Permit Support Document (38) CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT 1 ED Permit#: ELC2023-00096
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 ii Date Issued: 2/8/2023
j`/ 1;p-3 4-1 Parcel: 1S135AB01003
f+ Jurisdiction: Tigard
Site address: 10350 SW GREENBURG RD
Project: Margarita Factory Subdivision: METZGER,TOWN OF Lot: 9
Project Description: (1)400A service,(3)branch circuits for EVSE installation
Contractor: CHERRY CITY ELECTRIC Owner: LINCOLN CENTER LLC
1596 22ND ST SE BY SHORENSTEIN PROPERTIES LLC
SALEM, OR 97302 235 MONTGOMERY ST, 16TH FLOOR
SAN FRANCISCO, CA 94104
PHONE: 503-566-5600 PHONE:
FAX: 503-571-4410
FEES
Quantity Description Date Amount
Specifics: 1 ea Services or Feeders-201 to 02/08/2023 $133.56
400 amps
3 crt Branch Circuits w/Purchase 02/08/2023 $22.26
Type of Use: COM
Service or Feeder
Class of Work: ALT 1 ea 12%State Surcharge- 02/08/2023 $18.70
Type of Const: Electrical
Occupancy Grp:
Total $174.52
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. You may obtain a cow of he rules or direct Questions 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.