Permit �� CITY OF TIGARD ' ELECTRICAL PERMIT
11111 ' COMMUNITY DEVELOPMENT ��j5r Q� Permit#: ELC2015 00622
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T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/05/2015
Parcel: 1S 134AA01800
Jurisdiction: Tigard
Site address: 10160 SW NIMBUS AVE F6
Project: Billings Dance Center Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: 2
Project Description: Tenant Improvement. 8/10/15,reprinted to correct suite address from F4 to F6.
Contractor: PDX ELECTRIC LLC Owner: HANSON, RONALD D
7933 WHITFURROWS CT ROBINSON, CONSTANCE A
DURHAM, OR 97224 ROBINSON, CHESTER TRUST ET AL
203604 EAST FINLEY RD
KENNEWICK,WA 99331
PHONE: 503-997-1989 PHONE:
FAX: 503-200-1362
FEES
Quantity Description Date Amount
1 ea Services or Feeders-200 08/05/2015 $100.70
Specifics: amps or less
5 crt Branch Circuits w/Purchase 08/05/2015 $37.10
Type of Use: COM Service or Feeder
Class of Work: ALT 1 ea 12%State Surcharge- 08/05/2015 $16.54
Electrical
Type of Const: 45 Misc Administration Fee 08/10/2015 $45.00
Occupancy Grp:
Total $199.34
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 ac ,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. AT TION: Oreg• law requires you to follow the rules adopted by the Oregon Utility Notiipn Center. Those rules are set forth in OAR
952-001 010 through OAR 95• r 1-r r r You may obtain a copy of the rules or direct questions to OUNC by rat 232.1987 or 1.800.302.2344.
/ n, J
Issu d By: ' _ / - ���= �)-/ Permittee Sign ure: 4� / LK
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.