Permit Support Document CITY OF TIGARD ELECTRICAL PERMIT
'°. COMMUNITY DEVELOPMENT Permit#: ELC2021 00218
r: Date Issued: 4/29/2021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S1260000300
'/2� Jurisdiction: Tigard
Site address: 9348 SW WASHINGTON SQUARE RD W14A
Project: Sunglass Hut Subdivision: None Lot: None
Project Description: Feeder and circuits for tenant improvement.
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
Quantity Description Date Amount
1 ea Services or Feeders-200 04/29/2021 $100.70
Specifics:
amps or less
33 crt Branch Circuits w/Purchase 04/29/2021 $244.86
Type of Use: COM Service or Feeder
Class of Work: ALT 1 ea 12%State Surcharge- 04/29/2021 $41.47
Type of Const: Electrical
Occupancy Grp:
Total $387.03
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 throuah OAR 952-001-0090. You v obtain a of the rules or direct auestions to OUNC by callina 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'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.