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Permit CITY OF TIGARD ELECTRICAL PERMIT '•. ' COMMUNITY DEVELOPMENT t t Permit#: ELC2016-00315 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 ©ate Date Issued: 04/15/2016 T I��A"��� g Parcel: 1 S 134C 605400 Jurisdiction: Tigard Site address: 11125 SW TONY CT Project: FIRE-Flex Subdivision: ANTON PARK Lot: 16 Project Description: New electrical panel and feeders. 5/25/16, REPRINTED to add(12)branch circuits and all encompassing low voltage. Contractor: CLACKAMAS ELECTRIC INC. Owner: FLAX, LAURA PO BOX 51 GADDIS,JERRELL BEAVERCREEK, OR 97004 11125 SW TONY CT TIGARD, OR 97223 PHONE: 503-969-5684 PHONE: FAX: 503-632-2421 FEES Quantity Description Date Amount 1 ea Services or Feeders-200 04/15/2016 $100.70 Specifics: amps or less 12 crt Branch Circuits w/Purchase 05/25/2016 $89.04 Type of Use: SF Service or Feeder Class of Work: ALT 1 ea Signal circuit or Limited 05/25/2016 $75.00 Energy Panel Type of Const: 1 ea 12%State Surcharge- 05/25/2016 $31.77 Occupancy Grp: Electrical Total $296.51 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. ATTE . . -.on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0.10 through OAR 9 -0 0 0. u may obtain a copy of the rules or direct questions to OUNC • .1987 or 1.800.332.2344. Issu=• By: 'IA �i� , Permittee Si ature: Grit 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.