Permit Support Document CITY OF TIGARD ELECTRICAL PERMIT
°7 COMMUNITY DEVELOPMENT Permit#: ELC2021-00706
LS
Date Issued: 12/9/2021
T[GA a RT 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S136DC03900
I ' Jurisdiction: Tigard
Site address: 7110 SW CLINTON ST
Project: brader Subdivision: ISAACS SUBDIVISION Lot: 4
Project Description: new 200amp service,2-125amp feeders,2-new panels. 2/4/22:REPRINTED permit to include(14)branch
circuits and low voltage.
Contractor: ATHENS ELECTRIC INC Owner: FARZA,JAVAD&MAFAR
15917 NW LOGIE TRL 3865 FAIRHAVEN DR
HILLSBORO, OR 97 1 24-81 52 WEST LINN, OR 97068
PHONE:
PHONE: 503-709-4925
FAX: 503-647-2531 •
FEES
Quantity Description Date Amount
2 ea Services or Feeders-200 12/09/2021 $201.40
Specifics: amps or less
4 crt Branch Circuits w/Purchase 12/09/2021 $29.68
Type of Use: SF Service or Feeder
Class of Work: ALT 1 ea 12%State Surcharge- 12/09/2021 $27.73
Type of Const: Electrical
1 ea Limited Energy 02/07/2022 $75.00
Occupancy Grp:
14 crt Branch Circuits w/Purchase 02/07/2022 $103.88
Service or Feeder
0 ea 12%State Surcharge- 02/07/2022 $21.47
Electrical
Total $459.16
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 wit 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 0 952-001-0090. You may obta of the rules or direct auestions to OUNC by callina 503.232.198732.or 1.800.3 44. •
Issued By: /% 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'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.