Permit Support Document f CITY OF TIGARD , I
ELECTRICAL PERMIT
11 COMMUNITY DEVELOPMENT �,, Sj Permit#: ELC2014-00103
T t AR o 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/05/2014
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Parcel: 1 S 135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 190
Project: LT 1st Fir Conference Rm Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Build out of new 1st floor conference room. 5/20/14:Reprinted permit to show address correction from suite 100 to_
suite 190.
Contractor: CAPITOL ELECTRIC CO INC Owner: LINCOLN CENTER LLC
11401 NE MARX STREET BY SHORENSTEIN PROPERTIES LLC
PORTLAND, OR 97220 555 CALIFORNIA ST 49TH FL
SAN FRANCISCO,CA 94104
PHONE: 503-255-9488 PHONE:
FAX: 503-257-7121
FEES
Quantity Description Date Amount
1 ea Services or Feeders-200 03/05/2014 $100.70
Specifics: amps or less
8 crt Branch Circuits w/Purchase 03/05/2014 $59.36
Type of Use: COM Service or Feeder
Class of Work: ADD 1 ea 12%State Surcharge- 03/05/2014 $19.21
Electrical
Type of Const:
Occupancy Grp:
Total $179.27
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 1800.332.2344.
Issued By: _ __ Permittee Signature: i/fl.t1�-..el.-..+°
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.