Permit Support Document CITY OF TIGARD ELECTRICAL PERMIT
Permit#: ELC2020-00008
COMMUNITY DEVELOPMENT
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/06/2020
Parcel: 2S101 DB01000
EL/4o.=
Jurisdiction: Tigard
Site address: 7080 SW FIR LOOP 100
Project: Hansen, Hunter&CO.PC TI Subdivision: 72ND BUSINESS CENTER Lot: 12
Project Description: Tenant improvement. Reconfigure plugs and lights to accommodate new wall layout. 2/6/20:REPRINTED permit
to correct address.
Contractor: PRIME ELECTRICAL SERVICES LLC Owner: SHROYER FARMS INC
3312 SE BELLA VISTA PL PO BOX 789
VANCOUVER,WA 98683 PHILOMATH, OR 97370
PHONE: 503-318-5170 PHONE:
FAX:
FEES
Quantity Description Date Amount
10 crt Branch Circuits wo/Purchase 01/06/2020 $122.96
Specifics: Service or Feeder
1 ea Signal circuit or Limited 01/06/2020 $75.00
Type of Use: COM Energy Panel
Class of Work: ALT 1 ea 12%State Surcharge- 01/06/2020 $23.76
Electrical
Type of Const:
Occupancy Grp:
Total $221.72
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 503.2232..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.