Permit CITY OF TIGARDien ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT A 5 �� Permit#: ELC2016 00027
Raw
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/15/2016
Parcel: 2S 102AA00600
Jurisdiction: Tigard
Site address: 11940 SW PACIFIC HWY A
Project: Tigard Pawn Four More Subdivision: TIGARD HIGHWAY TRACTS Lot: 12
Project Description: Remove and Replace Panel.2/2/16,REPRINTING permit to add(1)branch circuit.
Contractor: TYLER ELECTRIC LLC Owner: ALPROP LLC
PO BOX 801 6149 SW SHATTUCK RD
MULINO, OR 97042 PORTLAND, OR 97221
PHONE: 503-829-4146 PHONE:
FAX: 503-829-5747
FEES
Quantity Description Date Amount
1 ea Services or Feeders-200 01/15/2016 $100.70
Specifics: amps or less
1 ea 12%State Surcharge- 01/15/2016 $12.08
Type of Use: COM Electrical
Class of Work: ALT 1 crt Branch Circuits w/Purchase 02/02/2016 $7.42
Service or Feeder
Type of Const: 0 ea 12%State Surcharge- 02/02/2016 $0.89
Occupancy Grp: Electrical
45 Misc Administration Fee 02/02/2016 $45.00
Total $166.09
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 inwith 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. AT NTION: Ore n law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001- 010 through OAR 9 2- -0 90. You may obtain a copy of the rules or direct questions to OUNC by c 0 32.1987 or 1.800.332.2344.
Issue By: Permittee SignatZ �(
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.
Feb.02.2016 08:55 GRF ELECTRIC ` 5038295747 PAGE. 1/ 1
Feb 0216 08:13p Tyler Electric llc A-f yb^ ', c� �7 L 5038298349 P.1
re .02.2016 05:50 ORF ELECTIUC 5038295747 PAGE. 1/ 3
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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
11940 SW PACIFIC HWY A, TIGARD, OR, 97223
Commercial - Electrical
199 Electrical final
PASS - No C of O
ELC2016-00027
Jeff Grove
Violation Summary:
Inspector Contractor
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
11940 SW PACIFIC HWY A, TIGARD, OR, 97223
Commercial - Electrical
199 Electrical final
PASS - No C of O
ELC2016-00027
Jeff Grove
Violation Summary:
Inspector Contractor