Permit Support Document 1111 CITY OF TIGARD ELECTRICAL PERMIT
a COMMUNITY DEVELOPMENT Permit#: ELC2014-00366
T j G A R O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/02/2014
Parcel: 1 S126CB00500
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Jurisdiction: Tigard
Site address: 9009 SW HALL BLVD 200
Project: Macy's Furniture Gallery Subdivision: FAIRVIEW PLACE CONDO Lot: 20
Project Description: Add(3)circuits for 20 amp receptacles. 7/14/14:Reprinted permit to change address.
Contractor: ACCURATE ELECTRIC UNLIMITED INC Owner: MACY'S DEPARTMENT STORES INC
PO BOX 871866 ATTN:TAX DEPARTMENT
VANCOUVER,WA 98687 7 WEST SEVENTH ST
CINCINNATI, OH 45202
PHONE: 360-567-3330 PHONE:
FAX: 360-567-3320
FEES
Quantity Description Date Amount
3 crt Branch Circuits wo/Purchase 07/02/2014 $71.02
Specifics: Service or Feeder
1 ea 12%State Surcharge- 07/02/2014 $8.52
Type of Use: COM Electrical
Class of Work: ADD
Type of Const:
Occupancy Grp:
Total $79.54
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 through OAR 952-001-0090. You may obtain a copy of the-direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344,
Issued By: v _ `-►- - •e 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' 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.