Permit Support Document „ CITY OF TIGARDIN 1 . ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT a Permit#: ELR2021-00044
f ' Date Issued: 4/29/2021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 / Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9348 SW WASHINGTON SQUARE RD W14A
Project: Sunglass Hut Subdivision: None Lot: None
Project Description: Tenant improvement-fire alarm,data,audio.
Contractor: FRAHLER ELECTRIC COMPANY Owner: PPR WASHINGTON SQUARE LLC
11860 SW GREENBURG RD BY MACERICH RET
TIGARD, OR 97223 PO BOX 4085
SANTA MONICA, CA 90411
PHONE: 503-639-4627 PHONE:
FAX: 503-639-4673
FEES
Description Date Amount
Specifics: Restricted Energy Permit 04/29/2021 $225.00
12%State Surcharge-Electrical 04/29/2021 $27.00
Type of Use: COM
Class of Work: ALT
Total Number of Systems: 3
Audio&Stereo: 1 Boiler Controls: 0
CCTV: 0 Clock Systems: 0
Data&Telecommunications: 1 Fire Alarm: 1
HVAC: 0 Instrumentation: 0
Intercom/Paging: 0 Landscape/Irrigation: 0
Landscape Lighting: 0 Medical: 0
Nurse Calls: 0 Protective Signal: 0
Security Alarm: 0 Other: 0 Total $252.00
Other Desc: 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 OAR 952-001-0090. You mavobtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
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Issued By: ,117;1:7.—,ea-.r., Permittee Signature: - s,,
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'N 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.