Permit (13) CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT
Permit#: ELC2016-00673
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/31/2016
Parcel: 2S103CC12000
Jurisdiction: TIGARD
Site address: 12052 SW WHISTLER'S LP
Project: Montoya Subdivision: Lot:
Project Description: Electrical reconnect only
Contractor: N/A Owner: DENISE MONTOYA
3340 CUMBERLAND BLVD#741
ATLANTA, GA 30339
PHONE:
PHONE: 770-680-3726
FAX:
FEES
Quantity Description Date Amount
1 ea Reconnect Only 08/31/2016 $67.84
Specifics:
1 ea 12%State Surcharge- 08/31/2016 $8.14
Electrical
Type of Use: SF
Class of Work: OTR
Type of Const:
Occupancy Grp:
Total $75.98
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 i = or•awith 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. TENTION: Oreg law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-0'.1-0010 through OAR 9 ,.'0. You may obtain a copy of the rules or direct questions to OUNC by-call 232.1987 or 1.800.332.2344.
Iss ed By: I & l c Lir' Permittee Signature. )_ <a ' - -
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
12052 SW WHISTLER'S LP, TIGARD, OR, 97223
Residential - Electrical
199 Electrical final
PASS - No C of O
ELC2016-00673
Jeff Grove
Violation Summary:
Inspector Contractor