Permit CITY OF TIGARD ELECTRICAL PERMIT
s COMMUNITY DEVELOPMENT Permit #: ELC2013 -00748
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/23/2013
T I �"� R O g Parcel: 2S112BB00200
Jurisdiction: Tigard
Site address: 14010 SW HALL BLVD
Project: Hilden Subdivision:)NITA FIRS VILLAGE CONDO (PHASE Lot: 73
Project Description: Replace panel
Contractor: ONEILL ELECTRIC INC Owner: HILDEN, MARK
4444 SE 27TH AVE 14010 SW HALL BLVD
PORTLAND, OR 97202 TIGARD, OR 97223
PHONE: 503 -493 -6045 PHONE: 503-625-0482
FAX: 503 - 460 -0956
FEES
Quantity Description Date Amount
1 ea Services or Feeders - 200 12/23/2013 $100.70
Specifics: amps or less
1 ea 12% State Surcharge - 12/23/2013 $12.08
Type of Use: SF Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $112.78
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 i ccorira •= 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. TENTION: Oreg• • law requires you to follow the rules adopted by the Oregon Utility .�totifi inn ,Center. Those rules are set forth in OAR
952 -0 -0010 through OAR 95' 101 -• ' = i. You may obtain a copy of the rules or direct questions to OUNC by cal . .1987 or 1.800.33 344. r
Issu By: - PermitteeSignature:_ ��<--
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' f s r Date:
LICENSE NO. T 5 `J els
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.
Dec 18 1303:22p Farmers Insurance 503-981-9585 p.2
Electrical Permit ApplicaliEC
,.-,),,,.„ , SI ()\IN
I City of Tigard Received
4M i ii . M Pcnnit No.: 5„,.. , .., 7 go
3125 SW Flail Blvd., Tigard, OR 9
' 1 8 2013 D.../Bv. / g A
- Flan Review
• Phone: 503.718.2439 Frac 503.591.1960 D•air../B : Other Pernik:
T IGARD Inspection Line: 503.639.4175 Date Readyilly: tar. El See Page 2 For
Internet: VAYW.Ligard-or.gav CITY OF TIGARD Notified/Method. Supplemental laformatim
TYPE OilivutiNG DIVISION PLAN REVIEW
0 New construction 4 Addition/alteration/replacement Pica °lack al that apply ( " 1 ' 4 ' 2 sem c ( wtilems checkcd bell
Ci Service or (eeder 400 amps or more 0 Building over throe stories.
0 Demolition 0 Other: where the available fault current 0 Maness and boatyards.
CATEGORY OF CONSTRUCTION excuctis 10.000 limns at 150 volts or 0 Floating buildinas
1 1=a1 to ground. or exceeds 14,000 0 Cottunt.xciat-ax akaiculr.r.i
El 1 - and 2-1 dmIling 0 Commercial/industrial 0 Accessory building amps nor all other instafianous by itdings.
LI Multi-family 0 Master builder 0 Other: i 0 Fitt r.ump. Plthaaution of 7:: kVA or
0 Etnertteacy syate-n lartter Sep311Ately dorived system. •
308 SITE INFORMATION AM) LOCATION 0 Addition ef new motor load at
1001fP or more. ooeoponei..
Job no.: I Job silt:: address: 14010 SW Hall Elvd. 0s ix or mon: residential 2818L.S. 0 Nacre:dm:ell .cinch; parks .
0 Hooh:•-tare faciliiio, °Supply voltage for more Mon
City/State/ZIP:Tigard Oregon
0 Hams to=dinns. 4110 v oils nominal.
Suite/bldg./apt. no.: I Project name: 0 s, e .,- teeth,. (•00 arms c • mniu.
FEE SCHEIN! I.
Criss st reetid i red ions to job site: Doer:14;6n ' tj:v. I Fre. 1 'reset I •
NM' residential s Male- or multi-fan* dwelliat4, Unit.
Iuchssks atLut hid garage.
1.000 sq. It or less i I 168.54 I 4
Subdivision: IAA no.: _ I
La. addi 5t10 txt. It. tr portico i ! 33.92 I
Tax map/parcel no.: I .ire ited energy. residential I I '
l 7
DESCRIPTIr/N OF WORK' (with above sq. 11.) I 75.00
limitud energy, mull i ity I
• 5.of, 7 2
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Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
14010 SW HALL BLVD, TIGARD, OR, 97224
Residential - Electrical
199 Electrical final
2013-12-30 00:00:00
ELC2013-00748
FAIL
No access--customer unable to meet
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
14010 SW HALL BLVD, TIGARD, OR, 97224
Residential - Electrical
199 Electrical final
2013-12-31 00:00:00
ELC2013-00748
PASS - No C of O
Violation Summary:
Inspector Contractor