Permit •
• V CITY OF,TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: ELC2009 -00473
.TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/10/2009
Parcel: 2S109AB06600
Jurisdiction: Tigard
Site address: 13084 SW STARVIEW DR
Subdivision: Lot: 0
Project: Damiano
Project Description: (3) branch circuits.
Owner: FEES
DAMIANO, PHILIP Quantity Description Date Amount
13084 SW STARVIEW DR
TIGARD, OR 97224 3 crt Branch Circuits 09/10/2009 $60.15
wo /Purchase Service or
PHONE: Feeder
1 ea 12% State Surcharge - 09/10/2009 $7.22
Electrical
Contractor:
BEAR ELECTRIC
PO BOX 389
DONALD, OR 97020
PHONE: 503 - 678 -1355
FAX: 503 - 678 -1108
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Total $67.37
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. ATTE _ • law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -00 0 through OAR 95 ' 01 -0 -.. You m- obtain a copy of the rules or direct questions to OUNC by calli 13.246.6699 or 1.800.332.2344.
Issued By. # _� _ y . Permittee Sig natur - - -' � ' ,- 1 '
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 an inspection that business day.
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.
HP- 10- 2009(THU) 09:54 Bear Electric (FAX)5036781108 P.001 /002 •
;•. C�I • � � IOIt OFFICE 1'SE ONLY
Electrical Permit Applies I .
City orTigard EP 10 2009 r ..• �) 0 9 iir PermitNla; LL,Ci609 -00 9 7 6
11125 SW thin (tivd..77pard.OR 9 Poo a '
'� • Pbaue 503.619.4171 Fos: 51)3.591 '1 otanPermp
-I«:.,,, ipspmdon Line 503.fa39A175 C IS OF T IG A RD tall• r � 21 S.rPato2far
(n& 616'.111/3442,46w ct 616'.111/3442,46w BWLDING DIVISION xauaed1ta tot . 1 Sapplme.ul law= olio
TITE OF WORK _ PLAN PKVIEW .
❑ New construaton 121.Addilioalaltcraiodtepbmwount rsos. men& on that epyhtoDmair s doing whims dodged s.we
DS11v101 or fonds 400 amps a wo O Build* ors pore curies
0 Demolition 0 Otha stns do ramble dub curium 0 Maims aro tonis••t•
coqmpoav OP ComerauCaON =wig mow ts•au110 0 +t building"
ksab pound. ar mash 14.0W OCasmnclakorapinlmnl
Z
I. sod 2- fatally ds.dtins ❑ Commessialrmdusnial ❑ Aectsawy building asp Oar ill alba i.mCsroo► buildings.
0Mutt- 4tmily ❑Ma+labuilds DOther. CI 0Wmamass sr KVAor
• JOB 161'JiEINPO1RMit17oN AND LOCATION DEmatesryaria^• traps sepua►et i. ired .}aonr.
C Ami.wd .r.rawer rW.f p•A %=r. a.r.9.1'.
lob site addraoc t ∎ 1 SL. f�. IOOIfr e areas aaecps
Job no.: sion
I I ��Al V �JC c C)1 1p LO a �l I 054 a mss nydaalsl ram. D *usaas KhKb pawls
mulLtP: -�• /� (� r � 0 tleatabsam ba inks O S•vtah :< than
\C' j \ ) 2,, �i 111 ✓r' T? I � . Oltsaidae bona* Aa60C) tsa aaaual
SuisdbldgJapt. am: � PIOjat nonorm 4-•j l 4 on , Cari
1Eoe r.enRemawmme.
1 PEE SCHEDULE
Cross sooalditertious tojob wile: tolorio0ro - 1 On. I v.., I TWO, i •
New residential *tea or emhl-family dwelling oh.
Indust mlaehadprone.
Subdivision: I Lest pro.: 1.000 sq. R or lets 145.15 4
Ea. add7 SOO q. A ar portion 33.40 I
Tu ntap/pare:1 no. Lbrdta asngy. math: nth]
. �D&S6'AIp11ON OF WORK . (wbb =bow sir a.) 75.00 Z
Limited III). owbldYmdly 75.00
h(k ` 1.
a 1 1 LJXX r L IY .Q, Ie-� u.N., sesidemial WO Aare s4 n) .
.
Services or faders I .. .. L 'heretic sod/ , r 41.:
` 2aP nano or 6030 2
"{� l feu amorTY. OWNER j . • ' 0 Twat ? 201 an w 400 sups 106.85 , 2
Name; --- q" H t f t ) 6 401 sofas to 600 amps 160.60 2
601 agape to 1400 woo 2a0.t,o 2
Addtcs1 Over 1.000 erns revolts 454.65 j 1 2
Cty1StapdZlP. Tamperary smlces or feeders leatanutton, alteration. sadkr
Maculae
Phone: ( ) ' Fos: ( ) 200 amps or less 661S I
Owner 11 1111.11aa: This insmIlatian is being made on pulsar/ that 1 own which is rtoi 201 mnis m 4 "/ 601/1 100.30
iatetded for Sac. lease, rein, or a doing% according to ORS 447.449, 670, and 701. 401 maps to 599 seta 133.75 2
� Onneb clematis.. saw, alteration, or atreelms, Eef panel
signature Omer
4 Fm Sir bawd) ebedu WA
:0 AP1r1,Io.Nr . 1. 0 cola= - PERSON above :orrice or foster fad. 6.65 2
each bunch clean
Busing= name: B. Pm for br ch distills -
without service or comma name bnndit_elreah 4687 (p a Z
Add= • Each add'1 bands circuit . 2. 645 ( & 2
— Utlsn[Isneoss iar 4a or (cadet not lnetsded)
CiryStatrJZ1P: Each amottacturot or modular 90.90 2
motto( fmic
Phone ( ) I For : ( For * 66.85
E -mail: Rumor aid:noncircle 53.40 2
. CON RACIOR Slot et outline li{dablc 1 5/.4C1 2
• B etmae Bear Vt v panci Int. 5lgeal panel, a1 or dmitol.
. mtloa or
Addtesaa PO Boo 389 eatanioa. Oeucau Pep 2
city/StnidZ19: Donald. OR 97020 • /O h 11e eodr:4� Sawmill.. ... ,.. star. s....
Per importers 62.50
Phone: (503) 678 - 1353 I Fax (503) 6784 208 yQ0 { paa=baartt w mug r 62.50
C CB Lie: 20919 • I Electrical Lie.: 24.1070 T Suprv. Lie.: . 5.. reNTE, , tndeu+i:a atoms pro hour 73.75
itizernscAl: mower Suprv. Electrician signature. rcgttirc��k� 1/, �� lcca I
i� / Q ( Pion
^{� review(25%of
Print name. hUYI 14K �C1S 1���` ! S ( 12% anent* leek 1
Authorised signatwe TOTAL P7~RMt7 FEE I n a ?
-
Print arm= 1 Date ' Tats pwvetl npponasa Notre U • perch is st °Miami Wuhan Ub
do s =Der li has beeo ererps.d u aomak i..
• Mamba oflscpocUe sailr..dpenourmb.
L erla.rno•oha`tO;C•ookhopf.a On Co 44).41$11110) COM wtp
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