Permit a CITY OF TIGARD ELECTRICAL PERMIT
' s' COMMUNITY DEVELOPMENT Permit#: ELC2015-00306
Date Issued: 04/30/2015
T WARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 1 Parcel: S101AA09700
Fird ��, Jurisdiction: Tigard
Site address: 12587 SW 68TH AVE
Project: Farmers Ins. Subdivision: 1996-024 PARTITION PLAT Lot: 1
Project Description: Tenant improvement. 4/30/15:Reprinted permit to include(1)data telecommunications system.
Contractor: BECK ELECTRIC INC Owner: PARAGON PROPERTIES LLC
15687 SE HWY 212 12585 SW 68TH AVE
DAMASCUS,OR 97015 PORTLAND, OR 97223
PHONE: 503-656-7396 PHONE:
FAX: 503-656-4397
FEES
Quantity Description Date Amount
3 crt Branch Circuits wo/Purchase 04/30/2015 $71.02
Specifics: Service or Feeder
1 ea Signal circuit or Limited 04/30/2015 $75.00
Type of Use: COM Energy Panel
Class of Work: ALT 1 ea 12%State Surcharge- 04/30/2015 $17.52
Electrical
Type of Const:
Occupancy Grp:
Total $163.54
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 rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued B : L 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' 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.
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12587 SW 68TH AVE, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Electrical ELC2015-00306
Inspection Type: Inspector:
199 Electrical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor