Permit CITY OF TIGARD ELECTRICAL PERMIT -
RESTRICTED ENERGY
yA DEVELOPMENT SERVICES PERMIT #: ELR2003 -00263
13125 SW HAI Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/28/03
PARCEL: 25101 AA -08700
SITE ADDRESS: 125QtiiSW 68TH AVE
SUBDIVISION: WEST PORTLAND HEIGHTS ZONING: MUE
BLOCK: LOT: 029 JURISDICTION: TIG
Project Description: Pre -wire "area of rescue" system (intercom /paging).
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: X
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:
ROTH, J T JR + THERESA QUADRANT SYSTEMS
12600 SW 72ND AVE, STE 200 PO BOX 14833
TIGARD, OR 97223 PORTLAND, OR 97293
Phone: Phone: 234 - 5558
Reg #: SUP 1211JLE
LIC 96806
ELE 26- 565CEP
FEES Required Inspections
Description Date Amount Low Voltage Inspection
[ELPRMT] ELR Permit 8/28/03 $75.00 Elect'I Final
[TAX] 8% State Tax 8/28/03 $6.00
Total $81.00
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
starte i in 1; s of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires
you o follow rules ado. ed by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 -0010 throuc
Iss1 ed by -PO `/ 4 Permittee Signature .O 00 -. / �-�-�
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
08/27/2003 12:21 5032362322 QUADRANT SYSTEMS PAGE 05
i _R:
E lectrical Permit Application Received & � �o Electrical Date/By 4J i k Permit No.: rt 00,3 -do p 3
•� Tigard ED Planning Approval Sign
City of'I'>< and Date/By: Permit No.:
13125 SW Hall Blvd Plan Review Other
Tigard, Oregon 97223 �� Daffy: Permit No..
Phone: 503 - 639 -4171 `86 90A0 ,, „ Post-Review Land Use `
' , '
Internet: www.eii.tigard.or.us 'A 111 1 Date/By: Case No.:
Contact Juris.:
24 -hour Inspection R u D - � , ' See Page for
specr$2�> Narrre/Mceh Sir SurplementnlInformatiad.
BUILDING DIVISION
,� I; Ip�. �{ , t ,.- _...r,. �.Rla`ii. - .�:��sr. ;, -,:. . ts ....�z , s , 1 1 u , . _ �•vu I
,0 , 1 . d.: ,-1 ,, 5`.�. L.C'u . . el n 1 /:.,1.' .',N iroA f �luG t �i. : Et' t �Y� IAL1 I f' I II . iv;:ii[ 'I ,;
_ �, t �:'..�.��.�e. ».k� J 3I. .fir - <d
a New construction r Demolition • Service over 225 amps- ■ Health -care facility
• Addition/alteration/r r 1acement • Other:
commercial over ❑ Bu ilding o cr 10,000 ❑ Service over 320 amps - rating of ❑ Building over 10,000 square feet,
;;= r ' h (f- 1T;il )- fiihca6t ir •' ''P;'. ' 1 & 2 family dwellings four or more residential units in
• 1 & 2- Family dwelling V CommerciaUindustrial 0 System over 600 volts nominal one structure
111 Accessory Building ■Multi -l~ axltil a Building over throe stories ❑ Feeders, 400 amps or more
Occupant load over 99 persons ❑ Manufactured structures or RV park
• Master Builder 1 Other: 0 Egress/lighting plan ❑ other:
I i .' yT air;c1;+1;� 4 (:(?'',.:\i''' ii . Ii , K:7. Submit sets of plans with any oftheabove.
di •,:i ,..� I: d' J :..b- i:.........s :,.A e.1 ;
. .1.i. � .... �.�i .....�.. ... :.1 .�
Job site address: ! - +„� i LP— /� he Above are not , ticabls • to rem -7 oonseructlon service r•
Z Sc �c J 01 he 1 � / I •:I '•I I .
