Permit CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
�i DEVELOPMENT SERVICES PERMIT #: ELR2006 - 00081
'�I II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 4/14/2006
PARCEL: 1S12600-00300
SITE ADDRESS: 09393 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: Abercrombie Kids #134. Low voltage Data/Telecommunication.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: X NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: : HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
WASHINGTON SQUARE LLC LIBERTY COMMUNICATIONS
BY THE MACERICH COMPANY 2191 NE LIBERTY AVE.
9585 SW WASHINGTON SQUARE RD GRESHAM, OR 97030
TIGARD, OR 97223
Phone: Contact #: PRI 503- 674 -4922
FEES Reg #: ELE 26- 1035CLE
LIC 101807
Description Date Amount SUP 3990LEA
[ELPRMT] ELR Permit 4/14/2006 $75.00
[TAX] 8% State Surcha 4/14/2006 $6.00 REQUIRED ITEMS AND REPORTS
Total $81.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC at 503 - 246 -6699.
Issued By: 3 : 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'N: 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.
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2006-00031
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/14/200:;
Phone: (503) 639 -4171 �P+
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/21/2006 TIME: 7:02AM PAGE: 4
SITE ADDRESS: 09393 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: ABERCROMBIE KIDS
DESCRIPTION: Abercrombie Kids #ill. Low voltage Data/Telecommunication.
OWNER: WASHINGT ' SQUARE t.LC, PHONE #:
CONTRACTOR: LIL3ER - r( CO UNICATIONS PHONE #: 503- 674 -4922
Inspection Request Scheduled For: Date: 41211200E Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Li. • . • _ 020463 -01 503-674 -4922 N
t 5 .
■• ections /Comments /Instructions:
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: y 1-4 Ob Phone #: (503) 718