Permit a I
CITY OF TIGARD
ELECTRICAL PERMIT
sr COMMUNITY DEVELOPMENT Permit#: ELC2015-00153
Date Issued: 03/12/2015
T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1115
Jurisdiction: Tigard
Site address: 9530 SW WASHINGTON SQUARE RD H10
Project: Athleta Subdivision: Lot:
Project Description: Interior wall sign.*mount only 9/15/15,REPRINTED to correct address for 9585 to 9530 SW Washington Square
Rd.
Contractor: SECURITY SIGNS INC Owner:
2424 SE HOLGATE BLVD
PORTLAND, OR 97202
PHONE: 503-546-7114 PHONE:
FAX: 503-230-1861
FEES
Quantity Description Date Amount
1 ea Sign or Outline Lighting 03/12/2015 $67.84
Specifics:
1 ea 12%State Surcharge- 03/12/2015 $8.14
Electrical
Type of Use: COM
Class of Work: NEW
Type of Const:
Occupancy Grp:
Total $75.98
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. ATTENT on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-001 through OAR 2-00 90. You may obtain a copy of the rules or direct questions to OUNC by calling 50 2.1987 or 1.800.33244.
Issued B& k Permittee Signature: f
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.
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9585 SW WASHINGTON SQUARE RD MGMT
OFF, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Electrical ELC2015-00153
Inspection Type: Inspector:
199 Electrical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor