Permit CITY OF TIGARD ELECTRICAL PERMIT -
RESTRICTED ENERGY
w a �l�" DEVELOPMENT SERVICES PERMIT #: ELR2004 -00244
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/2/2004
SITE ADDRESS: 12290 SW THORNWOOD DR PARCEL: 2S110BC-05700
SUBDIVISION: THORNWOOD ZONING: R -7
BLOCK: LOT: 028 JURISDICTION: TIG
Project Description: Limited energy - audio & stereo system.
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 INC
4230 GALEWOOD ST., #100 PO BOX 14833
LAKE OSWEGO, OR 97035 PORTLAND, OR 97293
Phone: 503- 387 -7538 Phone: 234 -5558
Reg #: SUP 1211JLE
LIC 96806
ELE 26- 565CLE
FEES Required Inspections
Description Date Amount Low Voltage Inspection
[ELPRMT] ELR Permit 8/2/2004 $75.00 Elect'I Final
[TAX] 8% State Surcharl 8/2/2004 $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
through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -6699.
Issued by Permittee Signature _ f e c>1\0
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
07/30/2004 14:45 5032362322 QUADRANT SYSTEMS PAGE 01
:1-. :' 1 Permit A p1ication FOR OFF CE USE ONLY
F � L - I J a IUD may: l/y �D Electrical .: L (,, _ /,546(664/ City of Tigard PlarmingAppruval Sign
13125 SW Hall Blvd. ' j'��l 3 2c,,:,4 Pl Review Permit No.: _
Tigard, Oregon 97223 _DardBV: Other
Permit No.:
Phone: 503 - 639- 4171 P5t(1 518,31960 Post-Review Land Use
Internet www.ci.ti gJVILLJ11tl aEcler u9 i ; DatrJBY: Case No.:
� ' G DIVISION _tt '` ' 1L. Contact Ju' .: See Page 2for
24 -hour Inspection Request: 503 -639-4175 Name/Method: 1 T \( I Supplemental information.
•
. ;; -i i.,: 1�._._�,.r )_ ..�.. . _`tu I " Ii :• , : ' ,;il,l' i 'e+ v c ..,:
. ..;
. 1 .. __. :1' �, ., ■ .. �. �.•. ..�': ,::.!? ,.� ilf•0.1 „ il^t, tl ��rt�f�r 11{ i)Y ?����:1.�� r „�',.' ^�-
ICI New construction IN Demolition I amps- • r 225 a m H ealt h -care facility
II Addition/alteration • lacement �� Other: commercial ❑ Hazardous location
'7der ; ^u•., ,,, . . , 320 am -ratin of ❑ Building
X11 [p: : l[ ;, ,G! : ,..c 'i: ' (,F;:iip, ilo;'f:`II L r• service over goverlQential units i et,
C..rt.^ r .. , , cL._,. f: Y ii)r .., . ;`: 1 & 2 family dwellin
• Y 8 four or more residential units n
F� A 1 & 2 -Famil dwellin: In GI System over 600 volts nominal one strucwre
CI Building over three atones ID Feeders, 400 amps or more
111 ACCeSSO Buildin: l� _
❑ Occupant load over 99 persons ❑ Manufactured structures or 1W park
1 Master Builder l • Other: ❑ Egress/lighting plan ❑ Other:
v, ..:!: ,` : Ik :; ti 1 . r ; : .;lirais . ';i`si;i iir; i'r' if' .13 it ' '. r r Submit sets of plans with any of the above.
Job site address: D The above are not a • • II cable to tern • on construction service.
IZ29 U.) c ✓„ •• w., Dr V4) : ,;-
Suite #: B)d:✓A t. #: ._1;i' ,.... i i-L I 4a ;i. i i;i ai ' r. > i ':: ';,: : `:': ." ' 1 .!
Number of Inspections per permit allowe
Pro Name: .,c,e tvicto r If, co. of Description - Qty Fee(ea.) Total
Cross street/Directions to job site: New raidentlalalagle or multi faintly per
dwelllog trait. includes attached garage.
Service Included:
1000 se. R or 1co ' 145.15
Each additional Nogg. it or portion !hereof 33.40
u f ivision: ...e...4 r.t! • d. Lot #: 7, :I. Limited energy, residential 75.00
Tax ma • •steel #: Limited energy. non residential 73.00
Each manufactured home or modular dwelling
I' , � . � . , ) i t ' . • {j'Yli14i ) , N . , , ! I I ' . I .! i l l , I . service and/or feeder
90.90
Wiffliff
Services or feeders - Installation,
alteration or relocation:
200 amps or lass_ 80.30
201 amps to 400 maps , 106.85
401 amps to 600 amps 160.60
. F _ ; I , + . di tti'i i rJ ,•u',1:ciF _ , it , iii 3 , i 601 unixt 1000 amps
' 50.60
Name: Over 1000 or volts 454.65
Reconnect 454.65
Address: Temporary services or feeders - installation,
Ci /State/Zi • : alteration, or relocation:
zoo amps or less 66.85
Phone: Pax: 201 amps to 400 amps 100.30
Lj"_ 1Li: V, ;3•:Ir' / {E > ',: , ... '?•. I L: ;!!!; +rli: It 401 to 600 limps 133.75 • ;r Branch circuits - new, alteration, or
Name: =tension
per panel:
Address: A. Fee for branch oircuits with purchase of
service or feeder foe, each branch circuit _ 6.65
• B. Fee for branch circuits rust purchase of
Phone: Fax: service or feeder fee, branch circuit 4615 _
Each additional branch circuit 6.65
E -mail: - 1 Service or
( feeder not included):
i '... ....._ .. ...... ... :.. .... .. ij ,1 j ri: :vi t rir ard Ea hpumporinigationcircle 53.40
Each sign or outline tightknit 53.40
Job No: Signal r►a circuit(s) or a limited energy panel,
Business Name: Description: or extension n Page 2
Address: Desc
Ci /StatelZi • : ✓ r - 9 ,7 Each additional inspection over the allowable In anZof the above:
Per inspection per hour (mint hour)
Phone: Co T- 2 - rrrir Fax: Se. 4- Z 3b - Z 3 Z Z—• Investigation fee: ) 6z.so
C C B Lie. #: 9 G . 0 ( a Lic. #: 2 to - - . r G t_E °t h .
•r•
S �l� � ,, ...._:..._'` ±.0 ��
t ......
s ? ;tare . . a • lilted' 1j - S btu a ..... 5. 0 Q
Plan Review (25% of Permit Fee) $
Print Name: ; , " WilIMIINEfirMEMNIN State Surchar 8% of Permit Fee $ , pQ
TOTAL PER.MI T FEE $ I , p O
Authorized Notice: This permit application expires if a permit Is not obtained within
Signature: ham ') — 3�Z I 150 days after It has been accepted as complete.
*Fee methodology sct,by Trl- County Building Industry Service Board.
8 rilN Ce 14tC1n14•s
(Please print name)
l :\Dsts\Permit Forms\ElcPermitApp.doe 01/03
CITY OF TIGARD 24 -Hour /
BU Inspection Line: (503) 639 -4175 MST 7 -•x /75'
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested � AM PM BUP
Location 0, 9 v .A-' AA ( J zf Suite MEC
Contact Person (_Q.r_4'o - Ph ( ) (9--e) ? PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation Access: in).2.cat,
Ftg Drain
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear V S ( aS / o ,� / //\IAL—
Framing ' �f
Insulation
Drywall Nailing S E�
Firewall s cx v .. wAI c
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
PAS PART FAIL
PLUMBING 0
Post & Beam
Under Slab ���
Rough -In a L� r - �
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
'Z. PART FAIL
ELECTRICAL 0
Service
Rough -In
UG/Slab Zoo '/ -co 2_4
Low Voltage C.
r F = larm
Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
•AS PART FAIL
SITE ❑ Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA q 0 Approach/Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection re • rd rom the Job site.
PASS PART FAIL