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Permit
-/\ !� CITY OF TIGARD ELECTRICAL PERMIT - ° RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT #: ELR2002 -00090 `�" r�' I� 13125 SW Hall Blvd., Tigard. OR 97223 (503) 639 -4171 DATE ISSUED: 5/20/02 SITE ADDRESS: 11640 SW PACIFIC HY PARCEL: 1S136DB -02400 W SUBDIVISION: ZONING: C -G BLOCK: LOT: JURISDICTION: TIG Proiect Description: Low voltage for security 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: SECURITY: X TOTAL # OF SYSTEMS: 1 Owner: • Contractor: CHAMPION, RONALD V AND QUADRANT SYSTEMS ROBERTA E PO BOX 14833 11642 SW PACIFIC HIGHWAY PORTLAND, OR 97293 TIGARD, OR 97223 Phone: Phone: 234 -5558 Reg #: SUP 1211JLE LIC 96806 ELE 26- 565CLE FEES Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRMT CTR 5/20/02 $150.00 2720020000 Elect'I Final 5PCT CTR 5/20/02 $12.00 2720020000 Total $162.00 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 through OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -1987. Issued by r . � , 1. V Permittee Signature ( n-, df JJ 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: Chi a-42449 ( DATE: LICENSE NO: pc, U Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day 5 -20 -2002 10 :08AM FROM QUADRANT SYSTEMS 603 236 2322 P. 2 i` .. • '` Electrical Permit Application • b. • _ _ e D ate received: ti — 0 v Permit no.: I . i4Z _, f , -0 a 090 it1:` � I l+ City of Tigard Projcct/appl. no.: ' Expire data: City ofTigard Address: 13125 SW Hall Blvd, , g d, OR, 9722,3) ' Date issued: ' By: 1 Receipt no.: Phone: (503) 639 - 4171 .; id.. y � p Fax: (503) 598 -1960 Case file no.: Payment type: . • Land use approval: BUILDING DIVISION • • TYPE OF PERMIT CI 1 & 2 family dwelling or•accessory ACommercial/industrial . CI Multi - family • CI Tcnant improvement CI New construction • 0 Addition /alteration/replacement CI Other: 0 Partial JOB SITE INFORMATION Job address: k t • 1 S%) / Pa - C. t' ' q h Wil Bldg. no.: Suite no.: Tax map/tax lot/account no.: Lot: Block: Subdivision: I • P r o j e c t name: --ipw c r f l , jo . Qr Description and location of work on premises: 1 , 0 1 A ) kfairw -seC l Estimated date of co e : n/inspection: _.. A. 2 g ; � _ : /, CONTRACTOR APPLICATION 1'EE S(:IIEDI LE • . Job no: Fee Max Business name: (V 1AuuxQ. eU•i7 , . Description Qty. (ea) Total no. leap , New residential -single or multi - family per Address; j'�6 SE Wa. i dwelling mdtIncladesattachedg imge. Cit f Ort'land I$tate:0.2 J zIP: C c72.4 &ntv Included Phone: . 2 JjQ, 1 Fax Z3 9 .z34. E- mail : 1000 sq. it or less 4 Bach additional 500 sq.. ft. or portion thereof CCB no.: 0 (RID I filet. bus. lit. no:an a 0 F Limited energy, residential 2 City /metro lit. no.: Z[ f /a to Limited energy, non-residential 2 ,'Lfi L, AA4/1,2.,.-,____.. _5/ on/ i)2 ' Each manufactured home or modular dwelling • Signature of supervising electrician (required) Date Service and/or feeder 2 Sup, elect name (print)_ ' 1 i1. "I , • License no: )1. i 1 + Services or feeders—installation, alteration or relocation: PROPERTY OWNER 200 amps or less 2 • Name (print): 201 temps to 400 am 2 • 401 amps to 600 amps 2 Mailing address: 601 amps to 1000 amps 2 City: i State: I ZIP: Over 1000 snips 'or volts 2 Phone: I Fax: I E-mail: • Reconnectonly I Owner installation: The installation is being made on property I own Temponny services or feeders - • . - which is not intended for sale, lease, rent, or exchange according to On'el ORS 447, 455, 474, 670, 701_ . 200 • amps or less 2 _ 201 amps 6: 400 amps • 2 • Owner's signature: Date: 401 to 600 am .s 2 ENGINEER Branch 'clrtiuits new, alteration, • Name: or extension per panel: A. Fee for branch circuits with purchase of Address: service or feeder fee, each branch circuit 2 City: • J State: I ZIP: B. Fee for branch circuits without purchase . Phone: Fax: E-mail: of service or feeder fee, first branch circuit: 2 Each additionwl branch circuit: PLAN REVIEW' (Please check all that apply) Misc. (Service or feedernot Included): O Service ova( 22Sumps�ommereial . +e Health- cafacility Each pump. or irrigation circle 2 O Service over 320 amps -rating of 1&2 . O Hazardous location Each•aign or outline lighting 2 family dwellings O Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel, Cl System ovcrfiOl) volts nominal more r units in erie structure • alteration, or extension* t. O D. 2 O Building over three stories O Feeders; 400 amps or more *won; O Occupant load over 99 persons O Manufactured structures or RV park Each additional inspection over the allowable In any of the above: Cl Egtess/lightingplan O Other. 1'erinspection I l l I Submit _ sets of plans with any of the above. • Invesstigation fee The above are not applicable to temporary construction service. _ Other . Not all jucistceions wee* credit tsrdr. Please call judediet;oa for mere Information_ Notice: This permit application Permit fee $ !� Viy,si O MasterCard expires'if a permit is not obtained Plan review (at _ %) $ creme �94 number. .502,474211.0a5_147 lf 5 / I C- within 180 days after it has been State surcharge (8%) .... $ (.04:Ko Paill AA • flap Ql C Expires accepted as complete. TOTAL $ _ RI-00 Name of e e l--?.."Irclueb0CLir atdhol as shown on cfedit card a Vc2 . U) '`� / ��• /l p �,( �p j _ LA� • . Amount '--^ -� �,� ` { e.K — usre v" p let ,,6)5 (6MCCI ii; ��JJ �1 MIA • e I cv)o alto '' wa. co • CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line;. • (503) 639 - 4171 MST BUP Received Date Requested . & /P AM PM BUP Location / I (D `' 6 f Suite MEC Contact Person Ph ( ) (43 -- v PLM t Contractor 7 / 1--2/15401(-47-13—) %7 & ' SWR G� / 6 BUILDING Tenant/Owner 0�!' r (96 ' Footing /ELC Foundation Access: cam' 6 — 000 d Ftg Drain p) Crawl Drain Slab Inspection Notes: "' SIT Post & Beam f �� c. S Shear Anchors b Ext Sheath/Shear 0 � - c7fi� t.---' Int Sheath/Shear r Framing Insulation Drywall Nailing Firewall CO - *p Fire Sprinkler Fire Alarm r 6 / Susp'd Ceiling Kt r h ` K cEr Isis Roof Z —rs ) AE ^� � _ Other: (--� Final PASS PART FAIL p /c d FR A PLUMBING e / n. g C ()) Post & Beam 0 < 44 Under Slab r am . — • - _ — 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/ ..• ©' ow •Ita• - ire A arm m Z t i) ASS PART 4210 ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE E Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line /' ADA Approach/Sidewalk Date a� f� Inspector �� Ext ��/i.Q C Other: Final DO NOT REMOVE this inspection record from the job site. • PASS PART FAIL CITY OF TIGARD 24 -Hour s BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Ljine4i503) 639 -4171 MST (.? BU P Received Date Requested �° Z AM PM BUP Location 11 Suite M Contact Person Ph ( ) to - gdc? • LM Contractor - Ph ( /'' -) WR BUILDING Tenant/Owner .�) .7r!�� EL I Footing Foundation l ELC Ftg Drain Access: ,/f G- `,S/ ELR 0- � 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 G D rpc - fi z4 C Other: Final PASS tiMi PLUMBINGRT FAIL p B5■. � 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 • Fir= -rm • ontl FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. <iip Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line T 1 ADA D vL � — Approach/Sidewalk ,j ?. i Q 2_ I nspector Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL