Permit CITY OF TIGARD NZ= ELECTRICAL RESTRICTED ENERGY PERMIT
1111 "
COMMUNITY DEVELOPMENT Permit#: ELR2014-00109
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/06/2014
TIGARD Parcel: 1S135BC00700
Jurisdiction: Tigard
Site address: 10795 SW CASCADE AVE
Project: DIRECTBUY OF GREATER PORTLAND Subdivision: HILLSBORO Lot: PTS 1-2
Project Description: Intrusion alarm system. 5/6/2014 REPRINTED permit to revise project name per applicant's request.
Contractor: PHILLIPS ELECTRONICS Owner: BRE IPC PARCEL PROPERTY OWNER LL
3247 NW 29TH AVE TWO NORTH RIVERSIDE PLAZA, STE 2350
PORTLAND, OR 97210 CHICAGO, IL 60606
PHONE: 503-222-5083 PHONE:
FAX: 503-227-4992
FEES
Description Date Amount
Specifics: Restricted Energy Permit 05/06/2014 $75.00
12%State Surcharge-Electrical 05/06/2014 $9.00
Type of Use: COM
Class of Work: ADD
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 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: Permittee Signature: O//G/A/E-
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:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10795 SW CASCADE AVE, TIGARD, OR, 97223
Commercial - Electricial Limited Energy
199 Electrical final
PASS - No C of O
ELR2014-00109
Jeff Grove
Violation Summary:
Inspector Contractor