Permit (48) CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT t;� Permit#: ELC2018-00828
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439NII0I, Date Issued: 12/21/2018
TIC.; It f r g 1 Parcel: 2S102CB01804
Jurisdiction: Tigard
Site address: 13305 SW PACIFIC HWY
Project: M8036-Taco Bell Tigard Subdivision: None Lot: None
Project Description: Electrical for new 2,105 sq.ft.restaurant with drive-through.
Contractor: ADK ELECTRIC, INC. Owner: WEBER COASTAL BELLS LIMITED
9000 NE 90TH STREET WEBER, EDUARD
VANCOUVER,WA 98662 840 CONGER ST
EUGENE, OR 97402
PHONE: 360-546-5155 PHONE:
FAX: 360-576-6975
FEES
Quantity Description Date Amount
3 ea Services or Feeders-200 12/21/2018 $302.10
Specifics: amps or less
1 ea Services or Feeders-201 to 12/21/2018 $133.56
Type of Use: COM 400 amps
Class of Work: NEW 1 ea Services or Feeders-401 to 12/21/2018 $200.34
600 amps
Type of Const: 1 ea 12%State Surcharge- 12/21/2018 $76.32
Occupancy Grp: Electrical
1 ea Plan Review Electricial 01/16/2019 $159.00
Total $871.32
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 to follow e rules adopted by the Oregon Utility Notification Center. Those ul s are set forth in OAR
952-001-0010 through OAR001-r Y ay obtain a cy of the rul- or direct questions to OUNC by calling 503.232.1987 or 1.800.33 .2 /
i �y f�� ,11-- —,-2---..-_..
Issued By:
7..• l Permittee Signature: /" '`v /
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 603.639.4175 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 ELECTRICAL PERMIT
rila COMMUNITY DEVELOPMENT Permit#: ELC2018-00828
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/21/2018
T f[',;�R L7 g Parcel: 2S102CB01804
Jurisdiction: Tigard
Site address: 13305 SW PACIFIC HWY
Project: M8036-Taco Bell Tigard Subdivision: None Lot: None
Project Description: Install Electrical Service
Contractor: ADK ELECTRIC, INC. Owner: WEBER COASTAL BELLS LIMITED
9000 NE 90TH STREET WEBER, EDUARD
VANCOUVER,WA 98662 840 CONGER ST
EUGENE,OR 97402
PHONE: 360-546-5155 PHONE:
FAX: 360-576-6975
FEES
Quantity Description Date Amount
3 ea Services or Feeders-200 12/21/2018 $302.10
Specifics: amps or less
1 ea Services or Feeders-201 to 12/21/2018 $133.56
Type of Use: COM 400 amps
Class of Work: NEW 1 ea Services or Feeders-401 to 12/21/2018 $200.34
600 amps
Type of Const: 1 ea 12%State Surcharge- 12/21/2018 $76.32
Occupancy Grp: Electrical
Total $712.32
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: 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.