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Permit (44) CITY OF TIGARD ELECTRICAL PERMIT 11111 ' COMMUNITY DEVELOPMENT Permit#: ELC2016-00269 Date Issued: 04/05/2016 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S110DD09400 Jurisdiction: Tigard Site address: 15835 SW HIGHLAND CT Project: Pazoff Subdivision: SUMMERFIELD NO.6 Lot: 310 Project Description: Replace electrical panel Contractor: CHEROKEE ELECTRIC CO Owner: PAZOFF, HARLEEN J 13019 SW BRADLEY LN 15835 SW HIGHLAND CT TIGARD, OR 97224 TIGARD, OR 97224 PHONE: 503-209-9039 PHONE: FAX: FEES Quantity Description Date Amount 1 ea Services or Feeders-200 04/05/2016 $100.70 Specifics: amps or less 1 ea 12%State Surcharge- 04/05/2016 $12.08 Type of Use: SF Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $112.78 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 ac • •-• - 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. AT ' TION: Orego lax -•uires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001 •010 through OAR 95••01-00'0. •u may obtain a copy of the rules or direct questions to OUNC by calling 503.232.19871.2or 1.800.332 344. Issu•• By: /��/`, Permittee Signature: X 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. 4/2/2016 scan0040_bmp RECEIVED Electrical Permit Application 1 ;,,, .,: , 1 ,�, ElCies ofTigard 5 ?016 _ © 1�.�/ ` * Ec, o ,-00, 13125 SwBan Blvd.,row,CR 97723 Phone: 503.718.2439 Fax 503,5Kiret, t A 111, Rafted Penal 0: lespeetton Lina 503 .417 ' lr:, Ready DetnfBy ;laic ■See Paan 2 Ar >" 'r`"°-ti °r-g°v111ILDING DIVISION PLAN =VIM 0New construction Please cluck ail slot apply(Wm&aams alphas wale=cbedreaj: ❑ 0 Demolition 0Service rfder409agrsormose CIBmld rgoverSomesnia vane de awl ike hdt coomr 0 Madam and bosom*. . Cilf Y Of:cONSIIMICTION eraaedi io000 mem w150 volts w 0 Norsiag baalrfihp. Da 1-and fly dwelling 0 CommaciaIFIndoshial 0 Accessory building less lo ground,or exceeds 14,000 0 Comarpdal-use agluca' atps await other ima tet ons. headings. 0 Multi-family 0 Master builder 0 Other: 0E-re prom 0 hraiattalieo of 1501EVA or Jos-sat lIWORMATLOPI AND LOCATE 0Emsgemysjaa®. largo-ari maselyderived Job#: lob site address: : f,t G-i- a Addition mom moor load of miasma. /58'.35 �� /-firQ aY1L � 10011P or mera. 0 A,`E;~1,2';"1.3' Cit3' /StamdZtP: -�-� arR © 7� OSix ammo n itlential wide./ p 0 -care me facSfes 0 Rmeatioad while parka Suite/bldg./apt.#: Pmject name: /{t,r tetvt P t e-) 1�11sadoan Ioeauaoc 0 Sappiy voltage formic thew Crows sfrGEt/clIIO ons to job site: c� a °Se vice or feeder 600 mops or more. 600wdtcns®al 54 i�ncr_ ( fir- FEE S UThU[Z aeaesrarw I Ob. 1 East 1 amt 1 • New rddentbal single-or dwelliag Subdivision: Lot#: ',dada attached garage. 1,000 sq.11.orbs 16854_ 4 Tax map/parcel#: Fa.adds 500 sq.tt outwits' 33.92 1 ..DESCRJFITON OF WORK L Limited energy,rasidentisl RefI/ac e. tie,.c`rri`c-(NJ f a H el (with above sq_R) 7s o0 2 / Lambed malty,° 7600 2 residtotial(with above sq.R) PROPERTY vrllM d ' NAPiI Renewal&E my 0 SeePaw2 Services err is tallathaatAbrades,aad/er relocation Name: 200 mays or las / 100.70 ial`,70 2 Address: .. 201 maps to400ampe 133.56 2 401 mops to 600 amps 200.34 2 City/State/71P: 601imps tol000rasps 301.04 2 Phone ( ) Fax( ) Over 1,000 amps or vols 55126 2 Email' Temporary services or feeders iaabiHatiaa,alteration,and/or rderatiea Owner installation:This installation is being made on property(het I own which is not 200 awes or Ies 59.36I intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 maps to 400 amps 125.08 +2 Oti/aer signature Date: 401 amps to 599 amps 168.54 2 Ea Alp'!ucittir I ; El comer rlrosoTl Dramadraft-new,Menden,or estwia■,per panel AFee far branch circuits waft ti Business name:CitervAtt_ EI€t.l1,- _ r above savioeorfeoderfee, 7A2 2 each booth ecircuitCotnactname: 'Too SGir't,/I1. .4— B.Fee for branch circuits wirlromt / service or Bedew fee,bast Address: (3 0/4 5 cJ S r 4Lee ey �., branch circuit 56.18 2 City/StaterZIP: 73' 4_0,17' l�k' / Q7 zz`t Each add'1 braerh cap 7A2Miscellaneous 2 Phone:(.57)-3) -7,09- 9037 j(Fare:( ) moonfactmed or H�icmaddee or r '°t r 11 dwellm&service matVor feeds 67.84 2 Email:C�YI ke-e_Ph1 e-c41 1 r es / ivta.i I C .i,t Renamed only 6714 2 - 1 t Pump or nlin ride 6714 2 Basin=nameie 01 'e Ele :frlc. -r-,,e- Sigaaroutl-melighting 6784 2 dceAddress (30 tY SGin g -ca ��y L.2. / pane,a norm 'm 0 Ser Age 2 2 additional Jaspeedos over allowable is nay oldie aboveCity/Stair/ZP Ta I77x.7--Y Additional impaction(1)s am) 66.25/br non=(Sy3) q- g03I Fax:( ) Investigation(1 brain) 90.00/ler Erna: / � v t l adtatral plant(1 br ham) 7818/br ClAe t-O t<' rt 'o r C H4 tura I x Lap s pforwhirh no fee CCB Lic.:,�a5- ,i IEle Electric' 1.ie..: 3_l suprv.Lie.: z6!c 5 sperm'listed(,4 hr min) • p 90.00/to -�' IliZCIRICAL : FlsSuprv.Electrician signature,required ' - Sabmrt /t)0 r 70 Pkat X),A , Sc.,i vin ear DatcY-(-/L. 0 Plan Review Regwad(25%ripened* fee): I Stare sumbarge(12%of peter fee): (z Ag Authorized signature: TOTAL PERMIT FEE: )/a. 7 t>-roof I This permit$ i+dda a�it's permit b..net winds 180 r ua... i.PPw.Hwv it►,.r�w.n f'M,rra.e aerwni. https://mail.google.com/mail/uI2 inbox/153d30c453794313?projector=1 ill Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 15835 SW HIGHLAND CT, TIGARD, OR, 97224 Residential - Electrical 199 Electrical final PASS - No C of O ELC2016-00269 Jeff Grove Violation Summary: Inspector Contractor