Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2015-00081
Date Issued: 02/10/2015
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 ` Parcel: 1S135AB03400
.VACIM1611 Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 400
Project: 505195 PM485 Maxim Subdivision: METZGER,TOWN OF Lot: 9
Project Description: 505195 PM485 Maxim Healthcare Lincoln 2,Remodel/TI on office space--Add lights and receptacles,Steve
Kanthack 503.313.6418. 2/19/2015 REPRINT permit to correct address from 10260 to 10220.
Contractor: COCHRAN INC Owner: LINCOLN CENTER LLC
7550 SW TECH CENTER DR#220 BY SHORENSTEIN PROPERTIES LLC
TIGARD, OR 97223 555 CALIFORNIA ST 49TH FL
SAN FRANCISCO, CA 94104
PHONE: 503-234-6564 PHONE:
FAX: 503-238-2098
FEES
Quantity Description Date Amount
14 crt Branch Circuits wo/Purchase 02/10/2015 $152.64
Specifics: Service or Feeder
1 ea 12%State Surcharge- 02/10/2015 $18.32
Type of Use: CMS Electrical
Class of Work: ADD 45 Misc Administration Fee 02/19/2015 $45.00
Type of Const:
Occupancy Grp:
Total $215.96
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 §.2 .,-00 .090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
6f/t/ �/
Issued By: V ' / f"-- Permittee Signature: '-770,
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.
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10220 SW GREENBURG RD 400, TIGARD, OR,
97223
Record Type: Record ID:
Commercial - Electrical ELC2015-00081
Inspection Type: Inspector:
199 Electrical final Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor