Permit • CITY OF T I G A R D ELECTRICAL PERMIT -
RESTRICTED ENERGY
DEVELOPMENT SERVICES PERMIT #: ELR2001 -00144
L „i I± 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 05/17/2001
SITE ADDRESS: 12401 SW QUAIL CREEK LN PARCEL: 2S103C6 -08500
SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R-4.5
BLOCK: LOT: 034 JURISDICTION: TIG
Project Description: Installation of low voltage wiring for sound system speakers.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: X 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:
TOTAL # OF SYSTEMS:
Owner: Contractor:
DON MORISSETTE HOMES QUADRANT SECURITY
4230 GALEWOOD STREET PO BOX 14833
SUITE 100 PORTLAND, OR 97293
LAKE OSWEGO, OR 97035
Phone: 274 -5223 Phone: 234 -5558
Reg #: SUP 1211JLE
LIC 96806
ELE 26- 565CLE
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRMT CTR 05/17/2001 $75.00 2720010000 Elect'l Final
5PCT CTR 05/17/2001 $6.00 2720010000
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 through OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -1987. Q
Issued by (/1 1�,�.(,j ,117L . 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 STALLATION ONLY
SIGNATURE OF SUPR. ELEC'N ay) ( -P,(46 i fr DATE:
LICENSE NO: t aI (�f
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
5-16-2001 11 :51AM FROM QUADRANT SECURIT 236 2322 P. 1
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ElectricalPermitAppli , tab
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• Datereceived. gym'. Permit no.: 5 '---20/.// - 06 /4V
• •
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, City crif154mind - -_. , Project/appl.no.: • Expire date: . •
city errigar Address: 13125 SW Hall Blvd, Tigard, OR 97223 • Date issued: • By: Receipt no.:
Phone: (503) 639-4171 . • .
Fax: (503) 598-1960 Case file no.: • Payment type: -- .
Land use approval: . . . • • , . ..
, • _ • .
r2 & 2 family dwelling or accessory ' ' CI Commercial/industrial • CI Multi-family ' CI Tenant improvement
1:1 New construcOon. : , 7 . . ., ,.. . CI Addition/alteration/replacement 0 Other: 0 Partial
- ' . , - ' •-• - , -'-',,' : - : , '• 308 Strif INFORN . - • ' .;:-.. % ---: ' -.. ' • - ' .-. • ••
Job address. 2 o 0 IA A e. Bldg. no.: Suite no.: . Tax.map/tax lot/account no.:
Lot:. Block: Subdivision: . . . ., . .
Project name: . . Descri .lion and location of work on premises: , Ai: w' , ..
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Estimated date of completion/ins • - tion: . '
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(()NTRA(1012. A ITI-1(,ATR) ' , ' ' , • -• ,.,' -, ' ” FEE S(11 1:D11E-
, ... Ms:
Business name: dl■ _ .. 4 ... gerrilli..1111= . ''' Donal • • ,
PI 61 Total oo, imp
irrillp:r.,..„11TRVIIICI New residential -sIngic'or smdli-tandly per
dwellingintt Indudmattached garage.
City: . ' ,., + I a. el i Ezmai up: 4?-7a s . Sallee Endwise
IIIMEHEEE n FaX:736 E-mail: '• 1000 sq. ft. °rims ' 4
IIMESIDMIMIIPIIMMEMIEM2512AMI Each additional 500 • . ft_ or • • non thereof .1. MINI'
Limited - . , residential .. MINE 2
Qty/re. - • li .._, . • .. 0000 a kAt, IIIII•■ 2
7if.,.... .. . • (in Di Each manatacteted home or modular dwelling INN .
Si .. 0 . of • • . • - ising electrician - . uired) Date! Servlos and/or fee*: . . ' 2
13==12=111M32111aM2111 License co: ialluLe" Setvite5"resderg 11111
alteration or relocation:
PROP1:11 011'NFR ' ' " •,
• 2
Name (print): • 201 amps to 400 ,, • IiiM 2
Mailing address: • ' " . . 401 amps to 600 amps
. 601 0 • to 1000 amps • MEM • 2
City: • • • State; .. .. ZIP: Over 1000 • - =volts • MM. 2
Phone: • • Fax: E-mail: Reconacetonl • i/MMIO 1.
Owner installation: The installation is' being made on prOpcity I own '11cospsrary union or feeders - :-.:
which is nor intended for sale. lease, rent, Or exchange according t o lostalladabAllaraticas, or relocado lc . 11111
, 200 AMPS alas 2
ORS447, 455, 479. 670, 701."''' ' • ' '' • '• ''' . -1. ''''
. 2ol. to 400 amps MN MIMI 2
OWneeS Signature; • • • Date: ' • ' 401 to 600 • • NM NM 2
_ _ __
• - • • • ' ENGIN!. 1.R , , Broods drodb - :tont, alteration,. . . .
... , . • or extol:deo per punch .
Name:. • . A.• Fcc for branch drcoits with puichlso of -
•
Address: . . service or (cab:rim each branch circuit 2
. . .
