Permit Support Document (39) CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT I ) Permit#: ELC2023-00213
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439
Date Issued: 4/6/2023
i Parcel: 1S135AB01003
Jurisdiction: Tigard
Site address: 10350 SW GREENBURG RD
Project: Margarita Factory Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Remodel electrical of existing Gustav's to Diosa restaurant.
Contractor: ALCO ELECTRIC Owner: LINCOLN CENTER LLC
5724 NW 144TH CIRCLE BY SHORENSTEIN PROPERTIES LLC
VANCOUVER, WA 98685 235 MONTGOMERY ST, 16TH FLOOR
SAN FRANCISCO, CA 94104
PHONE: 360-946-1307 PHONE:
FAX:
FEES
Quantity Description Date Amount
Specifics: 1 ea Services or Feeders-200 04/06/2023 $100.70
amps or less
170 crt Branch Circuits w/Purchase 04/06/2023 $1,261.40
Type of Use: COM Service or Feeder
Class of Work: ALT 1 ea 12%State Surcharge- 04/06/2023 $163.45
Type of Const: Electrical
Occupancy Grp:
Total $1,525.55
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 throuuh OAR 952-001-0090. You may obtain a coo a rules or direct questions to OUNC by calling 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.