Permit (22) „I CITY OF TIGARD ELECTRICAL PERMIT
IIS COMMUNITY DEVELOPMENT Permit#: ELC2016-00320
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/18/2016
Parcel: 2S110AA00900
Jurisdiction: Tigard
Site address: 14050 SW PACIFIC HWY 101
Project: Genius Accountant Inc. Subdivision: None Lot: None
Project Description: Suite 101,replace(6)branch circuits due to fire/smoke damage.
Contractor: SQUIRES ELECTRIC Owner: ELLINGSON REVOCABLE INTERVIVOS T
657 SE YAMHILL ST BY ELLINGSON,JOSEPH M&JEAN E TRS
PORTLAND, OR 97214 420 W LASSEN AVE
CHICO, CA 95973
PHONE: 503-252-1609 PHONE:
FAX: 503-253-5831
FEES
Quantity Description Date Amount
6 crt Branch Circuits wo/Purchase 04/18/2016 $93.28
Specifics: Service or Feeder
1 ea 12%State Surcharge- 04/18/2016 $11.19
Type of Use: COM Electrical
Class of Work: ALT 1 ea Investigation Fee 04/18/2016 $90.00
1 ea Investigation 12%State 04/18/2016 $10.80
Type of Const:
Surcharge
Occupancy Grp:
Total $205.27
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 - • •- - '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. A NTION: Oregon -quires you to follow the rules adopted by the Oregon Utility Notification enter. Those rules are set forth in OAR
952-0e -0010 through OAR 9 •• -0I:i. .0 may obtain a copy of the rules or direct questions to OUN . •r . 32.1987 or 1.800.332.2344.
I
Is ued By: k _4, /1 \., Permittee Sigri re: /1Y7 L0„1 �� WA 74
•
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' ��k.— ! 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.
Electrical Permit Application IOlt OFFICE l'SI.oi\LI
City of Tigard RECEIVED Received / d� �
1111
Date/B : Permit«: 22�
13125 SW Rall Blvd.,Tigard,OR 97223 Plan Revie ��� DD -c/
{ Phone 503.718.2439 Fax: 503.598.1.i.; tag : Related Permit Or;
T I G A 1t t Inspection Line: 503.639.4175 R 1 8 L 016 Ready Date/By: hail: ®;Sec Page 2 fur
Internet: www.tigard-or.gov ' la + Nolified/Idethod: Supplemental information
,Mt ,TiW4!,, ' • {1.^•.�.a.� '.'':1,!...722-f :l %!<R1 !...Jf,O, ' N} '_ ^'" a� .:,1 :ice" '`s' tit
yrs .. sA
El New construction n Addition/alteratio rep acement` Please check all that apply(submit a seta of plans w/itcros checked):
0 Service or feeder 400 amps Or more El Building over three stories.
El Demolition ❑Other;
where the available fault current 0 Marinas and boatyards.
/1/hi. _ ;' : vS17.7 ; n n rp a s tits r. Yax�. F exceeds 10,000 amps at 150 volts or 0 Floating buildings.
❑ I-and 2-family dwelling i! ommercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 l oihmercial-use agncoltural
amps for all other installations, buildings.
❑Multi-famiiiyy ['Master builder ❑l Other ❑Fire pump. ❑installation of 150 KVA or
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