Permit Support Document (27) CITY OF TIGARD f ELECTRICAL PERMIT
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o COMMUNITY DEVELOPMENT Permit#: ELC2017-00625
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/24/2017
TIGARD 13125 1S135AB01003
Jurisdiction: Tigard
Site address: 10300 SW GREENBURG RD 385
Project: 706432 US Tax Service Subdivision: METZGER,TOWN OF Lot: 9
Project Description: This is a tenant improvement in Suite 385. 8/30/2017: REPRINT permit to correct address/suite from 10260 suite
380 to 10300 suite 385.
Contractor: ON ELECTRIC GROUP INC Owner: LINCOLN CENTER LLC
1709 SE 3RD AVE BY SHORENSTEIN PROPERTIES LLC
PORTLAND, OR 97124 235 MONTGOMERY ST, 16TH FLOOR
SAN FRANCISCO, CA 94104
PHONE: 503-234-9900 PHONE:
FAX: 503-234-1001
FEES
Quantity Description Date Amount
3 crt Branch Circuits wo/Purchase 08/24/2017 $71.02
Specifics: Service or Feeder
1 ea 12%State Surcharge- 08/24/2017 $8.52
Type of Use: COM Electrical
Class of Work: ALT 45 Misc Administration Fee 08/30/2017 $45.00
Type of Const:
Occupancy Grp:
Total $124.54
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 0 952- 1,9909/0. 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: Permittee Signature:
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 503.639.4176 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.