Permit Support Document ?t ELECTRICAL PERMIT
CITY OF TIGARD • x /
COMMUNITY DEVELOPMENT Mani Permit#: ELC2017-00092
Date Issued: 02/13/2017
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S104AA06400
Jurisdiction: Tigard
Site address: 12715 SW WILLS PL
Project: Sanders Subdivision: BELLWOOD NO.2 Lot: 85
Project Description: Reconn AC, Reconn ODU GFI.2/13/17,reprinted to correct to(4)branch circuits without service.
Contractor: BEAR ELECTRIC Owner: SANDERS, JEFF
PO BOX 389 PO BOX 230052
DONALD, OR 97020 TIGARD, OR 97281
PHONE: 503-678-1355 PHONE.
FAX: 503-678-1108
FEES
Quantity Description Date Amount
4 crt Branch Circuits wo/Purchase 02/13/2017 $78.44
Specifics: Service or Feeder
1 ea 12%State Surcharge- 02/13/2017 $9.41
Type of Use: SF Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $87.85
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. ATTEN .1: Oreg•• 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 95 .01-' I. Y. may obtain a copy of the rules or direct questions to OUNC by c- .1987 or 1.800.332.2344.
Issued •••y: L_ ��, � � Permittee Signat ' e
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.
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12715 SW WILLS PL, TIGARD, OR, 97223 March 3, 2017 at 8:59:44 AM
Record Type: Record ID:
Residential - Electrical ELC2017-00092
Inspection Type: Inspector:
199 Electrical final David Young
Result:
FA I L
Comments:
Provide access for inspection R109.3 no answer at door 8:58 am
Provide approved electrical rough in for branch circuits.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12715 SW WILLS PL, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Electrical ELC2017-00092
Inspection Type: Inspector:
199 Electrical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor