Permit CITY OF TIGARD ELECTRICAL PERMIT
B - COMMUNITY DEVELOPMENT j • V- SED Permit#: ELC2015 00102
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 q ACS 42411 Date Issued: 02/18/2015 parcel: 151260000300
Jurisdiction: Tigard
Site address: 9424 SW WASHINGTON SQUARE RD K05
Project: HOT TOPIC-SPACE K05 Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: W017672 PM330 Hot Topic Space K05,Install EAS Door max at front doors of remodel space,Mike Russ
503.522.7361. 2/19/2015 REPRINT permit to correct site address from 9585 to 9424.
Contractor: COCHRAN INC Owner: PPR WASHINGTON SQUARE LLC
7550 SW TECH CENTER DR#220 PO BOX 847
TIGARD, OR 97223 CARLSBAD, CA 92018
PHONE: 503-234-6564 PHONE.
FAX: 503-238-2098
FEES
Quantity Description Date Amount
1 ea Signal circuit or Limited 02/18/2015 $75.00
Specifics: Energy Panel
1 ea 12%State Surcharge- 02/18/2015 $9.00
Type of Use: COM Electrical
Class of Work: ADD 45 Misc Administration Fee 02/19/2015 $45.00
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 • R• •11-0090. You 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 / -- Permittee Signature: QAf / L-e41-7 7e/\/
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.
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
9424 SW WASHINGTON SQUARE RD K05,
TIGARD, OR, 97223
Commercial - Electrical
199 Electrical final
PASS - No C of O
ELC2015-00102
Jeff Grove
Violation Summary:
Inspector Contractor