Permit (59) CITY OF TIGARD ELECTRICAL PERMIT
apil '111 • COMMUNITY DEVELOPMENT Permit#: ELC2017-00951
Date Issued: 12/28/2017
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S102DD90411
Jurisdiction: Tigard
Site address: 13688 SW HALL BLVD 1
Project: HUD Subdivision: FANNO POINTE CONDO Lot: 4-1
Project Description: Reconnect only.
Contractor: OWNER Owner: USA SECRETARY OF HOUSING&URBAN
BY ISN CORP WESTERN OPERATIONS
CENT
2401 NW 23RD ST STE 1D
OKLAHOMA CITY, OK 73107
PHONE:
PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Reconnect Only 12/28/2017 $67.84
Specifics:
1 ea 12%State Surcharge- 12/28/2017 $8.14
Electrical
Type of Use: MF
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $75.98
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 OA 52-00 -009 You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
7
Issued By: JfC,_ Permittee Signature: /7A1 / / OA)
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:
13688 SW HALL BLVD 1 , TIGARD, OR, 97223 December 29, 2017 at
9:42:30 AM
Record Type: Record ID:
Residential - Electrical ELC2017-00951
Inspection Type: Inspector:
199 Electrical final David Young
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor