Permit r • . .
I
CITY OF TIGARD riejejar ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2015-00397
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/22/2015
Parcel: 2S110AA01300
Jurisdiction: Tigard
Site address: 14240 SW PACIFIC HWY
Project: Gardners Choice Subdivision: CANTERBURY PLACE,AMENDED Lot: 8
Project Description: Power for sign. 5/26/2015: REPRINT permit to add(2)branch circuits for a total of(4)branch circuits.
Contractor: ABC ELECTRIC Owner: BATES, STEPHEN C&JODETTE S
135 NE 9TH AVE 10430 SW VIEW TER
PORTLAND, OR 97232 TIGARD, OR 97224
PHONE: 503-233-7551 PHONE:
FAX: 503-233-7552
FEES
Quantity Description Date Amount
4 crt Branch Circuits wo/Purchase 05/26/2015 $78.44
Specifics: Service or Feeder
1 ea 12%State Surcharge- 05/26/2015 $9.41
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $87.85
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: Ore..n requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through 0 I+ +090 You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
4
Issued By:
..0%1111�/L j� Permittee Signature: 6/V 617°,61Z..../!7}TC7/ /
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.
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
14240 SW PACIFIC HWY, TIGARD, OR, 97224
Commercial - Electrical
199 Electrical final
PASS - No C of O
ELC2015-00397
Jeff Grove
Violation Summary:
Inspector Contractor