Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT IlBla Permit#: ELC201500525
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/08/2015
T[Ci It D g Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9422 SW WASHINGTON SQUARE RD K06
Project: The Duck Store Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: (1)circuit for(1)wall sign. 8/17/15,REPRINTED to correct address to 9422 SW Washington Sq Rd.
Contractor: SECURITY SIGNS INC Owner: PPR WASHINGTON SQUARE LLC
2424 SE HOLGATE BLVD PO BOX 847
PORTLAND, OR 97202 CARLSBAD,CA 92018
PHONE: 503-546-7114 PHONE:
FAX: 503-230-1861
FEES
Quantity Description Date Amount
1 ea Sign or Outline Lighting 07/08/2015 $67.84
Specifics:
1 ea 12%State Surcharge- 07/08/2015 $8.14
Electrical
Type of Use: COM 45 Misc Administration Fee 08/17/2015 $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: ' •• - requires you to follow the rules adopted by the Oregon_Utility • • Center. Those rules are set forth in OAR
952-001-0010 • •ugh OAR 952-001-* • V. ay obtain a copy of the rules or direct questions to,OUNC by c-' • 987 or 1.800.332,2344.
Issued = � �Iy _i Permittee SiBctAture:
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:
CONTRA'TOR.WSTALLATION 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:
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Inspection Date:
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Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
15119 SW 91ST AVE, TIGARD, OR, 97224
Residential - Electrical
199 Electrical final
PASS - No C of O
ELC2015-00625
David Young
Minor liable # ELS 484262
Violation Summary:
Inspector Contractor