10220 SW GREENBURG ROAD STE 130-2 10220 SW GREENBURG ROAD #130
i
1999
SAVE - HISTORICAL INFORMATION
BUILDINGS) NAME CHANGE
PER KIT CHURCH, ENGINEERING
10220 GREENBURG RD, LINCOLN II NORTH
CHANGED TO 10220 GREENBURG RD, LINCOLN III
10220 GREENBURG RD, LINCOLN II SOUTH
CHANGED TO 10220 GREENBURG RD, LINCOLN II
CITY OF TIGARD
DEVELOPMENT SERVICES
13125 SW Nall Blvd., Tigard, OR 97223(503)639.4171 ELECTRICAL PERMIT -
RESTRICTED ENERGY
PERMIT #: ELR99-0046
DATE ISSUED: 03/12/99
PARCEL-: 1 S 13 SAB--01004
SITE ADDRE 5S. . . : 102,20 SW GREENBURG RD #130
SUBDIVISION. . . . :TWO t_.INCOL.N -- TOWN OF MET'ZGER ZONING:C—P
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . J(..)RISDICTN: TIG
Pt-ojec-t Description : Install a data telecommunication system.
----------------------
A. RES I'DENT I AL.. -- -- —___ B. COMMERC I AL—
AUDIO & STEREO. . . : AUD 'O A STEREO. . : INTERCOM R PAGING. . :
BURCiL.AR ALARM. . . . : BOIL-ER. . . . . . . . . . . LANDSCAPE/IRRIGAT. . :
GARAGE OPENER. . . . . CL.00K. . . . . . ., . . . . . ME:DICAL. . . . . . . . . . . . .
HVAC. . . . . . . . . . . . . . DATA/TELE CC?1'M, . : X NURSE CALLS. . . . . . . . .
VACUUM SYSTEM, . . . : FIRE AL..ARM. . . . . . : OI.ITDOOR LANDSC LITE:
OTHER: : : Hk'AC. . . . . . . , . . . . PROTECTIVE SIGNAL. . :
INSTRUMENTATION. : OTHER. . : . .
TOTAL # OF SYSTEMS: 1
Owner-; __..___._.___._._____.___._.___.___..___...____..___.______._...._._.__.____._______._.__.___.. FEES -----------------.
NORR.IS, BEFS3, SIMPSON PROPERTY type amol-tnt by date reept
102'20 SW GREENBLIR13 RAOD PRMT f 40. 00 GE "J 03/12/99 99-3136-311
TIGARD OR 97223 5PCT $ 2. 00 r"+:_ '! 03/12/99 99-313634
Phone #:
Contractor-•:
CHRISTENSON ELECTRIC TNC E 42. 00 TOTAL
1 1. 1 SW COI-.LIMBI A
STE 480 __..__-__. REDUIRED INSPECTIONS
PORTLAND 7R 972:01. Low Voltage Insp
Phone #: 241-4812 Elect' 1 Final
Reg #. . : 01I10458
This permit is iisued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and ail other
applicable laws. All work will be gone in accordance with approved plans. This permit will expire if work is not started within 180
days of issuance, nr if wl k is suspended for more than 180 days. ATTENTION: Oregon law requires yogi to follow rule adopted by the
Oregon Utility Notification Center. Those rules arc set forth in nAR 952-00140010 through OAR 352-001 0090. Yol. may obtain copies of
these rules or directque5"o s o OUNC 15031246-199i. 1
Isso.ted by-dr.�( /, �' z� Permittee Si gnatl_ire_�>�'�
t
--------- .___ _-.—_._OWNER INSTALLATION
The installation is being made on property I own which is not intended for-
sale,
orsale, ].easy, or rent.
OW19�`R' S SIGNATURE: DATE:
IN57ALL.ATION ONLY- -------------------- -_.____.
SIGNATURE OF' SUF'R. ELEC' N: DATE:
LICENSE NO:
++*+++ h++-f-+++++++ t•+•++++1-+++•�-++++-}++++++++++H++++++•i-++++++++i•++++++.f-++4-++ -++++-I , 1
Call 639-4175 by 7 :00 P. M.. for- an inspection needeil the next business d,--Ay
+++++++.+++++++++1-+++++++++++•+++++++++++;+++++++++E+•f-i-+++++++++++++•1-+++++++++++++
CITY OF TIGARD RESTRICTFO ENERGY ELECTRICAL APPLICATION Recd by
13125 5W HALL BLVD Date Recd:
TIGARD OR 97223 PRINT OR TYPE
V-503-639-4171 X304 Permit#: le 11`>�1'[3d Ij
F - 503.684-7297 INCOMPLETE OR ILLEGIBLE APPLICAI iONS CLISt.Call'd:
,IOB:50-00736 WILL NOT HE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED -RESIDENTIAL ONLY
AMERICAN EXPRESS Restricted Energy Fee........................................ $40.00
(FOR ALL SYSTEMS)
JOB Street Addresi Ste#
ADDRESS 10220 SW GREENBURG RD 130
Check Type of Work Involved
City/State Zip Phone# ❑ Audio and Stereo Systems
_ PORTLAND_ OR 197223-5503
Name ❑ Burglar Alarm
NORRIS,BEGGS,SIMPSON PROPERT7 MliNAGEMENT
Address ❑
OWNER Mailing Ad
ss Garage Door Opener'
10220 SW GREENBURG RD ❑ Heating,Ventilation and Air Conditioning System'
City/State Zi Phone#
N-R LAND OR 97p223 ❑ Vacuum Systems'
Name
CHRISTENSON ELECTRIC, INC. [} Other
CONTRACTOR Mailing Address
1 i 1 SW COLUMBIA SUITE 480 17YPE OF WORK INVOLVED -COMMERCIAL ONLY
(Prior to issuance a City/Slate Zip Phone# Fee for each system.............................................. $4000
copy of all licenses P01,'TLAND OR 97201 241-481 (SEE OAR 918-260-260)
are rer-uiied If Oregon Contr. Brd Lic # Exp. Date
expired In C O T. 458 5/99 Check Type of Work Involved:
data base). EI ctncal Contr Lic.# Exp Date
6-34C 1�/99 ❑ Audio and Stereo Systems
C O.T.or Metro Lic # Exp Date
_ 5246 12/99 ❑ Boiler Controls
Owner's Name
❑ Clock Systems
OWNER - Mailing Address
APPLICANT Data Telecommunication Installation
City/State Zip Phone# ❑
Flee Alarm Installation
This permit is Issued under CAE 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;
❑ 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 riot ready for an ❑ Nurse Calls
Inspect on r.nen the inspires i,.out to inspect under this permit;
4 Assume responsibility tc:r ,ui ng that all corrections required by the ❑ Outdoor Landscape Lighting'
in`pertor are done,ano;
❑ Proter.tive Signaling
5. A-sume responsibility f.. calling for a final inspection when all of the
c rrections are complex:�d ❑ Other
Permits are non-transferable ane,non-refi,idable and expire If work is not
afarted within 180 days of Issuance or If work is suspended for 1e0 days Number of Systems
The person signing for this permit must be the applicant or a person No licenses are required Licenses are required for all other installations
authorized to bind the applicant
FEES_
ENTER FEES $ 40.
Signature -- 2. -
5^/SURCHARGE(.05 X TOTAL ABOVE) $
Authority if other than Applicant TOTAL $ 42.
I WsWresele doc 7197 ---- --