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Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT 1 . s COMMUNITY DEVELOPMENT Permit #: ELR2013 -00287 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718 2439 . I Date Issued: 11/13/2013 I Parcel: 1S126DCO3300 /41, ©Mill Jurisdiction: Tigard Site address: 9900 SW GREENBURG RD 130 Project: TIAA CREF Subdivision: LEHMANN ACRE TRACT Lot: 4 -5 Project Description: voice /data cabling installation. 12/5/13, reprinted to add CCTV system. 43995 Contractor: CACHE VALLEY ELECTRIC Owner: ATHERTON REALTY PARTNERSHIP 6200 SW ARCTIC DR 2100 S WOLF BEAVERTON, OR 97005 DES PLAINES, IL 60018 PHONE. 503 -431 -6600 PHONE: FAX: 503 - 624 -1436 FEES Description Date Amount Specifics: Restricted Energy Permit 11/13/2013 $75.00 12% State Surcharge - Electrical 11/13/2013 $9 00 Type of Use: COM Restricted Energy Permit 12/05/2013 $75 00 Class of Work: ALT 12% State Surcharge - Electncal 12/05/2013 $9 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 $168.00 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 i ccordance .. 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 ENTION• Oregon -w requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952 -0 -0010 through OAR 952 -01 ' •90 • may obtain a copy of the rules or direct questions to OUNC by5all 03 23 1987 or 1 800.332.2344 f Permittee Signat 6 • / / �� Iss ed By: 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. Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 9900 SW GREENBURG RD 130, TIGARD, OR, 97223 Commercial - Electricial Limited Energy 199 Electrical ﬁnal 2013-12-06 00:00:00 ELR2013-00287 PASS - No C of O Violation Summary: Inspector Contractor