Permit Support Document (23) CITY OF TIGARD ELECTRICAL PERMIT
. ` COMMUNITY DEVELOPMENT ( ELECTRICAL
ELC2017-00307
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 j7I Date Ir,7 Parcel: 2S102BD01503
Jurisdiction: Tigard
Site address: 12800 SW PACIFIC HWY
Project: Storquest Subdivision: FREWING'S ORCHARD TRACTS Lot: 1
Project Description: New self-storage facility. 8/16/2017: REPRINT permit to correct site address from 12740 to 12800.
Contractor: WRIGHT 1 ELECTRIC Owner: 12740 SW PACIFIC SP LLC
11490 SE JENNIFER ST BY THE WILLIAM WARREN GROUP INC.
CLACKAMAS, OR 97015 201 WILSHIRE BLVD STE 102
SANTA MONICA, CA 90401
PHONE: 503-760-8522 PHONE:
FAX: 503-762-1823
FEES
Quantity Description Date Amount
5 ea Services or Feeders-200 05/01/2017 $503.50
Specifics: amps or less
56 crt Branch Circuits w/Purchase 05/01/2017 $415.52
Type of Use: COM Service or Feeder
Class of Work: NEW 1 ea 12%State Surcharge- 05/01/2017 $110.28
Electrical
Type of Const: 45 Misc Administration Fee 08/22/2017 $45.00
Occupancy Grp:
Total $1,074.30
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 may obtain a c the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
0 Issued By: Permittee Signature: C .
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
Tel: 503.718.2439
Location: Inspection Date:
12800 SW PACIFIC HWY, TIGARD, OR, 97223 July 3, 2019 at 12:35:01 PM
Record Type: Record ID:
Commercial - Electrical ELC2017-00307
Inspection Type: Inspector:
199 Electrical final Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor