Permit (69) CITY OF TIGARDELECTRICAL PERMIT
COMMUNITY DEVELOPMENT �. .t ,p
Permit#: ELC2016-00555
a 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 ■'"" j b r) I Date Issued: 07/12/2016
6 E g Parcel: 2S113AB00101
Jurisdiction: Tigard
Site address: 16101 SW 72ND AVE 200
Project: Perlo Construction Office Subdivision: None Lot: None
Project Description: Tenant Improvement Suite 100. 10/18/16:REPRINTED permit to show change of address from 16101 SW 72nd
Ave Suite 100 to Suite 200.
Contractor: CAPITOL ELECTRIC CO INC Owner: PERLO CONSTRUCTION
11401 NE MARX STREET 16101 SW 72ND
PORTLAND, OR 97220 PORTLAND, OR 97224
PHONE: 503-255-9488 PHONE:
FAX: 503-257-7121
FEES
Quantity Description Date Amount
2 crt Branch Circuits wo/Purchase 07/12/2016 $63.60
Specifics: Service or Feeder
1 ea 12%State Surcharge- 07/12/2016 $7.63
Type of Use: COM Electrical
Class of Work: ALT 45 Misc Administration Fee 10/18/2016 $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 952-001-009 a obtain a e rules or direct questions to OUNC by calling 503.232.1987 or 1.80 332.2344.
Issued By: Permittee Signature: r _
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.
13125 SW Hall Blvd.
Tigard, OR 97223
City of Tigard
Location:
16101 SW 72ND AVE 200, TIGARD, OR, 97224
Record Type:
Commercial - Electrical
Inspection Type:
199 Electrical final
Result:
PASS- NoCofO
Comments:
Violation Summary:
Inspector
Tel: 503.718.2439
Inspection Date:
December 28, 2016 at 9:13:14
AM
Record ID:
ELC2016-00555
Inspector:
Chip Barnett
Contractor