Permit (17) CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT ELECTRICAL
ELC2016-00747
Date' Issued: 09/30/2016
T(GAR 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 t : A
Parcel; 1S125CA08800
! Jurisdiction: Tigard
Site address: 9255 SW 74TH AVE
Project: Meechan Subdivision: 2003-049 PARTITION PLAT Lot: 2
Project Description: Add Hot Tub Wiring 10/6/16, REPRINTED to correct address to 9255 SW 74th Ave.
Contractor: JARMER ELECTRIC INC Owner: CHRISTY, JOSEPH T JR&CORRINE E
5105 SW 45TH AVE#200 9235 SW 74TH AVE
PORTLAND, OR 97221 TIGARD, OR 97223
PHONE: 503-246-5381 PHONE:
FAX: 503-244-8037
FEES
Quantity Description Date Amount
1 crt Branch Circuits wo/Purchase 09/30/2016 $56.18
Specifics: Service or Feeder
1 ea 12%State Surcharge- 09/30/2016 $6.74
Type of Use: SF Electrical
Class of Work: ALT 45 Misc Administration Fee 10/07/2016 $45.00
Type of Const:
Occupancy Grp:
Total $107.92
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 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. x
Issued By: � ___ c= _...,--_. - Fre7mittee Signature: L�� 021;01/7tet?
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 503.639.4176 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.