Permit CITY OF TIGARD ELECTRICAL PERMIT -
RESTRICTED ENERGY
Alp DEVELOPMENT SERVICES PERMIT #: ELR2003 -00305
13125 SW Hall Blvd., Tigard. OR 97223 (503) 639 -4171 DATE ISSUED: 10/7/03
SITE ADDRESS: 14160 SW 72ND AVE 110 PARCEL: 2S112AA -00900
SUBDIVISION: NELSON BUSINESS CENTER ZONING: I -H
BLOCK: LOT: JURISDICTION: TIG
Project Description: Installation of limited energy for burglar alarm system.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: 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: BURG ALARM X
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
SPIEKER PROPERTIES LP QUADRANT SYSTEMS
4380 SW MACADAM AVE STE 100 PO BOX 14833
PORTLAND, OR 97201 PORTLAND, OR 97293
Phone: Phone: 234 -5558
Reg #: SUP 1211JLE
LIC 96806
ELE 26- 565CLE
FEES Required Inspections
Description Date Amount Low Voltage Inspection
[ELPRMT] ELR Permit 10/7/03 $75.00 Elect'I Final
[TAX] 8% State Tax 10/7/03 $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
started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires
you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 -0010 throuc
D
Iss ed by kk Permittee Signature ,i i % %,,! i ,
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
10/06/2003 13:57 5032362322 QUADRANT SYSTEMS PAGE 01
F ec dcal PermA li n FOR OFFICE riSg ONLY
j — Received // Electrical
City of Tigard 6 200 Planning Approval o a& rmlf�ed�oo� �`� .
OC i Date/Ely:
13125 SW Hall Elva. P No.:
Tigard, Oregon 97223 OF YIGARD Plan R Permit No.:
Phone: 503- 639 -4171 Fax: 50 miVIS 'a �� y ew Other —..�._
Post - Review Land Usc
Internet: www.cl.tigard.orms 8 � ` 'r.-.411J Date/ y: _Case No.;
24-hour Inspection Request: 503 -639 -4175 � '�' - contact Jae- ® See Page 2 for '
Namc/Mcthod: P,2 5- -Co �� 15V % ft�. I Supplemental Infermatied.
u � IC`:: �� . . ';;� • y 'Jrt + i i' "i °..�.t p
.. .L ES :ni', i K ;�C7 i�'skb.i...^.�'.: f LYLgigr:A i): LL A :�.'1.•J. .j '' cil w 4, '
IU New construction r Demolition • Service over 225 amps- •
L laoemtnt tip Other:
Addition/alteration/re ► commercial
Health-care ardo s facility
❑ Hazardous location
'r 1i ri 'I - + l r ` a C :, ❑ Service over 320 amps - rating of Building over 10,000 mare fcc
r < �h - rii t� . , r (1 ? n.�s , .1b.y. 1 & 2 rattily dwellings four or more residential units in
■ 1 & 2 -Famil dwellin: 1C.! Commercial/Industrial ❑ S over 600 volts nominal one structure
■ - Accts • • Buildin : illiZEMMTIMIMII ❑ Building over three stories ❑Feeders, 400 amps or more
• Master Builder
11 Occupant load over 99 persons ❑ Manufactured structures or RV park
it _ _ 1� Other: ❑ Egress/lighting plan El s r :, _ f ! ^ z ±F :!; Submit sets of plans with any of the above
The above are not a .. livable to tem , ors construction service.
Job site address: \ 1 r p) 7
Suite #: Bid JA • ,#: `{ ' . , it 1: ' , [':I ; i I I°' R' (l_:: rlir72 •
Number of Inspections per permit allowed
Pro 'ect Name: r Descri tp Eon _ Qty - Pee fro Tani i
Cross street/Directions to job site: New resldentf:r 4ln to ar multi-family per
dwelling unit Includes attached garage.
Service included:
1000 se. it or leas 145.15 4
Each additional S00 sq. A. or portion thereof 33.40 1
Subdivision: Lot #: Umited ,rcaiaatCal 75.00 2
Tax ma / • aicel #: Limited ton residential 75.00 2
fr {� . �l ( Each manufactured home or modular dwelling
4rl S-'1d7iZwl.' i.i.' ,0;.ir r i: l- IIr�11 ( I ' (1 1 I a !1 f .i i � _ aervioc midi feeder .1 '' .;. 90.90 • 2
1.1111 Services or (ZEders - installation,
i I ' i / /!rG i rg alteration or relocation:
• 200 amps or lees 80.30 2
201 amps to 400 amps 106.85 2
p� amps r l em to 600 am 160.60 2
ti's tl , Q (y} '; 1Y ....: ,� t '. ° I., ' I ... 1 r `i n , f 'i: 601 lam to , .a .. 1
. � 240.60 2
Over 1000 amps or volts
Name:
Reconnect only _ a 66 . 8 5 2
66.85 2
Address: Temporary services or faders - Installation,
CI /State%Zi • : alteration, or rdocatln:
200 amps or less 66.85 . 1
Phone: Fax 201 astir to 400 amps
h'''i -'° a �?' (_` %IJ t `k r I 401 to600amps 10030 2
Lc J_,..i 1. ) :..i'( i 1 : a Branch 133.75 2
,`' � � • drams -new, alteration, or
Name: 6 . 1 i • l. .1± ' )L, extension per panel:
Address: ' 0 60); I4.: 33 A. Fee for blanch circuits with purchase of
service or ibeder fee, each branch cimuit 6.65 2
• • O i; ,! q'1.D- rb B. Fee for branch circuits without purchase of
Phone: �� 23 • � ., :► a x� service or feeder fee. first ]ranch circuit 46.85 2
r Bach additional branch circuit 6.65 2
E-mail Mise.(Serviec or feeder not included):
15'i7 . Lx .. I { , ..- ii , i , c it i !f -( i r \ p y C 1 1� ' : �� a Each J7{ilm Or 1 1R1¢1rOr � 1 d IChE
1 W
......I 53.40 2
. ... , . ... . , sign : or outline • rig 2
Job No:
Signal circuit(s) or a limited energy panel,
Business Name: . ,! . ± . �. +
alteration or areatension 1, Paget 15.00 2
. Descriptio
Address: I b �: ) y ; `2
CI /State/Z>i • N ti, Ll 1 • 7� , Each additional los ' ecnon over the allowable In an o f the above:
Per s o n per hour (min. 1 hour) 62.50 _
Phone: � • Z . 5S� - ► ' lave . don tee:
CCB Lic. #: q . i,4, •
Supervising electricia t T. -- . .' <. ! �t;,, y „ a , s (7-'1 ? :;.
3. .
' �� _ subtotal $ - j —•
I
Si _4 • here . uircd' c Plan Revie % of Pcmnit Pee $
Print Name: , • • ,A (il ligrAWRIEZM State Surch 8% of Permit Fee $ to,
Authorized TOTAL PERMIT FEE $ • 00
Notice: This permit application expires IT permit k not obtained within
Signature: Date: 180 days aRer it has been accepted as complete.
*Fee methodology set by Tri- County Building Industry Service Board.
(Please print name)
i:lDsta\Permit FormalElcPcmntApp•doc 01/03
CITY OF TIGARD 24 -Hour
'BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested / / / - AM PM BUP
Location / V/ U 7 a /4- U`_-Suite MEC
Contact Person Ph ( ) 2-3 PLM
Contractor Ph ( ) SWR
I. -
BUILDING Tenant/Owner A.
Footing
ELC
Foundation '
Access: 3 -CO .3 pS-
Ftg Drain � ELR
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 efrA0 4
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' e Alarm
Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
S E ❑ Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA Date A).01/ d /C I Gi'
Approach/Sidewalk ��` Inspector !°` v J
Other: •
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL