Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT Permit#: ELR2014-00167
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 ' ' Date Issued: 07/24/2014
Parcel: 2S101BA00101
Jurisdiction: TIGARD
Site address: 7500 SW DARTMOUTH ST
Project: Tigard Retail Center-Outbuilding#2 Subdivision: WEST PORTLAND HEIGHTS Lot:
Project Description: Fire Alarm System. 12/18/14,reprinted to correct address&project name.
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Contractor: E C COMPANY Owner: WAL-MART REAL ESTATE BUSINESS TR
PO BOX 10286 BY PROPERTY TAX DEPT STORE 5935-00
PORTLAND, OR 97296 PO BOX 8050
ATTN MS 0555
BENTONVILLE,AR 72716
PHONE: 224-3511 PHONE:
FAX: 503-295-351T
3c0" FEES
Description Date Amount
Specifics: Restricted Energy Permit 07/24/2014 $75.00
12%State Surcharge-Electrical 07/24/2014 $9.00
Type of Use: COM
Class of Work: NEW
Total Number of Systems: 1
Audio&Stereo: 0 Boiler Controls: 0
CCTV: 0 Clock Systems: 0
Data&Telecommunications: 0 Fire Alarm: 1
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 •ect 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 a dance with -.proved 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. ATT TION: Oregon la r-.•uire• you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0 10 through OAR 952-00 • 090. You y obtain a copy of the rules or direct questions to OUNC by callin. .• .132.1987 or 1.800.332 2344.
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Issue By: I/ Permittee Signa re: - r c�-
i
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 Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
7500 SW DARTMOUTH ST, TIGARD, OR, 97223
Commercial - Electricial Limited Energy
198 Low voltage final
PASS - No C of O
ELR2014-00167
Chip Barnett
Violation Summary:
Inspector Contractor