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Permit v CITY OF TIGARD ELECTRICAL PERMIT F ° COMMUNITY DEVELOPMENT Permit #: ELC2013 -00264 T E G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05!09/2013 Parcel: 2S112BB02500 Jurisdiction: Tigard Site address: 8340 SW COLONY CREEK CT Project: Erickson Subdivision: COLONY CREEK ESTATES Lot: 21 Project Description: (3) branch circuits to change breaker Contractor: BEAR ELECTRIC Owner: ERICKSON, CHAD E PO BOX 389 8340 SW COLONY CREEK CT DONALD, OR 97020 TIGARD, OR 97224 PHONE: 503 - 678 -1355 PHONE: FAX: 503 - 678 -1108 FEES Quantity Description Date Amount 3 crt Branch Circuits wo /Purchase 05/09/2013 $71.02 Specifics: Service or Feeder 1 ea 12% State Surcharge - 05/09/2013 $8 52 Type of Use: SF Electrical Class of Work: ALT Type of Const: Occupancy Grp: • Total $79.54 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 •5'- 001 -0090 You ma obtain a copy of the rules or direct questions to OUNC by calling 503 232 1987 or 1 800 332 2344 I Issued By: �I - _ I i /. . Permittee Signature: © 0 ►rRiC/' n014 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. • MAY-08- 1 l� 32 P• Be r Electric (FRX) ;03 �rF ICEUS£ONI,Y P. 001/001 all City o f Tigard RECEIVE � i , .i ' n ' a 3 P C��o13- I: 12 `t► Ilntl Ishii Ii r.ud • •17•,; I'ldnl _.. _... _ -- - • l•h „1I. ..I : 71 v 2.l ., •1 I .,, -1:l '..IN I'I,,1, MAY 0 8 2013 Il.n: i 11% h ,1,14,1',.,,,,1 TIGARD Ilt.p.•.li.,n 1 we ;ill Ott I I -` . 11d,: ae,h n. I.wr t� E1 au 5rr r a 2 for Inlruht %.%t %I np.ud•,n em a 1� AR ullea1 %.1010.,t _ I Supplemrnlal Information CITY OF 1 - - - -_ - _.. _.._ TYPE OF WO PLAN REVIEW _ _ Ulr IMO DIVISION __ __. ❑ N. Ctln'tr11i1 _ islitinit !llcrat11111 /plitee11CiIl I'le,,•C, heel, all dui apply 1• nMn• 12 +••dldam•,.dem% Led lhl,•..I II C. `` IlrO ❑ See, ice o, 'Cede: 11)0 autps nl m., +..- ❑ 11n Olin: Amin. 0 11: 1nlili0n ❑ 1)11101 ..he,C tic a,.mlabli lan,' ,moll ❑ hldm ma- an.l Mx, •u.h CATEGORY OF CONSTRUCTION ' - -.. ... - -- -•- nce.cI 1110110 amps at ISO ,uh. 0I1•s111111. Inul1111119 (■ - IesS h, grnund. , C1Cee,a• 1.111101 ❑ t mnmC ;Iv Iuillmal �1. and 24.11111/∎ dty ell iIT ❑ ( 0,11mirciaiiinducir ( ❑ ACeCN•nn latIlthq amps nil all Mho m•Iallauan• INU1dmr. ❑ Mlllli.l.in iii' ❑ MaNter ha ildcr ❑ Othet DI pc pump ❑ 1n• 1nll.unml ea 751, V n, JOB SITE INFORMATION AND LOCATION ❑ I•.111CP ..stem L'„ry upalpl.•I■ OM 'Wit vunn ! 0 t + r r, l �t�. ❑ MWlhun al mole nn•nn h•d.l ul . A . F 1_2 - 1.%' .lab no.' I .Ioh Sill: adds,: W W �- 111(11.1P m mole ,kcupanr. ❑ Svc of more reside,m awls 0 RCrrcahmlal .eh,elc pa,t. Ciiy /S1111c /LII': ❑ Ilcald,•carc Eno., ❑ s.,„ ,uhapc hi. more Ihan t ` -' ` �/ V 4.� 0 I lamrdals huah,mr. IMO tall Dooms/ SOi1elllldg,hlpl. 00.. 1'1't11CCl d, nlllllc: / Q� 11 • ■ Serw,ee m Iee,kr b1111 amps mutt �!� I ' . 