Permit Support Document CITY OF TIGARD ELECTRICAL PERMIT
I; ' COMMUNITY DEVELOPMENT t V ,' •• Permit#: ELC2022-00544
T I G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 8/11/2022
Parcel: 2S104CD04600
Jurisdiction: Tigard
Site address: 13845 SW BENCHVIEW TER
Project: Harrell Subdivision: HILLSHIRE ESTATES Lot: 46
Project Description: 950 square foot ADU
Contractor: PRECISION NW ELECTRICAL Owner: HARRELL, MONTE&CARYN A
12020 SE ANNA CT 13843 SW BENCHVIEW TER
DAMASCUS, OR 97009 TIGARD, OR 97223
PHONE: 503-413-9870 PHONE:
FAX: 503-594-2873
FEES
Quantity Description Date Amount
1 ea Services or Feeders-200 08/11/2022 $100.70
Specifics:
amps or less
12 crt Branch Circuits wo/Purchase 08/11/2022 $137.80
Type of Use: ADU Service or Feeder
Class of Work: ALT 1 ea 12%State Surcharge- 08/11/2022 $28.62
Type of Const: Electrical
Occupancy Grp:
Total $267.12
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. ygit ma obt a c of the rules or direct ouestions to OUNC by callina 503.232.1987 or 1.800.332.2344.
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.