Permit f •
„„ CITY OF TIGARD /.4 COMMUNITY ELECTRICAL PERMIT
174- COMMUNITY DEVELOPMENT Permit#: ELC2015 00426
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/03/2015
TIGARD 13125 2S102CB03900
Jurisdiction: Tigard
Site address: 9955 SW GARRETT ST
Project: 251315-Allen Subdivision: FREWING'S ORCHARD TRACTS Lot: 11
Project Description: Kitchen Remodel 10/08/2015: REPRINT permit to add(1)branch circuit for A/C;total branch circuits now(11).
Contractor: BOONES FERRY ELECTRIC INC Owner: ALLEN, TIMOTHY&JUDITH
PO BOX 628 9955 SW GARRETT ST
WILSONVILLE, OR 97070 TIGARD, OR 97223
PHONE: 503-682-4936 PHONE:
FAX: 503-682-7946
FEES
Quantity Description Date Amount
11 crt Branch Circuits wo/Purchase 10/08/2015 $130.38
Specifics: Service or Feeder
1 ea 12%State Surcharge- 10/08/2015 $15.65
Type of Use: SF Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $146.03
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 -001-0090. Yo may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: �l ' — Permittee Signature: d/l ��G/e�%/C7/
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
9955 SW GARRETT ST, TIGARD, OR, 97223
Residential - Electrical
199 Electrical final
PASS - No C of O
ELC2015-00426
David Young
Correction complete.
Violation Summary:
Inspector Contractor