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Permit q CITY OF TIGARD ELECTRICAL PERMIT 111 3 ' COMMUNITY DEVELOPMENT Permit #: ELC2011 -00017 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/05/2011 Parcel: 2S104CD05100 Jurisdiction: Tigard Site address: 13934 SW MISTLETOE DR Project: Brown Subdivision: HILLSHIRE ESTATES Lot: 51 Project Description: (3) branch circuits for backyard patio cover. Contractor: DEKORTE ELECTRIC INC. Owner: BROWN, JEFFREY P & CHERYL L 5331 SW MACADAM AVE #258 -113 13934 SW MISTLETOE DR PORTLAND, OR 97239 PORTLAND, OR 97223 PHONE: 503 - 288 -2211 PHONE: FAX: 503 - 288 -2231 FEES Quantity Description Date Amount 3 crt Branch Circuits wo /Purchase 01/05/2011 $71.02 Specifics: Service or Feeder 1 ea 12% State Surcharge - 01/05/2011 $8.52 Type of Use: SF Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $79.54 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in - - -• • • - with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. • ENTION: Oreg• • law requires you to follow the rules adopted by the Oregon Utility Notificati• Center. Those rules are set forth in OAR 952-01 -0010 through OAR j :0•0. You may o•tain a copy of the rules or direct questions to OUNC by ca ' • 32.1987 or 1.800.33 .2344. r Iss d By: �� - ' — Perm Si gnatur e s �� ' ..:LL OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease or rent. OWNER'S SIGNATURE Date: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC' !�f 1 Date: i :�/ - -fir t -��_ LICENSE NO. Call 503.639.4175 by 7:00 a.m. for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project Approved plans are required on the job site at the time of each inspection. 01/04/2011 16:12 FAX Z002/003 RECEIVE ,, City of Tigard FOP. i F I r t ` _ r �.� L a Tigard. OR 97223 - � 5A3 z -5o JAN 0 • 2011 e. �� �,eE caC�jeenaa 503.639_4175 " Data ItrodY dto f! 000 ; t- ^ et .g°° CTfY OF TIG' ' l °`,�"+ E � Kr' ' ^ %' t� y t • IIv Ed See 36er '"^ii - . ral. i :i,1 7.711 ? ,ca 4 •4;;-4 r �-'1" ))G T" �' Ol Information t llOII - 'tr `s y?dy,:c4 F�,L`'•vat,n •x�,.,, "'T +; '`'a0y i�T p sF „�.... �..�_ .' ., r Yt �ar•L$,'�1�� 0. } �" s ,9T;,,.. -e ) �' r T d y �. n..•p F EF x�! �!8't�Ch�e� + Ola� loss fie groosa, e weeds 14,000 Cl c - - ' Y r.. Mash= b�f�d� 0 fie. ants bran other �""__ doggs. i�se rr�m w 3 • , ,� ©,Pisa �- � b r t " d�C.rss � � „ 9 � `� e� , `� +r > y��j',� a I auaam {, ,•" -•i�1a-aa e,',''.-� r hz'ri,v S � �""'-1 of 75 yyq et , - r .'. , �ra j �� (20 Job 31tr /'� C� p a+a�ao� �meay'aetvE 3, x � ' �` Qom+ CI 1� Z2 ` NI0 .Iapr, -. — 1 � 4 es Fmk:. waits aganbul. , Project QHa CI raa OM= rhao same S'' die go job site: `` oa dordet sqp �„ r Ica:. 'rr„6�, o i� Y [YY residential t we & l• • .: a4� Y division or y dwelling wok fnetsuks attacked paw rnap. ecl rex: - - -�� lion 1.000 sel, $ our 1ms Ell l '. t y kn F3 add"i 500 45.[S a , i • � ?'uta t� V�7 33.'(0 /,� ) : ` - ` / 8 W trrl L • G w yi 7 �tm1h _ __� residential : 95.00 o II •�- ' d ,. � �i �h`� ... 74 . , , ,41.4 , •,.,14' � 4y>< J ��« mayor ; ;:e, , ` �' ,4e n ∎ ZAl a sps m 400 SCI 6-85 . _.2...., � —~ �l dr7oto � 1116 -S_i _ 4 01 amps to 6 000 N . 16060 � IM ux�Ll.�: 240.611 O war 1,AOp m volt f y �-- 454.65 kr tos This ;won is beg made on in j to �j� ,1,:d for sale (ease, rest, or exchange. cording in QR o is not 200 m 4.00 ao+ps 1 t . :r sig1 Y _ �, , and 701. 401 amps to 09 arms Data .,.�;.. ,,, ,. - .... ^, .m - "`"- 4' tv. t4 Foe - vide :cssnagt� L 1 _ e . ; :t : esawiceur each bunch cirnr - t name: Fm fat *mob ��_ circuits wWwati service to fee, NI first hooch amok J(D Each addl bench circuit - • ' 151 — =1:1 � soma rm feeder eoe inchwita — p a 66.55 - • ... ` ;a �a8 �.•� ' , • r '���1 � ' �'�! g� 1 X' �r°q°' °.F �S X`�`•" ,^a ,r g POi ..t 1, t,T. riL�p� . '" , •f t '; .• x Vi v r ": 4 s Si ° ` 53.40 � . r.6• pane DeKorlk Eler r, i � °,.a ' or Bodice l ghpag 53 40 Sigea1 detain) or linetted.. Ell is: 5.i 331 5 W Macadam Ave. #258 -1 13. s l ateration. or :: :-/AP_ Portland, OR . 972 � maession. Describe 'i f Z 2214 ,.; ,, ,,.. ''` os�allowable to of em above _ Farm (1 z8�az3! Pa you is 62.50 Mil 5 /j a =Meal L 34 -5410 7 �S • Luz 407 S In a Orly �r�o) X50 ie.: 159934 Et az, reg0irnd ,r 'y l per boor i ! / fit:. d , .M s srnC Kea DcKorte / ,I Dale: 1 i Plan Rviear gryafpe�itfse ` �Ci�� ...If r - 'R (1256 of Permit fee): g . TOTAL Timer FE& IFIXAm"--- .54 ' - s i Rot .. wow% elms alter it hem atuptettose� -