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Permit CITY OF TIGARD ELECTRICAL PERMIT 1 COMMUNITY DEVELOPMENT Permit #: ELC2012 -00146 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/15/2012 Parcel: 2S112BD09500 Jurisdiction: Tigard Site address: 14670 SW 78TH AVE Project: Brittany Meadows, Lot 31 Subdivision: BRITTANY MEADOWS Lot: 31 Project Description: Electrical conduit for future solar photovoltaic installation. Contractor: BEAR ELECTRIC Owner: FISH CONSTRUCTION NW INC PO BOX 389 1834 SW 58TH AVE #102 DONALD, OR 97020 PORTLAND, OR 97221 PHONE: 503 -678 -1355 PHONE: 503 - 292 -9891 FAX: 503 - 678 -1108 FEES Quantity Description Date Amount 1 hr Hourly Electrical Rate 03/15/2012 $90.00 Specifics: 1 ea Hourly Electrical 12% 03/15/2012 $10.80 Surcharge Type of Use: SF Class of Work: ALT Type of Const: Occupancy Grp: Total $100.80 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 0 • : 9010'090. 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: �� Al Permittee Signature: r7N . / / /c4 770 A/ 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 603.639.4176 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. MAR- 15- 2012(THU) 12:27 Bear Electric (FRX)5036781108 P. 001 /002 Electrical Permit A> pli .-. , `V FOR OFFICE USE ONLY 09 City of Tigard o ate/B , S S - 7ii ri 'N°.' ac .2o/.2 — /O/ W MI 5l Blvd., Tigard, ' • • � • s. Plan Kcvxw �,�t�/ rheas: 503.718.2439 Fax: 503.59.3 1 c0) Datemv: ether Pamir / -3/// 00/ 7, Inspection Line: 503.639.4175 0'0 \ +' Date Radylrilr m! See Page 2 tar T [ G �\ h D Internet: www.ti CI Notifted/method: supplemental Information Please check all that apply ( submita sets ofplanswidens checked below ): ® New construction ❑ AdditiOn/alterrdodtsplaoemettt ❑Service or feeder 400 maps or most D Building ours three stories, ❑ Demolition ❑ Other, where the available faatt morel l] Marinas end boatyards. "` '1',7'•.- G'EBGORYOP CONS17tUC1IoN - ' , - _ _ s '^ y rte" exceeds I0,000ampsa1150volts Dflowing boil dings leas to ground, or enmesh 14.000 D Conma:scial -use sgrieullaral ® 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building Am far d1 matt Inetellauom. buildings. ❑ Multi - family © Master builder ❑ Other: 0 Fire pump. D Installation or75 KVA or - CM a derived system. • . :.1. + a :._:' �S361eSEP ORMA�'I01 .. :I ON : :r•y ., w' .,= CI Addition of new motor load at D ` A ", " I . "1 -3 ". Job no.: ,lab sitc address: 14670 SW 70th Ave. 16 more a Q six or mom residential units 0 ltaereauon mtd vehicle petits City /StntefZIP: Tigard, OR. 97224 ❑ Healtmare[5elitias. ri S voltage! for more [] Hazardous location 00 volts Suitc/bidgJapL no.: { Project name: 0 service or feeder 600 amps or more. Cross street/directions to job site: o..e., — I art. t v.. 1 Twat I • New residential single- or maltldandly dwelling unit. Includes attached garage. Subdivision: l Lot no.: 31 1,000 sq. ft or less 168.54 4 Ea. add'l 500 sq. II. orpot1Ion 33.92 1 Tax map /parcel no.: Limited energy, residential P.",, - ..." : : __ w.' :' FSCit9t30PfTO ei "w;i7EF- ` :..� :,_ :.:7-i',7 (with aboves*.ft) 75.00 2 Limited eoergy, multbl8tnily 75,00 2 Run electrical conduit for future Solar PV install. residential (with above sq. 9 Scrvica or feeders 1 alteradog and/or relocadon 200 amps or less 100.70 2 ' �_Oa _ rf 7A•: : - 201 amps to 400 amps 133.56 2 = 401 amps to 600 amps 200.34 2 Name: .. _ 601 amps to 1.000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26 2 services or feeders ittarallation. alteration, and/ Ciry /StatefjlP: relocation or Phone: ( ) 1 Fax: ( ) 200 amps or less 59.36 I 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 z 401 amps to 599 amps 168.54 , 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits- new tteeatloo, or extension, ter panel Owner signature: Date: A. Fee for branch circuits with g-- fit _.` , p i, ON'1'A 3 0 about service or feeder Re. 7.42 2 _. - m�� SrW"4��'�i' � - rs -._ �— —. each hrdach circuit Business name: H. Fee for branch drauits wlthnw service or &Eder fee. first 56,18 2 Contact name: brunch circuit . each add'i branch circuit 7,42 2 Address: Miscellaneona (service or feeder not included) City /State/ZIP: dwclli andlor ' 67.84 2 Phone: ( ) I Fax: : ( ) Reconnect only 67.84 / 2 Pump or irrigation circle 67.84 2 5-mail: . .. Sip or outlinell81111ng 67.84 2 te- ter. ._ _`�� Signal citetriga) orlimitedKt Business name: Bear Electric, Inc. pawl, ellnation, or extension. _ Page 2 2 Rash additional Inspection over allowable in any of the above Address: P.O. Box 389 Additional inspection (I br mill) 66.25/ hr City /State/ZTP: Donald, Or. 97020 Investigation (t fit min) 66.25/ hr � Industrial plant (1 hr min) 78.18/ hr Alone: ( 503) 678 -1355 Fax: (503) 678 -1108 111 s9e c fiooe forwhich : Fo is 1 90.00/ hr 90 s elfl cdl listed 14h CCB Lie.: 20919 I Electrical Lie.: 24 -107C I Suprv. Lie.: t 6 L5 .. .._ s Subtotal: 90.00 Supt.?. Electrician signature, required: - t � . 4 . Plan review (25 °A of permit fee): , Pr name: p� L A • i ts Date 3115/ Slate surcharge (12551 of permit fce): 10, / V t 0 TOTAL PERMIT FEE: 1 .08 Leo o 0 Authorized signature: This permit application aspires if ■ permit Is not o wlmtdi Print name: Date: days after It bar been accepted ae complete. ',1 Moat= of Inspections allowed par punk IV ortopoopperagaWLC.rnmitAandou 07101115 4404615T111MH1COMNfrsa • •