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Permit
CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT r. COMMUNITY DEVELOPMENT Permit#: ELR2013-00194 -T[GAR O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/07/2013 Parcel: 1 S135AB00900 Jurisdiction: Tigard Site address: 10200 SW GREENBURG RD 320 Project: Springwater Wealth Subdivision: METZGER,TOWN OF Lot: 9 Project Description: Data telecommunications system. Contractor: CHRISTENSON ELECTRIC INC Owner: LINCOLN CENTER LLC 111 SW COLUMBIA ST,STE 480 BY SHORENSTEIN PROPERTIES LLC PORTLAND, OR 97201 555 CALIFORNIA ST 49TH FL SAN FRANCISCO, CA 94104 PHONE: 503-419-3300 PHONE: FAX: 503-419-3695 FEES Description Date Amount Specifics: Restricted Energy Permit 08/07/2013 $75.00 12%State Surcharge-Electrical 08/07/2013 $9.00 Type of Use: COM • Class of Work: ALT 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 $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: "'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' 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. AUG-07-2013 WED 08:06 AM CHRISTENSON ELECTRIC, INC FAX NO. 95034193695 P. 01 88/07/2013 08:19 5035981965 CITY CF TIGARD PAGE 02/02 • _ AUG-06-201 , MON 03;00 PM CHRISTENSON ELECTRIC, INC FAX HO. 95034193695 : . P. 01/02 , . . __1eCt1'i �elilt . , Ito !!lip, � VED � ,,r.t},•rir.1.1 . ,. ,.r•,��` OP Tigard AUG 5 4'o 1a y n ua, a'i, para'IINa,t ]:( ii 061144( 171- SVII Hell d.'rlgaritc 972 PO'• °W Wig Prink Ph• ut 101,i 18.2439 Pox' 9011:19! �,n,I N of Yep�'R Dwell n • Igs•eotton Llnr M3.639.0177 �11 4 VT I.IGARD •ma'*', `Y: •__I�•• •••. rc rWt ar . . 7,,;,tI,I., N �4� r Bupple nnidtr'brrlplllloo Ill .wtrobagordamilw +t!'1 •'1► •( '� 1 - ' *wW—Ln...— -• . n18 7000k 4"114117111% I act 0 Ad!Wfttatlral'ae n•V• {a New eorlawe,al+ • r AddlQtifilalmratlalr/rcplaaamant py re ofneder4aauaptmtm'a •B klnsmribi arras. • ©Demolition ' . II ter: rem the t'rrmb o tilt elm, 17 Mahal m's bolivaoh. • w— y?Fi�.. ..r ., , o t: ereredr10A0Qanp ot154 ietla'u 0Ron1lnul'npdirga- " l i w,uY{:'L L� I ir!�IIRSIO'�ll�'l�Itl I11i1a mdacracts14,400 PCantmetrJ41.44norlatamMl . ❑1-oral 2,40mIty dwelling Conlfreroialandtstrial. ■Meeesori building ' toop„mraDatter aannatamd . holleOga. 0 Mutlh'flhni ly 1 • 1 M a l t a WNW'' - O t h e r: ' l I Ph gala. •..p it ioalia o?71 Ow.■at C 1rn0R�7gams briar arpommlydarhad ' ZInWi370D1 I QAdraolofnautmtor land of 1'"A "L', •t4°."Id; • Job no.: Job site addtu110200 SW ORti11�T1oR180 11,0 or croon off• 79095 �'i�arawretdlOeandunha, tiRaoraadanaf?shirk parlu. 'pltaaimaanofIIhllr. ' OW*velum for mom tho ClyBt6mIZP: TIGARD, OR 97213 ©af aldwatomoGau, ;�wltraomimt. Suii/bldeJapt a. ; 320 Project nafliaSPEIY OVELna ■9muiw or Weis* •J.•orro c L S I". t.� t w 1.' trl^1•t�t'IR# Asa Cross strnetldiregtionstojob4iGC. AImtAL13[L 503-BOb.93ad iTll':�. • . . , , Now roaldantlal .1 11.077011 t: Hatly thi ralhrg unit I 1pobutlmr ardlotlad goon!a. Su 4i,rl>,ion: 1.61 nn.: ODD ea,0.Wars 16144 1111111 11o,kdd4 SOD 1 Or - •0 3192 Tax 1 /• hxt a.: •1 `r'atm,r r• l a 75A D MU WM11 In l• mu,uni014004 73,011 ROE yip p =omits or ® 1110.70 �q• r a �. LWx .t..• ,f�... �© 401 •:•r IIAOD.' 1•• 2A034 Name 101 •• ,to tJ100, •a - a '04 MIN© Addru9a IIIIIIIIIIIIIIIMIIMNIIMIIIIIIII Owr1,0 l 0776tH • ' 3!?„E6 x ,ompprnry adMcu or fc.dlvld loetatlottap,dltat'elke,sedlor City(SiaterZIF: , .::I;rl: Phony( :) Fax:( ' ) . • /Damp or ,50.16• OWN!'Install• ea: s lnsto11adon i8 bill made ep pr''•114+that I town which i8 foot 201 4191 to 4aa'.•. ' ' 12s.os � • iltl�end'sd Ito'aai. !aca,rant,or Fathom,nova+fdit4 re ORS 447,44D.670,and 701. 001 pro s�99 tiTCi11a1Wmaw uren.. t' a •r.d,4[131,1 z Owndr.dl>31teM 111616 �� :li -'l'° u,��!t� tJlwh lur�vl irl r' El�}�t„ PH _■1 j°'• c' s,�:liMill' 7,02' u. I.ey rll rt. � �:J1 1.1 � �:�•� II , 1, • Business nimm 1 Is^ 80N BI.>i:CIPRIC ary• wa • I aar+iaa Or 11161117 6411.fse Ill.11 a� Gantaer name � .'' •'.,,� e.�:.; ' Tach'udd'Ibronco4Itdwi • • ® �IQ• Addrossr j • _ i rrCt;i'7 Its or aa, aahld Phone ( •) P ( )) , ReomUeat On. 614 1111111111111111 repot • . Porno ar irruption Cella •' 67. T SI,r.reoulilneWiling u. 47.994 4 8 'Basinessnamei. ^t:I$'O11fiTS1 ELECTRIC ':a,'• ; 11, •„,:. c•,..4.!..1...•1 u IL! :1,. II ur ,tve Addt .,,,�7, I& 4 B AddlIfetml'i'••-_,-n I brmlr • dd.251br —■ City(92dm(7dP t,,n Na' .0 97201 tnvao t mbt) �. _ I d• (l Omit M Pherrnt Oa )4. 9-39' PoC4 ) 417973695 ao a pOrpOf>tr CL B' 1.16 5 58 Elamite ._ ✓- LIP ,„.c: 52153 ' f i,if,! ?.1tan iTii!l�ala' • n dICnpt'iro.tagt'itadt•' fir .r. .. •' — • , Pita ratrlew 111; '7L ilEl�irimmim ?f m mime: libel,;N- I zwzga . r Drool �,0 0/1S ' . 3mr1 eurnitorse 11216 ie.:r .he): ramum . AuthoTl t1 signahtrI ' . . =Al P*• '7,.:64.')0, —ThllF , OpplCaaaaneifirti'KapOMOh oar a magi wimp ma Pratt pole: .. 6ry1 Mar II all Prim�gt'MIM n WMMltle, . .. ) • Nmroerarldquadaer attend porpamU'. rim aitltdrionalva.t rr olvoroAre Mlllo” 4404dI TIt IfeCtotrota .,„■•••-- '• i+..r! . . . AUG-07-2013 WED 08:07 AM CHRISTENSON ELECTRIC, INC FAX NO. 95034193695 P. 02 Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: :: ipENtiAL WQRK.ONI,Y:; Fee for all residential systems combined $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems" ❑ Burglar Alarm ❑ Garage Door Opener'', ❑ Heating,Ventilation and Air Conditioning System" ❑ Vacuum Systems` ❑ Other. COMMERCIAL WORK ONI Y: .... ree for path commercial $75.00 system (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems 12. Data Telecommunication Installation ❑ 'ire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical [] Nurse Calls. ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: "-No licenses are required. Licenses are required for all other installations 1.0,11.14, crniii.1F.LC-PmnlWpo.117/ol/lo