Permit Support Document (17) CITY OF TIGARD warp.,
ECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2017-00463
and OR 97223 503.718.2439
13125 SW Hall Blvd.,Ti Date Issued: 06/20/2017
TIGARD9
Parcel: 1 S 1260000300
Jurisdiction: Tigard
Site address: 9538 SW WASHINGTON SQUARE RD H14
Project: NESPRESSO Subdivision: None Lot: None
Project Description: TENANT IMPROVEMENT. 7/18/17 REPRINTED to correct address to 9538 from 9536 SW Washington Square
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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
Description Date Amount
Specifics:
Branch Circuits wo/Purchase Service or 06/20/2017 $338.14
Feeder
Type of Use: COM 12%State Surcharge-Electrical 06/20/2017 $40.58
Class of Work: ADD
Total Number of Systems:
Audio&Stereo: Boiler Controls:
CCTV: Clock Systems:
Data&Telecommunications: Fire Alarm:
HVAC: Instrumentation:
Intercom/Paging: Landscape/Irrigation:
Landscape Lighting: Medical:
Nurse Calls: Protective Signal:
Security Alarm: Other: Total $378.72
Other Desc:
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. ATTENTI•. Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-00 •through 0'- 95 ::1-0090. You may obtain a copy of the rules or direct questions to OUNC by calling • .'32.1987 or 1.800.332.2344.
Issu•, By: ,f2_44
` "( Permittee Signatur-• 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.