Permit •
CITY OF TIGARD prifj,M.4 ELECTRICAL RESTRICTED ENERGY PERMIT
11111 COMMUNITY DEVELOPMENT Permit#: ELR2014-00100
Date Issued: 04/24/2014
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S135AB04500
Jurisdiction: Tigard
Site address: 10250 SW GREENBURG RD 217
Project: CASCADE RESIDENTIAL MORTGAGE Subdivision: 1991-055 PARTITION PLAT Lot: 1
Project Description: LOW VOLTAGE VOICE/DATA CABLING FOR REMODEL 5/13/14: REPRINT permit to correct suite#from 104 to
217.
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 04/24/2014 $75.00
12%State Surcharge-Electrical 04/24/2014 $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 952-001-00 You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 01 1.800.332.2344.. /
Issued By: TY-C Permittee Signature: OA/ ///PL/ `7 76
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
10250 SW GREENBURG RD 217, TIGARD, OR,
97223
Commercial - Electricial Limited Energy
199 Electrical final
PASS - No C of O
May 29, 2014 at 12:30:07 PM
ELR2014-00100
Jeff Grove
Violation Summary:
Inspector Contractor