Permit CITY O F T I G A R D ELECTRICAL PERMIT -
RESTRICTED ENERGY
^ �III DEVELOPMENT SERVICES PERMIT #: ELR2003 -00213
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/24/03
SITE ADDRESS: 13672 SW LEAH TERR PARCEL: 2S109BA 07900
SUBDIVISION: DAFFODIL HILL ZONING: R -7
BLOCK: LOT: 005 JURISDICTION: TIG
Project Description: Audio, alarm, phones and tv's
A. RESIDENTIAL B. COMMERCIAL
AUDIO &STEREO: X AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: X BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: X CLOCK: MEDICAL:
HVAC: X DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: X FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: ALL ENCOMP : X HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS:
Owner: Contractor:
HEIGHTS CONSTRUCTION QUADRANT SYSTEMS
PO BOX 91249 PO BOX 14833
PORTLAND, OR 97291 PORTLAND, OR 97293
Phone: 503 -291 -2550 Phone: 234 -5558
Reg #: MET 00002466
SUP 121 1 JLE
LIC 96806
FEES ELE g6cOlialtnspections
Description Date Amount Low Voltage Inspection
[ELPRMT] ELR Permit 7/24/03 $75.00 Elect'l Final
[TAX] 8% State Tax 7/24/03 $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
Issued by la/24112-6--- 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'N DATE:
LICENSE NO:
Call 639 -4175 by 7 :00 P.M. for an inspection needed the next business day
07/23/2x03 13:50 5032362322 QUADRANT SYSTEMS PAGE 02
Eloctrical Permit A 1 1 .'Gal • I I FOR OF1�ICE i.1SE ONLY il eceved Electrical E t .._ ' T .._ . Date/By: Permit No.: 0 70b3 - OD_ 13
City,of Tigard Plannin Approval Sim
Datelpy T3125 SW Hall Blvd. JUL 2 3 200 P lan T1 Review Other Othe No
P
Tigard, Oregon 97223 Date1B
Phone: 503-6394171 Fax: 5& S l560 GA' Post- Review lat,d o
Internet: www.ci.tigard.olr_us BUILDING D I V I '.I'; Date/Ety: • Case No.:
24 -hour Inspection Request: 503 639 -4175 " "' contact JUris.; I S See Page 2 for
Name/Method: I Supplementallnformatiod.
'� E . ' :t 11!!',�J�7 1al '/i;,�„� 'r ' ' 1 ; x •i 1"'T' i , R ,,i � , ._ 1
l �S}. {,e 0 it>, t ' LLr�;l �,��, ��,I lt".. 39� .�:�E��i�A�.�;����:.�ir"���kl 7kqk,E'�i�Yu "r.r
a New construction A Demolition • Service over 225 amps- Health -care facility
Ili _ Addition/alteration/r •lacefnent /� Other: ID ❑ Hazardous location
i �p - �- ` Service over 324 amps- rating of i I Building over 10,000 square feet,
11Mi 1105° 'i.���F ,�� ll1APi - IiErr<, }E', ? „">, ,1r'fr,��T,t t P.5 ,' kp A4 1''`' ' ,{ ' I & 2 family dwellings four or more residential unite in
1 & 2- Farnil d,wellin • • Commer'cial/lndustrial ID System over 600 volts nominal one structure
, II
Access() Buildin . � ❑ Building over three stories [J Feeders, 400 amps or more
Il w1 : • s ' der ❑ Occupant load over 99 persons ❑ Manufactured structures or RV park
Other: 0 Egress/lighting plan El Other:
' 1 'a 25: . � � l +; a 6 4 ag 7 10:I fj fZidi �tRE ;.s; . , .^' j Submit seta of plans with any of the above.
Job site address: 1 3 L h j r The above are not a r Ilcabte to tem t ors construction service.
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suite #: Rid • /A • t.#:
;' '4 °k,i.',a...;!i "' . r u W . l} L i ,I SM I:L!! : Y r'le Imo. P E
Number of i11spections per_permit allowed
Pro ect Name: • Description I Qty I Foe (ea.) I Total I_
Cross street/Directions tions to job site: (f--05 _ New residential - single or multi -family per .. O to ' - `e J - / it Serv nclti e : Includes attached garage.
1000 sq. R or less 145.15 4
Each additional 500 s., P. or .• on thereof 33.40 1
Subdivision: 1 Lot #: Limited ener:, residential ■!• 74,00 W 2
Tax ma •/ • arcel #: E ach m manufactured la 7s.00 z
.... ., i; �. _ � cr caucdh eormo u dwelling
u utR home r in
! �11�tiilt���' ab�: ��?P, �. a,J ' �l�:I;,Ji�����?�L : r {tJ�iai�L; Ji1r^ - ; I�� service and/or ibedcr 90.90 2
', :.. - ., - - Services or feeders - installation,
�•
alteration or relocation:
200 amps or less 80.30 2
j 201 amps to 400 amps 106.85 2
y _
401 amps to 600 amps 160.60 2
{Yh`I.` }o:;i3Qltt ii' Iffi' J'oF,• :,;rI. r _ ,. .1,
,. _ J.y. 601 Jltttpeto 10 00AMPS
240.60 z
Name: a r 4 cz.4 ma ftlEIMImm. Over 1000 Amps or cells 454.65 2
Roc onneot only 66.85. 2
Address: Temporary services or feeders - installation,
alteration, or relocation:
200 amps or leas 66.85 I
Dhone:53 _ c ) 9--ii LI Fax: 201 amps to 400 amps 100.30 2
67 r ':i::I!isW,.iGjl[Cjs''i'[;ijlt ° "� "tir 'I:'Ii n`r6J 7?' {~Gi P!: "d•:{fic :� to 600 gimps 133 -75 2
Branch circuits -new, alteration, Or
Name: extension per panel:
Address: A. Fee for branch circuits with purchase of
ISMEEZEInaillimim service cr Reder fee, each branch circuit _ 6,65 2
B. Fee for branch circuits without purchase of
Phone: service or feeder fee first branch circuit 46.85 2
Fax: Each additional branch circuit 6,65 2
E -mail:
��} -'a - 4tii _ - _ _ Miac,(Servia or feeder not included):
ERFI, i>';1i4f,'' ; ',.,. t ,^+ • , ',,''l.'rl(lli?.5.,,�],0 � , ,i Each pump tii
, ... ... -: p orirn oncrcle 53 - 40 2
Job No: • Each sign or outline lighting 53.40 2
Signal circuit(s) or a limited energy panel,
- itr ` s.,1 -m.�` alteration. or P 2 2
BusinessNarne :Q o
Description;
Address: 6 €5;..,, i 4i
CI /s19te/7I t: t .o -Z Each additional Inspection over the allowable in any of the shove:
Per ' - . _on , hour min, 1 hour 62.50
Phone: 1A- lnvesnttion fee:
CCB Lie. #: ^ a 11.11 Lie. #: dZ 11 L • of �crtn }t Fee) $ '
Other
Supervising electrician l Plan Review (25% l ! 7 i .r� •i.�, s .,.. ,t s,µ r=
r- J e..r r_I.l}.1.
sib afore re' u �: Subtotal $ `7
_ Print Nance: _ _ ,z,-_--- =_,• State Surcharge (8%e of Permit Fee) S Co -J0
c......) 4 4 fiC, TOTAL PERMIT FEE S Pi .06 ,�
Authorized I' Notice= Thls' permit 'a licatlon ires erm is not obtolncd within
Signature:
Date: 3 fa 180 days after it has been accepted as complete.
*Fee methodology set by Trl..County Building industry Service hoard.
(Please print name)
i : \DSts\Pcrmit Forms\E1cPermitApp,doc 01/03