Permit Support Document (48) „ CITY OF TIGARD � "'� � � ELECTRICAL PERMIT
8' COMMUNITY DEVELOPMENT Permit#: ELC2018-00021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/11/2018
Parcel: 1 S135BD00100
Jurisdiction: Tigard
Site address: 9600 SW OAK ST 520
Project: Loan Depot Suite 520 Subdivision: ASHBROOK FARM Lot: 5
Project Description: Loan Depot Suite 520 Tenant Improvement-(10)Circuits. 3/6/2018: REPRINT permit to correct suite number
address from 525 to 520 as submitted by contractor online.
Contractor: DYNALECTRIC Owner: PLAZA WEST OWNER LLC
5711 SW HOOD AVE BY CHIEF FINANCIAL OFFICER
PORTLAND, OR 97239 680 FIFTH AVE 20TH FL
NEW YORK, NY 10019
PHONE: 503-226-6771 PHONE:
FAX: 503-226-7720
FEES
Quantity Description Date Amount
10 crt Branch Circuits wo/Purchase 01/11/2018 $122.96
Specifics: Service or Feeder
1 ea 12%State Surcharge- 01/11/2018 $14.76
Type of Use: COM Electrical
Class of Work: ADD
Type of Const:
Occupancy Grp:
Total $137.72
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 OA 82-00 0. Y 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 503.639.4175 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:
9600 SW OAK ST 525, TIGARD, OR, 97223 March 6, 2018 at 10:08:47 AM
Record Type: Record ID:
Commercial - Electrical ELC2018-00021
Inspection Type: Inspector:
199 Electrical final Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor