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Permit CITY OF TIGARD ELECTRICAL PERMIT 11111 s ' COMMUNITY DEVELOPMENT Permit#: ELC2021-00157 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 3/30/2021 T I G A R T] 9 Parcel: 1 S 136CC00100 Jurisdiction: Tigard Site address: 12244 SW GARDEN PL Project: mannahouse Subdivision: None Lot: None Project Description: miscellaneous electrical work Contractor: JOHANSEN ELECTRIC INC Owner: WESTSIDE CHRISTIAN HIGH SCHOOL INC 16869 SW 65TH AVE, SUITE 311 BY DAVIS, DANIEL A, PRESIDENT LAKE OSWEGO, OR 97035 8200 SW PFAFFLE ST TIGARD, OR 97223 PHONE: PHONE: 503-747-2503 FAX: 503-972-1861 FEES Quantity Description Date Amount 12 crt Branch Circuits wo/Purchase 03/30/2021 $137.80 Specifics: Service or Feeder 1 ea 12%State Surcharge- 03/30/2021 $16.54 Type of Use: COM Electrical Class of Work: ALT 45 Misc Administration Fee 04/06/2021 $45.00 Type of Const: Occupancy Grp: Total $199.34 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.Tis 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 y, 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 -l'eti may obtain a copy of the rules or direct questions to OUNC by calling 503.232.198877jorrJ81.800.0.33332.2344. Issued By: i�` Permittee Signature: Z'el/- OWNER INSTALLATION ONLY The installation is being mon 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.