Permit Support Document (10) CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
2. COMMUNITY DEVELOPMENTPermit#: ELR2017-00124
Date Issued: 06/07/2017
T13125 SW Hall Blvd.,Ti and OR 97223 503.718.2439 1
t ta'1 R. 9 Parcel: 2S104AD04500
MOM Jurisdiction: Tigard
Site address: 12882 SW PARKDALE AVE
Project: Alarm System Subdivision: None Lot: None
Project Description: Install new DSC1832 alarm system. 6/8/17: REPRINTED permit to show changed of address from 12617 SW
Walnut St.to 12882 SW Parkdale Ave.
Contractor: QUADRANT SECURITY INC Owner: BRIAN MCCARTHY
PO BOX 14833 12617 SW WALNUT ST.
PORTLAND, OR 97293 TIGARD, OR 97223
PHONE: 503-234-5558 PHONE: 503-539-8659
FAX: 503-236-2322
FEES
Description Date Amount
Specifics: Restricted Energy Permit 06/07/2017 $75.00
12%State Surcharge-Electrical 06/07/2017 $9.00
Misc Administration Fee 06/08/2017 $45.00
Type of Use: SF
Class of Work: ADD
Total Number of Systems:
Audio&Stereo: N
Security Alarm: Y
Garage Door Opener: N
HVAC: N
Vacuum System: N
Other: N
Other Desc: Total $129.00
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 s or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By:Z --7.-�_., < Permittee Signature: c -_– / 7
OWNER INSTALLATION ONLY Q
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 603.639.4175 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.
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12882 SW PARKDALE AVE, TIGARD, OR, 97223
Record Type: Record ID:
Residential - Electrical Limited Energy ELR2017-00124
Inspection Type: Inspector:
198 Low voltage final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor