Permit Support Document (32)IChTYOFTIGARD ; ; ELECTRICALPERMIT. 4 "71
COMMUNITY DEVELOPMENT �.�/e Permit#: ELC2018-00012
Tlttiit5 RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/09/2018
Parcel: 25101 DB00104
Jurisdiction: Tigard
Site address: 7300 SW HUNZIKER RD 200
Project: Real Benefit Group Subdivision: None
Project Description: Tenant Improvement. 1/10/2018:REPRINT permit to correct suite number from 106 to 200. 1/11/2018: REPRINT
Lot: None
permit to correct street address from 7360 to 7300.
Contractor: A C&E ELECTRIC CO Owner: HILLTOP BUSINESS CENTER LLC
3535 DEL WEBB AVE NE#100 9430 NW KAISER RD
SALEM, OR 97303 PORTLAND, OR 97231
PHONE: 503-363-2301 PHONE:
FAX: 503-363-2302
FEES
Quantity Description Date Amount
Specifics: 23 crt Branch Circuits wo/Purchase 01/09/2018 $219.42
Service or Feeder
1 ea 12%State Surcharge- 01/09/2018 $26.33
Type of Use: COM Electrical
Class of Work: ALT 45 Misc Administration Fee 01/10/2018 $45.00
Type of Const:
Occupancy Grp:
Total $290.75
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 52-001-0090. 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: �. ,i,2;27,4,,
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Permittee Signature: �i�!o /4/47--
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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:
7300 SW HUNZIKER RD 200, TIGARD, February 21 , 2018 at
OR, 97223 11 :23:51 AM
Record Type: Record ID:
Commercial - Electrical ELC2018-00012
Inspection Type: Inspector:
199 Electrical final Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor