Permit � p CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
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'`1 E COMMUNITY DEVELOPMENT I Permit#: ELR2015 00086
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 W � Date Issued: 03/24/2015
Parcel: 1 S135AB01004
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD .
Project: Lincoln Tower Supply fan/vfd upgrade Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Low volt wiring HVAC 12floors. 4/30/15: Reprinted permit to show address correction to 10260 SW Greenburg Rd.
Contractor: AMERICAN HEATING Owner: LINCOLN CENTER LLC
5035 SE 24TH AVE BY SHORENSTEIN PROPERTIES LLC
PORTLAND, OR 97202-4765 555 CALIFORNIA ST 49TH FL
SAN FRANCISCO, CA 94104
PHONE: 503-239-4600 PHONE:
FAX: 503-239-7038
FEES
Description Date Amount
Specifics: Restricted Energy Permit 03/24/2015 $75.00
12%State Surcharge-Electrical 03/24/2015 $9.00
Type of Use: COM Misc Administration Fee 04/30/2015 $45.00
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: 1 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 $129.00
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. ATTENTIe•on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001- through OAR • • 001-00'•. ou may obtain a copy of the rules or direct questions to OUNC by ate .1987 or 1.800.332.2344.
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Iss ed By: } Permittee Signatu i7 /6'11 _44_c ter/
OWNER INSTALLATION ONLY /J
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.