Permit Support Document CITY OF TIGARDvis. ELECTRICAL PERMIT
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{ Permit#: ELC2021-00306
COMMUNITY DEVELOPMENT - y� Date Issued: 6/3/2021
T I G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 1 S134AB00100
Jurisdiction: Tigard
Site address: 10980 SW SPRINGWOOD DR
Project: 10960 SW Springwood Dr#10980/Humidistat&Watei Subdivision: ENGLEWOOD Lot: 90
Project Description: Unit#10980-install of Humidistat&Water Heater 7/2/2021: REPRINT permit to correct address from 10960 to
10980.
Contractor: SQUIRES ELECTRIC INC Owner: MEACHAM CREEK PARTNERS LLC
2203 NE MARTIN LUTHER KING JR BLVD BY DALTON MANAGEMENT INC
PORTLAND, OR 97212 8417 SW BEAVERTON HILLSDALE HWY
PORTLAND, OR 97225
PHONE:
PHONE: 503-252-1609
FAX: 503-253-5831
FEES
Quantity Description Date Amount
2 crt Branch Circuits wo/Purchase 06/03/2021 $63.60
Specifics: Service or Feeder
1 ea 12%State Surcharge- 06/03/2021 $7.63
Type of Use: MF Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $71.23
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. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
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Issued By: ,.f �f %�`� v° f ° '+ 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.