Permit Support Document (24) CITY OF TIGARD ELECTRICAL PERMIT
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Permit#: ELC2017-00355
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/17/2017
Parcel: 1 S135DA03500
Jurisdiction: Tigard
Site address: 11481 SW HALL BLVD 201
Project: ALLCO INVESTMENTS Subdivision: METZGER ACRE TRACTS Lot: 19
Project Description: WIRING FOR NEW T-I SPACE. 10/24/2017: REPRINT permit to correct suite number from 202 to 201.
Contractor: GARY'S ELECTRIC CO LLC Owner: BECKAL LLC
1401 SW WALLULA DR 7100 SW GABLE PKWY
GRESHAM, OR 97080 PORTLAND, OR 97225
PHONE: 503-465-8145 PHONE:
FAX: 503-465-8517
FEES
Quantity Description Date Amount
10 crt Branch Circuits wo/Purchase 05/17/2017 $122.96
Specifics: Service or Feeder
1 ea 12%State Surcharge- 05/17/2017 $14.76
Type of Use: COM Electrical
Class of Work: ALT 45 Misc Administration Fee 10/24/2017 $45.00
Type of Const:
Occupancy Grp:
Total $182.72
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'- ,!,4041-0090..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: , r+c__ Permittee Signature: 2'V 4/"V
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:
11481 SW HALL BLVD 201 , TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Electrical ELC2017-00355
Inspection Type: Inspector:
199 Electrical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor