Permit Support Document 141 CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2020-00121
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/03/2020
Parcel: 2S101BD00200
/� Jurisdiction: Tigard
Site address: 8005 SW HUNZIKER RD f/7/ IL' �Q.J
Project: 200167 Subdivision: None Lot: None
Project Description: Electrical for office remodel. 6/30/20:REPRINTED permit to correct address.
Contractor: STEELE ELECTRIC LLC Owner: TIGARD DISTRIBUTION CENTER LLC
716 ROXE DR 4800 SW MACADAM, STE 120
FOREST GROVE, OR 97116 PORTLAND, OR 97239
PHONE: 503-332-1280 PHONE:
FAX: 503-372-6448
FEES
Quantity Description Date Amount
10 crt Branch Circuits wo/Purchase 03/03/2020 $122.96
Specifics: Service or Feeder
1 ea 12%State Surcharge- 03/03/2020 $14.76
Type of Use: ADU Electrical
Class of Work: ALT 45 Misc Administration Fee 06/30/2020 $45.00
Type of Const:
Occupancy Grp:
Total S182.72
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. YowiLay obtain a c y n the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.234,4.
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.