Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: ELC2013 00260
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/07/2013
Parcel: 1 S125DB04400
Jurisdiction: Tigard
Site address: 7160 SW TAYLORS FERRY RD
Project: Boyer Subdivision: SHADY DELL NO.2 Lot: 18
Project Description: Panel repair and (5) branch circuits.
Contractor: MIKE'S ELECTRIC Owner: BOYER, THOMAS L
11070 SW ALLEN BLVD 6905 SW VENTURA DR
BEAVERTON, OR 97005 TIGARD, OR 97223
PHONE: 503 - 421 -2250
HONE: 503 - 649 -6991
FAX: 503 - 641 -1902
FEES
Quantity Description Date Amount
1 ea Services or Feeders - 200 05/07/2013 $100.70
Specifics:, amps or less
5 crt Branch Circuits w /Purchase 05/07/2013 $37.10
Type of Use: SF Service or Feeder
Class of Work: ALT 1 ea 12% State Surcharge - 05/07/2013 $16.54
Electrical
Type of Const:
Occupancy Grp:
Total $154.34
Required Items and Reports (Conditions)
This permit ' ued s t to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done ' accordance with • • 'roved 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. TENTION: Oregon la . - • ui - s you to follow the rules adopted by the Oregon Utility Not Center. Those rules are t forth in OAR
952 -0 1 -0010 •ugh OAR 95 • • a .0 may obtain R
a copy of the rules or direct questions to OU '• _ 2.1987 or� 800.332. 344.
Iss ed By: I - �/L — Permittee Signa a -. re — o' r�
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 O, ILY
SIGNATURE OF SUPR. ELEC' _ l �a ����� Date: 7
LICENSE NO. 2 ) 6
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.
05/07/2013 08:58 #1870 P.002/002
ED
City of Tigard .
ii
TYPE OF WCORK — :I I—
KAN REVIEW
1 , Ptea‘e 04:6, alI that apply (suoinh 2 setr of plans uliturns checkcal below): 1
1 I DSc:vice or loctler 400 any., ,:;r niorr 0 Building over three uori ;
2<- And 2-family dwelling p Commercial/industrial 0 Accessory building , cas to l mad. o chcoc4a I t.000 0 Commenaal-;,ie aer;euilors: 1
P multi-famil p Master huilder 0 Other: I 1 amoi :ur all other lqatallatium.
JOB SITE INFORMATION AND LOCATION
FEE SCHEDULE
Cross street/directions to ,joh site:
--I New residential single. or multi-family dwelling unit. --"H
i Includes attached garage.
I - Tax map/parcel no.:
_ awe . 1.,‘ Ink toon.Lt. mop, 2 S 0 7 - ) v o i r c n e ps s o i f t e rs e s ders installation, alteration. and/or relocation 1
_
Address: v e A stra. cl .....
Owoer installation: This installation is being made no pmperty that i Qx%11 % is INA I , 2‘) itnI).")agiPN . --i-- 1 25 "
I intended for sale, lease. rent. or exchange. acc.ording to ORS 447. 449. 670. and 701. i . g. i
, 1 ”rani... OrCultn - new, tt ite ration. or extension. per panel . 1
Owner signature:
0 APPLICANT
_I. 0 CONTACT PEktSON
Business name:
Contact name:
I
i Address:
1 741 (Nervice or feeder not included)
I 67.84 Ili
i Business name: Nlollenhauer Enterprises, Inc. NM Nlike' Eiectric
_I 1 Each additional ii_ltion over allowable io any of the above 1 .
Address: 11070 SW Allen FilYcl
----
, , ELECTRICAL PERMIT FEES
Srate stacilaru ( :21'o ttt permit fec I it--: -I
Print name: Dor;u1a.4 J. Miller 01 'hitt:-
...4 Thd perma application expirco if a permit i's not °braided within IRO
—
Ray, afro it hat been accepted as complete.
Date: 51-71@c4,3 1 - Nittitbet t.,!' trupeCtium allowed NI peneut.
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
7160 SW TAYLORS FERRY RD, TIGARD, OR,
97223
Residential - Electrical
199 Electrical final
05/13/2013 00:00
ELC2013-00260
PASS - No C of O
Violation Summary:
Inspector Contractor