Permit q CITY OF TIGARD ' LECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT Permit#: ELR2015-00182
T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/10/2015
Parcel: 151260000300
Jurisdiction: TIGARD
Site address: 9422 SW WASHINGTON SQUARE RD K06
Project: The Duck Store Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: Low Voltage cabing. 8/17/15:Reprinted permit to change address to 9422 SW Washington Square Rd K06.
Contractor: TTC COMMUNICATIONS INC Owner: PPR WASHINGTON SQUARE LLC
PO BOX 16 PO BOX 847
SPRINGFIELD,OR 97477 CARLSBAD, CA 92018
PHONE: 541-689-2650 PHONE:
FAX: 5`I1-689^I2,17
FEES
Description Date Amount
Specifics: Restricted Energy Permit 08/10/2015 $75.00
12%State Surcharge-Electrical 08/10/2015 $9.00
Type of Use: CMS
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. ATTE■ • Ore••' law requires you to follow the rules adopted by the Oregon Utility Notifi - - •-nter. Those rules are set forth in OAR
952-001-• 0 through OAR 95. I' ''90. You may obtain a copy of the rules or direct questions to OUNCby ._2.1987 or,.800.332.2344.
Is ed By: • /' /LL�� Permittee Sign- _ - 0-/f L/1/Lc�
OWNER INSTALLATION ONLY U
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.