Permit Support Document CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT 111
-1I ZDZ/ Permit#: ELC2021-00082
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 2/19/2021
TIGARD g Parcel: 25101 DC03900
Jurisdiction: Tigard
Site address: 7298 SW TECH CENTER DR
Project: Wall ST-Tech Center Drive Subdivision: SALEM FREEWAY SUBDIVISION Lot: 4
Project Description: Install service for new Traffic Signal at 72nd and Tech Center Drive
Contractor: AAKEN CORPORATION Owner: CITY OF TIGARD
1350 SE REED MARKET ROAD 202 OR
BEND, OR 97702
PHONE:
PHONE: 541-330-9545
FAX:
FEES
Quantity Description Date Amount
1 ea Services or Feeders-200 02/19/2021 $100.70
Specifics: amps or less
1 ea 12%State Surcharge- 02/19/2021 $12.08
Type of Use: COM Electrical
Class of Work: NEW 45 Misc Administration Fee 03/11/2021 $45.00
Type of Const:
Occupancy Grp:
Total $157.78
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 plan ,his 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 require u to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0 u ay obtain copy of the rules or direct questions to OUNC by calling 503 232.1987 oorr11.800.332.2344.
Issued By: Permittee Signature:
OWNER INSTALLATION ONLY
The installation is being mad n 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.