Permit Support Document (3) i a CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT f Permit#: ELR2020-00087
FifDate Issued: 7/9/2020
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 1 Parcel: 2S112DA00800
Jurisdiction: Tigard
Site address: 7007 SW CARDINAL LN 100
Project: PacStar Expansion Subdivision: PACIFIC CORPORATE CENTER Lot: 2
Project Description: 516674 PM400 PacStar/Low voltage cabling for expansion space Suite 135 to Suite 100/Jim Murray is PM.
7/29/2020: REPRINT permit to correct address.
Contractor: COCHRAN INC Owner: PACIFIC REALTY ASSOCIATES LP
7550 SW TECH CENTER DR#220 ATTN: N PIVEN
TIGARD, OR 97223 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE:
PHONE: 503-234-6564
FAX: 503-238-2098
FEES
Quantity Description Date Amount
1 ea Restricted Energy Permit 07/09/2020 $75.00
Specifics:
1 ea 12%State Surcharge- 07/09/2020 $9.00
Electrical
Type of Use: COM
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $84.00
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. _ may obtain cores or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued B Permittee Signature:
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.