7f1 . ' �E �Z N . i —. ',_, 4
Suite #: 1 Bld . /A #: � ;�: - , ., - N , um � ,Q inspections per permit allowed
� E � („�,. _. ii
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Project Name: --1'T °� - CrnS 1 C o(1 Description Qty Pee (ea.) Taal 1
New residential -single or mold -family per
Cross street/Directions to job site: dwelling unit. Includes attached garage.
d1/( 0. Cz,l £ 4 c',i'+. f—_, ' I Stroke tadadet
/� ; / i ' 1000 so. R or lm , 145.15 4
/” Fach additional 500 sq. ft. or portion thereof 33.40 1
Subdivision: ,� Lot #: Limited energy, residential 75.00 2
I united energy, non rosidendai 75.00 2
Tax ma erect #: r U�� - Each manufactured home or modular dwelling
{ I L A ' , J 3::nl 1 1 ) l'; '..lrr_ ) ! I r . ; ) l ' ° .:`� I Apr 90.90 2
service feeder
/ 'r Services or feeders - Installation,
fa4 10 ti:: ( .. f 6-Xi .. Fil ,,ti Rrt-t 0 of alteration or reloeadoa:
re S S `� �� - � -1el J �'r �` 22000 amps or less
1 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 _ _ 2
r' 1 1, 1 } ' °r. I `I 1 ' i . ' I ` ;J' 1I 1 i -. :r, i, ; , -'i 'l 601 Ennis to 1000 amps 240.60 2
Over f000 amps or volts 454.65 2
Name: Reoomtect only 66.85 2
Address: Temporary services or feeders - installation,
alteration, or relocation:
City / State/Zip: 200 autos or less 66.85 1
Phone: Fax: 201 amps to 400 amps 100.30 2 _
,-. � 77 —, i� l i �T ,. , t l; ,) I . I ' r F ,:‘,,ii,,, � i 401 to 600 amps 133,75 2
„ _,.,..- _ I_u..� i.d. � <I, ,:r� l .sa , ,- . —. .. .Q. . � .: ,... . _. _ . Branch circuits - new, alteration, or
Name: zT - i - f , Con, s'4..tMGsi•■ on e; d JL,t1C extension per panel:
Address: A Fee for branch circuits with pie of
service or feeder fee, each branch circuit 6.65 _ 2
. City /State/Zip: B. Fee far branch circuits without purchase of
aer'i'e or feeder find er fee, t branch circuit 46.85 2
Phone: 5=3-
2'0I. CI *3 Fax Each additional branch circuit 6.65 1 2
Email Misc.(swvice or feeder not included):
u; (1 1 �..:(_1.::'5.(1.2: I . Each pump or irrigation circle 53.40 2
... ... ...._ ,. . ;..' >.• . . ._w Eachsiiatoroutlinelighting 53.40 2
Job No: 3 i3 9 _ Signal circuit(s) or a limited energy panel,
Business Name: a d cr.,, SAS alteration, or extension 1 2 2
Description:
Address: too v. i y r33
Cl /State/Zl -i-�6� -. , Each additional inspection over the allowable in an�of the above:
e 1 Per inspection per hour (min. 1 hour) 62.50
Phone: 5r:,3- a3 y- 5'' Fax: S:e - d 6 - a,3a,i Investigation fee:
CCB Lic. #: ') _ Lic. # �.(,S tc S CEr °` -, ,
w�i' - . i •�l, - 1 l,b,'•� i�l �d 1, 11 1 : } Il j '. c , i„�l ,
t a , el'
Supervising electrici 1 � .— Subtotal $ FC - ‹
signature required: /4 . L 4 _ Plan Review (25% of Permit Fee) $
Print Name: .4 ck YYI; 1 1 1 Lic. #: i- Z/ / 1 C„/" State Surcharge (8% of Permit Fee) $ fp loo
Authorized j (_..., Notice: This it application T PERMIT FEE $ - �.
Date: e expires c if permit is not obtained within
Signature:
1g0 days ot ter It has been accepted as complete.
*Pee methodology set by Trl- County Building Industry Service Board.
>ebex an .
(Please print name)
i :1Dsts1Pcrmit rorma\ElePeraritApp -doe 01/03
CITY OF TIGAfiD 24-Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST4_
BUP
Received Date Requested / 1 / AM _ PM BUP
Location / a / j In 8-- Suite MEC
Contact Person Ph ( ) PLM
Contractor Ph ( ) l — 06 0 Z SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation Access:
Ftg Drain ELR 3 00 3
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
F'
a Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
ASS PART FAIL
- SIT ❑ Please call for reinspection RE: n Unable to inspect — no access
Supply Line 1
ADA
Approach/Sidewalk Date ((— ( - 03 Inspector I'' r 4 Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL