Permit (211) CITY OF TIGARD ELECTRICAL PERMIT
III ^' COMMUNITY DEVELOPMENT Permit#: ELC2018-00408
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/12/2018
T I i;A I<.[� g Parcel: 2S101AC90022
Jurisdiction: Tigard
Site address: 7125 SW HAMPTON ST
Project: Special Districts Association of Oregon Subdivision:-IAMPTON STREET BUILDING CONDC Lot: 2
Project Description: (1)600A service replacement:(5)225A panel replacements. (1)100A feeder replacement:(17)New branch
circuits.
Contractor: PORTLAND ELECTRICAL CONSTRUCTION INC Owner: SPECIAL DISTRICTS INSURANCE SVCS
1019 7TH STREET PO BOX 12613
OREGON CITY, OR 97045 SALEM, OR 97309
PHONE: 503-655-2281 PHONE:
FAX: 503-655-5033
FEES
Quantity Description Date Amount
1 ea Services or Feeders-200 07/11/2018 $100.70
Specifics: amps or less
5 ea Services or Feeders-201 to 07/11/2018 $667.80
Type of Use: COM 400 amps
Class of Work: ALT 1 ea Services or Feeders-401 to 07/11/2018 $200.34
600 amps
Type of Const: 17 crt Branch Circuits w/Purchase 07/11/2018 $126.14
Occupancy Grp: Service or Feeder
1 ea Plan Review Electricial 07/11/2018 $273.75
16 ea Info Process/Archiving-Lg 07/11/2018 $32.00
$2.00(over 11x17)
1 ea 12%State Surcharge- 07/11/2018 $131.40
Electrical
Total $1,532.13
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 u to f•low the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through 0;•2-0�•'0. Y2may ob n aw•f th- - • ... ---•-=- •s to OUNC by calling 503.222.1 87 or 1.800.332.2344.
Issued By: mss. t 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:
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:
7125 SW HAMPTON ST, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Electrical ELC2018-00408
Inspection Type: Inspector:
199 Electrical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor