Permit y n CITY OF TIGARD t ' ELECTRICAL PERMIT
' '. COMMUNITY DEVELOPMENT tsla3fia Permit#: ELC2015-00695
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/27/2015
Parcel: 1S135AB01003
Jurisdiction: TIGARD
Site address: 10300 SW GREENBURG RD 205
Project: Conference Center Subdivision: METZGER,TOWN OF Lot: 9
Project Description: New Lighting. 9/1/15,REPRINTED to correct suite number from 205 to 210.9/23/15,REPRINTED to change suite
address back to 205.
Contractor: WILLAMETTE ELECTRIC INC Owner: LINCOLN CENTER LLC
PO BOX 230547 BY SHORENSTEIN PROPERTIES LLC
TIGARD, OR 97281 235 MONTGOMERY ST, 16TH FLOOR
SAN FRANCISCO, CA 94104
PHONE: 503-624-3631 PHONE:
FAX: 503-624-2938
FEES
Quantity Description Date Amount
1 crt Branch Circuits wo/Purchase 08/27/2015 $56.18
Specifics: Service or Feeder
1 ea 12%State Surcharge- 08/27/2015 $6.74
Type of Use: COM Electrical
Class of Work: ADD 45 Misc Administration Fee 09/02/2015 $45.00
Type of Const:
Occupancy Grp:
Total $107.92
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. ATTENT : •regon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-001 through 0 ' 952-001-0090. You m obtain a copy of the rules or direct questions to OUNC by calling 5.232.1987 or 1.800.332.2344.
Issued B —�-t (-�C� Permittee Signature: 6aiT
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.