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Permit Support Document
CVIS CITY OF TIGARD ill. fie, 40. ELECTRICAL PERMIT silh COMMUNITY DEVELOPMENT Permit#: ELC2020-00542 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/2/2020 Parcel: 1S134DB13300 Jurisdiction: Tigard Site address: 11134 SW 114TH PL Project: 2759 Subdivision: BRIGHTWOOD SUBDIVISION Lot: 5 Project Description: add AC. 11/19/2020: REPRINT permit to correct scope of work to"pre-wire only." Electrical permit to connect A/C to be obtained at a later date when NC unit installed. Contractor: STONE BRIDGE HOMES NW LLC Owner: STONE BRIDGE HOMES NW 4230 GALEWOOD STREET#100 4230 GALEWOOD ST. SUITE 100 LAKE OSWEGO, OR 97035 LAKE OSWEGO, 97035 PHONE: 503-387-7577 PHONE: 503-387-7577 FAX: 503-387-7615 FEES Quantity Description Date Amount 1 crt Branch Circuits wo/Purchase 11/02/2020 $56.18 Specifics: Service or Feeder 1 ea 12%State Surcharge- 11/02/2020 $6.74 Type of Use: SF Electrical Class of Work: NEW Type of Const: Occupancy Grp: Total $62.92 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 R 952-0 0 90. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: - � E-- Permittee Signature: i/1/ (1-7<V 7 CA—17Q,11 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. LL-7, Zc, 2© 005- Dianna Ornelas From: Doug Webb <doug@stonebridgehomesnw.com> Sent: Thursday, November 19, 2020 2:16 PM To: #Building Permit Technicians; Blake Agate Subject: 11134 114th pl. permit#MST2020-00209 Caution!This message was sent from outside your organization. Please change electrical permit for ac to be pre-wire only Please change mechanical permit for ac to be line set only Thank you. Get Outlook for iOS 1