Permit _ CITY OF TIGARD ELECTRICAL PERMIT
rf COMMUNITY DEVELOPMENT �� �S . Permit#: ELC2015-00983
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/14/2015
Parcel: 2S 101 BA00101
Jurisdiction: TIGARD
Site address: 7500 SW DARTMOUTH ST 130
Project: Icon Nails Subdivision: WEST PORTLAND HEIGHTS Lot:
Project Description: 20 new circuits for nail salon,phone and tv. 12/30/15,Reprint to correct address to 7500 SW Dartmouth Suite 130,
and add fees for low voltage for data
Contractor: JOHN VERTNER ELECTRIC Owner: WAL-MART REAL ESTATE BUSINESS TR
PO BOX 473 BY PROPERTY TAX DEPT STORE 5935-00
OTIS, OR 97368 PO BOX 8050
ATTN MS 0555
BENTONVILLE,AR 72716
PHONE: 503-989-0409 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 crt Branch Circuits w/Purchase 12/14/2015 $7.42
Specifics: Service or Feeder
20 crt Branch Circuits wo/Purchase 12/14/2015 $197.16
Type of Use: COM Service or Feeder
Class of Work: ADD 1 ea 12%State Surcharge- 12/14/2015 $24.55
Electrical
Type of Const: 1 ea Signal circuit or Limited 12/30/2015 $75.00
Occupancy Grp: Energy Panel
0 ea 12%State Surcharge- 12/30/2015 $9.00
Electrical
45 Misc Administration Fee 12/30/2015 $45.00
Total $358.13
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 donGdBy:
th 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. regon w requir you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-00AR 952-0 1-0 Yo ay obtain a copy oft a rules or direct questions to OUNC by calling 50�232.198P7 or_1.800.3$2.2344.
Issu Permittee Signature: C� D`��
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
7500 SW DARTMOUTH ST 130, TIGARD, OR,
97223
Commercial - Electrical
199 Electrical final
PASS - No C of O
ELC2015-00983
Chip Barnett
Violation Summary:
Inspector Contractor