Permit Ip CITY OF TIGARD ELECTRICAL PERMIT
I a •, COMMUNITY DEVELOPMENT Permit#: ELC2015 00329
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/05/2015
Parcel: 2S111DB03500
Jurisdiction: Tigard
Site address: 9100 SW SUMMERFIELD CT
Project: CHRISTENSEN Subdivision: SUMMERFIELD NO.8 Lot: 421
Project Description: Replacing existing panel.
Contractor: CARTON ELECTRIC INC Owner: CHRISTENSEN, R W&MARLENE J
PO BOX 860 9100 SW SUMMERFIELD CT
AMITY, OR 97101 TIGARD, OR 97224
PHONE: 503-435-1600 PHONE:
FAX: 503-835-0539
FEES
Quantity Description Date Amount
1 ea Services or Feeders-200 05/05/2015 $100.70
Specifics: amps or less
1 ea 12%State Surcharge- 05/05/2015 $12.08
Type of Use: SF Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $112.78
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rulesrare—set forth in OAR
952-001-0010 through R 952-001-0090. You may obtain copy oft rules or direct questions to OUNC by calling 503.232.1987 or 1 .44.
Issued By: .`1'1A ermittee Signature:
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale,lease or rent.
OWNER'S SIGNATURE Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR.ELEC' Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Electrical Permit Application
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• tiros street dircetioni to jot,sib:: 4iirzigaz , Dewrintios I or, -, Fee. I Total I ' ■
7 : slew reaidential single-or multi-famIlv dwelling unit.
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0 PROPERT) OWNER ; 0 TENANT . 201,amps oi Ins
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1 I LLECTRICAL PE 101IT FEES
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Tlar.1:: ; Date- ... -, oi)$after it nao bee.accepted at complete.
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__ _____
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9100 SW SUMMERFIELD CT, TIGARD, OR,
97224
Record Type: Record ID:
Residential - Electrical ELC2015-00329
Inspection Type: Inspector:
199 Electrical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor