Permit Support Document (18) thCITY OF TIGARD •* - ELECTRICAL PERMIT
I� COMMUNITY DEVELOPMENT �d���E�C Permit#: ELC2017-00126
Date Issued: 02/27/2017
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 25101 AA00100
Jurisdiction: Tigard
Site address: 12300 SW 68TH AVE
Project: Landmark Ford 76334 Subdivision: WEST PORTLAND HEIGHTS Lot: 9
Project Description: Installing power to elevator in north end of building,2nd level.Installing branch outlet circuits in lunch room and
new reception desk.Installing can lights above new stairwell,near elevator and across show room. 8/1/2017:
REPRINT permit to correct site address from 12000 SW 66th to 12300 SW 68th.
Contractor: E C COMPANY Owner: CORLISS,JAMES L&CORA K
PO BOX 10286 LEASE TO: FORD LEASING
PORTLAND, OR 97296 DEVELOPMENT COMPANY
PO BOX 23970
TIGARD, OR 97281
PHONE: 503-224-3511 PHONE:
FAX: 503-295-3012
FEES
Quantity Description Date Amount
1 ea Services or Feeders-200 02/27/2017 $100.70
Specifics: amps or less
15 crt Branch Circuits w/Purchase 02/27/2017 $111.30
Type of Use: COM Service or Feeder
Class of Work: ALT 2 crt Branch Circuits wo/Purchase 02/27/2017 $63.60
Service or Feeder
Type of Const: 1 ea 12%State Surcharge- 02/27/2017 $33.07
Occupancy Grp: Electrical
45 Misc Administration Fee 08/01/2017 $45.00
Total $353.67
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 195 09 . 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: " ! V\ Permittee Signature: t5 /97°,4 4 fd 4 o
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.
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12300 SW 68TH AVE, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Electrical ELC2017-00126
Inspection Type: Inspector:
199 Electrical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor