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Permit CITY TIGARD RESTRICTED ENERGY ,, DEVELOPMENT SERVICES PERMIT #: ELR2000 -00230 '�" ,.� II ELECTRICAL PERMIT - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/11/00 SITE ADDRESS: 12436 SW QUAIL CREEK LN PARCEL: 2S103CB -09100 SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R -4.5 BLOCK: LOT: 049 JURISDICTION: TIG Project Description: A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: X 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 Elect'I Final PRMT CTR 10/11/00 $75.00 2720000000 • 5PCT CTR 10/11/00 $6.00 2720000000 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. Issued by 7 - Permittee Signature L r 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 .. ‹tvc, sc ri 1 • . A i , Electrical Permit Application Datcre ceived: Permit no.: at_ 1 d�1I City of Tigard Project/appl. no Expire date: i./ � 2.30 CiryojTigard Address: 13125 SW Hall Blvd, Tigard, OR 9722 Phone: (503) 639 -4171 Date By: [Receipt no.: Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: '1'1 1' F OF 11:11111 Ir1 tit 2 family dwelling or accessory ❑ Commercial/industrial 0 Multi- family ❑ Tenant improvement fir construction 0 Addition/alteration/replacement 0 Other. 0 Partial JOB yl'1'i: INt Olt11:1 IO\ Job address: ;j (/3 , St * - G , , L LA3 Bldg. no.: Suite no.: Tax map/tax lot/account no.: Lot: Block: Subdivision: Projeci name: Fr LI t n D r C.. k.. Descri 'lion and location of wodc on r .. 'sea: S p o Estimated date of corn ' letio . ins . don: 'ION '112.1("I Olt : PP1:I(:::1HON 11:1: ,S('111:1)1 1.1 ' Job no: Max Business name: ; t ' R Mind no. • • Address: • L ,� Newts l- r�gleormalti-fatallyper II d ga dwelling fnattached '� � . State: Cie_ ar ZIP: 4 a9 3 Btcebaiuded: � : cTTOL �►__>L q ; Fax: e703-3.1.. E -mail: 1000s.. ft or less - 4 CCB no.: ' .: $ - Elec. bus. lic, no: p 1 -S (o SCL(. Bach additional 500 sq. ft or portion thereof _— Limit 2 Limited - , ', r .:ende Cit /m,•. lic no.• dO 1 • _ ( - W l _-_ 2 J��j,r,,�� Limitedenerg , rmn•residentiel 4 f/I� ♦.;-- O I f - Bach manufactured home or modular dwelling 11111 ■ SI_h... - of au. - rvisin: electrician (required) Date Service and/orfeeder 2 Sup. elect. name (print): i f, e m t ) L r License ao: 121 iJ LE Services ortieeden —hashillsUlon, 1 11 I O11'; \lit ' 200ratlaaeseelecaaea: IN 2 200 ,. , or leas Name (r riot): - 201 amps to 400 s _ _ _ 2 Mailing address: 401:. ,, m 600 am .s ME= _ 2 601. '•sto1000 • .a MEM 2 City: State: ZIP: Over 1000 . • .s or volts 111111 Mill 2 Phone: Fax: E - mail: Reconnectgni 1 'er�� r Owner installation: The installation is being made on property I own ry or feeder's - which is not intended for sale, lease, rent, or exchange according to histaBatlo4 alteration, orrelocation: 1111111111111. ORS 447, 455, 479, 670, 701. 200 or tae _ _ 2 201 ..ato400am.a 2 O Woe s signature: _ _ Date: 401 to 600 am • s ME ME _ 2 INt I \L1.1t Branch circuits - hew, alteration, Name: or extension per panel: A. Fee for branch circuits with purchase of Address: service or feeder fee. each branch circuit 2 City: State: ZIP: B. Fee for branch circuits without purchase Phone: Fax: B of aavice or feeder foe, first bench cirvit ■ ■ 2 Each additional branch circuit: ME= _ Pl,:1IV RE V111:11' (Please cltecl:• all iii it iipp19 Mlsc .(Semlce orteedernotinc1wJed): ■■ 2 Cl Service over 215 amps - commensal Cl Heabh-care facility Each • u . • • or • ' soon circle O Service over 320amps-rating of l&2 O Hazardous location Each si: or outline lightin MUM _ 2 family dwellings Cl Building over 10,000 square foot four or Signal circuit(e) or a limited energy panel.. M . Cl System over600 volts nominal mote r e s i d e n t i a l units in one s t r u c t u r e alteration, or extension* 2 O Building over three stories O Feeders, 400 amps or more °Demi . ;on: O Occupant load over 99 persons 0 Manufactured stnranres or RV parr: gash additional Inspection over the allowable la any of the above: O Egress/lighting plan O Other Perinspecdon __ Submit _ sets of with any of the above. Investigation fee The above are not applicable to temporary construction service. Other Not all jansSetIons accept credit cards, please eon jurisdiction for mans hd'mmatioo. Notice: This permit application . Permit fee $ '7 . O Visa 0 MasterCard expires if a permit Is not obtained Plan review (at _ 9$) $ Credit card number: / / within l80 days after it has been State surcharge (8%) .... $ _ ' o J ' Name of cardholder as shown m credit card Expires TOTAL as complete. TOTAL $ S. $ ■ . Cavdholder signature Amount ' - 440.4615 (60CVCOM) • V 70nf$I (INVf'ITT •Ifl tTTI WIRT QR( ele VV.I '7ft :6T I11.f nn /av can CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested /1//9 0 AM PM J / / / - BLD Location / "zL 36 Sci ( U# re L Suite MEC Contact Person Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR ,_2(48-0-- 0O230 Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes: SGN Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final P FAIL E ECTRI Service Rough In UG /Slab Low Voltage Fire Alarm qgj i? PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: Unable to inspect - no access ADA Approach /Sidewalk Other Date _/2 — /P' Inspector i Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 2e/vv -G 0d2 Z' 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested /0 —( 2 AM PM BLD • Location / 7i y 3 Co 5 4./ CA, G / C t.c.c 4 Suite MEC Contact Person Ph ., , 07 27 PLM Contractor Ph SWR �, BUILDING Tenant/Owner E � r� e r " ,, 0 — t 023 Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes: SGN Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler ,t/e4CLC.,/Z-- Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL I v /0 `r e_44-,, PLUMBING 2 n _ y ' .. Post & Beam Under Slab PAN 'a/ Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL Service Rough In UG /Slab Fire Alarm Final PART FAIL Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date /0/3/0"D Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.