Permit CITY O F T I G A R D ELECTRICAL PERMIT -
RESTRICTED ENERGY
I n DEVELOPMENT SERVICES PERMIT #: ELR2003 -00267
�-� I� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/2/03
SITE ADDRESS: 12325 SW THORNWOOD DR PARCEL: 2S110BC -05000
SUBDIVISION: THORNWOOD ZONING: R -7
BLOCK: LOT: 021 JURISDICTION: TIG
Project Description: Low voltage: All encompassing.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: X AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: X BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: X CLOCK: MEDICAL:
HVAC: X DATAITELE COMM: NURSE CALLS:
VACUUM SYSTEM: X FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: ALL ENCOMP : X HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS:
Owner: Contractor:
DON MORISSETTE HOMES QUADRANT SYSTEMS
4230 GALEWOOD STE #100 PO BOX 14833
LAKE OSWEGO, OR 97035 PORTLAND, OR 97293
Phone: 503- 387 -3875 Phone: 234 -5558
Reg #: SUP 1211JLE
LIC 96806
ELE 26- 565CEP
FEES Required Inspections
Description Date Amount Low Voltage Inspection
[ELPRMT] ELR Permit 9/2/03 $75.00 Elect'I Final
[TAX] 8% State Tax 9/2/03 $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 ( )'1 (1/1,2/24
: 1 22 ;
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. ELECN: DATE:
LICENSE NO:
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
08/29/2003 09:29 5032362322 QUADRANT SYSTEMS PAGE 06
Ere tr' dal Permit Application FoIt OFFICE USE ONLY a1 Da / By: Electrical �-_ j�
Date � �9 � o Permit Nor X03 -00 =a(0 7
City of Tigard Planning Approval Sign
DateBy; Permit No.:
13125 SW Hall Blvd. Plan Review Other
Tigard, Oregon 97223 Date/By: Permit No.:
Phone: 503 - 639 -4171 Fax: 503 -598 -1960 Post- Re"icw band Use
��< +btR :;. { t
Internet: www.ci.tigard.or.us :�� ;(\ Date/By. Case No,: Contact Juris.: kg See Page 2 for
24 -hour Inspection Request: 503 - 639 -4175 - Namc/Method: Tie Supplemental Information.
7DTfrrervr ersen'x i 7 t r irliC k 4 t ,irr x 1 1 F f b A r 3;. 3 }" • r'tr•. (� � y— ;' ' ,,•t r+'Ui;.
� k r I � r115 G I � � ' 4�;` / . t Z• I ;1�.Y.�.fl • % � { .�'.) _7. � ''. t
�
f, rr�r -1� �JS t�l S•�:uA � :� v , �du:+.i:I . �:,• . Id56.6' . r .. -�.L...r.r ' 'S. .., ; :�'.;+.�..
1a New construction IN Demolition ■ Service over 225 amps- • Health-care facility
commercial ❑ Hazardous location
l■ Addition/alteration /r a lacemcnt II Other: ❑ Service over 320 amps- rating of ❑ Building over 10,000 square feet,
7gigg, r i'rI f�Z; , "Tc {() R r... .g.02:(ct.i-. Nif a 1 & 2 family dwellings four or mere residential units to
It 1 & 2 -Famil dwellin: Ira Commercial/Industrial ❑ System over 600 volts nominal one structure
❑ Building over three stories ❑ Feeders, 400 amps or more
❑ Accesso Buildin: I. Multi- Farail Q Occupant load over 99 persons ❑ Manufactured structures or RV park
F■ Master Builder I
■ Other: ❑ Egress/lighting plan ❑ Other:
,. Submit sets of plans with an of the above.
lbi1t•ifc; i`'i :flit ;ttA�r, ?'�uiT�G r , li C f ^II Ct'+ ' '�.. v :� The ce.
„ _ ,. - ( - ��� --- -�- - r te - ' '= above arc not a livable to tem ra constntctlon servi
Job site address: 1 zs .S • ..v -rh 1-4,$)0‘. ask/ - r Tr t , �, (, ' % ! 'I }fir T F. :,-�,y
_ t t� i r 5R uul , , � av,�� s
Suite #: Bid: .IA a t. #: Number of iuspections per permit allowed
Pro•ect Name: Description Qty Pee (es.) Toms I
New residential- single or multi-family per
Cross strect/Directions to job site: dwelling unit. Includes attached garage. ,
Service included:
1000 sq. fl, or less 145.15 4
Each additional 500 s • . ft, or • . rtion thereof 33.40 1
Limited easy, residential / 75.00 S3) 2
Subdivision: 1 a(u eL Lot #: ,-I Limited eaert:y residential 75.00 2
Tax ma . / . arcel #: Each manufactured home or modular dwelling
(- ,• - - - ,,- sacks antYor feeder 90,90 2
11 x` , o^F5: : .Yr,i.'' +J11, t•�5.. (iit . ; , .�:�.. Wit;
6a :.,t ?I!. ^� �''. , st:,,,,.. __... _ _ Services Or feeders - Installation,
,
4. i .. 4 a .2 • a. ,� Cr... w alteration alation or relocation:
200 c ps or less 80.30 2 •
• 1. I:,t1L. I' . itr04S 1 y W-+ 41 O 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
— 601 amps to 1000 amps 240 -60 2
'1; ",� 1.1ar. l, . -. `. i'., {I I:. l it .. . j +lf
t�. ' t I ! Over 1000 uses or volts 454.65 1
Name: ..s . S . _... nkil S' Reconnect only 66 85
Address: Temporary services or feeders - installation,
alteration, or relocation:
Ci /State/Zi .: 200 sines or less 66.85
Phort Sa3 201: • • to 400 am . s 100.30 2
B � ► c t y s Fax 133.75 II
_ ^.� 401 to 600 am
I iI- A, :,7 J�ii IG! , ;. ` ,"1,j,, n l L;i1 i l {' `•= ,t ;,.1 :r. Ir:1t . 1,.� _,..
t�� ��i,.....,..,_..j �. i.
. .. . - �.• 7riei1_., �1i7. 1t' '.,.1'l�I + �.•�l„�_�;�Iir e ' t, �:, - ;_��_4_ :. :.,,; :,.. Branch circuits - new, alteration, or
Name: extension per panel:
A. Fee for branch circuits with purchase of
Address: service or feeder fee, each branch circuit 6.65
Ci /State/Zi.: B. Fee for branch circuits without purchase of
service or feeder . first branch circuit 46.85
Phone: Fax: Path additional branch circuit 6.65
E -mail: Misc,(Scrviee or feeder not included):
F .; :;,, .. i :
t , , ' e : :ai.-;;;- i. . i'i7 i gj ,r �, I , � .. -. .' ',- _7 ;1 F , . r : - - - - - 7 , Each p rep or vrigation avCk 53.40
�y; _�f r - � �1 �ih: L� :'tiW'il't ;✓': I �1 � �. ��..r.... M1fl l� .. ., 4,.i • r AIL _Ita Each nigh or outline lighting 53.40
Job No: CJ1 (.f. • t / • , , . Signal circuit(e) ore limited energy panel,
Business Name: ( alteration, or extension Paagc 2
Description:
Address:
Each additional inspection over the allowable In an of the above :
Ci /State/Zi a : Per inspection pa hour (min 1 hour) 62.50
Phone: Fax: homed) :ion fee:
. � p other _ MN MI
CtrD Lt #. T ,.1C. #'_ i F a: 1 1 - t1J tF F. :7- S �1 'tr '1 a
Supervising electricia i 1 / Subtotal $ '7S o0
si ., a t u r e r w • uired: Z i c -f/l Plan Review (25% of Permit Fee) $
Print Name: 1 . ci. ' I r State Suroh: _ 8% of Permit Fee $ (p•30
TOTAL PERMIT FEE $ .Ff.c.
Authorized k)-- Notice: This permit application expires if a permit is not obtained within
Signature: - Date: �'� � 180 days after it has been accepted as complete.
*Fee methodology set by Tri- County Building Industry Service Board.
.- I )Q be ZR)6Arr, •
(Please print name)
i:'Dsts \Permit Parma \ElcPernitApp.doc 01/03
CITY OF TIGARD 24 -Hour
BUILDING InspectioreVne: (503) 6394175 MST 3
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested / - 36 AM PM - eet BUP
Location / a 3 S c- �l»-�, Suite MEC
Contact Person Ph ( ) 02 6 ' 1 — y ?-37 PLM
Contracto Ph ( ) SWR
ILDING� Tenant/Owner
-
Foundation ELC
Access:
Ftg Drain 2a r
Crawl Drain
Slab Inspection Notes:
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof �
Other: Y
Fina
(Clo PART FAIL
BING
Post & Beam
Under Slab
Rough -In -
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
FAIL
•
Rough -In
Gas Line
Smoke Damper ery,
Fi t7"
S S PART FAIL
E - RICAL
Service
Rough -In
UG/Slab _
Low Voltage
Fire Alarm
Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
4, PART FAIL
Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line / r
ADA Approach/Sidewalk Date ` � 3 v/c) Inspector ( /
e5 Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL