Permit (80) CITY OF TIGARD ELECTRICAL PERMIT
I ' COMMUNITY DEVELOPMENT I7ff Permit#: ELC2016-00629
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/11/2016
Parcel: 25111 DB01100
Jurisdiction: Tigard
Site address: 15400 SW ALDERBROOK CIR
Project: 1 Subdivision: SUMMERFIELD NO.8 Lot: 439
Project Description: PANEL CHANGE.KITCHEN&NOOK AREA;CAN LIGHTS,INSTA HOT,DISPOSAL,OUTLETS,RANGE,HOOD
FAN.MASTER BATHROOM&BEDROOM;EXHAUST FAN,CAN LIGHTS.HALL BATH;GFCI,ADD TIMER FOR
FAN.8/18/16,REPRINTED to correct address from 15400 Alderbrook Drive to Alderbrook Circle.
Contractor: MIKE'S ELECTRIC Owner: SNYDER, OWEN R
11070 SW ALLEN BLVD SNYDER, GAIL V
BEAVERTON, OR 97005 15400 SW ALDERBROOK DR
TIGARD, OR 97224
PHONE: 503-649-6991 PHONE:
FAX: 503-641-1902
FEES
Quantity Description Date Amount
1 ea Services or Feeders-200 08/11/2016 $100.70
Specifics: amps or less
9 crt Branch Circuits w/Purchase 08/11/2016 $66.78
Type of Use: SF Service or Feeder
Class of Work: ALT 1 ea 12%State Surcharge- 08/11/2016 $20.10
Electrical
Type of Const: 45 Misc Administration Fee 08/18/2016 $45.00
Occupancy Grp:
Total $232.58
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: • -..n law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 thr- gh OAR 95 001-0 You may obtain a copy of the rules or direct questions to OUNC by calli.. _. i .1987 or 1.800.332.2344. f
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Issued By: // Permittee Signatu ,r ,e- //
OWNER INSTALLATION ONLY a
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
15400 SW ALDERBROOK CIR, TIGARD, OR,
97224
Residential - Electrical
199 Electrical final
FAIL
September 8, 2016 at
12:10:53 PM
ELC2016-00629
David Young
Wrong inspection scheduled, added electrical rough in to schedule.
Violation Summary:
Inspector Contractor