Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT Permit #: ELR2011 -00039
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/17/2011
Parcel: 1S 135BB00500
Jurisdiction: Tigard
Site address: 10355 SW CASCADE AVE
Project: Fisherman's Marine & Outdoor Subdivision: Lot: 0
Project Description: HVAC system.
Contractor: PERFECT CLIMATE Owner: RAM /CASCADE CENTER LLC
31925 E HISTORIC COLUMBIA RIVER HWY BY ELLIOTT ASSOCIATES INC
TROUTDALE, OR 97060 901 NE GLISAN ST
PORTLAND, OR 97232
PHONE: 503 - 491 -4848 PHONE:
FAX: 503 - 491 -4849
FEES
Description Date Amount
Specifics: Restricted Energy Permit 02/17/2011 $75.00
12% State Surcharge - Electrical 02/17/2011 $9.00
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: y Instrumentation: N
Intercom /Paging: N Landscape /Irrigation: N
Landscape Lighting: N Medical: N
Nurse Calls: N Protective Signal: N
Security Alarm: N Other: N 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 _ • • - - •- • - tule3 direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
-
Issued By /ilL 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 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.
2/17/2011 1:05 PM FROM: Perfect Climate Perfect Climate TO: 503-598-1960 PAGE: 007 OF 009
Electrical Permit Application .w
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2/17/2011 1:05 FM FROM: Perfect Climate Perfect Climate TO: 503-598-1960 PAGE: 008 OF 009
Electrical Permit Application - City of Tigard
J?age 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
• R • • • • • .
Fee for :all residential systems combined.„„„. S75,00
Check Type of Work Involved:
Audio and Stereo Sy:;renv*
Burglar Alarm
E r;ige: Door Opener*
HenLMR, Venrilatic.)114nd Air Condirioning Syit
E Vacuum Sy;:tern
Other:
....,COMMERCIAL.WORK ONLY.
Fc'e each corrnercial---- $75,00
...... ...„.„
i:SF_F. OAR 918,309-00K
Check Type of Work Involved:
0 Audio and Sereo S
Li Boller C.:oniT.ok
E clock s.ran15
Data Telecommunication 1:1llation
0 Fire Alann
\
Hy:\
L j Inst.nmlentation
0 Intercom and lon Stems.
0 Landscape irrigation Control*
Cdr Lighting*
Protective Signaling
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Other
Tocal number of commercial sy:Irerro:
*No licenses arc required. Licenses are required
for all other installations