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Permit
CITY OF TIGARD 1111 ELECTRICAL RESTRICTED ENERGY PERMIT 2:' COMMUNITY DEVELOPMENT Permit#: ELR2018-00049 TtGA.RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/09/2018 Parcel: 1 S135AB01004 Jurisdiction: Site address: 10220 SW GREENBURG RD 600 Project: Hull and Company Subdivision: METZGER,TOWN OF Lot: 9 Project Description: Limited energy for fire alarm notification device. Contractor: POINT MONITOR CORPORATION Owner: LINCOLN CENTER LLC 5863 LAKEVIEW BLVD STE 100 BY SHORENSTEIN PROPERTIES LLC LAKE OSWEGO, OR 97035 235 MONTGOMERY ST, 16TH FLOOR SAN FRANCISCO, CA 94104 PHONE: 503-627-0100 PHONE: FAX: 503-627-0110 FEES Description Date Amount Specifics: Restricted Energy Permit 04/03/2018 $75.00 12%State Surcharge-Electrical 04/03/2018 $9.00 Type of Use: COM Class of Work: ALT Total Number of Systems: 0 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 $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: 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= opy o - les or direct questions to OUNC by calling 3.232. 987 or 0f0.332.2r2344. }} LC Issued By: / Permittee Signature: l J 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. a e 0 d �€ U y R CL C � �+ R, L � � OL _, iO •� O W ... � U � Q a .� w 0 E 0 z b N M Q .� C N c Q .� a w 0 U 0 F a d 0 N O L �i {Sb W W �I .-1 W Q 0. U� 0. 5 b a Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: Fee for all residential systems combined: $75.00 D�cri don © Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less III 100.70 _© 5.01 to 15 kva 1.11 133.56 _© ❑ Audio and Stereo Systems* 15.01 to 25 kva 111 200.34 _© Wind •eneration s stems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva - 301.04 _© ❑ Garage Door Opener* 50.01 to 100 kva 1111 552.26 _© >100 kva(fee in accordance III with OAR 918-309-0040 552.26 -© ❑ Heating,Ventilation and Air Conditioning * Solar generation systems in excess of 25 kva: System Each additional kva over 25 111 7.42 _© ❑ Vacuum Systems* >100 kva-no additional charge - 0.0 ElOther: additional ins'ection over allowable in an of the above: Other: Each additional inspection is ■ 66.25/hr min s.ecificall listed 'A hr mi fee is ■ 90.00/hr _. k'" * car• at an hourl 1 hr n Inspections for which no v !...-1,1444,440; :61) �,`"` `^ � , }' '... ' ' ,r. Fee for each commercial system: $75.00 Subtotal(Enter on Page 1): (SEE OAR 918-309-0000) * Number of inspections allowed per permit. Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ® Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: 1 *No licenses are required. Licenses are required for all other installations I:\Building\Permits\ELC PermitApp_ELR ERE.doc Rev 06/17/2015 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 10220 SW GREENBURG RD 600, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Electrical Limited Energy ELR2018-00049 Inspection Type: Inspector: 198 Low voltage final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor