Permit CITY OF T I G A R D ELECTRICAL PERMIT -
RESTRICTED ENERGY
s 4 .1y, DEVELOPMENT SERVICES PERMIT #: ELR2001 -00254
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/12/01
SITE ADDRESS: 09485 SW WASHINGTON SQUARE RD A -6A PARCEL: 1S126C0 01107
SUBDIVISION: WASHINGTON SQUARE ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
Project Description: Security System
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:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
PPR WASHINGTON SQUARE LLC QUADRANT SYSTEMS
P.O.BOX 21545 PO BOX 14833
SEATTLE, WA 98111 PORTLAND, OR 97293
•
Phone: Phone: 234 -5558
Reg #: SUP 1211JLE
LIC 96806
ELE 26- 565CLE
FEES Required Inspections
Type By Date Amount Receipt Ceiling Cover
PRMT CTR 10/12/01 $75.00 2720010000 Wall Cover
5PCT CTR 10/12/01 $6.00 2720010000 Elect'! Final
Total $81.00 EXPIRED
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 - ihr / Permittee Signature 71
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 -09 -2001 3:22PM FROM QUADRANT SECURITY S03 236 2322 P. 4
4 - ; - „ • > • 411N Eie ca ll ] tAppl c tion ,
- = -„ . I)atoteccivc8 , —p Pc rmitno: � . - t L 5
; :ifl - � of Tigard • -, • Project/appi.no.: Expire date: •
City origami Address: 13125 SW Hall Blvd, Tigard, OR 97223 pateissued 0 -. I a —D ( By Receipt no.:
Phone: (503) 6394171
Fax: (503) 598 -1960 Case file no.: - ' - Payment type: _
Land use approval:
•
0 1 & 2 family dwelling or accessory a Commercial/industriat ❑ Multi - family ❑ Tenant improvement
0 New con,str99,094, : , • , v., , . , .. L1.i ddilion/alteration/replacement O Other: ❑ Partial
i
i ,
Job address: qi4liS Sw Wtt1 l • 40 S : ldg. no.: Suite no.; , Tax map/tax lot/account no.:
Lot: BIock: Su. ' !sion: -
Project name: Description and location of work on 'remises: ...,f ✓a . of iamb • • . 5 •
Estimated date of co .. etion/inspection: 1 5 4. cchci PW411.1
: •
. : ' ► ; ,;, • - U\ 1 fl A( } OE�,A l 1.1( 'Al lO\ ' s. ` I Fl S(;l D( L
;Job am: Mar
Business name: /1 I_- �,. Qty. Total no.lnsp
New residential - single or mold-family per 1111
Address:. • Ar z. .,, i 4 • 3 dwelling mit. Includes attached garage.
EggllnnlrEPAIIIIIIIIII StattetNQ- ZIP: 4 1 - 2a 3 Setvioeim:hide&
Phone: . 3 23ti ....:r;•;. ,y Fa?i:03b- - e. • 'E -mail: ` 1000 sq. ft. or less 4
CCB no. • 1 . Elea bus, l ic. no :,Z (� -Rog" C E ahadditional 0 for •onion thereof = = � 2
City /m•• it _, • • .• 0000 oZ t i ' - (O Limited energy, non - residential __ _ 2
Nr !� 1FAA�- • Each manufactured home or modular dwelling
of • - - isi : electrician - • mind Date Service and/or feeder �■ 2
Sup• elect, nee (print): /' it - ' i i I ' r` ' ' License no: ) a 1 1.1 LE ing
alteration or sei M erw -' Itatio
PitOMJi'IN 0:IVTS4 ;it . ' ' . , 200 Amps or less IIII 2
Name (print): 201 ., to400amps ' 1111•1111111•1111M1 2
Mailing address: 401 amps to 600 amps - • NEI IIIMI _ 2
601: . to to00 . _�� 2
City: State: . . ZIP: ,., - _ __— 2
Phone: Fax: E -mail: E=-= -T_7 :'E T ill i=1 a ■1♦1•e 1
Owner installation: The installation is being made'oft property I own Temporary services or ?.' • rs -
which is not intended for sale, lease, rent, or exchange according to tnaeallatiogatwatdoo, or relocation 11111
ORS 447, 455, 479, 670, 701: -' . `` `' 't' , 200 amps or loss _ 2 • 201: to __— 2
Ownes's signature: - .. ,gate: ' 401 to 600 .. M]♦ 2
ENGINEER Branchel:culla - new, alteration,
or extension per panel:
Name: A. Fee for branch circuits with purchase of .
Address: , , - , service or fame fee, each bcapch csceir 2
City: State: ZIP: • 8- Foe for branch cheeks without purchase
l?hone:. Fax: E Each service or feeder fee, first branch circuit: -- 2
Eachadditional branch circuit 11==111111111111111111111111
PLAN RE c check All t hat aapply ) . ;;z- Misc. (Service or feeder not included): ME
Cl Service exec 22.5 amps - commercial • O Hea th-eat+efacillty Each pump or irrigation circle 2
O Se ice over 320 amps.rating of 1&2 .... O Hazardous location Each si :t, or outlineli: ling Mme_ 2
family dwrllings O Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel. 101■M
O System over 600 volts nominal more residential uniu in one structure alteration, orextrnsion•
R Buiidiog over three stories Cl Feeders, 400 amps or More i , :on:
O Occupant load over 99 persons O Manufactured structures or RV park Each additional Inspection over the allowable in any of the abovc
0 Es/Tea/lightingplan Q Other: Per inspection
- . _ - S obmit . ._ sets or plans with any of the above. . Investigation fee
The above are not applicable to temporary construction service. Other
.Not all jurt+dkelem weer aodlt cards, please call lo:isdx9loa for more lofarnsat oa Notice: This permit application P erttlit fee $ S•M
1 Ursa • U MasterCard . . • -, , , „ ' expires if a permit is not obtained Plan review (at %) $
within 180 days after it has been
State surcharge (8 %) .... $ 4 6 0
accepted as complete. TOTAL $ /1•66•
,;•
•s ,, - 440-4615 (6a00PC0M)