Permit
CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT Permit#: ELR2010-00014
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 01/27/2010
Parcel: 1 S134AA01800
Jurisdiction: Tigard
Site address: 10130 SW NIMBUS AVE D6
Subdivision: SCHOLLS BUSINESS CENTER Lot: 0
Project: Rapid Technologies
Project Description: Addition to existing burglar alarm system.
FEES
Owner:
ROBINSON, CONSTANCE A & Description Date Amount
ROBINSON, LYNN ET AL, BY KG INVESTMENT Restricted Energy Permit 01/27/2010 $67.84
MGMT, 10240 SW NIMBUS AVE #L3 12% State Surcharge - Electrical 01/27/2010 $8.14
PHONE:
Contractor:
SIMPLE SECURITY
4836 SW SCHOLLS FERRY RD. #226
PORTLAND, OR 97225
PHONE: 503-574-2254
FAX: 503-245-2998
Type of Use:
Class of Work:
Total Number of Systems:
Audio & Stereo: N Boiler Controls: N
CCTV: N Clock Systems: N
Data & Telecommunications: N Fire Alarm: N
HVAC: N Instrumentation: N Total $75.98
Intercom/Paging: N Landscape/Irrigation: N
Required Items and Reports (Conditions)
Landscape Lighting: N Medical: N
Nurse Calls: N Protective Signal: N
Security Alarm: N Other: N
Other Desc:
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 accordance wi proved 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. TTENTION: Oregon la re uires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 01-0010 through OAR 952-00 1 0. u may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800 332.2344.
ssued By: Permittee Signature:
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 an inspection that business day.
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.