Permit Support Document (30) CITY OF TIGARD ":' f. ELECTRICAL PERMIT
INrl ;%�, Permit#: ELC2017-00437
COMMUNITY DEVELOPMENT
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/13/2017
TIGARD 13125 25101 CA00200
Jurisdiction: Tigard
Site address: 7920 SW HUNZIKER RD
Project: Terrafirma office TI Subdivision: None Lot: None
Project Description: Office remodel. 8/3/2017: REPRINT permit to correct address from 7910 to 7920.
Contractor: HAMMERSON ELECTRIC LLC Owner: WALL STREET INDUSTRIAL LLC
10501 NW 3RD AVE 7900 SW HUNZIKER RD
VANCOUVER,WA 98685 TIGARD, OR 97223
PHONE: 503-269-9704 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Services or Feeders-200 06/13/2017 $100.70
Specifics: amps or less
25 crt Branch Circuits w/Purchase 06/13/2017 $185.50
Type of Use: COM Service or Feeder
Class of Work: ALT 1 ea Signal circuit or Limited 06/13/2017 $75.00
Energy Panel
Type of Const: 1 ea 12%State Surcharge- 06/13/2017 $43.34
Occupancy Grp: Electrical
45 Misc Administration Fee 08/03/2017 $45.00
Total $449.54
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 9 0 0 1090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: ,0N/
�ZCI Permittee Signature: �/0e ,;:f7.-70"1
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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:
7920 SW HUNZIKER RD, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Electrical ELC2017-00437
Inspection Type: Inspector:
199 Electrical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor