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Permit C ITY OF TIGARD RESTRICTED E ERGY 4.00.41 l ` DEVELOPMENT H BMENa Tigard, ) 639 -4171 DATE ISSUED: 10/20/2004 PERMIT ED: 10327 SITE ADDRESS: 11705 SW PACIFIC HWY Y PARCEL: 1S136CD -00100 SUBDIVISION: ZONING: C -G BLOCK: LOT: JURISDICTION: TIG Project Description: Existing install - security, CCTV, door lock. 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: X INSTRUMENTATION: OTHER: DOOR LOCK X TOTAL # OF SYSTEMS: 3 Owner: Contractor: OAKBROOK FINANCIAL CORP QUADRANT SECURITY INC 11902 SE STARK ST PO BOX 14833 PORTLAND, OR 97216 PORTLAND, OR 97293 Phone: 503- 234 -5558 Phone: 234 -5558 Reg #: SUP 1211JLE LIC 96806 ELE 26- 565CLE FEES Required Inspections Description Date Amount Low Voltage Inspection [ELPRMT] ELR Permit 10/20/2004 $225.00 Elect'l Final [TAX] 8% State Surchar€ 10/20/2004 $18.00 Total $243.00 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 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -6699. Issued by f �t'��2/J 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 10/20/2004 13:23 5032362322 QUADRANT SYSTEMS PAGE 01 10/20/2004 08!10 PAX 5095081960 CITE OF TIGARD al 003 Electrical Permit A2 .�i ;ate t ED • 14 lit OFF ICE U E ONLY' Received /J City of Tigard 0 Wool. DareJD : :2, 7 r i'ermitNo.: 31v&, Tl d an OR 97223 L °9 � y /31255V/1.4111 Ja , ��� Y1z, tteview 7 - J Phone_ 503.639,4171 Fax: 503.598.1964 r -tr� i!. i , Other Pam[t: A/ ,.0 / itospcction Line: 503,G;1 d.417S G6 - - of T IGP B • b `I i .L Date , 0.03y, MAY/By. ]vein 1a See t'Rgc 2 for Internet: www,ci,tigarcl -or -us �.ath tIN I SI®� Neefiefltlt�ettted; Supplemental Infa »atiun • New constt ::. , . .; :. �� ,,i,terVtE� c 7A \)Tri IZ. . '. :. . - , , i'Le1Pa ;It13Vprs* ' ... . Addition/alteration/replacement Please cheek all that apply: 0 Demolition _ (1.Other: - 4V t Service over over 320 amp omin' azardous location P g over l0A sq.ft, .:.: 0 amps rating 00 •, ; ;CATEGC�lLZY Op:;:cON�h,`�tU I 1`1N .. of 1- and 2-family dwellingR � 4 or more new residential Q 1- and 2- family dwelling © Commercial/industrial ❑ Accessory building ❑5ystemover 600 volts nomina] amts in One Structure CBuiilding over three stories ❑>~ceders. 400 amps or more ❑ Multi - family ❑ Master builder Q otlta-1: ❑occupattt load over 99 persons QManufharureel structures or ' JOB SITS (IVFORMATION ANA :TWOCATION' , . PEgtessilighttng plan RY park ❑Health -care fhcility+ El Other: - Job no -: Job site address: lobs SW�- i @ C Submit i MS of plans with any or the above, City /State /ZIP: ....32 q p t ER � J The above are not upplieablc to temporary construction service, Suite/bldg. /apt. no.: Pr oject name: ID cloche .Di c-1 ' ` ` SCkrE11t1L1✓ .. V /' F t - (1QT� �d 6ettrlOHOn Qty. Om • Toil Coosa street'/directions to Job Site: New residential single- or mult4.femily dwelling unit. Includes attached gtarng P tF 1.4,55 , r '3 h? 2 _ 1,000 sq. R or Joss _ 145 -15 - 4 Subdivision: Lot no.: Ea. midi 500 sq. ft, or portion 3,40 j - Limited energy, residential 75.00 2 Fax snap/parcel no.; — Limited energy. non - residential 75.00 2 DEBC,BIPT`1)N OF .WORT . ' . ' a Each re actured or modular �� Lk- dwellin service and/or feeder 90.90 2 l ; � ` ` S 'ta -4.4 _ -' 4 -� - d�R Servkea erfCader installation, alteratlon / er etrcation S - h rr <_). (�� v - 4 ( 200 amps or less BO.30 2 • ROpI}y'FZ'X'Y• O : ;: AINX . s to 00 s tOG 2 '>'7`� �. � 2 of am 5 p - 40 s s to 600 amps 160- 2 Na >rne -, Q - GK br�}t , , f , C nl r 601 arr tps co 1,000 ittttp9 24o -so Address; ; 0 3 )_\c ± Oven 1,000 amps or volts 454 -65 2 Reconnect only 66.85 2 City/State/ZIP: C1 ((1 Temporary strokes or feeders installation, alteration, and /or Phone: (5 ) - WI -Fr Fax: ( ) relocation - 200 amps or less i 46.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 10030 - 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 I 2 Owner signature : Date: Branch circuits- new, alteration, or extension, par panel Q A.EI;J :JCA 1T ' 0 CO?TACT.:PgR : • A.Fno for hurl circuits with •service or feeder fan, eneJ 6.65 2 Business name: branch circuit B- Fee far branch circuity Contact name: without service or feeder tee, each branch circuit 46,65 2 Address: — Each add'. branch circuit 6.6S 2 City/State /ZIP: 1Y1scellaneaus (service or feeder not included) Pump or irrigation circle 53.40 2 Phone; ( ) Fax: ( ) Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited- • • ' '• - G'ON CTOR energy Panel, alteration, of extension, 'Describe; Page 2 2 j Bu. iness name: &k..4R ,te 0 - S -►11 - L ach addldonal Inspection over allowable In any arose above Address: 7'c l F 33 ,Pct inspecton 62,50 City /State /ZIP : ,1.40p _, pQ 97 Jjj .3 Iovestigatiou per hour (Ihrtrio 62.50 Phone: (96 ) e�3 y _ ss S F Fax: (S'�y) t . �7 _� 1n I .: 9_ .. ' per hour 73,75 R 4E- zt► -5z,5 t' Suprv, ( ?11 1-CA '' ::"1�1G C (JEtlf�inL F$1 rI o t CCB Lic.: al Electrical Lie.; St rv, Li e.: -�� Suprv. Electrician signature, required: c•/ 1 - "�1 - Plan review (25% ofpetmic fee) ' Print name: ', - r i f t - Date: 1 plob� State surcharge (8^6 of patrn�it e} l P% CD lf�� �, rt TOTAL PERMIT FEE .cj-3 AAtthoriz aignarc tu. ,�1 /`-e C � Tilts pvrm upplto[kin explr i I( a pvnnLt is DOt oats hied Mau 5.19 V , days after it tins been accepted as complete Print name: --- 2 .... a . bi..:! — EA �� Date: I 4 2 Oh a • Pee mct6odolegy act by Tfj- County BUildfng induS ry Service Oan d " Number of inspections per oerrelt allowed, wo ...ldngiernitsUC- 8brmitApp.soc 12M 4d0d515Ttt 0MJCOM/wet CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639- -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested / 4 a ( AM PM BUP Location Suite MEC Contact Person Ph ( ) L 3 - SSS PLM Contractor n Ph ( ) SWR BUILDING Tenant/Owner C 2_ L_-/ - ELC Footing - ELC Foundation Access: Ftg Drain ELR c c -'c6 3� Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors r J 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 G Fire Alarm PASS PART FAIL 111 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SIT Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA 1 - Approach/Sidewalk Date / / Q Inspector j draw Ext Other: Final DO NOT REMOVE this inspection record from the ob site. PASS PART FAIL