Permit ry CITY OF TIGARD ELECTRICAL PERMIT
111111 COMMUNITY DEVELOPMENT t jl I Permit#: ELC2015-00635
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 II/ /SiII Date Issued: 08/11/2015
Parcel: 25111 CC14800
Jurisdiction: Tigard
Site address: 10135 SW HIGHLAND DR
Project: 703444 Electrical for Rowlett Construciton Project Subdivision: SUMMERFIELD NO.4 Lot: 199
Project Description: Lights and receptacles for remodel. 8/17/15:Reprinted permit to include(1)200 amp service.
Contractor: OREGON ELECTRIC GROUP Owner: TUCKER, LILLIAN M
1709 SE 3RD AVE 10135 SW HIGHLAND DR
PORTLAND,OR 97124 TIGARD, OR 97224
PHONE: 503-234-9900 PHONE:
FAX: 503-234-1001
FEES
Quantity Description Date Amount
1 ea Services or Feeders-200 08/19/2015 $100.70
Specifics: amps or less
3 crt Branch Circuits w/Purchase 08/11/2015 $22.26
Type of Use: SFA Service or Feeder
Class of Work: ALT 1 ea 12%State Surcharge- 08/19/2015 $14.76
Electrical
Type of Const: 45 Misc Administration Fee 08/19/2015 $45.00
Occupancy Grp:
Total $182.72
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 accordant 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. ATTENTI . Oregon la, requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 rough•AR 952-001 I.'0. Y • may obtain a copy of the rules or direct questions to OUNC by calling 2.1987.or 1.800.332.2344.
Issued : �/`/f='r— i PermitteeSigneti _1'1��/'
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' are,- 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.
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Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10135 SW HIGHLAND DR, TIGARD, OR, 97224
Residential - Electrical
199 Electrical final
PASS - No C of O
ELC2015-00635
David Young
Correction complete.
Violation Summary:
Inspector Contractor
Location:
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Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10135 SW HIGHLAND DR, TIGARD, OR, 97224
Residential - Electrical
125 Wall cover
PASS
ELC2015-00635
Herb Stabenow
Includes the panel change
Violation Summary:
Inspector Contractor