Permit CITY OF TIGARD /1,? o2a / ' ELECTRICAL RESTRICTED ENERGY PERMIT
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g• COMMUNITY DEVELOPMENT Permit#: ELR2014-00244
Date Issued: 10/27/2014
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 1 S135BD00300
Jurisdiction: TIGARD
Site address: 9735 SW SHADY LN 307
Project: C14737 Weinberg DMD Subdivision: ASHBROOK FARM Lot: 5
Project Description: Relocating low voltage cable locations. 12/22/2014: REPRINT permit to correct suite from 308 to 307.
Contractor: CAPITOL DATA&COMMUNICATIONS Owner: MCFADDEN, ARTHUR L
11401 NE MARX ST BY SKLARZ, ERIC
PORTLAND, OR 97220 621 SW MORRISON ST, STE 800
PORTLAND, OR 97205
PHONE: 503-255-9488 PHONE.
FAX: 503-257-7121
FEES
Description Date Amount
Specifics: Restricted Energy Permit 10/27/2014 $75.00
12%State Surcharge-Electrical 10/27/2014 $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 952-0� 00. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 011.800.332.2344.
Issued By: ���J - Permittee Signature:
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
9735 SW SHADY LN 308, TIGARD, OR, 97223
Commercial - Electricial Limited Energy
198 Low voltage final
PASS - No C of O
ELR2014-00244
Jeff Grove
Violation Summary:
Inspector Contractor