Permit Support Document CITY OF TIGARD ELECTRICAL PERMIT
111 COMMUNITY DEVELOPMENT Permit#: ELC2018-00289
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 ` ? $ a Date Issued: 05/08/2018
T I Ft..C� g Parcel: 2S103CD00400
P�/tfJurisdiction: Tigard
Site address: 13615 SW 115TH AVE
Project: JD Hill Subdivision: None Lot: None
Project Description: feeder+2 ckts for detached garage. 5/16/2018: REPRINT permit to add(2)branch circuits.
Contractor: GARNER ELECTRIC Owner: BITHER,ANDREW D&KELLY A
2920 SE BROOKWOOD AVE A 13615 SW 115TH AVE
HILLSBORO, OR 97123 TIGARD, OR 97223
PHONE: 503-648-4552 PHONE:
FAX: 503-642-7925
FEES
Quantity Description Date Amount
1 ea Services or Feeders-200 05/08/2018 $100.70
Specifics: amps or less
2 crt Branch Circuits w/Purchase 05/08/2018 $14.84
Type of Use: SF Service or Feeder
Class of Work: ACS 1 ea 12%State Surcharge- 05/08/2018 $13.86
Electrical
Type of Const: 2 crt Branch Circuits w/Purchase 05/16/2018 $14.84
Occupancy Grp: Service or Feeder
0 ea 12%State Surcharge- 05/16/2018 $1.79
Electrical
Total $146.03
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 0 •52�r�90. ouummia�y obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: G'K' �_ Permittee Signature: ' '1' /"'"4/e"9770
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:
13615 SW 115TH AVE, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Electrical ELC2018-00289
Inspection Type: Inspector:
199 Electrical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13615 SW 115TH AVE, TIGARD, OR, 97223 May 10, 2018 at 12:33:11 PM
Record Type: Record ID:
Residential - Electrical ELC2018-00289
Inspection Type: Inspector:
199 Electrical final David Young
Result:
FA I L
Comments:
Add 2 extra branch circuits to permit as installed, 4 total.
All else appears ok.
Violation Summary:
Inspector Contractor