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Permit ,, CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT Permit #: ELR2011 -00153 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/29/2011 Parcel: 1 S 135AB01003 • Jurisdiction: Tigard Site address: 10300 SW GREENBURG RD 485 Project: Thorson Pacific Subdivision: ASHBROOK FARM Lot: PTS 1, 2 Project Description: Data telecommunications system. Contractor: MATRIX NETWORKS Owner: LINCOLN CENTER LLC 4243 SE INTERNATIONAL WY BY SHORENSTEIN PROPERTIES LLC STE C 555 CALIFORNIA ST 49TH FL PORTLAND, OR 97222 SAN FRANCISCO, CA 94104 PHONE: 503 - 513 -9152 PHONE: FAX: 503 - 513 -9201 FEES Description Date Amount Specifics: Restricted Energy Permit 06/29/2011 $75.00 12% State Surcharge - Electrical 06/29/2011 $9:00 Type of Use: COM Class of Work: ALT Total Number of Systems: 1 Audio & Stereo: N Boiler Controls: N CCTV: N Clock Systems: N Data & Telecommunications: y Fire Alarm: N HVAC: N Instrumentation: N Intercom /Paging: N Landscape /Irrigation: N Landscape Lighting: N Medical: N Nurse Calls: N Protective Signal: N Security Alarm: N Other: N 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 • • -'. : copy of th irect questions to OUNC by calling 503.232.1987 or 1.800.332.2344. . /� Issued By: y ��� 1��'` _ � 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' 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. 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TW t44414.41 ::•4tsitsc4. it 4 gKlUit kt .3:W0p:0 tti$4:x 1V1 ::\ :. $, .: fiXr Ott: 4 3:,•ik:$>.t4•4 km ;54 V.+0`444 N. ..p" i Dntr 0.4Mktii I 1 ., „,,, , g ; , ...N., , I - RY....114'10:.:':■. ...... .;■ - Fax Server 6/28/2011 10:54:50 AM PAGE 4/004 Fax Server Electrical Permit .Application - City of Tigard Page 2 - Stiptitenscotat fribratation LIMITED ENERGY PERMIT FEES: Fec fin all ii :3 eortilliDCd $75,00 Cheek Type of Work Inve.skyed: [1 AC■iii'> , and Stucc.) . . C;;:inge Door Opmer.* Contirtiotr Systml* r--1 UI konkm. ()thet: Fee fox tsa; $76,.60 (SEE OAR 918 Check Type of Wk tnrah ri] El Pim Alum 111:m1e:ion I 1 Im:;re.:3117: Ss,fstian;i j Cowre51* L Me6.c.i3.1 N.::,ne Cals (to.L 11):-oiectlysr , Li 0;lrer: mimixr of commexcial :iystam: w.No ti.ecose. requived. - License. ate rcqurted for ;.{11 othet ankltallariom