Permit •
CITY OF TIGARD ELECTRICAL PERMIT
' COMMUNITY DEVELOPMENT �Sr / Permit#: ELC2014-00025
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/17/2014
Parcel: 2S101AB01606
Jurisdiction: Tigard
Site address: 7357 SW BEVELAND RD 100
Project: Well&Good Coffee House Subdivision: HERMOSO PARK Lot: 17
Project Description: Add one 200AMP Service to permit#ELC2013-00756 for tenant improvements. 2/11/14,reprinted to correct
project name.
Contractor: JARMER ELECTRIC INC Owner: MIF LLC
5105 SW 45TH AVE#200 7357 SW BEVELAND RD#200
PORTLAND, OR 97221 TIGARD, OR 97223
PHONE: 503-246-5381 PHONE:
FAX: 503-244-8037
FEES
Quantity Description Date Amount
1 ea Services or Feeders-200 01/17/2014 $100.70
Specifics: amps or less
1 ea 12%State Surcharge- 01/17/2014 $12.08
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $112.78
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. ATTENTIO • n law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 ugh OAR 9 00 0000//You may obtain a copy of the rules or direct questions to OUNC by calling 503.2 . 987 or 1.800.332.2344.
Issued By: ! `(>' Permittee Signature: ' A7/A"
I
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' 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.