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Permit Support Document (40) CITY OF TIGARDELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit#: ELC2019-00088 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 027 I Date Issued: 02/14/2019 Parcel: 2S104AD03401 Jurisdiction: Tigard Site address: 12828 SW WALNUT ST Project: Detached Garage Subdivision: None Lot: None Project Description: Sub-panel and wire detached garage. 2/27/2019: REPRINT permit to add(8)branch circuits. Contractor: FALCON ELECTRIC INC Owner: LEWIS FAMILY REV TRUST 2375 SW CEDAR HILLS BLVD BY LEWIS, BRIAN C&CHRISTINE C TR PORTLAND, OR 97225 12828 SW WALNUT ST TIGARD, OR 97223 PHONE: 503-208-4709 PHONE: FAX: 503-646-5565 FEES Quantity Description Date Amount 1 ea Services or Feeders-200 02/14/2019 $100.70 Specifics: amps or less 1 ea 12%State Surcharge- 02/14/2019 $12.08 Type of Use: SF Electrical Class of Work: ACS 8 crt Branch Circuits w/Purchase 02/27/2019 $59.36 Type of Const: Service or Feeder 0 ea 12%State Surcharge- 02/27/2019 $7.13 Occupancy Grp: Electrical Total $179.27 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 thro h OAR ?-901-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. -774-1771 Issued By: Permittee Signature: t A,L��✓ 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. • '.: f ice- : . ;• ,l 1.t t' € *iteration ' RVEX ia` ',: .SVA" 2 Iv t;tH.OR‘97223 � 'M1 :,,..i, , ) GiU7 l�•rc'4 i': ?,„.„,,,,I,,,,,,,„„""x', tXt + 8.23o+ . . 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"' v"' : 7,, , ';'..».,.4'''''''''t 3' ,':'- �� .;, ,P',gra,. . :r :'',,. , ;�',':: z i,.Yc,.>�,it,d":�!';..,.,, '�r,':;� ,,,,,,,,,,,,,,.,,,,;4.,,,,,i-,.:,,,,,,,, ,:;404,;',;',;!:,,,-( E � ,r."ur��"� '�:�fit'' ,x X y a 3 �ry � �.r. , Ria.'Zi,, ,.F. ,... �:r�;i �::: <x,"s•,u.._ �,",t ,r ,.n "•.,.„ y., u✓ i »,a'+<fcr.�Rrl, ,- „'•;,«,.:.; '''�",: ,, � �' ,;, • „ .. .. '; .w:Y1,404,:�:f'�. . a” ,, "F`•,^ . . ,. '',1rv;f;,;''. .. ,'�,' , ?r,d,-' ";1-r:«'�. • (•"w' ,, ark: '°"i:”'���s� �'��r"��� City of Tigard Tel: 503.718.2439 Location: Inspection Date: 12828 SW WALNUT ST, TIGARD, OR, 97223 Record Type: Record ID: Residential - Electrical ELC2019-00088 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor