Permit (86) CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
: . COMMUNITY DEVELOPMENT Permit#: ELR2017-00197
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/14/2017
Parcel: 25101 DB00100
Jurisdiction: Tigard
Site address: 7320 SW HUNZIKER RD 201
Project: Medical Evaluation Specialists Subdivision: None Lot: None
Project Description: IT network installation. 10/9/2017: REPRINT permit to correct suite address from 200 to 201.
Contractor: JIMCO ELECTRICAL CONTRACTING INC Owner: HILLTOP BUSINESS CENTER LLC
1100 AIRWAY ROAD 9430 NW KAISER RD
LEBANON, OR 97355 PORTLAND, OR 97231
PHONE: 541-258-6111 PHONE:
FAX: 541-258-6292
FEES
Description Date Amount
Specifics: Restricted Energy Permit 09/14/2017 $75.00
12%State Surcharge-Electrical 09/14/2017 $9.00
Type of Use: COM
Class of Work: ADD
Total Number of Systems: 1
Audio&Stereo: 0 Boiler Controls: 0
CCTV: 0 Clock Systems: 0
Data&Telecommunications: 1 Fire Alarm: 0
HVAC: 0 Instrumentation: 0
Intercom/Paging: 0 Landscape/Irrigation: 0
Landscape Lighting: 0 Medical: 0
Nurse Calls: 0 Protective Signal: 0
Security Alarm: 0 Other: 0 Total $84.00
Other Desc: 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 copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: �t1 G- � Permittee Signature: e7/1/4--://1/78---
OWNER
7/1/4--r 8OWNER 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:
7320 SW HUNZIKER RD 201 , TIGARD,
OR, 97223
Record Type: Record ID:
Commercial - Electrical Limited Energy ELR2017-00197
Inspection Type: Inspector:
198 Low voltage final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor