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Permit CITY O F T I G A R D ELECTRICAL PERMIT RESTRICTED ENERGY ° ,i r^ DEVELOPMENT SERVICES PERMIT #: ELR2000 -00189 - 13125 SW Hall Blvd., Tigard, OR 97223 (5031 639 -4171 DATE ISSUED: 8/15/00 SITE ADDRESS: 09534 SW WASHINGTON SQUARE RD H -12A PARCEL: 1S126C0 -01107 SUBDIVISION: WASHINGTON SQUARE ZONING: C -G BLOCK: LOT: JURISDICTION: TIG Project Description: Installation of audio and stereo system. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: X INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: • HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: 1 Owner: Contractor: PPR WASHINGTON SQUARE LLC JUSTICE COMMUNICATIONS BY MACERICH COMPANY 3335 SE HAWTHORNE BLVD ATTN: JANET FISHER, ASSET MGR PORTLAND, OR 97214 SANTA MONICA, CA 90407 Phone: Phone: 503 - 232 -6163 Reg #: ELE 26- 211CLE LIC 67545 FEES Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRMT DEB 8/15/00 $60.00 0004498 Elect'l Final 5PCT DEB 8/15/00 $4.80 0004498 Total $64.80 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 • - - ollow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in O, 952 -001 -0010 thro.• h OAR 952 - 001 -0080. You may obtain copies of these rules or direct ,,r: lions .% C at (503) 246 - .987. Issu > • by I / / r /L„, z i, Permittee Signature / ` ✓1 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: CO TRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd b . 13122 SW HALL BLVD Date Rec'd: $- /S-e TIGARD OR 97223 PRINT OR TYPE V - 503 - 639 -4171 X304 Permit #: gG90- /S/ F - 503 - 598 -1960 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd: WILL NOT BE ACCEPTED Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY J Ate/ � d 6 Restricted A LL SY STE Fee $60.00 � / (FOR ALL SYSTEMS) JOB St a ddress Ste # ADDRESS / .��3-elra/ ///-214 Check Type of Work Involved Ce , Zip Phone # n Audio and Stereo Systems N e PPPtL u mf,{f gi, 4.. n Burglar Alarm IY Mm-C�/Lteh &oilho OWNER Mailing Address ❑ Garage Door Opener* .A rj - HONreA - efF 9Dtf07 ❑ City /S to Zip Phone # Heating, Ventilation and Air Conditioning System* / : Win)¢ ro4/7`F-2 lt55f i 1''162, n Vacuum Systems* Name / 1.7 (/i / p�7,Aipiv,...+ ❑ Other CONTRACTOR n g �Address 5. 5 .5Z - o?� �e TYPE OF WORK INVOLVED - COMMERCIAL ONLY (Prior to issuance a C tat Phone # Fee for each system $60.00 copy of all licenses I /y 33.- —,t(/�3 (SEE OAR 918-260-260) are required if Oregon Contr Brg Lic # Expiate expired in C 0 T.e`,5 ,.79 5 ,7 �� Check Type of Work Involved data base). Electrical Contr. Lic. # xp. a - X -af/ r . - ... Audio and Stereo Systems C O.T. or Metro Lic. # Ex. iT- r c.2,'27 93 7/ O/ n Boiler Controls Owner's Name n Clock Systems OWNER - Mailing Address APPLICANT n Data Telecommunication Installation City /State Zip Phone # n Fire Alarm Installation This permit is issued under OAE 918 - 320 -370 This applicant agrees to make only restricted energy installations (100 volt amps or less) under this ❑ HVAC permit and to do the following n Instrumentation 1. Only use electrical licensed persons to do installations where required. Certain residential and other transactions are exempt from licensing. n Intercom and Paging Systems These have asterisks(*) All others need licensing, n Landscape Irrigation Control* 2 Call for inspections when installation under this permit are ready for inspection at 503 - 639 -4175; n Medical 3. Purchase separate permits for all installations that are not ready for an n Nurse Calls inspection when the inspector is out to inspect under this permit, 4 Assume responsibility for assuring that all corrections required by the n Outdoor Landscape Lighting' inspector are done, and, ❑ Protective Signaling 5. Assume responsibility for calling for a final inspection when all of the corrections are completed. n Other Permits are non - transferable and non - refundable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days Number of Systems The person signing for t • permit must b th pplicant or a person • No licenses are required Licenses are required for all other installations authorized to bind th I' ant. FEES: / _.,12- Signature ENTER FEES $ OO. 8% SURCHARGE (.08X TOTAL ABOVE) $ zi, Authority if other than Applicant TOTAL / _ _ y " 'd i \dsts \forms \resele doc 3/98