Permit Support Document CITY OF TIGARD ELECTRICAL PERMIT
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' .- COMMUNITY DEVELOPMENT Permit#: ELC2022-00023
T i{;ART) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 1/12/2022
Parcel: 2S 101 CA00400
41
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n rJurisdiction: Tigard
Site address: 7930 SW HUNZIKER RD •t)
Project: Charter Mechanical Subdivision: 2007-064 PARTITION PLAT Lot: 1
Project Description: Office remodel TI work
Contractor: CAPITOL ELECTRIC CO INC Owner: MERITAGE FIVE LLC
11401 NE MARX ST FHA&ASSOC
PORTLAND, OR 97220 155 B AVE#222
LAKE OSWEGO, OR 97034
PHONE:
PHONE: 503-255-9488
FAX: 503-257-7121
FEES
Quantity Description Date Amount
6 crt Branch Circuits wo/Purchase 01/12/2022 $93.28
Specifics: Service or Feeder
1 ea 12%State Surcharge- 01/12/2022 $11.19
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $104.47
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 OAR 952-001-0090.95 You r��uFopta'a c.. . •e rules or direct cuestions to OUNC by callina 503.232.1987 or 1.800.332.2344. /�
Issued By: e% "�" ram-.. // , 1 Permittee Signature: C /-�1 L' 4"�fr"
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.