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Permit III 41 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT Request for Permit Action RECEIVED TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 • www.tigard-� . ov 7 2017 LAiYVt- ii iRD TO: CITY OF TIGARD BUILDING DIVISION Building Division 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigard-or.gov FROM: p Owner ❑ Applicant ❑ Contractor ❑ City Staff Check(✓)one REFUND OR Name: INVOICE TO: (Business or Individual) O,S50 4 4,4'(.4eS Mailing Address: /�j(-00 <c I,, --7/fir- ,4 t City/State/Zip: "ji y 4 or 1.7.1_23 Phone No.: S — 7 qJ—_ Y 76 Z PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1): ❑ CANCEL/VOID PERMIT APPLICATION. REFUERMIT FEES (attach copy of original receipt and provide explanation below). II INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below). ❑ REMOVE/REPLACE CONTRACTOR ON PERMIT (do not cancel permit). Permit#: EL-C. c9-0/ 7— DD 35-/ Site Address or Parcel#: /D j S`4i 7/Sd- A,,,.. -/ ;54-„( 7 I'�.,?3 Project Name: 444.1.& 41._ (/ S tee: Lot#: EXPLANATION: pbrcho rC t.( 3/ &-4n/Aj (w-col a fG{ ail (`y /7 re'aro/ rb 1 T 4,67.,/,-,f ilk- rr:4,/q 0/I /,5 /Signature: Date: 617//7 Print Name: J e sy k e S",, Refund Policy 1. The city's Community Development Director,Building Official or City Engineer may authorize the refund of: • Any fee which was erroneously paid or collected. • Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort has been expended. • Not more than 80%of the application or permit fee for issued permits prior to any inspection requests. 2. All refunds will be returned to the original payer in the form of a check via US postalsre. w �eic 3. Please allow 3-4 weeks for processing refund requests. ///, 3O - car 0V — ,22 , .;.24, /3 36 ....- /a , I, 9 - 2 7 /may, 4,k 91 , 73 alV , 93 FOR OFFICE USE ONLY Route to Sys Admin: Date i 7 /7 1.By '! Route to Records: Date 3 2 ,f- "5: Refund Processed: Date 4 ,7 7 By, .y. Invoice Processed: Date By Permit Canceled: Date /(/il- By 4. Parcel Tag Added: Date By I:\Building\Forms\RegPermitAction_092314.doc iI - N TIGARD City of Tigard July 26,2017 Joseph Newsom 10500 SW 71'Ave. Tigard, OR 97223 Re: Permit No. ELC2017-00351 Dear Applicant: The City of Tigard has processed a refund for overpayment of permit fees on the above referenced permit for the following: Site Address: 10500 SW 71"Ave. Project Name: Newsom Job No.: N/A Refund: ® Check#225418 in the amount of$99.73. 0 Credit card"return"receipt in the amount of$ 0 Trust account"deposit"receipt in the amount of$ . Notes: Scope of work was reduced from 31 to 16 branch circuits;refund 80% of permit fees for 15 branch circuits. If you have any questions please contact me at 503.718.2430. Sincerely, /'&:)W1/L7f-C—' Dianna Howse Building Division Services Coordinator Enc. I:\Building\Refundsl4an411Aver.paiegon 97223 • 503.639.4171 TTY Relay: 503.684.2772 • www.tigard-or.gov City of Tigard TIGARD Accela Refund Request This form is used for refund requests of land use, development engineering and building permit application fees. Receipts, documentation and the Request forPermit Action form (if applicable) must be attached to this request form. Refund requests are due to Accela System Administrator by each Wednesday at 5:00 PM. Please allow up to 3 weeks for processing of refunds. Accounts Payable will route refund checks to Accela System Administrator for distribution to applicant. PAYABLE TO: Joseph Newsom DATE: 7/6/2017 10500 SW 715/Ave. Tigard, OR 97223 REQUESTED BY: Dianna Howse TRANSACTION INFORMATION: Receipt#: 410592 Case#: ELC2017-00351 Date: 5/15/2017 Address/Parcel: 10500 SW 715/Ave. Pay Method: CreditCard Project Name: Newsom EXPLANATION: Per applicant's request as scope of work reduced total branch circuits from 31 to 16; refund 80%.�_,...o.�f,permit fees for 15„—b,-ranc”h circuits.ircuits. A ,f, Fnd EP 41/ i k°f % TT.: r - `t '9 "77: ;7.,..,g � - 7+ 11 -C— � 7:tr ;14 r . re a s' �ai ',� ., ,���.�;,__,?.; ,_�.t( >�.�-=��.'�-'.,ti�°,.�'�ti�}' ..,: ��,�r..�., .atr€Et5 a•..�«:� Electrical Permit 220-0000-43103 $89.04 12%State Surchar.e 100-0000-24001 10.69 TOTAL REFUND: $99.73 APPROVALS: SIGNAT RES DATE: If under$5,000 Professional Staff " i - If under$12,500 Division Manager If under$25,500 Department Manager If under$50,000 City Manager If over$50,000 Local Contract Review Board FPO TIDE R Y'ST'A AD ; 'I AVO : s. i Case Refund Processed: Date: By: I I:\Building\Refunds\RefundRequest.doc x 09/01/2010 al CITY OF TIGARD RECEIPT I13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TIGARD Project Name: NEWSOM Site Address: 10500 SW 71ST AVE /Q- --- `✓L\ Receipt Number: 415908 - 03/02/2018 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID ELC2017-00351 $-99.73 Total: $-99.73 PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 225418 DHOWSE 03/02/2018 $-99.73 Payor: Joseph Newsom Total Payments: $-99.73 Balance Due: $99.73 Page 1 of 1 ill CITY OF TIGARD RECEIPT s , 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TIc;AlID I Receipt Number: 410592 - 05/15/2017 I CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID ELC2017-00351 Services or Feeders-200 amps or less 220-0000-43103 ELC2017-00351 Branch Circuits w/Purchase Service or 220-0000-43103 $$302.10230.02 Feeder ELC2017-00351 12%State Surcharge-Electrical 100-0000-24001 $63.85 Total: $595.97 PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Credit Card 09050G BTAGGART 05/15/2017 Payor: Joseph Newsom $595.97 Total Payments: $595.97 Balance Due: $0.00 Page 1 of 1 CITY OF TIGARD }'i FEE AND PAYMENT HISTORY i' g 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TIGARD ELC2017-00351 - 10500 SW 71ST AVE, TIGARD, OR 97223 NEWSOM Revenue Fee Description Account Number Payment Fee Amount Invoiced Paid Date Paid Method Receipt# Due Services or Feeders-200 amps or less 220-0000-43103 $302.10 $302.10 $302.10 5/15/17 Credit Card 410592 Branch Circuits w/Purchase Service or 220-0000-43103 $0.00 Feeder $230.02 $230.02 $230.02 5/15/17 Credit Card 410592 $0.00 12%State Surcharge-Electrical 100-0000-24001 $63.85 $63.85 $63.85 5/15/17 Credit Card 410592 Totals for Fees $0.00 $595.97 $595.97 $595.97 $0.00 Receipt# Payment Method Check# 410592 Payor: Receipt Date Receipt Amount Credit Card Joseph Newsom 05/15/2017 $595.97 Total Payments: $595.97 Balance Due: $0.00 / CJ/Lea-.,i3 7. y� # = ..,23o , © .ti` ? ? 17,3 % .t./. o23 © . QDZ s"nms e - /vi/ 0,3c 3 4._ _ r� sCJ , �W V 01 I k 7A1 t 7 41:1/24 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT RECEIVED Ni _ Request for Permit Action JUN 2 2 2017 13125 Hall Blvd.•Tigard,Oregon 97223. 503-718-2439 •www.:.. d-or.w,:.1-- 1r1GnRD 1 g° Y OF TIGARD B _ LDING DIVISION TO: CITY OF TIGARD Building Division 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503-718-2439 Fax: 503-598-1960 TigardbiildingPermits@tigard-or.gov FROM: ❑ Owner ❑ Applicant Contractor 0 City Staff Check(1 one REFUND OR Name: INVOICE TO: (Businessus indisidus4Lrr R QoaeY5 er ,ri cal Con-(rIAChYN' hi Mailing Address: 2.0 53 IikkarCon i 0 r City/State/Zip: MpleNcur ei-ta 161 11-1 3000 6 Phone No.: 1 10 — 7 7 Z -3 1-11-1 2PLEASE TAKE ACTION FOR THE ITEM(S)CHECKED (1): ® CANCEL/VOID PERMIT APPLICATION. J REFUND PERMIT FEES(attach copy of original receipt and provide explanation below). O INVOICE FOR FEES DUE(attach case fee schedule and provide explanation below). O REMOVE/REPLACE CONTRACTOR ON PERMIT(do not cancel permit). Permit#: 1-C 2 O W b'i3O L1 to Site Address or Parcel#: c10 OR Ow I{ent t BLVD 100 Project Name: 201 to 'rani-et M i‘ft c.e,11 nil e01,U prO edS Subdivision Name: NIA' Lot#: N/i!- EXPLANATION: NO Waj„(,„r V. I 5 dome — project- Ce�-inca. e all f t...._____Signature: Date: (p la(71 i-- 'Print Name: Al 141. fl-vwc'I v Behind Policy 1. The city's Community Development Director,Building Official or City Engineer may authorize the refund of: • Any fee which was erroneously paid or collected. • Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort has been expended. • Not mote than.80%of the application or permit fee for issued permits prior to any inspection requests. 2. All refunds will be returned to the original payer in the form of a check via US postal service. 3. Please allow 3-4-weeks for processing refund requests. e2p► 7 _ 4 7. e` /a . 69/j .7, Ft7 �• c7--/5 7 5":,;71 /.2 ,5-7 FOR OFFICE USE ONLY Route to Sys Admin: Date By Route to Record= Date 3 274 B;,A Refund Processed: Date 776 /7 By .;till Invoice Processed: Date By _Permit Canceled: Date 7 //7 By _:740"'" Parcel Tag Added: Date By IABuildiag\Faens\RegpemiitAction_ 14 oc IIIN TIGARD City of Tigard July 26, 2017 Lin R Rogers Electrical Contractors Attn: Paul Howell 2050 Marconi Dr. Alpharetta, GA 30005 Re: Permit No. ELC2016-00696 Dear Applicant: The City of Tigard has canceled the above referenced permit(s) and encloses a refund for the following: Site Address: 9009 SW Hall Blvd, #100 Project Name: Target Job No.: N/A Refund Method: ® Check#225410 in the amount of$125.61. ❑ Credit card "return"receipt in the amount of$ Note: Please allow 2-5 days for this refund transaction to be credited to your account by the company that issued your card. ❑ Trust account"deposit"receipt in the amount of$ Comment(s): Per applicant's request as the job was cancelled. Refund 80% of permit fees. If you have any questions please contact me at 503.718.2430. Sincerely, Dianna Howse Building Division Services Supervisor Enc. 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.639.4171 TTY Relay: 503.684.2772 • www.tigard-or.gov X City of Tigard TIGARD Accela Refund Request This form is used for refund requests of land use, development engineering permit application fees. Receipts, documentation and the Reque tforPermittActioon form (if pp g cable) must be attached to this request form. Refund requests are due to Accela System Administrator by each Wednesday at 5:00 PM. Please allow up to 3 weeks for processing of refunds. Accounts Payable will route refund checks to Accela System Administrator for distribution to applicant. PAYABLE TO: Lin R Rogers Electrical Contractors DATE: Attn: Paul Howell 7/6/2017 2050 Marconi Dr. REQUESTED BY: Alpharetta, GA 30005 Dianna Howse TRANSACTION INFORMATION: Receipt#: 406205 Date: 9/15/2016 Case#: ELC2016-00696 Pay Method: 9/15/Card Address/Parcel: 9009 SW Hall Blvd,#100 Project Name: Target EXPLANATION: Per applicant's request as job was cancelled;refund 80%of permit fees. ' - WR .. :WrWMen FTI `'3 *f 7 z r t (seats Electrical F mss.' r �d �€ .` $eaaltssr 12%state Surchar�e 220-0000-43103 $67.75 100-0000-24001 7.53 1111111111111111111111.111111111..... TOTAL REFUND: $75.28 APPROVALS: SIGN , S DATE: If under$5,000 Professional Staff If under$12,500 Division Manager If under$25,500 Department Manager If under$50,000 City Manager If over$50,000 Local Contract Review Board . .�•: ,�� >�` �� ,U1t.TIb$ �'' ' -S STEM Case Refund Processed: AQMIN. i T,t Tror i $ O ' ' Date: � x ., I:\Building\Refunds\RefundRequest.doc x 09/01/2010 CITY OF TIGARD RECEIPT If 1 U> 13125 SW Hall Blvd.,Tigard OR 97223 503.639.4171 TIGARD Project Name: 2016 Target Miscellaneous Projects Site Address: 9009 SW HALL BLVD 100 IReceipt Number: 415909 - 03/02/2018 CASE NO I FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID ELC2016-00696 $-75.28 Total: $-75.28 PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 225410 DROWSE Payor: Lin R Rogers Electrical Contractors 03/02/2018 $-75.28 Total Payments: $-75.28 Balance Due: $75.28 Page 1 of 1 IN CITY OF TIGARD !_ 13125 SW Hall Blvd.,Tigard OR 97223 RECEIPT 503.639.4171 TIGARD oll6rf./ — I Receipt Number: 406205 - 09/15/2016 I CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID ELC2016-00696 Branch Circuits wo/Purchase Service or Feeder 220-0000-43103 $78.44 ELC2016-00696 12%State Surcharge-Electrical 100-0000-24001 $9.41 Total: $87.85 PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID Credit Card CASHIER ID RECEIPT DATE RECEIPT AMT 015465 PUBLICUSER108 09/15/2016 Payor: Jamal Chemini $87.85 Total Payments: $87.85 Balance Due: $0.00 Page 1 of 1 CITY OF TIGARD ELECTRICAL PERMIT 'PI -' Per #: ELC2017-00351 COMMUNITY DEVELOPMENT Date Issued: 05/15/2017 T t GAR,O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S136AD02301 Jurisdiction: Tigard Site address: 10500 SW 71ST AVE Project: NEWSOM Subdivision: VILLA RIDGE Lot: 3 Project Description: (1)sub panel for house,(2)sub panels for accessory structures,and(31)branch circuits. Contractor: OWNER Owner: NEWSOM,JOSEPH &MIRIAM JOSEPH NEWSOM 10500 SW 71ST AVE 10500 SW 71ST AVE TIGARD, OR 97223 TIGARD, OR 97223 PHONE: PHONE: 503-795-4762 FAX: FEES Quantity Description Date Amount 3 ea Services or Feeders-200 05/15/2017 $302.10 Specifics: amps or less 31 crt Branch Circuits w/Purchase 05/15/2017 $230.02 Type of Use: SF Service or Feeder Class of Work: ALT 1 ea 12%State Surcharge- 05/15/2017 $63.85 Electrical Type of Const: Occupancy Grp: Total $595.97 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. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through R 952-001-It'•. ou may o• -'•a•••y of the les or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: - -z-,/ Permittee Signature: _�d 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. Electrical Permit Application FOR o► Fi i L I S►:oy►.l CI O Tigard Received `J g Date/B : Permit#: 13125 SW Hall Blvd.,Tigard,OR AEC3EIVED Iplan Review M Phone: 503.718.2439 Fax: 503.598 Date/B : Related Permit#: Inspection Line: 503.639.4175 Ready Date/By: Jam: 0 See Page 2 for 1 I('A R D Internet: www.tigard-or.gov MAY 1 1,.,to 2017 Notified/Method: Supplemental Information TYPE OF WORK „�D PLAN REVIEW 0 New construction A Addition/alterat ,l1'y(r f p i Please check all that apply(submit 2 sets of plans w/items checked): ! 3t Ifl f'iIN IL NI 0 Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition ❑Other: tJ 1.1 J!e - where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural amps for all other installations. buildings. ❑Multi-family 0 Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATIONo AND LOCATION 0 Emergency system. larger separately derived ❑Addition of new motor load of system. Job#: Job site address: `05a) S S. t� 7/S? 100HP or more. ❑"A","E","l-2","1-3", El Six or more residential units. occupancy. City/State/ZIP: r��``� ) 0, '7�❑ 0 Health-care facilities. El Recreational vehicle parks. Suite/bldg./apt.#: / J Project name: 0 Hazardous locations. 0 Supply voltage for more than ❑Service or feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: oa G3 !1. FEE SCHEDULE r / Description I Qty. I Each I Total New residential single-or multi-family dwelling unit. Subdivision: Lot#: Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'!500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK ,\, Limited energy,residential (with above sq.ft.) 75.00 2 a t t61 .S-L,h ,4V?,e/ -m--,--;-/-1. ,t*i i{T' f Af/'L,,G Yr. s',:. 10,vie./ Limited energy,multi-family 75.00 2 residential(with above sq.ft.) /A (5 itr-v C 6.-//t`l o.-1 /-75 Renewable Energy 0 See Page 2 Ur PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration,and/or relocation Name: ,� 100.70 1'302_40 �6fjC�JK �/v�u'�G�- 200 amps or less 3 2 Address: /e,, -7`5 t-- 201 amps to 400 amps 133.56 2 S. / 401 amps to 600 amps 200.34 2 City/State/ZIP: l i Civ 1 /j .2c2;� 601 amps to 1,000 amps 301.04 2 Phone:('�) ) -7,./- c —If '76')v Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1 intended for sale,1 ,r ,or exchange,according to ORS 447,449,670,and 701. . 201 amps to 400 amps 125.08 2 Owner signatu • Date: ..§— 401 amps to 599 amps 168.54 2 0 APPLICANT ❑ CONTACT PE ON, Branch circuits-new,alteration,or extension,per panel A.Fee for branch circuits with Business name: above service or feeder fee, ,J f 7A2 XIV- •' 2 each branch circuit Contact name: B.Fee for branch circuits without Address: branch cirrcuit fee,first 56.18 2 City/State/ZIP: r Each add'1 branch circuit 7.42 112 Miscellaneous(service or feeder not included) Phone:( ) Fax: :( ) Each manufactured or modular dwelling,service and/or feeder 67.84 2 Email: 'Reconnect only 67.84 2 • CONTRACTOR Pump or irrigation circle 67.84 2 Business name: Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy ❑ See Page 2 2 Address: panel,alteration,or extension. City/State/ZIP: Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:( ) Fax:( ) Investigation(1 hr min) 90.00/hr Email: Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lic.: Electrical Lic.: Suprv.Lic.: specifically listed('/z hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name: Date: 0 Plan Review Required(25%of permit fee): _ State surcharge(12%of permit fee): _ 3; r o)5 _ Authorized signature: TOTAL PERMIT FEE: fy 1517— This permit application expires if a permit is not obtai ed within Iso Print name: Date: days after it has been accepted as complete. . * Number of inspections allowed per permit. I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Description I Qty. I Each I Total I * Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: F7 B• urglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 n Garage Door Opener* >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 ❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 ❑ Vacuum Systems* >100 kva—no additional charge 0.0 3 Each additional inspection over allowable in any of the above: ❑ Other: Each additional inspection is charged at an hourly(1 hr min) 66.25/hr 1 Inspections for which no fee is 90.00/hr specifically listed('/z hr mm) CO ERCIAL WORT :ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems n B• oiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ O• ther: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 10500 SW 71ST AVE, TIGARD, OR, 97223 Record Type: Record ID: Residential - Electrical ELC2017-00351 Inspection Type: Inspector: 115 Electrical service Jeff Grove Result: PASS Comments: Rough in and sub panel Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 10500 SW 71ST AVE, TIGARD, OR, 97223 Record Type: Record ID: Residential - Electrical ELC2017-00351 Inspection Type: Inspector: 199 Electrical final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor