Permit CITY OF TIGARD ELECTRICAL PERMIT
- ATIG
ARD
DEVELOPMENT Permit#: ELC2016-00215
T I(;A v.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 iso , P
Date Issued: 03/21/2016
Parcel: 1 S1260000300
Jurisdiction: Tigard
Site address: 9374 SW WASHINGTON SQUARE RD R05
Project: Verizon Subdivision: None Lot: None
Project Description: Installing 1 internal wall sign. 4/19/16:Reprinted permit to show change of address from 9355 to 9374 SW
Washington Square Rd.
Contractor: E S&A SIGN&AWNING Owner: PPR WASHINGTON SQUARE LLC
89975 PRAIRIE RD PO BOX 847
EUGENE, OR 97402 CARLSBAD, CA 92018
PHONE: 541-485-5546 PHONE:
FAX: 541-485-5813
FEES
Quantity Description Date Amount
1 ea Sign or Outline Lighting 03/21/2016 $67.84
Specifics:,
1 ea 12%State Surcharge- 03/21/2016 $8.14
Electrical
Type of Use: COM 45 Misc Administration Fee 04/19/2016 $45.00
Class of Work: NEW
Type of Const:
Occupancy Grp:
Total $120.98
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. 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 OA 952-001-0090. Youn]a..obtain a cop or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: t�
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
Approvedplans are required on the site at the time of each inspection.
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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
9374 SW WASHINGTON SQUARE RD R05,
TIGARD, OR, 97223
Commercial - Electrical
199 Electrical final
PASS - No C of O
ELC2016-00215
Jeff Grove
Violation Summary:
Inspector Contractor