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Permit Support Document (36) CITY OF TIGARD 77}- w ELECTRICAL PERMIT 11' COMMUNITY DEV 1111 ® '�'` DEVELOPMENT rAra, Permit#: ELC2017-00915 T1GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/12/2017 Parcel: 2S 112AA00600 Jurisdiction: Tigard Site address: 6777 SW BONITA RD 150 Project: Alliance Flooring/6777 SW Bonita,#150 Subdivision: None Project Description: (1)75kVA transformer feedinga 200-amporLot: None carpet machine,air compressor,and laminate carousel) 1/22/2018:circuits REPRINT permit to changcated equipment e scope oof work t 2,rk-lift chargers x (7)branch circuits and no service/feeder. Contractor: SQUIRES ELECTRIC Owner: ICON OWNER POOL 1 WEST LLC 657 SE YAMHILL ST BY RYAN PORTLAND, OR 97214 PO BOX 460169 HOUSTON, TX 77056 PHONE: 503-252-1609 PHONE: FAX: 503-253-5831 FEES Quantity Description Date Amount Specifics: 1 ea Services or Feeders-200 12/12/2017 $100.70 amps or less 4 crt Branch Circuits w/Purchase 12/12/2017 $29.68 Type of Use: COM Service or Feeder Class of Work: ALT 1 ea 12%State Surcharge- 12/12/2017 $15.65 Type of Const: Electrical Occupancy Grp: Total $146.03 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 through95 4 t1-0090 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: f e.-1-7F� Permittee Signature: 67C✓1 /9-7-)-f)L../C' 770.1./ 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. Jan 17 2018 07:36PM Squires Electric 5032535831 page 2 Electrical Permit A licatio :`,,L ‘/ F t O1{(_)Fl I( t ISI ON LI City of Tigard Received ,AcrAgerirmillimgrarigris ,IN a 13125 SW Hall Blvd.,Tigard,OR 97223JAN 1 7 2f i�I°8 Phone: 503.718.2439 Fax: 503.598.1960' Plan Review T 1 1 1 Inspection Line: 503.639.4175 Da<°B int wwwtlgaC'(T Y t i' I. A" i°pr+` ReadyDateBy: 7unr 1 tT qt-•. vf!•- E Notified/Method: .-. •;-. ._. �,••.• r=__ '� mea Page for Supplementalinformation ❑New construction �µ����-� -. 4 � ���l x��_ _•. - ,.. ..,.- ®Addition/alteration/replacement Please check all that apply(submit sets of plans w,gitenrs checked): 0 Service or feeder 400 amps or more 0 Building over three stories. 0 Demolition ❑Other: mac ? "r. y��i; e9 — . , whore the available fault current �, ❑Marinas and boatyards. ❑ 1-and 2-family dwelling "" exceeds 10,000 amps at 150 volts or 0 Floating buildings. ®Commercial/industrial 0 Accessory building lose to ground,or exceeds 14,000 ❑Multi-family D Commercial-use agricultural gricultural Master builder 0 Oar amps for all other installations, r# � buildings. "" I�Fire pump. 0 Installation of 150 KVA or H� ems`i1 r' +;_W,.s-'£,. ❑Einer Job#: Job site address:6777 SW Bonita Rd.#150 Y gencysywm. larE9erseparatelyderived ❑Addition of new molar load of system. City/State/ZIP:Tigard 10011Pormare. ❑"A" E" "1-2","1-3", ❑Six or more residential unitg. occupancy. set name: ❑Health-care facilities. 0 Recreational vehicle parks. Suite/bldg./apt.#: Pro j Alliance Flooring ❑Hazardous locations 0 Supply 1 vol Cross street/directions to job site: Cage for more than ❑Serrvice or feeder 600 amps or mere. 600 volts nominal. Der i,. .■ _ , Subdivision: New residential single-or multi-family�dwelling niter Lot#: Includes attached garage. Iern 13 Tax map/parcel#: 1,000 sq.ft.or less - ae:''-,-. ..,.......—,,—.._,,,,,..„--:.,7,:, s E e ,,,,,.„ ::- — 1 Ea.odd']500 sq.ft or portion t �� "l "� — Limited energy,residential ■ 7 x circuits:fork-lift chargers x 2,carpet machine,air compressor,laminate it withabove:.. 75.00 -in II carousel,convenience warehouse receptacles x 2 �j y E `7C- Limited energy,multi-family S residential with above ..ft. 75,00 =. -�, z.n:.x,.r.�Zk.,Z.'3.r,.e �' u—-� �--•lis -� lt : :: :: 0 See Pa'•2 Services or feeders installatio alteration and/or relocation Address: 200 amps or less lin 100.70 8 L /5 7-Ad 6~ /C//.:.,r, 201 amps to 400 amps r ]33.56 _ City/State/ZIP: 2 401 amps to 600 amps 200.34 2 Phone:( ) ( ) 601,000 amps ps = MIN Fax: Over imps t amps or volts Temporary services or feeders installation,alteration,and/or Owner installation:This installation is being made on property that I own which is not` 20ation 0 amps or less intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. _� 59.36 r0 Owner signature400,amps to 400 amps 125 Kjmgwwcirtag ».t 3 �D Date: 11111331 El amps to 599 amps _ •„-, ]Branch circuits ci new iteraHon or extension r Anel Business name:Squires Electric,Inc. _. ti,rnt " A.Fee for branch circuits with Contact name:Andrew each brabove anch e or rcuit feeder fee, each branch circuit 7.42 © Address:2203 NE ML King Blvd. B.Fee for branch circuits without service or feeder fee,first 56 City/State/ZIP:Portland,OR 97212 branch circuit ,18 s6.bs Each add'l branch circuit 0IINE1®© Phone:(503)252-1609 Miscellaneous service or feeder not included Fax::(503)253-5831 Email:Andrew@squireselectric cons Each menu II i `-gy m dwelhn:,service and/or feeder 67.84 r ,t - • > - .T w•a. Reconnect only red or modular ■ fi._. ; �, 67.84 r© �� Pump or irrigation circle - 67.84 © Sign or outline lighting INN67.84 © Address: Signal circuit(s)orlimited.energy 'aro alteration or extension. ❑ See Page 2 -© Each additional ins, cdon over allowable in an of the above IIMPLZE Phone:( ) MIIIIIIIIIIIIIIIIIIIIIIII Additional inspection(i hr min) 111166.25/hr ■ Investigation(]hr min) 90.00/ _■ CCB Lic.: 1350$5 Inspections for which no fee is E[eII Emmoimm • Elec• tric. Lig.: 26-1101C Suprv.Lic.: 4882S s ecificall listed %:hrmin ■ 90.00/hr ,r••__ lb`s} Suprv.Electrician signature,required: '1,, ,..�• Print name: Joe Squires �' Subtotal: 100.70 a Date: 1/12/18 0 Plan Review Re•uired 25%of permit fee): Authorized signature: State surcharge(12%of permit fee): 12.08 Print name: Joe Squires t TOTAL PERMIT FEE: Inurh' This permit application expires if a permit is not obtained within 180 Date: 1/12/18 days after it has been I'kRuildng\Perm;tslELC PermitA accepted as Complete. • Pp_E1R_F.aE doe Re„D6l1712015 - Number of inspections allowed per permit. 440-4615TO 1/05/COWWEB Jan 17 2018 07:36PM Squires Electric 5032535831 page 3 Pitake‘ r, . CITY OF TIGARD ELECTRICAL PERMrrA I. I .,.� -i- 1114 � COMMUNITY DEVELOPMENT -_,. Permit A: ELC2017-0091 It, ! �f ,,"'l ' , ,;,i r,;,,, , 1, 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/12/2017 `, 1 t '� 1,,'-'-',.---,''g Parcel: 23112AA00600 Site address: 6777 SW BONITA RD 150 Jurlsdietlon..Tigard Project: Alliance Flooring/6777 SW Bonita,#150 Project Description: Subdivision: None Lot: None (1)75kVA transformer feeding a 200-amp panel,(4)-branch circuits for dedicated equipment(fork-lift chs • carpet machine,air compressor,and term ate carousel) re x 2, 4 e7 x C1 '06:, ^Cor V\ ` cAeNcitt'-�►r xo-, Coy', (Ie.\ Nixo c1nt, f ;' f Contra or; SQUIRES ELECTRIC 004...y ji, I Gi � � t Cod o.�k I Owner. ICON OWNER POOL 1 WEST LLC l 657 SE YAMHILL ST BY RYAN PORTLAND,OR 97214 W Q, ,;, 0114 �a PO BOX 460169 1 HOUSTON,TX 77056 PHONE: 503-252-1609 PHONE: FAX; 503-253-5831 FEES Quantity Description Date Amount Specifics: 1 ea Services or Feeders-200 12/12/2017 $100.70 amps or less Type of Use: COM 4 Cit Branch Circuits w/Purchase 12/12/2017 $29.68 Class of Work: ALT Service or Feeder 1 ea 12%State Surcharge- 12/12/2017 Type of Const: Electrical $15.65 Occupancy Grp: --- 124 III _. 49Wb i d eC1 Tli AI A reo ilede tl. 31' 4140446! Total $146.03 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, Slate 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 Uttity 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: Permittee Signature: 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: .ENSE NO. Cali 503.9394175 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 protect Approved plane are required on the job site at the time of each Inspection. IIIq TIGARD City of Tigard March 1,2018 Squires Electric, Inc. Attn: Andrew Cohen 2203 NE Martin Luther King Jr Blvd Portland, OR 97212 Re: Permit No. ELC2017-00915 Dear Applicant: The City of Tigard has processed a refund for overpayment of permit fees on the above referenced permit for the following: Site Address: 6777 SW Bonita Rd, #150 Project Name: Alliance Flooring Job No.: N/A Refund: ® Check#227766 in the amount of$33.25. ❑ Credit card "return"receipt in the amount of$ D Trust account"deposit"receipt in the amount of$ Notes: A change in the scope of work reduced permit fees;refund difference. If you have any questions please contact me at 503.718.2430. Sincerely, t01. / , Dianna Howse Building Division Services Coordinator Enc. I i:\B�aing\Refunk34 ;5ro, .4eAbr � ' �4 k4egon 97223 • TTY Relay: 503.684.2772 • 503.639.4171 www.tigard-or.gov Jan 17 2018 07:36PM Squires Electric 5032535831 page 1 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT r* J0l8 Request for Permit Action ;' .1. IL i,,,\;;i, 13125 SW Hall Blvd. •Tigard,Oregon 97223 •503-718-2439•www.tiga>t$kdi ' TO: CITY OF TIGARD Building Division 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermirs@tigard-or.gov FROM: ❑ Owner ❑ Applicant [Contractor ❑ City Staff Check(✓)one REFUND OR Name: INVOICE TO: (Business or Individual) 1 res 1101- ; c t � Mailing Address: ! ..ye �� iAvd . City/State/Zip: ddit4 OZ. .1.9z.02. Phone No.: 59) - 2.-52, 1661, PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1): ❑ CANCEL/VOID PERMIT APPLICATION. 1 REFUN ERMIT FEES (attach copy of original receipt and provide explanation below) 2 •25 INVOICE OR FEES DUE (attach case fee schedule and provide explanation below). ❑ REMO /REPLACE CONTRACTOR ON PERMIT(do not cancel permit). Permit#: � ZQ ` ••� 00 1 l 5 CO6eme. Site Address or Parcel#: CV4`.$ SINN Vkek X1.4 150 Project Name: `,\*AGe- 1400 p Subdivision Name: Lot#: EXPLANATION: ckeckse.. 10. 4\ . e,ea is osse . t- ` 'piamstk- e1 - 0115 M.� 1Zerit 1S cil o 'arkIALA 3. t`t da .Q - } Signature: Date: NI 11 (g Print Name: Anel 4 Cone 1 fff 'Cslc.e ct\II Refund Policy� 1. The city's Community Development Director,Building Official or City Engineer may authorize the refund of • Any fee which was erroneously paid or collected. • Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort has been expended. • Not more than 80%of the application or permit fee fou issued permits prior to any inspection requests. 2. All refunds will be returned to the original payer in the form of a check via US postal service. 3. Please allow 3-4 weeks for processing refund requests. Route to Sys Admin: Date By Route to Records: Date2,�?.� /9 By Refund Processed: Date oRAZ,3// B• Invoice Processed: _Date By Permit Canceled: Date fir%-- By Parcel Tag Added: Date By I:\Building\Forms'\RegPcrmitAction 05.111 4.doc Jan 17 2018 07:36PM Squires Electric 5032535831 page 2 Electrical Permit A licatio ( I 1 Ou 4)1 f It 11 til ()\I 1 City of Tigard Ra�„ed ° 13123 SW Hall Blvd.,Tigard,OR 97223 JAN 1 7 2 018 VED . /�ke- Permit C._, 7-00 F S Phone: 503.718.2439 Fax; 503.598.1960 r i i;n 1;i, Inspection Line: 503.639.4175 r ' il Date/B : Related Permit#: ►Bterrcti www tlgard or .41 CITY c.3 f- l i U 1R D Ready Dateray: _ _ aur + - �+i NehSedQvtethod _ for R e f '''-- :. .. -sari_.--' --��- s;- .,3:y- _,T Supplemental Information 65 See Pare Supple ❑New construction ®Addition/alteration/replacement y(su �� l. =ce= ❑Derr1011t1On 0 Other: Please check all that apply(submits sets of plain w,�rtems checked): ❑Service or feeds 400 amps or more 0 Building over three stories. -'1:-- -W;.- ;-,1-.7,7;77-7.':'77J'7- ` - _-« whore the available Stub current 5., 0 Mations and boatyards. ❑ I and 2-family dwelling exceeds 10.900 amps at Iso volts or 0 Floating y g ®Commercial/industrial 0 Accessory building leas to ground,a exceeds 14,000Commercial-gee banding, ❑Multi family ❑Corinne qa(,ra0 agricultural 13 we/1.mi.of 150 KVA or 2 _ ❑Master builder ❑Other �for all other inafanatioes. buildings. Job#: Job site address:6777 SW Bonita Rd.#150 OFenergeney system. lager separately derived ❑Addition of new motor load of system, City/State/ZIP:Tigard 100i1Pormore. 0 Six or more residential units. occupancy, Suite/bldg./apt #: Project name:Alliance Fluorin Otlealtb-care facilities. 0 Recreational vehicle parka. Cross street/directions to job site: g 0S feederor Hazardous °" s'p'iy �gefornwrethan amps or more. 600 volts nominal. 7 '" p New residential single-or multi family dwelling unit. Subdivision: Lot#: rIncludes attached p e. Tax map/parcel#: 1,000 sq.ft.or less - " ^.- ? r s .-n - Fs.edd'I 500 _r<;: - .;� .� a sq.ft or portion imakm"=0 7 x circuits:fork-lift chargers x 2,carpet machine,air compressor,laminate Limited energy, •r tt . 75.00 Mlle with above carousel,convenience warehouse receptacles x 2 C!/�+ Limited energy,muni-family III ^*_ �- �� �e�� residential energy, with above- .fl. 75.00 _ z x W A Y E -. Rea mat: Eoe ■ 1. _� Name: N" Services or feeders tnstallatio. alteration and/or relocation Q��6✓ei/L/� 0 200 amps or less - Address: 100.70 no T,.. — /aE�iv 201 amps to 400 amps 133.56 2 401 amps to 600 amps IIII200.34 2 Phone:( ) 601 amps to 1,000 11111Fax:( ) ver 1,000 3 _g Oamps or volts - Owner installation:This installation is being made on property that I own which is not 20p amps mTemporary s srviees feeders et��installation,alteration,and/or relocation intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 59.36 111111011O1El 201 Owner signatureamps to 400 amps l Date25. :�^ 401 amps to 599 amps •� tv " `»e ,-�:;, Branch c �© Business name:Squires Electric,Inc ren -new witeradoa or extension r Anel A.Fee for brands or circuits with Contact name:Andrew eacvb��rc feeder fee, 11111111111 each brands circuit Address:2203 NE ML King Blvd. H.Fee for branch circuits withoutservice or feeder fee,first 1111 City/State/ZIP;Portland,OR 97212 branch circuit 56.18 Phone:(503)252-1609 Miscellaneous service or feeder not © Fax::(503)253-5831 Email:Andrew Each manufactured or modular II=@sq uireselectric cum :7.4,-1:s--744E" a dwelltn: service and/or feederID V ._-. x := =a _ Reconnectoily ` Pump or irrigation circle 111111 67.84 _© Sign or outline lighting 11116784 gin© Address: Signal circuit(s)or limited-energy el alteration or extension. O See Page 2 _© Each additional ins, tion over allowable in an of the above Phone:( ) 112111111 Additional inspection(1 hr min) 1111166.25/hr r■ Email: investigation(1 hr min) 11111 90.00/hr _■ CCB Lic.: 135085 ' - 78.18/hr _. Electri~: Lie.: 26-1 IO1C pections for which no fee is III 9000/hr Suprv.L1C.: 48825 s•-Twat! listed i4hrmin . Suprv.Electrician signature,required: ';, ..,_- .h Print name: Joe Squires i / Subtotal: 100.70 / Date: 1/12/18 O Pian Review R..' ired 25%of. I fee) /" State surcharge(12yo of'emit fee); 1208 Print name: Joe Squires TOTAL PERMIT FEE: ' Authorized signature: Date: 1/12/18 This permit application expires if a permit i$not obtained whale 180 11BuadirlPermltVELC_Pmm$ ELIC_ days atter it has been accepted as complete. APD_ FAE doc Rev o6�17/Zol S - ' Number of inspections allowed per permit. 440-46151(]1/05/COM/WEB Jan 17 2018 07:36PM Squires Electric 5032535831 page 3 Plitt3A.1e4 n • REGFI CITY OF TIGARD ELECTRICAL PERMIAN 1 7 2018 -~ COMMUNITY DEVELOPMENT r Permit 0: ELC2017-0091C„ , —I' t 13. v 13125 SW Ball Blvd.,Tigard OR 97223 503.718.2439 Date bsued: 12/12/2017 ! �� L p,. ���co i E Parcel: 2S 112AA00600 Site address: 6777 SW BONITA RD 150 Jurisdiction: Tigard Project: Alliance Flooring 16777 SW Bonita,#150 Subdivision: None Lot: None Project Description: (1)75kVA transformer feeding a 200-amp panel,(4)-branch circuits for dedicated equipment fork-lift chargers • carpet machine,air compressor, _ pressor,and Jami ate carousel) x 2, 1 X CI t`6.1 k fig fiortlC_ \��`}CXa + f cat()0 N`a"C. li e Contra or; SQUIRES ELECTRIC ICi tf �,OVh() iG1�M��/b112_ Ca I Owner. ICON OWNER POOL 1 WEST LLC i 657 SE YAMHILL ST PORTLAND,OR 97214 Ln1c'C ik��,;� 0%.031. BY BROXN `JS Xa PO BOX 460169 HOUSTON,TX 77056 PHONE: 503-262-1609 PHONE: FAX: 503-253-5831 FEES Quantity Description Dale Amount Specifics: 1 ea Services or Feeders-200 12/12/2017 $100.70 amps or less Type of use: COM 4 crt Branch Circuits w/Purchase 12/12/2017 $29.68 Service or Feeder Class of Work: ALT 1 ea 12%State Surcharge- 12/12t2017 Type of Const: Electrical $15.65 Occupancy Grp: 12411 .A +1 iCie tIkt 444‘)Stt. Total $146.03 Required Items and Reports(Conditions) This permit is issued subject to the regulations conned in the Tigard Muni be done In accordance with approved plans. This Municipal Code. Stale of OR.0Specially Canes and all work Is applicable law.moreri thele w0 days. ATTENTION: Oregonpermit will expire W work Is not started within 180 days of issuance, or (( Is suspended for 180 law requires you to follow the rules adopted by the Oregon Utlity 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 caNng 503.232.1887 or 1.800 332.2344. Issued By: Permittee Signature: OWNER INSTALLATION ONLY The instatlabon is being made on property I own which is not int ...for sale,lease or rent. OWNER'S SIGNATURE Date: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR.ELEC' Date: .ENSE NO. Can 503.839.1175 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 cot theApproved plane are required on the job site at the time of each ins ProJ peeton, CITY OF TIGARDELECTRICAL PERMIT s• COMMUNITY DEVELOPMENT fro2a1111 "�� •'su Permit#: ELC2017-00915 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/12/2017 Parcel: 2S112AA00600 Jurisdiction: Tigard Site address: 6777 SW BONITA RD 150 Project: Alliance Flooring/6777 SW Bonita,#150 Subdivision: None Lot: None Project Description: (1)75kVA transformer feeding a 200-amp panel,(4)-branch circuits for dedicated equipment(fork-lift chargers x 2, carpet machine,air compressor,and laminate carousel) 1/22/2018: REPRINT permit to change scope of work to (7)branch circuits and no service/feeder. Contractor: SQUIRES ELECTRIC Owner: ICON OWNER POOL 1 WEST LLC 657 SE YAMHILL ST BY RYAN PORTLAND, OR 97214 PO BOX 460169 HOUSTON,TX 77056 PHONE: 503-252-1609 PHONE: FAX: 503-253-5831 FEES Quantity Description Date Amount Specifics: 1 ea Services or Feeders-200 12/12/2017 $100.70 amps or less 4 crt Branch Circuits w/Purchase 12/12/2017 $29.68 Type of Use: COM Service or Feeder Class of Work: ALT 1 ea 12%State Surcharge- 12/12/2017 $15.65 Electrical Type of Const: Occupancy Grp: Total $146.03 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. At 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'' 95 •11-0090 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: 4 L Permittee Signature: 7� ' '°' 69770, 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 150, TIGARD, OR, 97224 Record Type: Record ID: Commercial - Electrical ELC2017-00915 Inspection Type: Inspector: 199 Electrical final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor