Permit (153) CITY OF TIGARD ELECTRICAL PERMIT
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. COMMUNITY DEVELOPMENT Permit#: ELC2019-00323
r i(;A R() 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/14/2019
Parcel: 1 S 125DB02500
Jurisdiction: Tigard
Site address: 7304 SW TAYLORS FERRY RD
Project: Wilde Subdivision: None Lot: None
Project Description: Temporary power.
Contractor: PORTLAND ELECTRIC LLC Owner: MELINDA WILDE
1915 E FIFTH ST SUITE D 11380 SW PAULINA DRIVE
VANCOUVER,WA 98661 WILSONVILLE, OR 97070
PHONE: 503-209-9298 PHONE: 503-238-0058
FAX: 360-314-4945
FEES
Quantity Description Date Amount
1 ea Temp Services or Feeders- 05/14/2019 $59.36
Specifics: 200 amps or less
1 ea 12%State Surcharge- 05/14/2019 $7.12
Type of Use: SF Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $66.48
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: • -•on law requires / to follow e rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 throwOA' ' 2-001- . Yoay obtain op of th -.es or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: P Permittee Signature. i—
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.