Permit Support Document CITY OF TIGARD ELECTRICAL PERMIT
a Permit#: ELC2018-00391
COMMUNITY DEVELOPMENT
Hall . . Date Issued: 06/12/2018
TtC3aE� 0 13125 SW Blvd.,Tigard OR 97223 5037182439 �� Parcel: 2S104BB08000
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Jurisdiction: Tigard
Site address: 14210 SW BARROWS RD
Project: Tenant Improvements Subdivision: RUSSELL'S SCHOLLS FERRY Lot: 3
Project Description: Tenant Improvements. 6/14/2018: REPRINTED to correct site address from 14200 to 14210.
Contractor: PDX ELECTRIC LLC Owner: BARROWS PLAZA LLC
7933 WHITFURROWS CT PO BOX 8880
DURHAM, OR 97224 KETCHUM, ID 83340
PHONE: 503-997-1989 PHONE:
FAX: 503-200-1362
FEES
Quantity Description Date Amount
1 ea Services or Feeders-200 06/12/2018 $100.70
Specifics: amps or less
12 crt Branch Circuits w/Purchase 06/12/2018 $89.04
Type of Use: COM Service or Feeder
Class of Work: ALT 1 ea 12%State Surcharge- 06/12/2018 $22.77
Electrical
Type of Const:
Occupancy Grp:
Total $212.51
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. AU 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 0 952-1:1-00:0. 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: /�. j •�r / v ' Permittee Signature: e4.7 /e,97-70,./
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.