Permit (25) CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
I ' COMMUNITY DEVELOPMENT Permit#: ELR2022-00145
Tj GAR,O 13125 SW Hall Blvd.,Tigard OR 97223 503.71: ' Date Issued: 12/1/2022
Parcel: 2S112DA00700
Jurisdiction: Tigard
Site address: 16655 SW 72ND AVE 200
Project: Walen Construction Subdivision: PACIFIC CORPORATE CENTER Lot: 3
Project Description: Office building,existing.
Contractor: POINT MONITOR CORPORATION Owner: PACIFIC REALTY ASSOCIATES LP
5863 LAKEVIEW BLVD STE 100 ATTN: N PIVEN
LAKE OSWEGO,OR 97035 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-627-0100 PHONE:
FAX: 503-627-0110
FEES
Description Date Amount
Specifics:
Restricted Energy Permit 12/01/2022 $75.00
Type of Use: COM 12%State Surcharge-Electrical 12/01/2022 $9.00
Class of Work: ALT Misc Administration Fee 05/23/2023 $45.00
Total Number of Systems: 1
Audio&Stereo: 0 Boiler Controls: 0
CCTV: 0 Clock Systems: 0
Data&Telecommunications: 1 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 $129.00
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 m c rules or direct questions to OUNC by calling 503 7 or 1 00.332.2344.
Issued By: -L
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.