1 C� 4 IQ 01li 11�' t FEE SCHEDULE Cross street/direct ions to inh Silt:: Deem: r.wr, • , Yu. Tn1.1 • New residential single- nr multi- family dwelling unit. -� Includes attached garage. Subdivision: 121 nil„ 1,111.10 sq. It or less 168 5.1 -- -- — -- 1;a add'1 500 sq. 0 ,11 pnrhun ■ 33 92 Ill - I IIX Mil /parcel nu.: Limited energy, residential 75 00 III DESCRIPTION OF WORK (with above sq. fl.) •”" Limited energy. multi - faintly > fi - - bU �Q _ b���1C 1 .1! 11 residenh;rl (with above s. Ili 75 00 1 s/ , �� Servic or feeders installation. alters lion and/or relocation c a'- 200 amps or less MI tau 70 W ❑ PROPERTY OWNER 0 TENANT 201 amp to 400 amps IIII 133 Se 401 amps to 600 amps 200 34 Name: 601 amps io 1,000 amps 301 04 Address: Over 1,000 amps or volts I 557 26 City /$Ifllel2lla_ Temporary services or feeders installation, Alteration, and/or relncatio) Phone. ( ) Fax: ( ) 200 amps or less 59 36 1 201 amps to 400 amps 125 08 2 Owner installation: This installation is being made on property that I own which is not -... 401 amps t0 599 amps 168 54 2 intended for stile. lease_. rent, or exchange. according to ORS 447. 449. 670_ and 701, Branch circuits - new, alteration, or extension, per panel Owner signature: _ Dale: A. Fee fur branch circuits with ❑ APPLICANT © CONTACT PERSON above service or feeder fee, 7.42 2 each branch circuit Business name: B Fee for branch circuits without % '1 service or feeder fee, first Contact name: branch dm 5618 �� 2 _ Each add'I branch circuit ..._i- 7,42 I L414 2 Address: Miscellaneous (service or feeder not included) City/Stale/ZIP: manuftlnured or modular 67 84 2 dwel(in_ rvice and /or feeder Reconnect unly 67 84 2 Phone: ( ) Fax; ; ( ) Pump or irrigation dick 67 134 2 E - mail: Sign of cm tine lighting 67 84 2 CONTRACTOR _ Signal enemas) or limited -cher Business namC: �Q an �I to •onel alteration. or extension. Pape 2 _ 2 .SL� urrlc r C 4. ' / Each additional inspection over allowable in any of the above Address: r i -[ ; r Additional inspection (1 hr min) 66 25/ hr City /Slate /L1P: ' `' l . ` . • oR • 54 Invcstlgallort (1 hr min 6625/ hr industrial plant (t hr ruin) 78 18/ hr Phone: ' �-� CJ • 1 Fax: f � IDS � lnspectlons for which no fee is ' Q m s eeifcilly listed (Vs hr mill) 90.00/ hr CCB Lie.: 2.0111 - 1 — Eleclrica) Lic.: , 12v. Lie.. r 1 ELECTRICAL PERMIT PE} .. S • — , Suprv. Electrician signature, required: C� � Subtotal: �• ---:. , I � Pl rev ( % o permit fee): - • w. ` Print name. r J , 1 Date: i i I Slate surcharge (12 %. of permit fee): • 1 TOTAL PERMIT FL> : '5 Authorized signature: • -� s • _ . This permit application mires If a permit is not obtained within 180 Print Marne/ r/1 A i ' ..- ^ ' Date :511, I `� . days aver it hill been accepted as complete. V van 1r� y • Number of inSweliuic allowed par permit t •tlruildingiPtrmns*- 1,C- PcrmnApp doc 0t01t10 4411.4015T111A1NCOMA•/pa '�' Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 8340 SW COLONY CREEK CT, TIGARD, OR, 97224 Residential - Electrical 199 Electrical final 05/29/2013 00:00 ELC2013-00264 PASS - No C of O Violation Summary: Inspector Contractor