11125 SW SUMMERFIELD DRIVE �y
r
11125 SW Stimmerfield Drive
CITY
��� ®� ������ _ ELECTRICAL PERMIT
PERMIT#: ELC2001-00625
DEVELOPMENT SERVICF0" GATE ISSUED: 12111/01
13125 SW Hall Blvd.,Ticiard, OR 97223 (503) 639-4171 PARCEL: 2S110DD-00109
SITE ADDRESS: 11125 SW SUMMERFIELD DR .`i ZONING: R 25
BLOCK:
SUBDIVISION: SUMMERFIELD APT./WILLOW BROOK LOT : 013 IICON
RISDICING: TIG
Protect Description: Install underground power supply for cable TV.
_ RESIDENTIAL UNIT_ TEMP SRVC/FEEDERS_�� _M_ISC_ELATION: S
1000 SF OR LESS: 0 - 200 amp:
0 Pr1MP�IRRIGATIUN
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: Sr:�NALIPANEL.
I MANF HM/ SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): _ —
I
—SERVICE/FEEDER _ BRANCH CIRCUITS _ ^ __ADD'L INSPECTIONS
-
0 200 amp: 1 W/SERVICE OR FEEDER: PER INSPECTION:
201 400 amp:
1st WIO SRVC OR FDR: PER HOUR:
-
401 600 amp: EA ADD'L BRNCH CIRC:
_ PLAN REVIEW SECTION IN PLANT:
601 - 1000 amp:
1000+
1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL:
SVCIFDR>= 225 AMPS: CLASS AREA/SPEC OCC:
Reconnect only`�_�_T.___. __.
Owner_ Contractor:
SUMMERFIELD ASSOCIATES, LLC POWER TECHNOLOGY
BY SUMMET REAL ESTATE MANAGEME PO BOX 1766
5320 SW MACADAM AVE OREGON CITY, OR 97045 EXPI
RLr
PORTLAND, OR 97201 Phone: 503-657-0315
Phone:
Reg #: LIC 129287
ELE 3-511C
SUP 357'5S
FEES — Required Insp-ctions
Type By Date Amount Receipt— Electl ServFinaice
PRMT CTR 12/11/01 $80.30 2720010000(
5PCT CTR 12/11/01 $6.42 2720010000(
Total $86.72
This Permit is issued sub;ect to the regulations contained In the Tigard Municipal Code,State of OR. Specialty Codes and all other applicable laws
All work will be done in accordance with approved pip ns, This perr. t will e.pire if work is not started within 180 days of issuance,or H work is
suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Ureyon Utility Notification Center. Th •;e
rules are set forth in OAR 952-001-0010 through OAR 952.001.0080. You may obtain copies of these rules or direct questions to OUNC at(503)
216.6699 or 1-800-332-2344.
Permit Signature: J I r� �� A d Issued By:
OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended or sale, lease, or rent.
OWNER'S SIGNATURE: —.— DATE:
CONTRACTOR INSTALLATION ONLY
--------• ,f �. r_.._ c ��'- }-�.t ,- � c�.��--� 3 �- _ BATE:
SIGNATURE OF SUPR. ELEC'N:
LICENSE NO:
--
Call 639-4175 by 7:00pm for an ioisp(!ction the next business day
Dec 07 111 12: 21p flancy Jones 503 657-0942 p. 2
Flectricm, ve am ►
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City of 'Tigard pLC ( � 001 [hojlxt/�ppl.no.
aw Address 13175 SW KWI Blvd,TioMd, irrixd. 8y: Aecelptno.. -
`'" Cl'i"Y OF TI �-
phone• (503) 439.4171 Cole Me no. Payment type
F.:(503)598.1960 B;IILDINo DM$ION - -
Land use approval:
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