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Permit CITY OF TIGARD ELECTRICAL PERMIT :', = :` COMMUNITY DEVEL OPMENT Permit it: ELC2012 -00201 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/06/2012 Parcel: 2S112BD09600 Jurisdiction: Tigard Site address: 14668 SW 78TH AVE Project: Brittany Meadows, Lot 32 Subdivision: BRITTANY MEADOWS Lot: 32 Project Description: (1) hour inspection for electrical conduit for future solar photovoltaic installation. Contractor: BEAR ELECTRIC INC 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 04/06/2012 $90.00 Specifics: 1 ea Hourly Electrical 12% 04/06/2012 $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 OA ' 52A;;,,4!.,190. You may obtain a copy of the rules or direct questions to OUNC by calling 50033. or 1.800.332.2344. Issued By: 4 / %I _ Permittee Signature: !//t/ 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. APR- 05- 2012(THU) 13:57 Bear Electric (FRX)5036781108 P. 001 /002 Electrical Permit Application FOR OFFICE USE ONLY C l�► O f Tigt;rd ''.�� omit No ,,Ia Doan • 13125 SW Hall 81vd., Tigard, � R� �,� '��' Peen Revi 0 • Phone: 503.7182439 Fox: 303.598.1960 201 psi&B . Or f57 Q(� � 0/7 , T I G A R D Inspect ion L ins: 503.639.4175 APR 5 D ate Reodr1B Jisi Ja S P.ge 2 for Internet.• wwW.ugord- or.gov NotifmdlMethod; . Soppkmm>slInformation l New co ❑ AddidotdllEl&ott %replacement Pleune'd1Oc' all that apply (submit! sets orplans wlnems checked below): Q Service or feeder 400 amps or more ❑ Building over three stones. ❑ Demolition ❑ l7tlIt r where the ovalable fault current Q Marinas and boatyards, "= - °"'' —"':: ;:h am a11SOvotaor l:loaun bwtdi .•:- .. •.....�^ `... "- T�GOItOIrCO_NSxRUCx701Y � ;T =` .: —__; _ �::,:w.,: _•.- .:.;:,. _ e xceeds to,000 ps 1 ❑ g nga. ily dwelling ❑ CommereiaYindustrial Acccsso buildin • l n a to ground, all o err or ins all exceeds 14,000 I] buildings. agrrieultural ® 1 - and 2 fam ❑ rY B amps for all Whv inat,lhtioras. bu0dings, o Multi - family ❑ Master builder ❑ Otlter. Li Fire pump. Q Inetatlation of 75 KVA or ]OB 5A8 `nV1 ORMA CCOI!fX�►?iiD I:OC 7 _''�, ❑ glner0 Q n o f system. larger eepam -2 sly de .3'. system. Addition o mw motor load of Q " A "t- , "1.3 , Job no.: 1 Job site address 14668 SW 78th Ave. l on ' ❑ $i Or ttloee residential unite. ❑ Rtu vehicle parka. City/State/ZIP: Tigard, OR. 97224 HealtMrare faeililiee. ❑ supply voltage for mare than ©I•laratdoua lontions. 600 volts nominal. Suitc/bldg. /apt no.: Project name: ❑ Service or feeder 600 mops or more. Cross street/directions to job site: ' ' .. `' � _hOQl�O' L rt2 L. 1 p.•. I rat I . New resldendal alagle. or mutd•GmUy dwelling unit. Isiduda attacbed garage. Subdivision: Lot no.: 1.000 aq.11 or lesa 168,54 4 Ea, add'I 500 sq. fl, or potion 33.92 1 Tax map /parcel no.: . _ _ rest) Ital 01Y�QI!OR1C� (with above eq. tl.) 75.0 2 Limited energy. muIli•family _ ! 75.00 12 Run electrical conduit for future Solar PV Install, residential (with above sq, n.) l Service, or feeder, lastalladon, alterattol?., and/or relocation 200 amps or less 100.70 2 = d „1QRoPERY = OWIVI'I %_ :i❑ a '� n!`i•. °.: 201 amps to d00 amps 133.56 2 Name: 401 amps to 600 amps 200,34 2 60! amps to 1,000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26 2 Ciry/SuucrLlP: Temporary services or feeders installation, alteradon, and/or reoesdon Phone: ( ) Fax: ( ) 200 amps or leas 59.36 I Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps 125.08 2 intended for sale, lease, rent, or exchange, according to ORS 447.449, 670. anti 701. 40! amps to 599 amps 168.54 2 Branch circuits- new, alteration, or trstenalon, ner panel Owner signature: Date: A. Fee for branch circuits with .. ; • .. -�� as f ' a_ xr above service or feeder fee, - — � •- � ench branch circait 7.42 2 Business name: • B. Fee forbranch circuits without • service or feeder fa, first 5G.I8 2 Contact name: branch circuit Each add'l brunch circuit 7.42 2 Address: Mliseenaaeona (aervke or feeder not included) • Each manufactured or modular City /Statc/ZIP: dwelling. service and /or feeder 67'84 2 • Phone: ( ) Fax :: ( ) Reconnect only 67.84 2 Pump or irrigation circle 67,84 2 E -mail: Sign orougineli&tting 67.84 2 Signal circuit(s) or limited•encr Business name: Bear Electric, Inc. panel alteration, ormttension. PaRe2 — _ 2 Lath additional Inspection over allowable in ay of the above Address: P.O. Box 389 Additional inspection (1 hrmin) 6625/hr investigation (1 hr rein) 66.23! hr Ciry /Stute/ZJP: Donald, OR. 97020 • tndttatrial plant (1 tv min) 78.18/ hr F one: ( 503) 678 -1355 I Fax: ( 503) 678 -1108 tretCCtions for which no fee is speciticaly listed (' /, hr min) CC13 Lie:. 20919 ./ �J Electrical Lic.: 24 -107C 14'Suprv. Uc.: 4Q Z S ” > #E1 Cf I Suprv. Electrician signature, required: �� A , j,_,,,,,, Subtotal: 90.00 • elan review (25% of permil fee): • Print name: PAUL A , Date: 4 /5/12 Stnte surcharge (12% of permit fcc): 10.08 r TOTAI.. PERMIT FRE: 100.08 Authorized signature: _ •� 7bq permit appllwdon apLea If. pamlt S not obulam within 1110 du attar it has treed accepted as complete. Print name: 1 Dale: • Number of intpectiona onowed per permit. 1; tnttdisglraadunl.c- t`mmtepp.doc 07/01/10 44046tSrp1roS/collmwtD