Permit (118) CITY OF TIGARD ELECTRICAL PERMIT
� - COMMUNITY DEVELOPMENT
Permit#: ELC2018-00705
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/23/2018
T r c.A h.1) g Parcel: 2S106AD05400
Jurisdiction: Tigard
Site address: 16549 SW FRIENDLY LN
Project: River Terrace East,Lot 161 Subdivision: RIVER TERRACE EAST Lot: 161
Project Description: Adding(1)branch circuit for heat pump.
Contractor: GARNER ELECTRIC WASHINGTON LLC Owner: WILLIAM LYON HOMES INC
402 VALLEY AVE NW, SUITE 106 109 E 13TH ST
PUYALLUP,WA 98371 VANCOUVER,WA 98660
PHONE: 253-872-6051
PHONE: 602-694-4031
FAX:
FEES
Quantity Description Date Amount
1 at Branch Circuits wo/Purchase 10/23/2018 $56.18
Specifics: Service or Feeder
1 ea 12%State Surcharge- 10/23/2018 $6.74
Type of Use: SF Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $62.92
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 OAR••2-001-0t•0. Y•. may obtain a c••y of the rules or direct questions to OUNC by calling 503.232.19 7 or 1.800.332.2344.
Issued By: t� /AtrAP,rdi ��=_./ Permittee Signature:
,e14eir-OX01-7
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:
16549 SW FRIENDLY LN, BEAVERTON, October 24, 2018 at
OR, 97007 10:42:57 AM
Record Type: Record ID:
Residential - Electrical ELC2018-00705
Inspection Type: Inspector:
199 Electrical final Jeremy Burrows
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor