Permit Support Document (9) CITY OF TIGARD ELECTRICAL PERMIT
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COMMUNITY DEVELOPMENT Permit#: ELC2019-00630
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/20/2019
PFIMI Parcel: 2S110AD08801
Jurisdiction: Tigard
Site address: 10685 SW CANTERBURY LN 1
Project: Hudson Apartments, Building A Subdivision: None Lot: None
Project Description: Water Heater Upgrade. 10/1/19: REPRINTED permit to correct address and add(11)branch circuits for Building A
units 1-12.
Contractor: TICE ELECTRIC Owner: S&P PACIFIC CREST LLC
5405 N LAGOON AVE. 10695 SW MURDOCK LLC
PORTLAND, OR 97217 ATTN SHARKANSKY, MAX
700 N SAN VICENTE BLVD STE G460
WEST HOLLYWOOD, CA 90069
PHONE: 503-872-8230 PHONE:
FAX: 971-230-3330
FEES
Quantity Description Date Amount
1 crt Branch Circuits wo/Purchase 09/20/2019 $56.18
Specifics: Service or Feeder
1 ea 12%State Surcharge- 09/20/2019 $6.74
Type of Use: MF Electrical
Class of Work: ALT 11 crt Branch Circuits w/Purchase 10/02/2019 $81.62
Service or Feeder
Type of Const: 0 ea 12%State Surcharge- 10/02/2019 $9.80
Occupancy Grp: Electrical
Total $154.34
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: .y�.� s cr 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.