Permit CITY OF TIGARD ELECTRICAL PERMIT
` Permit*: ELC2015-00574
1111 COMMUNITY DEVELOPMENT i '
Date Issued: 07/24/2015
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 i" i Parcel: 1 /24/2 000300
Jurisdiction: Tigard
Site address: 9422 SW WASHINGTON SQUARE RD K06
Project: The Duck Store Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: TI in suite K06. 7/30/2015 REPRINT permit to correct address from 9585 to 9422.
Contractor: HILLSBORO ELECTRIC LLC Owner: PPR WASHINGTON SQUARE LLC
21185 NW EVERGREEN PKWY#110 PO BOX 847
HILLSBORO, OR 97124 CARLSBAD, CA 92018
PHONE: 503-439-9666 PHONE.
FAX: 503-601-3680
FEES
Quantity Description Date Amount
10 crt Branch Circuits wo/Purchase 07/24/2015 $122.96
Specifics: Service or Feeder
1 ea 12%State Surcharge- 07/24/2015 $14.76
Type of Use: COM Electrical
Class of Work: ALT 45 Misc Administration Fee 07/30/2015 $45.00
Type of Const:
Occupancy Grp:
Total $182.72
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 it 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 0 4 -151-0095. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.8800.332..22344.
Issued By: L,�I//�� Permittee Signature: vtV 'f/"L/` .-,7--//C /N.1/
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
9422 SW WASHINGTON SQUARE RD K06,
TIGARD, OR, 97223
Commercial - Electrical
199 Electrical final
PASS - No C of O
ELC2015-00574
Jeff Grove
Violation Summary:
Inspector Contractor
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
9422 SW WASHINGTON SQUARE RD K06,
TIGARD, OR, 97223
Commercial - Electrical
130 Ceiling cover
PASS
ELC2015-00574
Herb Stabenow
Violation Summary:
Inspector Contractor