Permit (30) CITY OF TIGARD EL TRICAL RESTRICTED ENERGY PERMIT
11„,1
COMMUNITY DEVELOPMENT :-(, Permit#: ELR2016-00052
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 t O• Date Issued: 03/14/2016
T l c_.;�R I 9 Parcel: 1S1260000300
Jurisdiction: Tigard
Site address: 9516 SW WASHINGTON SQUARE RD H05
Project: Ben Bridge Upgrade Subdivision: None Lot: None
Project Description: Upgrade existing Burglar Alarm System.Disconnecting and removing old equipment to be upgraded. 4/28/16,
REPRINTED to correct address to 9516 SW Washington Square Rd H05
Contractor: TYCO INTEGRATED SECURITY LLC Owner: PPR WASHINGTON SQUARE LLC
6305 ROSEWOOD ST SUITE A PO BOX 847
LAKE OSWEGO,OR 97035 CARLSBAD, CA 92018
PHONE: 855-201-1482 PHONE:
FAX: 503-675-4412
FEES
Description Date Amount
Specifics: Restricted Energy Permit 03/14/2016 $75.00
12%State Surcharge-Electrical 03/14/2016 $9.00
Type of Use: COM Misc Administration Fee 04/28/2016 $45.00
Class of Work: ALT
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: 1 Other: 0 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. 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 may obtain a of the rul irect questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: i 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.
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
9516 SW WASHINGTON SQUARE RD H05,
TIGARD, OR, 97223
Commercial - Electrical Limited Energy
198 Low voltage final
PASS - No C of O
ELR2016-00052
Jeff Grove
Violation Summary:
Inspector Contractor