Permit (21) CITY OF TIGARD ELECTRICAL PERMIT
. A r„,
COMMUNITY DEVELOPMENT t ' Permit#: ELC2016-00624
T IGAR 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Date Issued: 08/10/2016
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Parcel: 1 S 135AB01004
Jurisdiction: Tigard
Site address: 10200 SW GREENBURG RD 200
Project: Power Pole Connect Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Connect power to 3 sets of cubical with power poles. 9/14/2016:REPRINTED permit to show change of address
from 10220 SW Greenburg Rd Suite 200 to 10200 SW Greenburg Rd Suite 200.
Contractor: CAPITOL ELECTRIC CO INC Owner: LINCOLN CENTER LLC
11401 NE MARX STREET BY SHORENSTEIN PROPERTIES LLC
PORTLAND, OR 97220 235 MONTGOMERY ST, 16TH FLOOR
SAN FRANCISCO,CA 94104
PHONE: 503-255-9488 PHONE:
FAX: 503-257-7121
FEES
Quantity Description Date Amount
2 crt Branch Circuits wo/Purchase 08/10/2016 $63.60
Specifics: Service or Feeder
1 ea 12%State Surcharge- 08/10/2016 $7.63
Type of Use: COM Electrical
Class of Work: ALT 45 Misc Administration Fee 09/14/2016 $45.00
Type of Const:
Occupancy Grp:
Total $116.23
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 ma obtain a c.. • -= -s or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
11' /r� t
Issued By: -- Permittee Signature:
p
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.
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10200 SW GREENBURG RD 200, TIGARD, OR,
97223
Commercial - Electrical
199 Electrical final
PASS - No C of O
ELC2016-00624
Chip Barnett
Violation Summary:
Inspector Contractor