Permit CITY OF TIGARD BUILDING PERMIT
a COMMUNITY DEVELOPMENT Permit#: ELC2021-00147
Date Issued: 3/24/2021
T l t_;A Ii D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S126BC01506
Jurisdiction: Tigard
Site address: 9020 SW WASHINGTON SQUARE RD, STE#301
Project: 64765: LITHIA MOTORS @ EMBASSY CENTRE Subdivision: None Lot: None
Project Description: 64765:Structured CablingInfrastructure and Sound Maskingsystem.
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Contractor: CHRISTENSON ELECTRIC INC Owner: LITHIA REAL ESTATE INC
17201 SACRAMENTO ST ATTN DEBOER, MARK
PORTLAND, OR 97230 150 N BARTLETT ST
MEDFORD, OR 97501
PHONE: 503-419-3344 PHONE:
FAX: 503-419-3695
Specifics: FEES
Description Date Amount
Type of Use: ACS
Class of Work: ALT Type of Const: Signal circuit or Limited Energy Panel 03/24/2021 $75.00
Occupancy Grp: Occupancy Load: 12%State Surcharge-Electrical 03/24/2021 $9.00
Misc Administration Fee 04/14/2021 $45.00
Dwelling Units:
Stories: Height: ft
Bedrooms: Bathrooms:
Value:
Floor Areas:
Total Area:
Accessory Struct:
Basement:
Carport:
Covered Porch:
Deck:
Garage:
Mezzanine:
Total $129.00
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking:
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. 9U may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: /r ,
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.'T�
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.