Permit e-V/9-/
ELECTRICAL PERMIT
CITY OF TIGARD
COMMUNITY DEVELOPMENT Permit #: ELC2005 -00480
TtGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Date Issued: 07/06/2005
Parcel: 1S134ACO2620
Jurisdiction: TIG
Site address: 11215 SW COTTONWOOD LN
Subdivision: Lot:
Project: ZWINGLI
Project Description: (2) branch circuits for A/C unit. Job #05 -535. 5/12/10, Reinstated for final inspection.
Owner: FEES
ZWINGLI, WALTER SCOTT + SUSAN GR Quantity Description Date Amount
11215 SW COTTONWOOD LN
TIGARD, OR 97223 1 [ELPRMT] ELC Permit 07/06/2005 $53.50
PHONE: 503-579-9058 1 [TAX] 8% State Surcharge 07/06/2005 $4.28
1 hr Hourly Electrical Rate 05/12/2010 $90.00
1 ea Hourly Electrical 12% 05/12/2010 $10.80
Contractor: Surcharge
BOB'S ACTION ELECTRIC INC
2700 NE BURTON ROAD, STE A
VANCOUVER, WA 98662
PHONE: 360 - 254 -7200
FAX: 360 - 254 -8219
Type of Use: SF
Class of Work: Type of Const:
Occupancy Grp:
Total $158.58
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 wit expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTE • `: • :.on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -00 • through OAR '52 -0. -1100. u may obtain a copy of the rules or direct questions to OUNC by callina,603.246.6699 or 1.800.332.2344„
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Issued = Permittee Signature: /J
OWNER INSTALLATION ONLY
The installation is being made on property 1 own which is not intended for sale, lease or rent.
OWNER'S SIGNATURE Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'
0 � 4/0 Date:
LICENSE NO. I
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.