Permit p CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2016-00136
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/29/2016
Parcel: 1 S 136AA01201
Jurisdiction: Tigard
Site address: 6919 SW OAK ST
Project: Oak Street Care Home Subdivision: 2007-031 PARTITION PLAT Lot: 2
Project Description: Temporary power.
Contractor: CANBY ELECTRIC INC Owner: BARE LLC
790 S IVY ST 22275 SW SCHOLLS SHERWOOD RD
CANBY, OR 97013 SHERWOOD, OR 97140
PHONE: 503-266-7878 PHONE:
FAX: 503-266-5543
FEES
Quantity Description Date Amount
1 ea Temp Services or Feeders- 02/24/2016 $59.36
Specifics: 200 amps or less
1 ea 12%State Surcharge- 02/24/2016 $7.12
Type of Use: SF Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $66.48
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. regon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 1-0010 through OA 52-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Is ed By: Permittee 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: y
LICENSE NO. a 3
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.
FROM : CRNBY ELECTRIC INC PHONE NO. : 5032665543 Feb. 29 2016 03:16PM P1
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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
6919 SW OAK ST, TIGARD, OR, 97223
Residential - Electrical
110 Temporary electrical servi
PASS
ELC2016-00136
Herb Stabenow
Violation Summary:
Inspector Contractor
13125 SW Hall Blvd.
Tigard, OR 97223
City of Tigard
Location:
6919 SW OAK ST, TIGARD, OR, 97223
Record Type:
Residential - Electrical
Inspection Type:
199 Electrical final
Result:
PASS- NoCofO
Comments:
Violation Summary:
Inspector
Tel: 503.718.2439
Inspection Date:
Record ID:
ELC2016-00136
Inspector:
Jeff Grove
Contractor