Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2014-00560
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/30/2014
TIGARD Parcel: 25111 DC11700
Jurisdiction: Tigard
Site address: 15860 SW OAK MEADOW LN
Project: panel change Subdivision: SUMMERFIELD NO.11 Lot: 614
Project Description: replace the panel
Contractor: EVENT POWER AND LIGHTING Owner: KAEPPLINGER, DIANNE J
170 LAHTI RD CALCAGNO, DUANE L
WOODLAND, WA 98674 15860 SW OAK MEADOW LN
TIGARD, OR 97224
PHONE: 360-255-3830 PHONE.
FAX:
FEES
Quantity Description Date Amount
1 ea Services or Feeders-200 09/30/2014 $100.70
Specifics: amps or less
1 ea 12%State Surcharge- 09/30/2014 $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 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 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: D NL/�C Permittee Signature: ci�Z "�c
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.
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
15860 SW OAK MEADOW LN, TIGARD, OR,
97224
Residential - Electrical
199 Electrical final
PASS - No C of O
ELC2014-00560
Jeff Grove
Violation Summary:
Inspector Contractor