Permit (21) ■ CITY OF TIGARD ELECTRICAL PERMIT
11111 a ' COMMUNITY DEVELOPMENT Permit#: ELC2016-00006
• ' Date Issued: 01/07/2016
T I G A R j-1, 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 1 S 136AA01200
Jurisdiction: Tigard
Site address: 10250 SW 70TH AVE
Project: Jeff Whitaker Subdivision: None Lot: None
Project Description: Temp Service. 5/31/16, REPRINTED to correct parcel number.
Contractor: GARNER ELECTRIC Owner: JEFF WHITAKER
2920 SE BROOKWOOD AVE A OR
HILLSBORO, OR 97123
PHONE: 503-648-4552 PHONE:
FAX: 503-642-7925
FEES
Quantity Description Date Amount
1 ea Temp Services or Feeders- 01/07/2016 $59.36
Specifics:, 200 amps or less
1 ea 12%State Surcharge- 01/07/2016 $7.12
Type of Use: SF Electrical
Class of Work: ADD
Type of Const:
Occupancy Grp:
Total $66.48
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 will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTI regon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 rough OAR 01-0090. You may obtain a copy of the rules or direct questions to OUNC by cg 5
allinD2.232.1987 or•1.800.332.2344.
Issued By. • if'A4' A�lPermittee Signature, 67-1(
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' 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.