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC' Date: LICENSE NO. Call 503.839.4175 by 7:00 a.m. for the next available inspection date. This permit card shall be kept In a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 02/28/2012 21:26 5 a� HEBERLE ELECTRIC INC PAGE 01 Electl�icat Pe�ritAonation ` FOR (rt 1 l 1 , >11 1 . ■ Clay at Tigard � � Raooivod L �, Porrrtn N :4 - 13125 3W Hall Hlvd,, Tigard, OR 97 S v �wl'si�117 e _,w. / — l • Phone: 503.639,4171 -Fax: 503.598, �� Tian Review tion Lino: 503,639.4175 n ,Ali �1; a Other Permit www,tiigard- or,gov ` ,,jb1'fi - ❑New eonshvetion ■ 1 Ad jdp0 /t1ltcration/, ep( • • �, Plweo check all that apply (submit a sots of plane whams ettealmd below): d Demolition ❑ sorvieo or fpoder 400 imp, swigs. Otl><ct _ the awl fauh current -;, • wham a fa .... , s$yl .L��tJC"ll'1< and boatyards. . ^� Boding over three • .. •. - • • ,,. , t1N : � " � - exceeds 10.000 at 150 volts or ❑ floating buildings, ❑ 1- and 2- family dwelling iCf�emmel cial/uidtlstrial 0 L.1 Accessary buildin ton a sr all nt or maroo Was, ❑ buildings. l•u.�o agricultural ❑ Multi family ❑ Other; ❑ Ate um all tttatallntfnna ufInstallation [] Master builder F p of now m TIIJiI..3}(X F'.101$1b1A1Q1�Q AI9F) L�61'11� ❑ Emeo rgnay sy atetn , 1405. • • • • • . . .' D Addition largo" 8","1 -21, "1-3", d system. Additiomotor load of 0 "A ", "F. , "l•a' "I -3 ", Job n0.: ,Job site add ss; ( „ � 1 emHa of mono. occupancy. •7 C t ❑ gia or more teaidor,Tia attire, ❑ Recreational vehicle parka. City /$l p/ZI11: 9 -7z--z_ ©HaahM.cate faoilitiea. ❑ Supply voltage for more than Suite/bldg./apt. n0. ; ❑ ❑ Hammloua toeationa. 600 vette nominal. Project Warne: `- / l�/� ! �� O r�; "" or fender ` —' r /1 500 amps or more, • Cross street/directions ,.... to job site: iC T . '1 � �� 2 Sc .z Now residential single or mnttl fnmity dwellihig m it Subdivision: - Includes attecleal garage. Lot no.: 1,000 sq. R or less 108.54 4 Tax map/parcel no,: Ea. etld'1 500 sq. R. or portion 33.92 1 ! Limited energy, residential �:' ON .O `' •,.q ;: '� (wi h above sq. R.) 67.84 2 iy �� L-16‘17--- limited energy, multi- farrtily -- 4 -� r residential (with above aq. R) 67,84 2 Services Metalled and/or relocation or feeders � • ah5eratl r 200 ; -' ; ....0. PR�l: 'W R , :: r. s • . a or less 100.70 33 56 2 ��: :'.'. t •.• :.: 20 1 a r4 400 �---- jZL r ° 133 2 Name: 401 a mps to 600 amps am 200.34 2 Address: - 1 601 amps to 1.000 amps 301,04 2 Over 1.000 amps or volts ME 552,26 2 City/State/ ZIP: Tcm services or feeders hctallnHon, alteratl on, and/or Phone: (.v23) 6 - & q -- 4 t b if Fax: ( ) 200 Owner installation: This htstallation is being made on amps or loss 59.36 I intended for sale, lease, rent, or exchange, according to ORS 449, 670, and 701 riot amps to 599 amps 125.08 r 2 Owner signature; circuits , p 168.54 y Dart:; c new alteration or extension, cr panel ❑' jf? A, Fee for branch circuits with ` 1 I . above service or feeder foe, Business name: r each iamtwh circuit 7.42 2 Contact name: B. Fee for blanch circuits P7- \�5 �u t be t ac c i r or feeder fib A.ddrezas: w t II A CO t 1Ta t trnnrdr circuit IIIMPIMI Each ndd'I branch circuit 7.42 IEMI City/State/ZIP: 1' Miscellaneous service or feeder not included Each manufactured rtxl to modular Phone; ( ) Fax; : ( ) dw• _ service and/or feeder 2 E -mail: Reconnect on1 • — ^ - ma y r 2 Pump or irrigation en vie Sign or outline lighting MIN= 67.84 =II 2 Business name; HEBERLE ELECTRIC, INC Sr erg circuita or limited- or Address: 29012 SW EGGER enwgy panel, aalteration, or extereton. Describe; Page 2 city /steto/ZIP: HI. OR 971 s3 Each additional ins . Phone: (503)628-2095 over allowable in 4 t of the above (503) 628-209;1 Fax: (500) 628 -3076 ~ Per inspection Electrical Lie.: 34-160 C lnvcstiliatitm cr hors (1 hr min) out 66 . n o. CCB Lie,: 18 �� Suprv. Lic,: 305 }S Industrial plant per borer 66 . iF Suprv, Electrician signature, required: -castattL' . •; ,.;L: Print nature: JEFFREY L. BEBE.RLEA 7-7,9-1z— Subtotal: ... 1 ; a ” • Anthorirod signature: Plan review (25% of permit fee); _ State etanha,g (12"18 of '~ " �� permit fee): �a lint name: JEFFREY L. NEBERLE — TOTAL Pfi,12M1T PTE: — " _-- Dale; TUTS Perra ap, ikagan cxplt'e.+1ra per the eta etnhie7 within 1R0 ia aa d raaU'..iM 1 ii.1Ri,C,Ib.rahA days Alter tt Ibis hCpp aan'Prad a� �.,�, rr taiatmp • mmbar of ins P 44n.e6t5r(1 MS/COMMIE See reo _ �tioas alb par permit, . � • Q n