Permit (35) CITY OF TIGARD 11111 ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2017-00207
Date Issued: 03/24/2017
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S111DC03700
Jurisdiction: Tigard
Site address: 15660 SW ALDERBROOK DR
Project: MULLIGAN,JOHN&LINDA Subdivision: SUMMERFIELD NO.7 Lot: 382
Project Description: PANEL CHANGE,
Contractor: WEST SIDE ELECTRIC CO INC Owner: HILDEN FAMILY TRUST
1834 SE 8TH AVE 15660 SW ALDERBROOK DR
PORTLAND, OR 97214 TIGARD, OR 97224
PHONE: 503-231-1548 PHONE:
FAX: 503-736-0677
FEES
Description Date Amount
Specifics: Services or Feeders-200 amps or less 03/24/2017 $100.70
12%State Surcharge-Electrical 03/24/2017 $12.08
Type of Use: SF
Class of Work: ALT
Total Number of Systems:
Audio&Stereo: N
Security Alarm: N
Garage Door Opener: N
HVAC: N
Vacuum System: N
Other: N
Other Desc: 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 OAR 952-001-009 . You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987'. or 1.800.332.2344.
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Issued By: Gam% 72 — Permittee Signature: U!v 4//1I
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.
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15660 SW ALDERBROOK DR, TIGARD, OR, April 6, 2017 at 3:01 :08 PM
97224
Record Type: Record ID:
Residential - Electrical ELC2017-00207
Inspection Type: Inspector:
199 Electrical final David Young
Result:
PASS - NoCofO
Comments:
Supplemental grounding installed.
Violation Summary:
Inspector Contractor