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Permit CITY OF TIGARD ELECTRICAL PERMIT - RESTRICTED ENERGY �i� DEVELOPMENT SERVICES PERMIT #: ELR2000 -00136 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/9/00 SITE ADDRESS: 09693 SW WASHINGTON SQUARE RD eagelair PARCEL: 1S126C0 01107 SUBDIVISION: ZONING: C -G BLOCK: LOT: JURISDICTION: TIG Project Description: Installation of low voltage, audio /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 COMWERX BY THE MACERICH COMPANY 12121 NE 99TH ATTN: JANET FISHER, ASSET MGNT SUITE 2100 SANTA MONICA, CA 90407 VANCOUVER, WA 98682 Phone: Phone: 1- 888 - 266 -9379 Reg #: SUP 1800JLE LIC 117471 ELE 37 -780c1 FEES Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRMT DEB 6/9/00 $60.00 0002816 Elect'l Final 5PCT DEB 6/9/00 $4.80 0002816 06%\ 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 you • low rules adopted by the Oregon Utility Notification Center. Those rules ar- set ort in OAR 952 -00 .010 thro OAR 952 - 001 -0080. You may obtain copies of these rules or direc - ti� to OUNC at (503) 246- • 87. wow Issu :-• by .Q Permittee Signature (J / 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 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•: - 13125'S1N HALL BLVD Date Rec'd: • - TIGARD OR 97223 PRINT OR TYPE /r ?,�n V - 503 - 639 -4171 X304 Permit #: et/ 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 Restricted Energy Fee $60.00 ,JOI'jOn + A LLQ,k (FOR ALL SYSTEMS) JOB Street Address Ste # ADDRESS h '5(.J1445Q /o/0 7 Check Type of Work Involved: 9((c.2 �- ?rate 9) 7z23 Phone # io and Stereo Systems Name ❑ Burglar Alarm e ... 5" , - ��� " d ❑ Garage Door Opener* ailin A s OWNER g d � I�I City /State Zip Phone # I I Heating, Ventilation and Air Conditioning System* Name ❑ Vacuum Systems* (11i7 6Je4eX, Yom' c ❑ Other CONTRACTOR Mailing Address /,;2 /a /A/rl'Gj TYPE OF WORK INVOLVED - COMMERCIAL ONLY (Prior to issuance a Cityi State ' ,� p Phone ,c7 Fee for each system $60.00 copy of all licenses v4,-,6._ 4re /, -Lf J 3 (SEE OAR 918 - 260 -260) are required if Oregon Contr. Brd Lic. # Exp. Date expired in C.O.T. //2 /7, /- C -7-" b Check Type of Work Involved: data base). Electrical Contr. Lic. # Exp. Date 37- 7 i O CL &- /0- -0 4 Audio and Stereo Systems C 0 T. or Metro Lic # Ex . Date ©a CGo 5 9 D -1--ac, ❑ Boiler Controls Owner's Name n Clock Systems OWNER - Mailing Address APPLICANT n Data Telecommunication Installation City /State Zip Phone # ❑ 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: ❑ Instrumentation 1 Only use electrical licensed persons to do installations where required. Certain residential and other transactions are exempt from licensing. ❑ 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; ❑ 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 ❑ Outdoor Landscape Lighting' inspector are done, and; n Protective Signaling 5. Assume responsibility for calling for a final inspection when all of the corrections are completed. ❑ 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. 1 Number of Systems The person signing for th permit must be the applicant or a person • No licenses are required. Licenses are required for all other installations authorized to i / i , icant FEES: 4 , 6 l iSTL� ( 0,00 S na u �:% TER FEES $ r ° u ''10 67. po SURCHARGE (.05 X TOTAL ABOVE) $ v Authority if other than Applicant TOTAL $ 4V—g i \dsts \formslresele doc 3/98