Permit n CITY OF TIGARD ELECTRICAL PERMIT
1114 COMMUNITY DEVELOPMENT it ' I Permit#: ELC2015-00223
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/08/2015
T t C'I1.tZLa 9 Parcel: 2S102DA00401
Jurisdiction: Tigard
Site address: 11950 SW MORNING HILL DR
Project: Kjemperud Subdivision: BARNUM PARK Lot: 9
Project Description: 2 circuits for heat pump. 4/8/15:Reprinted permit to reflect change of address to 11950 SW Morning Hill Dr.
Contractor: ERIC OLSON ELECTRIC COMPANY Owner: CAITLIN KJEMPERUD
10013 HAZEL DELL AVE PMB 432 13125 SW HALL
VANCOUVER,WA 98685 TIGARD,OR 97223
PHONE: 360-609-4901 PHONE: 541-337-8306
FAX: 360-693-2980
FEES
Quantity Description Date Amount
2 crt Branch Circuits wo/Purchase 04/08/2015 $63.60
Specifics:, Service or Feeder
1 ea 12%State Surcharge- 04/08/2015 $7.63
Type of Use: SF Electrical
Class of Work: ALT 45 Misc Administration Fee 04/08/2015 $45.00
Type of Const:
Occupancy Grp:
Total $116.23
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 952-001-0090. You may obtain a f the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344,
Issued By: 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' 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.
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
11950 SW MORNING HILL DR, TIGARD, OR,
97223
Residential - Electrical
199 Electrical final
PASS - No C of O
ELC2015-00223
Jeff Grove
Violation Summary:
Inspector Contractor