Permit CITY OF TIGARD ELECTRICAL PERMIT
11 `- COMMUNITY DEVELOPMENT Permit#: ELC2013 00464
,T f GAAD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Date Issued: 08/06/2013
Parcel: 2S102AD03450
;. .
Jurisdiction: Tigard
Site address: 8777 SW BURNHAM ST
Project: City of Tigard Subdivision: TIGARD HIGHWAY TRACTS Lot: 22
Project Description: Add(1)branch circuit to outdoor service for trailer power.
Contractor: MR ELECTRIC OF CLARK COUNTY Owner: TIGARD,CITY OF
418 NE REPASS RD B-5 13125 SW HALL BLVD
VANCOUVER, WA 98665 TIGARD,OR 97223
PHONE: 360-574-7200 PHONE: 503-639-4171
FAX: 360-546-2158
FEES
Quantity_ Description_____ _ Date _ Amount
•
1 crt Branch Circuits wo/Purchase 08/06/2013 $56.18
Specifics: Service or Feeder
1 ea 12%State Surcharge- 08/06/2013 $6.74
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total ____$62.92
Required Items and Reports(Conditions)
•
This perm sue. .•.- t to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be do,- in accordance with -,•roved •lans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
day-. ATTENTION: Oregon la -•uires you o follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
95 -001-0010 through OAR 952-'• -0090. Y• •btain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344
I sued By: ��a -��l/ `' _/ Permittee Signature: (�
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale,lease or rent.
OWNER'S SIGNATURE Date:
• CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR.ELEC' 4'iilr/ Date: 0//3
LICENSE NO. LEIS gg S
Call 503.639.4175 by 7:00 a.m.for the next available Inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
- Approved plans are required on the job site at the time of each inspection.
Aug. 6. 2013 10:24PM N o. 0046 P. 2
08/06/2013 10:55 5035981960 CITY OF TIGARD PAGE 01/01
Elis__Lica ii_!s_LI nit2.2K WM _ , „on,„ 1.14. , 1 ,,,, (.,,,, ,
Raavgd raximur. pammiszeolo- 5-eo
• ' City of Tigard Date/13 i
12vV5VolfgaPj43vd.9,Teigarzocd,50015997-sti:i 6 2013 ' . Review 7
Olher lk-nrift:
Deleffir: _
• ' frirPrclion tinc: 503.639.4175 ,..,,,,,,OF TIGARD Date Ready/By: lit: ES Sec rage 2 for
I i, ,, sr)
.. - Interred: WISVAI$Oftkr.line kJ 1 1 _ Nodal/Method; Supplcrocntal Information
ilea°cheek oil lbat apply(admit 1 ads of alms wiitana comma below):
131116111111111111316 1 6. • ''.....-‘:! :' :.'i .'::,:li•#Y4:11*W141.,10.::'' ._...'!.:'(.;-.1...
0 New construcli011 7. dditiOrlItthernr1011/repineeMC11(
ID ficAica or feeder 400 temps remora 13 Building over throo erodes.
ID Demolition 0 Other: erten the available tbult°chest ['Mammy Ind bostyerdp.
..•:'.:1c..- . -:•.- ' 7. •;.... titiEdintit:tijr';ii. ,,.•.,- '00'..... . 15Ectuts I0.000 snips ar ISO la vat or 0 FlOrring building%
. ._ • . .. •--:
icy to groan dor race eels 14,D00 DCOMm crcIalAi se agricultural
CI 1-rind 2-family dwelling '77' • MareialfindustrIal •Accessory building amps fin all outer losssikeiass. huildinge,
• MUltlarni 1 El Master builder 0 Other: Palm peso, El nolallstion of 150 KVA or
USinargenoy mom largo.soma*derived exam.
:.•••:ir2;,. -:,' 1.;,%71::.:: :.itiViMirOWFOrledekrION: ' .: ' . Cl Addition of Pow motor lond of 1:1 qA","El,"I-2","14",
100HP or more, ocalPzirY.
Job no lob site address: :77 r . A ‘
0 at Or more residential wine ['Recreational vshirde
CI Haalth•aos facilities. 0 Supply voltag =e'cern dm e
City/Shiro/ZIP; ' a, a ' ' Z 0 nberRdini locations Goo volts rooming
Suite/bldg./apt.no.: Project'øM: SO 1 I • CI Service or feeder 600 ampo yttrium.
• :.'• . : •• -:•ITE:•SCRIttfEE: .- 1......:-•.-.. '...'. • -
Cross streat/directIons to job site: ri.;.,1 ,...— 14,,i...i..
