Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2014-00359
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/30/2014
Parcel: 2S111BD00507
Jurisdiction: Tigard
Site address: 15020 SW 98TH AVE
Project: Golden Subdivision: DARMEL Lot: 7
Project Description: (1)branch circuit to reconnect hot tub.
Contractor: JM3 ELECTRICAL&CONSTRUCTION LLC Owner: GOLDEN,CAROL JEAN&
10500 SW CLYDESDALE TERR LONELL DARRIUS
BEAVERTON,OR 97008 15020 SW 98TH
TIGARD, OR 97224
PHONE: 503-961-3537 PHONE: 503 317-4223
FAX: 503-718-7268
FEES
Quantity Description Date Amount
1 crt Branch Circuits wo/Purchase 06/30/2014 $56.18
Specifics: Service or Feeder
1 ea 12%State Surcharge- 06/30/2014 $6.74
Type of Use: SF Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $62.92
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 ac • •- ,- 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. • NTION: 'Oreg•• law r=•uires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-0' -0010 through OAR 95 •• -0098. •u may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1•: or 1.800.33 2 •
Is ued By: - �� /u Permittee Signature: / i< << -
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' a �O�I rL Date:
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.
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Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
15020 SW 98TH AVE, TIGARD, OR, 97224
Residential - Electrical
150 Hot tub/spa/pool
PASS
ELC2014-00359
Herb Stabenow
Violation Summary:
Inspector Contractor