Permit ,� CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
ifi _ '; COMMUNITY DEVELOPMENT Permit #: ELR2011 -00148
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/24/2011
• . Parcel: 1S135AB04500
Jurisdiction: Tigard
Site address: 10250 SW GREENBURG RD
Project: Four Lincoln Subdivision: 1991 -055 PARTITION PLAT Lot: 1
Project Description: CCTV system.
Contractor: SONITROL PACIFIC Owner: LINCOLN CENTER LLC
8220 N INTERSTATE AVE BY SHORENSTEIN PROPERTIES LLC
PORTLAND, OR 97217 555 CALIFORNIA ST 49TH FL
SAN FRANCISCO, CA 94104
PHONE: 503 - 223 -5822 PHONE:
FAX: 503 - 973 -7773
FEES
Description Date Amount
Specifics: Restricted Energy Permit 06/24/2011 $75.00
12% State Surcharge - Electrical 06/24/2011 $9.00
Type of Use: COM
Class of Work: ALT
Total Number of Systems: 1
Audio & Stereo: N Boiler Controls: N
CCTV: Y Clock Systems: N
Data & Telecommunications: N 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 •52 -001 -0090. You ma - . • •' •f t = • es o • irect questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: �!
l ir % ✓ . -- _' _ Permittee Signature: ���
A� _
OWNER INSTALLATION ONLY i
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.
Juw-23-11 03 :37 PM SON zrRoL-ponrLAwn 9737773 p'ma
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JUN -23 -11 03:38 PM SONITROL —PORTLAND 9737773 P.04
Electrical Permit Application - City of Tigard
i.
Page 2 - Supplemental Infortnation
LIMITED ENERGY PERMIT FEES:
401,: i'. 1 NTIAL. WORK ONLY:
Fee for .ail residential systems combined ,., $75,00
Check Type of Work Involved: ;?
• .Audio arid Stereo Systems'r`
•
0 lillrgliir :11artn
0 Garage 1)o or Opener* •
Ej I fcauii , Ventilation and Air (:ondit.itiwng System*
4
a Vacuum Systellls* :
. 0 ()t .
is
rl * MMERCIAL WORK ONL.X__...
Fee for each commercial $75.00 =1:
eytatcn1 t
•I ( SE.l OAR 918-300 '
:
Check Type of Work Involved:
0 Audio and Stereo Systems ..t:
y :
0 Boiler ('cnttrols 4
i,
❑ (.;I(x:k s.,stellls .
is
0 1);ua "Pelee )mmunieatirnl lnstitlfatiOli
0 fire Alarm lnst,tll,ltiI ■n
" '
O 1lV;1C:
I ll.tittul'lletll a 1i.111
O hltercr .Ind llastiig SvstcmF -.
ii
C l • andscape Irrii;aIiotl (,c,I:1trol*
medk it
. ; ,i 4
• EJ N urse (;Ills 4
•
E Otilducg l.:anclse;tfr(' I.ightini.;
1.
❑ Prilrecti,, wipnalitl } >.,
1
® Other Cli Li `.
Total t' un)l)cr orci•initiorc ial svnlcnts: 1 {{
*No Licenses are required. Licenrlc:t are required
for all other installations 1
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