Permit Support Document CITY OF TIGARD ELECTRICAL PERMIT
•
I COMMUNITY DEVELOPMENT Permit#: ELC2014-00229
T f GA R,O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 •y Date Issued: 05/08/2014
Parcel: 2S 101 BB01500
Jurisdiction: Tigard
Site address: 12232 SW GARDEN PL
Project: APEX Subdivision: CROW PARK 217 Lot: 3
Project Description: Connect existing feeder to APEX labs. No other work by Steele Electric except to feeder. 5/13/14:Reprinted
permit to change address to 12232 SW Garden PI from 12244 SW Garden Pl.
Contractor: STEELE ELECTRIC LLC Owner: WALTON CWOR PARK BC 8 LLC
716 ROXE DR BY EQUITY OFFICE MANAGEMENT LLC
FOREST GROVE,OR 97116 PO BOX A-3879
CHICAGO, IL 60690
PHONE: 503-332-1280 PHONE:
FAX: 503-372-6448
FEES
Quantity Description Date Amount
1 ea Services or Feeders-200 05/08/2014 $100.70
Specifics:, amps or less
1 ea 12%State Surcharge- 05/08/2014 $12.08
Type of Use: COM 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 OAR 952-001-0090. You may obtain a :• •f the rule or direct questions to OUNC by calling 503.232.1987 or�1..8800.332 2344. /�
Issued By: — Permittee Signature: t C��S
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.