New Irdldentlal Mingle,or Multlattilly dwelling unit,
includes trundled game,
Subdivision: Lot tio,:
1,000 sq,ft,or less 168.54 4
Ea.adel•I 500 sq.11,or portion 33.92 I
Tax mapfparcel no.:
Um I ornrgyoesIder
nno 2
• ' Limited energy,multAldlly
75.00 2
l 1 j _ \ residential(with above sq,It)
I ..
• ; . .ow - J%) 1•laL...W._..ta.. . 4.' 12.7.,,!ir
opt'tenable Ericript 0 See Page 2
% l .
Se ev te. , .6 f e •Oselri aimless or 1odjjilftti1latmon,ettenstrid/o relocation
• "S-PROPEInif /AR• .: . . E1 TENANT - 200 AMP Or lam 100.70 2
201 limps to 400 amps 133.56 2
401 Snips to 6130 amps 200_34 i
Address: SI'7
I ... .. Q01 Amp to 12000 amps 301.04 2•
Over 1,000 amps or volts 552.26 2
ilY • , . 'i s 1 ' I II:I Temporary services or feeders Instillation,alteration,REM)
. ..“
Phone:( ) Fax:( ) ,relocation
200 amps or less 59.36 I
Owner inshollation:This installation Is being M8,30 on property that I own which is not 201 ps to 400 amps 135.08 2
Intended for sale,lease,rent,or enhance,according to ORS 447.449,670,and 701. sro
401 amps to 599 amp IIIIIIKE1 2
Owner signature: Date: Era ch circuits-nw,alteration or extension,per panel
•:' -;'0.APPLICAN'r. • • : :• • ";'- il•• IMAM PERSON ' I . oa ihr ranch c mu la with
aly01/0 Wilco or ihodet lb&
• 7,42 2
rjusinces name: each blench circuit
B.Fee for branch circuits withou..--..—.—....—t
Contact Mlle! • IMMIX or Iteder rem,firm
I 56.18 S(OR 2
branch ems_
Address:
• Bath edd'I bra*circuit
...._7,421....... 2....
, Miscellaneous(service or tedtr no Inchnitt
Oity/State/ZIP:
Each immufactured or modular
•
_cNe111114,9ervfoc and/0 tfeodcr 67.84 2
Fh x:ono:( ) Fa !( )
orl_ ______EB4 2
11.-rnall: -IAA tie. latizid. or: Pump ar irripstion circle 1
''..:-..-'.•:'. ‹. 0 ' acitt.:• :..0.4'• •:tes4Ai• •.. - Sign or Mang lighting • V.84 --
67.M
2
1:::=1111N1rimaimilli ' Signal CM%)or Ilailted•omogy" see
pi • A A , •L -. A GI al USROT5XItn11Qn Paeaz 2
Address: 1: e . _ ,, s.5 ik
. e ; . . Each additional blecft___._g____ ___.we_rnit.,..__!ill_________walein, thean .• . Additional inspection 0 hr min) 66.25,hr
City/State/ZIP; lei 6 9416‘
A . - ltivoltlgatIon(I hrmlri)
larlamosumm. 'Industrial plum(1 lu min) 66.25I hr
Fitnroz( : .. )-S'7 4-1%00 70.t8/ht
Inrpeetitma for whieb no ts0-11
IIM L8r2 13=100ZIPMEME .6.00,17)incd 14 hr mth 90.001 h r
qi -if 1r
Eie .:,...--:;‘'-",,,•:, , • .va ' ;;1?-1—giM, :',-.. ?,`
Suprv, ettiolan. , ■ required: fAirdinallill - Subtotal:
Print name: ...
A 41Ta44-f,-.... DOC; a/mom Plan review(25%of=npgL...______
Shoe su rchnsgc°2%of permit fco)c ts.-P1
Authorizod signal= A - -_.■11.11/111111111 TOTAL nutmrr HP: 7.,9 7_
•Im.---
i ltis Funk*Mindful ellsfri;fr. I not oblal within 100
Print name: 12 Date: g
, as (2
1111 day*after It hes been accoved as complete,
* Mother of frlipee1101,11 alkarod per mail,
MbildiVP•tmlUIVA,PernitAppOtRj1RIUGG RCN mums esNesinlittoommemmo
.___
Aug. 6. 2013 10:24PM No. 0046 P. 1
418 NE Repass Rd, Ste. B-6
Vancouver,WA 98665
(360)574-7200/(503)296-8555
Fax(360)546-2158
® CCB#168324/WA Lic.#MRELEEC 957R1=
ELECTRIC We Have The Power To
Make Things netted, N,ww .mrelectric.com/mrelectriccc@hotmail.com
EXPERT ELECTRICAL SERVICE
Fax
To City of Tiagrd From: Mr.Electric
Fax: (360)546-2158 Pages: 1
Phone: (360)574-7200 Date: 816/13
Re: Cassidi cc:
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