Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
1,
COMMUNITY DEVELOPMENT Permit #: ELR2009-00345
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 12/01/2009
T [ GfRL�, g Parcel: 25101 BB01400
Jurisdiction: TIGARD
Site address: 12006 SW GARDEN PL, BLDG# 6
Subdivision: PARK 217 Lot: 0
Project: Custom Decorators
Project Description: Install intercom w/ panic button.
FEES
Owner:
WALTON CWOR PARK BC 8 LLC Description Date Amount
BY TTA/EPROPERTYTAX DEPT 325, PO BOX Restricted Energy Permit 12/01/2009 $67.84
4900 12% State Surcharge - Electrical 12/01/2009 $8.14
PHONE:
Contractor:
SONITROL PACIFIC
8220 N INTERSTATE
PORTLAND, OR 97217
PHONE: 503 - 223 -5822
FAX: 503- 973 -7773
Type of Use: COM
Class of Work: ALT
Total Number of Systems: 1
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: Y Landscape /Irrigation: N
Landscape Lighting: N Medical: N Required Items and Reports (Conditions)
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 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 thr ugh AR 952 - 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: Mkt YU CAli jlAiN 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' A_Q LAW _ 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.
NOV-27-09 09 :00 AM SONITROL-PORTLAND 9737773 P . 02
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Subdivislon; 1..t DO.: 1.000 5q. ft. or Icss
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• Tax iitap/purcel no.:
Limited energy', residential • 1
07,84
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t ft '',.. • ' • • ... '' • ' DESCRIPTION oF WORK _
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1...lirmed energy, mulli•fiirnily i
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Installation of one Aiphone . . , - i
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Services ur fccticrs Installation. allcra kin, and/or rtiocatlon _}
S stem with _panic bu_t_.1Qa,,. 204) amp .1 leAs l )1 1 70
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.ID-PROPERTY OWNER • 0 TENANT 2____..__._
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Ph011e: ( ) I Fax! ( ) 200 amps pr lo:.s 59.31)
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°Wrier huttallotion: This installation is beiq made on pro;)erly that I own whieh is 20! anip o 400 amps not 2
intended rent, r e
:;,11e, len, oxchange, aciurding to ()RS 447, 449, 670, and 701,
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C.ontact name:
nt'St lounChciteuil . s
1:ach add'Ibrancli circuit 7.42 2 •
. Address,
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Phone: ( ) I Fax: : ( ) ReConnect only 1 07384
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E-mail: , p or irrigation circle -
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5.;:pal citeuit(s) or limited
Business ritunc: Sonitrol Pacific
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Address: 8220 N. Interstate Avenue extension. Describe: 1 l'uge2
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Ci1yi5.it at e.'Z 11, Portland OR. 9721'7 Enth odtlitionnaup ovvr allowable In any of the abov ,
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Suprv. Electrici:'in signoture 1,1
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Print ntline. Date:
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