Permit Support Document CITY OF TIGARD ELECTRICAL PERMIT
111
I. COMMUNITY DEVELOPMENT t' ,' Permit#: ELC2020-00002
•13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/03/2020
Tf�' 1R.C� g pi , Parcel: 2S110DD14000
�j� Jurisdiction: Tigard
Site address: 10650 SW SUMMERFIELD DR
Project: PGE-Service upgrade Subdivision: SUMMERFIELD Lot: B
Project Description: Replacing 200 am service in an irrigation shed located at the east end of the Summerfield Golf Course(adjacent to
a home at 9645 SW Summerfield Drive). 2/12/20:REPRINT to change address.
Contractor: OEG INC Owner: SUMMERFIELD CIVIC ASSOCIATION
1709 SE 3RD AVE 10650 SW SUMMERFIELD
PORTLAND, OR 97124 TIGARD, OR 97224
PHONE: 503-234-9900 PHONE:
FAX: 503-234-1001
FEES
Quantity Description Date Amount
1 ea Services or Feeders-200 01/03/2020 $100.70
Specifics: amps or less
1 ea 12%State Surcharge- 01/03/2020 $12.08
Type of Use: SF Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $112.78
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 OA 952-001- 090. Y 1 may obtain a py of the r es or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
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Issued By: i ./ Permittee Signature: ,S6 ( `/'C
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.