Permit (3) IL;
M a rI
r ELECTRICAL RESTRICTED ENERGY PERMIT
CITY OF TIGARD
° COMMUNITY DEVELOPMENT Permit#: ELR2015 00297
iif 'Int' 13125 SW Hall Blvd ,Tigard OR 97223 503.718.243'• Date Issued: 12/15/2015
TI+CrARD Parcel: 1 S135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREEN BURG RD 550
Project: KPD Insurance Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Fire alarm add 7 strobes. 12/16/15:Reprinted permit to show change of address from suite 540 to suite 550.
Contractor: SAFE TECHNOLOGY GROUP INC Owner: LINCOLN CENTER LLC
6400 NE HWY 99 BY SHORENSTEIN PROPERTIES LLC
SUITE G#375 235 MONTGOMERY ST, 16TH FLOOR
VANCOUVER,WA 98665 SAN FRANCISCO, CA 94104
PHONE: 360-699-2130 PHONE:
FAX: 360-719-1527
FEES
Description Date Amount
Specifics: Restricted Energy Permit 12/15/2015 $75.00
12%State Surcharge-Electrical 12/15/2015 $9.00
Type of Use: COM Misc Administration Fee 12/17/2015 $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: 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 $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. 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 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232 1987 or 1.800.332.2344
1
Issued By:
i ���r ,�' Permittee Signature:
/ Q
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
10260 SW GREENBURG RD 550, TIGARD, OR,
97223
Commercial - Electrical Limited Energy
198 Low voltage final
PASS - No C of O
ELR2015-00297
Jeff Grove
Violation Summary:
Inspector Contractor