Permit n CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT tpA Permit#: ELC2015-00078
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 "' " } Date Issued: 02/10/2015
Parcel: 25101 BD00100
Jurisdiction: Tigard
Site address: 7650 SW BEVELAND RD 130
Project: HR Answers Subdivision: 1994-025 PARTITION PLAT Lot: 2
Project Description: Slight relocation of existing tenant panel. Extensions/relocations of existing circuit wiring for future new tenant
(shell)office power and lighting. REVISED,4/15/15, HR Answers identified as tenant, now just creating(1)TI
spacey#130. — --
Contractor: THREE PHASE ELECTRIC Owner: PNWP LLC#2
11490 SE JENNIFER ST PO BOX 2206
CLACKAMAS, OR 97015 BEAVERTON, OR 97075
PHONE: 503-908-8058 PHONE:
FAX: 503-762-1823
FEES
Quantity Description Date Amount
1 ea Services or Feeders-200 02/10/2015 $100.70
Specifics: amps or less
24 crt Branch Circuits w/Purchase 02/10/2015 $178.08
Type of Use: COM Service or Feeder
Class of Work: ALT 1 ea 12%State Surcharge- 02/10/2015 $33.45
Electrical
Type of Const:
Occupancy Grp:
Total $312.23
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 QA. 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: � Permittee Signature: .4--71-
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.