Permit (20) CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
111 • COMMUNITY DEVELOPMENT Permit#: ELR2015-00304
(
13125 SW Hall Blvd.,Tigard OR 97223 503.718.243• AM Date Issued: 12/23/2015
T f i„'4 R.17 g Parcel: 2S113AB01201
Jurisdiction: Tigard
Site address: 16290 SW UPPER BOONES FERRY RD
Project: State of Oregon DOJ Subdivision: None Lot: None
Project Description: Install access control system.3/9/16,REPRINTED to correct job site address
PDX-13408
Contractor: ARONSON SECURITY GROUP Owner: PACIFIC REALTY ASSOCIATES
8089 SW CIRRUS DR ATTN: N PIVEN
BEAVERTON, OR 97008 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-639-9988 PHONE:
FAX: 503-684-4357
FEES
Description Date Amount
Specifics: Restricted Energy Permit 12/23/2015 $75.00
12%State Surcharge-Electrical 12/23/2015 $9.00
Type of Use: COM Misc Administration Fee 03/09/2016 $45.00
Class of Work: NEW
Total Number of Systems: 1
Audio&Stereo: 0 Boiler Controls: 0
CCTV: 0 Clock Systems: 0
Data&Telecommunications: 0 Fire Alarm: 0
HVAC: 0 Instrumentation: 0
Intercom/Paging: 0 Landscape/Irrigation: 0
Landscape Lighting: 0 Medical: 0
Nurse Calls: 0 Protective Signal: 0
Security Alarm: 0 Other: 1 Total $129.00
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. ATTENTI• . 'on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 rough OAR 2-001-i•-.0. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued B : Ll 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 503.639.4176 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.
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
16290 SW UPPER BOONES FERRY RD,
TIGARD, OR, 97224
Commercial - Electrical Limited Energy
198 Low voltage final
PASS - No C of O
ELR2015-00304
Herb Stabenow
Violation Summary:
Inspector Contractor