Permit •
IINTAM ELECTRICAL PERMIT
CITY OF TIGARD
q Permit#: ELC2015-00219
COMMUNITY DEVELOPMENT
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/07/2015
TIGARD Parcel: 151260000300
Jurisdiction: TIGARD
Site address: 10206 SW WASHINGTON SQUARE RD
Project: Ulta Portal Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: Install 4 feeders and circuiting for wall sconces. 5/4/2015 REPRINT permit to correct site address from 9585 to
10206.
Contractor: ROSS ELECTRIC CO, WASH CORP Owner: PPR WASHINGTON SQUARE LLC
PO BOX 822319 PO BOX 847
VANCOUVER, WA 98682 CARLSBAD, CA 92018
PHONE: 360-260-1951 PHONE.
FAX: 360-260-0978
FEES
Quantity Description Date Amount
4 ea Services or Feeders-200 04/07/2015 $402.80
Specifics: amps or less
1 crt Branch Circuits w/Purchase 04/07/2015 $7.42
Type of Use: COM Service or Feeder
Class of Work: ALT 1 ea 12%State Surcharge- 04/07/2015 $49.23
Electrical
Type of Const: 45 Misc Administration Fee 04/30/2015 $45.00
Occupancy Grp:
Total $504.45
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 095 i 009'. ou may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: O Permittee Signature: eN � '� 7-7O
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.
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10206 SW WASHINGTON SQUARE RD,
TIGARD, OR, 97223
Commercial - Electrical
199 Electrical final
PASS - No C of O
ELC2015-00219
Jeff Grove
Violation Summary:
Inspector Contractor