Permit Support Document CITY OF TIGARD ,T:, ELECTRICAL PERMIT
I • . COMMUNITY DEVELOPMENT ` �',, - x` Permit#: ELR2018-00166
/1'�� Date Issued: 09/28/2018
T l C_;A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 !1/,,)
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Parcel: 1 S 1260000300
Jurisdiction: Tigard
Site address: 9693 SW WASHINGTON SQUARE RD C09
Project: T-Mobile Fire Alarm Subdivision: None Lot: None
Project Description: Install fire alarm. 10/25/18:REPRINT to correct address from 9755 to 9693.
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
Specifics: 1 ea Restricted Energy Permit 09/28/2018 $75.00
1 ea 12%State Surcharge- 09/28/2018 $9.00
Electrical
Type of Use: COM 45 Misc Administration Fee 10/25/2018 $45.00
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $129.00
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 952-001-0090S
ou may obtain a copy of the; les or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
-11%Issued By: 4,g ./ 7 �f/j Permittee Signature: /7�G( /^
OWNER INSTALLATION ONLY r-r17 _
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:
9693 SW WASHINGTON SQUARE RD C09,
TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Electrical Limited Energy ELR2018-00166
Inspection Type: Inspector:
198 Low voltage final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor