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Permit CITY OF TIGARD 4 ; ELECTRICAL RESTRICTED ENERGY PERMIT 'IIIs Permit#: ELR2021-00072 s COMMUNITY DEVELOPMENT4 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 7l23l2021 g 2 2/ ,<Oz3 Parcel: 1 S135BA00102 Jurisdiction: Tigard Site address: 10120 SW WASHINGTON SQUARE RD Project: SIM GOLF AV SYSTEM#10561 Subdivision: OAKBURG Lot: 9 Project Description: Audio system. 9/2/2021: REPRINT permit to correct address from 10108 to 10120. Contractor: CHRISTENSON ELECTRIC INC Owner: PPR SQUARE TOO LLC 17201 NE SACRAMENTO ST BY MACERICH RET PORTLAND, OR 97230 PO BOX 4085 SANTA MONICA, CA 90411 PHONE: 503-419-3344 PHONE: FAX: 503-419-3695 FEES Description Date Amount Specifics: Restricted Energy Permit 07/23/2021 $75.00 Type of Use: COM 12%State Surcharge-Electrical 07/23/2021 $9.00 Class of Work: ALT Total Number of Systems: 1 Audio&Stereo: 1 Boiler Controls: 0 CCTV: 0 Clock Systems: 0 Data&Telecommunications: 0 Fire Alarm: 0 HVAC: 0 Instrumentation: 0 Intercom/Paging: 0 Landscape/Irrigation: 0 Landscape Lighting: 0 Medical: 0 Nurse Calls: 0 Protective Signal: 0 Security Alarm: 0 Other: 0 Total $84.00 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. 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 : w 2-001-009 You may obtain a copy of the rules or direct questions to OUNC by calling 503,232.1987 or 1.800.332.2344.4. �� Issued By: � �[" �11 Permittee Signature: f L v J / Jan�V J)))))P 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'N 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 III ELECTRICAL RESTRICTED ENERGY PERMIT 8 COMMUNITY DEVELOPMENT Permit#: ELR2021-00072 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 7/23/2021 Parcel: 1S135BA00102 /0/� Jurisdiction: Tigard Site address: 10 W WASHINGTON SQUARE RD Project: 10561 SIM GOLF AV SYSTEM ' Subdivision: OAKBURG Lot: 9 Project Description: ACTUAL ADDRESS IS.18TT4 SW WASHINGTON SQUARE RD STE A07 Contractor: CHRISTENSON ELECTRIC INC Owner: PPR SQUARE TOO LLC 17201 NE SACRAMENTO ST BY MACERICH RET PORTLAND, OR 97230 PO BOX 4085 SANTA MONICA, CA 90411 PHONE: 503-419-3344 PHONE: FAX: 503-419-3695 FEES Description Date Amount Specifics: Restricted Energy Permit 07/23/2021 $75.00 12%State Surcharge-Electrical 07/23/2021 $9.00 Type of Use: COM Class of Work: ALT Total Number of Systems: 1 Audio&Stereo: 1 Boiler Controls: 0 CCTV: 0 Clock Systems: 0 Data&Telecommunications: 0 Fire Alarm: 0 HVAC: 0 Instrumentation: 0 Intercom/Paging: 0 Landscape/Irrigation: 0 Landscape Lighting: 0 Medical: 0 Nurse Calls: 0 Protective Signal: 0 Security Alarm: 0 Other: 0 Total $84.00 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. 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 952-001-0090. 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: Permittee Signature: 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'N 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.