Permit p CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT Permit#: ELR2015 00096
Date Issued: 04/07/2015
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.24 Parcel: 2S113AC00103
iroiali Jurisdiction: TIGARD
•
Site address: 7244 SW DURHAM RD 300
Project: Ricoh Subdivision:COUNCIL VIEW ACRES(LOTS 21-44) Lot: 25-27,2:
Project Description: Cabling. 4/21/15,reprinted to add parcel&owner information
Contractor: ADVANCED COMMUNICATIONS SERVICES INC Owner: PACIFIC REATLTY ASSOCIATES LP
PO BOX 231196 15350 SW SEQUOIA PKWY#300
PORTLAND,OR 97281-1196 PORTLAND, OR 97224
PHONE: 503-598-7082 PHONE: 503-624-6300
FAX: 503-598-7320
FEES
Description Date Amount
Specifics:, Restricted Energy Permit 04/07/2015 $75.00
12%State Surcharge-Electrical 04/07/2015 $9.00
Type of Use: COM
Class of Work: OTR
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: 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: • - • law requires you to follow the rules adopted by the Oregon Utility Notification Centel Those rules are set forth in OAR
952-001-0010 •ugh OAR 95 001-88'0. You may obtain a copy of the rules or direct questions to OUNC by calling . 1987 or 1.800.332.2344.
Issue. By: / PermitteeSignattce.: l�iL�t2c✓�
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.