City: . • ' • State: ZIP: , B. Fee for brands einmits without Purdscos 111111
• of service or feeder fee, fitst bunch circuit:
Pbonc:.•:. *; • .,:
• Fax; • : ', ,%:.- E-mail:
, Each additional brands circuit: M MS li= 11111
,. . 1N .1tEN ( Plea.e check all iii.tt uppl.) . .
. . _
0 Settice.crser 225 arnis-consmrocial • • • • 0 itcaltb-catefaelEV EEiEEEigijllIll1. 2
0 Seems over 320 arnps-radng of 18a 41: 0 liaraidous location Each sign or OUdita r • . MEM 2
familYd‘. 0 Building over 10,000 square feet tour Signal rircuit(s) art limited c.nerq panel.
C3 1111IM M
• System otter 600 volts nominal . . lom o residential uts in ni one &uncut= araltetion, orcatansion* 2
- •,CI Building (wiz dare stories . . . 0 Faders, 400 pa or tem ; ar . - . . , . •
O Occupant load over 99 persons 0 Manufactured soul:sacs or RV put •
Cl Bgressilighdssgplais 0 Other:
iiiiiiiiiiiiiiiiiiiiiiffilI
- . — Sitbrait . seta of plans with any of the above.. • lavosdgationico
. • The above are not applicable to temporary Construction service. Other ,
.. .
'' - - • • - ' ' ' i
: Permit fee , S ? C 00
Pica an pa:Ku:gain acp:pt at& cods, ploste un knistdolco fat mom totarnualca Notice: This permit application
0 Ma' "74 Mini:W.40 .. t. . :!'■• 1 . i: .,. , .., ' expires if a permit is not obtained Plan review (at _ 9'o) $
It ca =mew: • • " • I I within 180 days after it has been Slate.suruharlge (8%) .... $
' • , &plea accepted as complete. TOTAL • • $ g/. 4
Name of codboldit at Moos ea dolit card • ...
S
Cuelhthier algoatom • *moat .. ,..i . 4504615
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5 -16 -2001 11:52AM FROM QUADRANT SECURITY 503 236 2322 P. 2
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Electrical Permit Fees: • Limited Energy.Fees:
•
Complete Fee Schedule Below: TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
Number of Inspections per permit allowed Restricted En ergy x75.00
(FOR ALL SYSTEMS)
Service included: Items Cost Total I check T e of work Involved;
Residential - per unit
• 1000 sq. R or less $145,15 4
Audio and Stereo Systems
Each additional 500 sq. ft. or
• pion thereof $33.40 1 ❑ Burglar Alarm
Unread Energy . ' . I $75.00 c. 0 0
' Each Manufd Home or Modular '
Dwelling SeMce or Feeder $90.90 2 ❑ Garage Door Opener'
•
Services or Feeders
lnstaliation, alteration, or relocation ❑ Heating, Ventilation and Air Conditioning System'
200 amps or less $80.30 2
201 amps to 400 amps s $106.85 2 ❑ Vacuum Systems': •
• 401 amps to 600 amps $160.60 2
• 601 ampsto 1000 amps 5240.60 2 ❑ Other
. Over 1000 amps or voles . • , . • 5454.65 2 •
• Reconnect only • $66.85 2 •
. Temporary Services or Feeders
Installation, alteration, or relocation TYPE OF WORK INVOLVED - COMMERCIAL ONLY
200 amps or less $66.85 2 Fee for each system $75.00
201 amps to 400 amps' $100.30 ~— ' 2 (SEE OAR 918 -260 -260)
401 amps to 600 amps $133.75 2
Over 600 amps to 1000 volts, Check Type of Work Involved:
see "b" above. .
t3raneh Circuits ❑ Audio and Stereo Systems
New, alteration or extension per panel
• a) The fee for branch dreils ❑ Boiler Controls .
with purchase of service or
• f4ederfee. ❑ Clock Systems
Each branch circuit 56.85 2
• b) The fee for branch circuits ❑
without purchase of service Data Telecommunication Installation
or feeder fee.
•
First branch dttuit $46,85 0 Fire Alarm Installation
Each additional branch circuit $6.65 " _ ❑
HVAC
Miscellaneous
(Se 3.4
or feeder not included) ❑ Instrumentation
Each pump or irrigation circle $50
Each sign or oudrne lighting $53.40 ❑ Intercom and Paging S ys Systems
Signal *mks) or a limited energy
' panel, alteration or extension $75.00 •
Minor Labels (10) $125.00 ❑ Landscape Irrigation Control`
Each additional Inspection over Medical
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• the allowable In any of the above ❑ ,
•
Per inspection $62.50 _
Per hour • $62.50 El Nurse Calls .
In Plant $73.75
❑ Outdoor Landscape Lighting' •
Fees:
• S
�o 0 •
[ Protective Signalin
$
Enter total of above fees 7
8% State Surcharge • $ . 0 D ❑ Other,
25% Plan Review. Fee Number of Systems
See "Plan Review" section on $
' front of application. * No licenses are required. Licenses are required for all other installations
Total Balance Due • • $ • g I, co 0 Fees: •
Trust Account # 9 (.0 77 (/ rj Enter total of above fees • $ q' .0 6 D
•
8% State Surcharge • $ f'o , UD
• Total Balance Due $ $ I , d 0
Odsts\formslele-fecs.doc 10/09/00 •
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