Permit Support Document (38) CITY OF TIGARD ELECTRICAL PERMIT
' COMMUNITY DEVELOPMENT Permit#: ELC2018-00074
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01!28/2018
Parcel: 151260000300
Jurisdiction: Tigard
Site address: 9483 SW WASHINGTON SQUARE RD AO6B
Project: PACSUN Subdivision: None Lot: None
Project Description: Connection of sign to electrical circuit. 1/29/2018: REPRINT permit to correct street address.
Contractor: QUICKSILVER NEON AND SIGNS LLC Owner: PPR WASHINGTON SQUARE LLC
2325 NW 154TH PL PO BOX 847
BEAVERTON, OR 97006 CARLSBAD, CA 92018
PHONE: 503-626-7020 PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Sign or Outline Lighting 01/28/2018 $67.84
Specifics:
1 ea 12%State Surcharge- 01/28/2018 $8.14
Electrical
Type of Use: COM 45 Misc Administration Fee 01/30/2018 $45.00
Class of Work: ADD
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: 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 0 52-10.1i90. Y.0 may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: P Permittee Signature: 6"'/./e)G,/6-Y-770/-3
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:
9483 SW WASHINGTON SQUARE RD A06B,
TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Electrical ELC2018-00074
Inspection Type: Inspector:
199 Electrical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor