Permit v CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: ELC2006 -10077
T IGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/27/2006
Parcel: 2S108DD08300
Jurisdiction: URB
Site address: 15642 SW 149TH PL
Project: CHRISTENSEN Subdivision: Lot:
Project Description: (2) branch circuits for bath remodel. 3/20/13 REPRINT Reinstate perm for 30 days per Mark V
Contractor: DICKINSONS ELECTRIC Owner: STEVE & JEANNIE CHRISTENSEN
8449 SW BARBUR BLVD 15642 SW 149TH PL
PORTLAND, OR 97217 TIGARD, OR 97224
PHONE: 503 - 246 -3550
PHONE: 503 - 598 -0248
FAX: 503 - 213 -6049
FEES
Quantity Description Date Amount
1 [UELPMT] ELC Permit 04/06/2006 $53.50
Specifics: 1 IUTAX] 8% State Surcharge 04/06/2006 $4.28
Type of Use: SF
1 hr Hourly Electrical Rate 03/20/2013 $90.00
Class of Work:
Type of Const:
Occupancy Grp:
Total $147.78
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 52 -001- 090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
f r n
Issued By: �"°��� 52-001-
cfiLl t Permittee Signature: AL !
1 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 603.639.4175 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.