Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT f 1 Permit#: ELC2015 00563
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 �- Date Issued: 07/23/2015
�, Parcel: 151260000300
Jurisdiction: Tigard
Site address: 9473 SW WASHINGTON SQUARE RD A08
Project: Subzero Ice Cream&Yogurt Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: Suite A10 Add(1)recpt for POS,connect foot pedals for ice cream bowl,add(1)under counter receptacle.
7/30/2015 REPRINT permit to correct address from 9585 to 9473.
Contractor: JC ELECTRIC INC Owner: PPR WASHINGTON SQUARE LLC
118 NW 184TH STREET PO BOX 847
RIDGEFIELD,WA 98647 CARLSBAD, CA 92018
PHONE: 360-887-7889 PHONE:
FAX: 360-887-5584
FEES
Quantity Description Date Amount
3 crt Branch Circuits wo/Purchase 07/23/2015 $71.02
Specifics: Service or Feeder
1 ea 12%State Surcharge- 07/23/2015 $8.52
Type of Use: COM Electrical
Class of Work: NEW 45 Misc Administration Fee 07/30/2015 $45.00
Type of Const:
Occupancy Grp:
Total $124.54
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 95 •it 1-0i°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: � Permittee Signature: ON /9/196. er9--/ /d,\"
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
9473 SW WASHINGTON SQUARE RD A08,
TIGARD, OR, 97223
Commercial - Electrical
199 Electrical final
PASS - No C of O
ELC2015-00563
Jeff Grove
Violation Summary:
Inspector Contractor