Permit ,- CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00064
.1i11 DEVELOPMENT SERVICES DATE ISSUED: 1/31/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S110DD 00109
SITE ADDRESS: 11025 SW SUMMERFIELD DR 6 ZONING: R -25
SUBDIVISION: SUMMERFIELD APARTMENTS LOT : 013 JURISDICTION: TIG
Project Description: Unit 6, install service for washer and dryer
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HM/ SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
SUMMERFIELD ASSOCIATES, LLC JET ELECTRIC INC.
°A) HSC REAL ESTATE PO BOX 20765
1500 SW 1ST SUITE 1020 PORTLAND, OR 97294
PORTLAND, OR 97201
Phone: 503 - 546 -5712 Contact #: PRI 503- 258 -1715
FAX 503 - 258 -1716
FEES
Description Date Amount Reg #: ELE 26 -1068C
[HRELC] Hourly Electrical 1/31/2006 $14.38 LIC 141920
[HRTAX] Hourly 8% State 1/31/2006 $1.25 SUP 45175
Total $15.63 REQUIRED ITEMS AND REPORTS
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This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws.
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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at
503 - 246 -6699 or 1--3 1-p-3,14E2344.
Issued By: 4J 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'N: DATE:
LICENSE NO:
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
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.
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JET ELECTRIC INC 5032581718 P.3
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81/23/2885 14:52 '.- TIGARD BALDING DEPT PAGE 01/83
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CITY OF TIGARD
BUILDING" DIVISION PERMIT #: ELC20C &l 001A
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 1/31/2006
Phone: (503) 639- 4171w:I'pllI {I
Inspection Requests (24 Hrs.): (503) 639 -4175 =�
INSPECTION WORKSHEET FOR DATE: 2/14/2006 TIME: 2 :22PM PAGE: 7
SITE ADDRESS: 11025 SW a• MERFIELD DR 6 CLASS OF WORK:
SUBDIVISION: SUMMERFILL: APARTMENTS LOT #: 01s TYPE OF USE:
PROJECT NAME: SUMMERFIELD .,PARTMENTS
DESCRIPTION: Unit 6, install servi ► z for washer and dryer
OWNER: SUMMERFIELD ASS +, 1ATES, LIC, PHONE #: 503.546 -8;112
CONTRACTOR: jEl- ELECTRIC INC. PHONE #: riO3- 2581715
Inspection Request Scheduled For: Date: 2/14/7006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in ► .6828307 503-310.718 N
,:\ FLOP. L—, Correc ions /Comments /Instructions:
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A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 6' w w L'' Date: - C% Phone #: (503) 718- 1-14t4b