Permit Support Document (26) a
rtCITY OF TIGARD t ELECTRICAL PERMIT
111
- COMMUNITY DEVELOPMENT Permit#: ELR2017-00031
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/20/2017
Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9522 SW WASHINGTON SQUARE RD H07
Project: Pink by Victoria Secret 76754 Subdivision: None Lot: None
Project Description: Add circuit for fire alarm. 5/9/2017: REPRINT to correct site address from 9591 to 9522.
Contractor: FRAHLER ELECTRIC COMPANY Owner: PPR WASHINGTON SQUARE LLC
11860 SW GREENBURG RD PO BOX 847
TIGARD, OR 97223 CARLSBAD, CA 92018
PHONE: 503-639-4627 PHONE:
FAX: 503-639-4673
FEES
Quantity Description Date Amount
1 ea Restricted Energy Permit 02/20/2017 $75.00
Specifics:
1 ea 12%State Surcharge- 02/20/2017 $9.00
Electrical
Type of Use: COM
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $84.00
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 2-001-0090. 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: 'I ""Y ;?�s�t� Permittee Signature: CA/2
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:
9522 SW WASHINGTON SQUARE RD H07,
TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Electrical Limited Energy ELR2017-00031
Inspection Type: Inspector:
198 Low voltage final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor