Permit (3) CITY OF TIGARD ELECTRICAL PERMIT
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°i 2 : COMMUNITY DEVELOPMENT Permit#: ELC2022-00789
Date Issued: 11/29/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S102AA02800
Jurisdiction: Tigard
Site address: 8770 SW SCOFFINS ST
Project: Lifeworks NW Subdivision: TIGARD HIGHWAY TRACTS Lot: 26
Project Description: Sign lighting for(1)sign.
Contractor: ELECTRIC AVENUE SIGN & LIGHTING Owner: LIFEWORKS NW
16005 NE 12TH ST 14600 NW CORNELL RD
VANCOUVER, WA 98684 PORTLAND, OR 97229
PHONE: 360-903-5447 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Sign or Outline Lighting 11/29/2022 $67.84
Specifics: 1 ea 12%State Surcharge- 11/29/2022 $8.14
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $75.98
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 Ce ter. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-009 av obta a coov of the ules or direct auestions to OUNC by callina 503.2 •:l'' or 1.800.332.2344.
Issued By: • Permittee Signature: Al
"
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.
Electrical Permit Application
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TYPE OF WORK I PLAN REVIEW
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DF.SCRIPTION OF WORK ; 1 Lamed oxlip%tesitienuai I 2
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Owner installution: Phis installation is being made on property that I nverr4thich is not i 2t.in amps Or lets
intended for oak liaise,rent.or CXChill1PC..1iXtifditig hi ORS-44`.444.h70.and 701 ; 20'.aripe4 in 430.imps i 2 SAM 2
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