Permit Support Document (26) CITY OF TIGARD ELECTRICAL PERMIT
F 31:. COMMUNITY DEVELOPMENT ,,_ d ; p, = - , Permit#: ELC2017-00229
13125 SW Hall Blvd.,Ti and OR 97223 503.718.2439 Date Issued: 04/03/2017
Ttt�" gr � Parcel: 1S134BC00403
Jurisdiction: Tigard
Site address: 12505 SW NORTH DAKOTA ST 816
Project: Meadow Creek#816 Subdivision: None Lot: None
Project Description: Service Reconnect. 4/4/17, REPRINTED to correct unit address from 1506 to 816.
Contractor: VANGUARD ELECTRIC INC. Owner: BEL PORTLAND HOLDINGS LLC
3800 MORRIS ST BY EATON VANCE MANAGEMENT
NEWBERG, OR 97132 REIG DIRECTOR OF AASSET MANAGEME
2 INTERNATIONAL PL
BOSTON, MA 02110
PHONE: 503-537-5006 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Reconnect Only 04/03/2017 $67.84
Specifics:
1 ea 12%State Surcharge- 04/03/2017 $8.14
Electrical
Type of Use: MF
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $75.98
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 • :- - 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. ATT ION: Oregon -w requires you to follow the rules adopted by the Oregon Utility Notification Center. Thos rules are set forth in OAR
952-001-0',10 throu;h OAR 952-.': -00'0.•u may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800 32.2344.
i �w
Issue, By: �' I Permittee Signature: v v`— _,
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.
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12505 SW NORTH DAKOTA ST 1506, TIGARD,
OR, 97223
Record Type: Record ID:
Commercial - Electrical ELC2017-00229
Inspection Type: Inspector:
199 Electrical final Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor