Permit Support Document (52) • 1 CITY OF TIGARD „ 1 ELECTRICAL PERMIT
t l' COMMUNITY DEVELOPMENT Permit#: ELC2017-0087II8
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/28/2017
TIGARD Parcel: 2S112AA00600
Jurisdiction: Tigard
Site address: 6777 SW BONITA RD 140
Project: 171708 Subdivision: None Lot: None
Project Description: Add general purpose outlets Modify lighting. 12/11/2017: REPRINT permit to correct suite from 150 to 140.
Contractor: STEELE ELECTRIC LLC Owner: ICON OWNER POOL 1 WEST LLC
716 ROXE DR BY RYAN
FOREST GROVE, OR 97116 PO BOX 460169
HOUSTON, TX 77056
PHONE: 503-332-1280 PHONE:
FAX: 503-372-6448
FEES
Quantity Description Date Amount
4 crt Branch Circuits wo/Purchase 11/28/2017 $78.44
Specifics: Service or Feeder
1 ea 12%State Surcharge- 11/28/2017 $9.41
Type of Use: COM Electrical
Class of Work: ALT 45 Misc Administration Fee 12/11/2017 $45.00
Type of Const:
Occupancy Grp:
Total $132.85
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes 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 O .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: \,,......" 41-7"71,`.j..c_ Permittee Signature:
/14/ Litt c'4770
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:
6777 SW BONITA RD 140, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Electrical ELC2017-00878
Inspection Type: Inspector:
199 Electrical final Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor