Permit Support Document m fi; ELECTRICAL PERMIT
CITY OF TIGARD Till
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" s COMMUNITY DEVELOPMENT Permit#: ELC2020-00547
Date Issued: 11/4/2020
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 1S126CD00100
Jurisdiction: Tigard
Site address: 9985 SW GREENBURG RD
Project: Crescent Grove Cemetery Subdivision: None Lot: None
Project Description: New admin building. 8/9/2021: REPRINT permit to correct site address from 9925 to 9985 for new building.
Contractor: PRO TECH POWER CORP Owner: CRESCENT GROVE CEMETERY ASS
17937 MCEWEN RD, SUITE 200A CRESCENT GROVE CEMETERY
PORTLAND, OR 97224 9925 SW GREENBURG ROAD
TIGARD, OR 97223
PHONE:
503-780-6207 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Services or Feeders-201 to 11/04/2020 $133.56
Specifics: 400 amps
30 crt Branch Circuits w/Purchase 11/04/2020 $222.60
Type of Use: COM Service or Feeder
Class of Work: NEW 1 ea 12%State Surcharge- 11/04/2020 $42.74
Type of Const: Electrical
Occupancy Grp:
Total $398.90
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 throuah 0 R 952-s001- 0. You may btain a coov of the rules or direct auestions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: 'mi l /4 Permittee Signature: 61/,/L/a/C
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'N 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.