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Permit CITY OF TIGARD ELECTRICAL PERMIT 11111 ' • COMMUNITY DEVELOPMENT Permit#: ELC2015-00549 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/15/2015 Parcel: 2S110DD90011 Jurisdiction: Tigard Site address: 10980 SW MEADOWBROOK DR 1 Project: Wolfe Subdivision:SUMMERFIELD BROOKSIDE CONDO Lot: 1 Project Description: (2)branch circuits for heat pump installation. Contractor: NORMANDIN ELECTRIC Owner: WOLFE, SANDRA L 51086 NW CLAPSHAW HILL RD 10980 SW MEADOWBROOK DR#1 FOREST GROVE, OR 97116 TIGARD, OR 97224 PHONE: 503-680-3781 PHONE: 503 888-9367 FAX: 503-357-4878 FEES Quantity Description Date Amount 2 crt Branch Circuits wo/Purchase 07/15/2015 $63.60 Specifics: Service or Feeder 1 ea 12%State Surcharge- 07/15/2015 $7.63 Type of Use: SF Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $71.23 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 accordan • 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■ •N'. Oregon - requires you to follow the rules adopted by the Oregon Utility Notifica'.• -nter. Those rules are set forth in OAR 952-001-I%"0 thro gh OAR 952-0'• •.90. You .ay obtain a copy of the rules or direct questions to OUNC by cal •4.03.232.1987 or 1.800.332. .44. Issue• By: j /_-)e Permittee Sign.ture: /. Away/ 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' 0";" Date: -7 /. LICENSE NO. 05-513 S Call 603.639.4176 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. 08/02/2011 08:07 5035981960 t.;t I Y U' FJ.I U rMuC. CU/oa I 1 Fj, l F, omit Applitswp -CEIVED City of Tigard 7/s"/S Pilrmlt rant 6-0 CAS—eV 5-4712 i iglu 14,11 8.�P`a'sm l*dL 1 5 2015 Plan Roomer o P w4 I ,,, T •Lim 10.639.4175 note r h,rj. I 1O.e dras.7 A► .e.e.rttal"-&v CITY OF TIGARD «'nit....aa. !I 1n* ♦r.:1 1 V ISION ...KAN lNVIIIW ..---, Q New coeal> i • V Additicatlatteraticsireplacamt Icirge checkoff dw ip*if bolt 1 PAU w a> ,+.x ('actroo or ttader 400 sops a Mort tJ Hldiot o►c throe Aorta. ❑Maisano 11 ❑Other: when dt.ovalialfio Doh carrier, 0 1444444 ma bootee d._ GATGO.Y OP COMIIIRK114N4 esa.da 1000 amps at 130 voila or El Rai*b.ildi.p el-and 2-Verdly • -ling Cotmnacia nduetrial Acc ssary building limp rc,an ❑ tta>�+e'e,+"!lmesa ❑Mutti-lhmlly '• 0 Matter builder ❑Ober: aPie p•Mrr. 0lasoll.lm oros cvA or I Ow am T�MID Loceaox -- a tenon `m m __'•'tr"`c''•"la`s" '" ���r Q AYiion dsa.snorer k.cd of ❑A","tl".'1.T'.•t-3', �� lob she address: •/ ���+L�!�I i� f! l m max emaatwl te .. El Recr.stlm.t.ebick parks. City/Wt: 0 F //!te y 7j74- iiy. 1 Otlnrthrsna 4dridaa. ... 0}{snrd.n loadona. O doh+d / tae seas 11.p 600 wte.entbsol. Suite/bldg./apt.MIA FCIOjeet nave: Osamu.a ink 600 sops or etaeo. Gala meatchred a to jab site 1� S�7L>< ..teek+tir Taw I tin l trig I • "'f' Nee reiide*da1 rMtae-er m.tertaaOr d edit g.alt Wilda elated game. Subdivision: +' i t.at on_ 1.000 114 A or lets 161134 4 Tax map/pared nR.3, No Wei 300 5.It or pardon t 73.92 I V'p United wag,naliteasi 7s.ao 2 D11143MIKIP OF WOO . , boo*It.) covey, t ry 75.00 2 IMP . ,, ! I . , ,.sO, w•41 Ihfleee err eters int• • dttsati.r. rWuttleo 200 eas or lea. 100.70 2 • 'r• Q Tower 201<aapl to 40 tuns 133.96 2 401 soap.to 600 ,• 20034 2 Mil (1(L. GtJ d t , Got aaipito 1,000 snips III 30104 �il Addrciat { — Oder 1,000 amp or volt' 552.26 C ity/Sttl Lll': .r Tesepenr7 services or Reiers No4iledrt attendee.astlk r itionises _Phone:(12)3- I�'� y3 4 7 in x:( ) RID imp of las 3936 t —...-4 '201..�s ID 400 an . 125.01 — 1 Owner ialstellakeilThill mural tfon is being made on property that I own which is not 401 MIN to 599 asps _ tat s4 2 intended for sale,le",rant,of exchange,.coording to ORS 449,449.670.and 701_ Bra. -e :raga slerti Ea.awl Owner siptsturc I , Oyez A.Fa tbf> drtruU! 0 A! l.1GNT I Q IAL7'1112110P4 f' 742 2 nosh=flame: ! 9 Fax for ba neh circuits et aor _/ ■ 1 reeks err loader Itie.,float / 56.1E `,.. ' p 7 ConISCI nom brondt Mak Sidi sdd'i taeah 6loeaa -1 7.42 adman n Address: i seta 1 City/ tar: j "a 6714 II Phone:( ) Fax::( ) lemma asrty `� 67.N 8•ftaii: Pimp ar +` -- 11€1111111111 Ned nesf -i r.rfAWIPMVO/ZIT I w.Pile wed.ldt ithes.a germ P_© �l ' SatI tad ...! . •.1::..:. a■ ..._ My elk.ifeee l:�I,'M, /J r I A, ' ., (1 M lnsn) - 6633/tw City/Sttttant: `,! /� g -, • p..rein) 6sasi>x I MEW peat(t M.wily 71{.1avflr �I > {�U :♦ ]Eder: 357 487 r Ex m tr.0 ■ � . ,•4 teal :L. 1r nit. WOO/la CCB l.tc• . (p a' Electrical i 7 ��: ;s 717r-- _-7 t ,_ Suprv.Elena iciin al i. . requited: / ` ,«g%r�•a 4/44.4. - •• 4~/ - Pate=kw - of. . . •• Print Hama•• r Dec F Stan talus..02%ofpa!rdt tae `I ' TOTAL maw FED Authorized al.. ,, • `t tai permits aldwa�.multi.mat �-• - Pli.dname. Dam eras Air n het d bees per p ymted m�ap1ala �� 14,rotiar of iiap.caio r.allowed per ee+mt I 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 10980 SW MEADOWBROOK DR 1, TIGARD, OR, 97224 Residential - Electrical 199 Electrical final PASS - No C of O ELC2015-00549 Jeff Grove Violation Summary: Inspector Contractor