Inspections p CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT Permit#: ELR2013-00302
T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/21/2013 I
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Parcel: 1S134AA01800
Jurisdiction: Tigard
Site address: 10260 SW NIMBUS AVE M9
Project: Professional Video&Tape 400112699 Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: 2
Project Description: Low voltage burglar alarm for Professional Video&Tape 400112699. 3/5/14,reprinted to correct address and
suite number.
Contractor: ADT LLC Owner: HANSON, RONALD D
2815 SW 153RD DR ROBINSON,CONSTANCE A
BEAVERTON,OR 97006 ROBINSON,CHESTER TRUST ET AL
203604 EAST FINLEY RD
KENNEWICK,WA 99331
PHONE: 503-469-7241 PHONE:
FAX: 503-469-7110
FEES
Description Date Amount
Specifics: Restricted Energy Permit 11/21/2013 $75.00
12%State Surcharge-Electrical 11/21/2013 $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: 0 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: 1 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 accord-. ith 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. ATTEN •N: Orego law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-00 •through OAR 952-'1 r s 0. You may obtain a copy of the rules or direct questions to OUNC by calli . 987 or 1.800. 32.2344.
Issue. =y: 1,0/I(IAOL► Permittee Signatie:
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:
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Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10260 SW NIMBUS AVE M9, TIGARD, OR,
97223
Commercial - Electricial Limited Energy
199 Electrical final
2014-03-14 (null)
ELR2013-00302
PASS - No C of O
Violation Summary:
Inspector Contractor