Permit Support Document (11) 9 t CITY OF TIGARD ELECTRICAL PERMIT
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2. " COMMUNITY DEVELOPMENT71
Permit#: ELC2017-00458
s . 'I k° Date Issued: 06/19/2017
T f GA j�I 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 1. 4 -
Parcel: 1 S135BD00100
Mi Jurisdiction: Tigard
Site address: 9600 SW OAK ST 340
Project: OreNeva Subdivision: ASHBROOK FARM Lot: 5
Project Description: Move cables as needed for remodel. 7/6/2017:REPRINTED permit to show change of address from 9600 SW Oak
St.Suite 360 to Suite 340.
Contractor: ELECTRICAL CONCEPTS LLC Owner: PLAZA WEST OWNER LLC
4676 COMMERCIAL ST SE#205 BY CHIEF FINANCIAL OFFICER
SALEM, OR 97302 680 FIFTH AVE 20TH FL
NEW YORK, NY 10019
PHONE: 503-856-4060 PHONE:
FAX:
FEES
Quantity Description Date Amount
4 crt Branch Circuits wo/Purchase 06/19/2017 $78.44
Specifics: Service or Feeder
1 ea Signal circuit or Limited 06/19/2017 $75.00
Type of Use: COM Energy Panel
Class of Work: ALT 1 ea 12%State Surcharge- 06/19/2017 $18.41
Electrical
Type of Const: 45 Misc Administration Fee 07/06/2017 $45.00
Occupancy Grp:
Total $216.85
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes d :II 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 issuan or,if • is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification ente.' hoe rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may o• . -,_ •f the rules or direct questions to OUNC by calling 503.). .19' • 1.81.332.2344.
Issued By: .��,e.._ '-- cJ Permittee Signature: A&
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:
9600 SW OAK ST 340, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Electrical ELC2017-00458
Inspection Type: Inspector:
199 Electrical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor