Permit CITY OF TIGARD fr®M. ELECTRICAL PERMIT
:'I a . COMMUNITY DEVELOPMENT Permit#: ELC2015-00734
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 09/10/2015
Parcel: 1S133CD12300
Jurisdiction: Tigard
Site address: 11644 SW TALLWOOD DR
Project: J73521-HEIMANN,SUE Subdivision: PEBBLECREEK Lot: 16
Project Description: OUTLET FOR GAS FIREPLACE. 9/15/2015: REPRINT permit to add(1)branch circuit for light near fireplace.
Contractor: WEST SIDE ELECTRIC CO INC Owner: HEIMANN, SUSAN J
1834 SE 8TH AVE 11644 SW TALLWOOD DR
PORTLAND, OR 97214 TIGARD, OR 97223
PHONE: 503-231-1548 PHONE:
FAX: 503-736-0677
FEES
Quantity Description Date Amount
2 crt Branch Circuits wo/Purchase 09/15/2015 $63.60
Specifics: Service or Feeder
1 ea 12%State Surcharge- 09/15/2015 $7.63
Type of Use: SF Electrical
Class of Work: ALT 45 Misc Administration Fee 09/15/2015 $45.00
Type of Const:
Occupancy Grp:
Total $116.23
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 0 0421409I You may obtain a copy of the rules or direct questions to OUNC by calling 5003.232.1987 or 1.800.332.2344.
Issued By: 4 , (lam- Permittee Signature: G-41E-//l�
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:
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Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
11644 SW TALLWOOD DR, TIGARD, OR, 97223
Residential - Electrical
199 Electrical final
FAIL
ELC2015-00734
David Young
Box for new light an switch not made up, not on permit.
No minor label installed for light and switch not on permit.
Violation Summary:
Inspector Contractor
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
11644 SW TALLWOOD DR, TIGARD, OR, 97223
Residential - Electrical
199 Electrical final
PASS - No C of O
ELC2015-00734
David Young
Violation Summary:
Inspector Contractor