Permit (94) CITY OF TIGARD ELECTRICAL PERMIT
11111 It COMMUNITY DEVELOPMENT MOVIE. Permit#: ELC2016-00125
Date Issued: 02/19/2016
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S112C612400
Jurisdiction: Tigard
Site address: 8145 SW ROSS ST
Project: Westwood Subdivision: 1990-012 PARTITION PLAT Lot: 2
Project Description: 2/22/2016: REPRINT permit to correct description to install new service to convert overhead to underground.
Contractor: ROSS ELECTRIC INC Owner:
2870 SE 75TH AVE
HILLSBORO, OR 97123
PHONE: 503-642-2800 PHONE:
FAX: 503-642-5815
FEES
Quantity Description Date Amount
1 ea Services or Feeders-200 02/19/2016 $100.70
Specifics: amps or less
1 ea 12%State Surcharge- 02/19/2016 $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 rules are set forth in OAR
952-001-0010 through OA 2- 090. ou may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: P/1/ P.0G/ ..52-770,1
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' 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
8145 SW ROSS ST, TIGARD, OR, 97224
Residential - Electrical
199 Electrical final
PASS - No C of O
ELC2016-00125
Herb Stabenow
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
8145 SW ROSS ST, TIGARD, OR, 97224
Residential - Electrical
115 Electrical service
PASS
ELC2016-00125
Herb Stabenow
Violation Summary:
Inspector Contractor