Permit CITY OF TIGARD ELECTRICAL PERMIT -
RESTRICTED ENERGY
y DEVELOPMENT SERVICES PERMIT #: ELR2004 -00239
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/29/2004
SITE ADDRESS: 12050 SW WHISTLER'S LP PARCEL: 2S103CC -11900
SUBDIVISION: WHISTLER'S WALK NO. 2 ZONING: R -4.5
BLOCK: LOT: 066 JURISDICTION: TIG
Project Description: Limited energy audio & data.
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: DATA : X HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: a.
Owner: Contractor:
DON MORISSETTE HOMES INC QUADRANT SECURITY INC
4230 GALEWOOD STE #100 PO BOX 14833
LAKE OSWEGO, OR 97035 PORTLAND, OR 97293
Phone: 503- 387 -7538 Phone: 234 -5558
Reg #: SUP 1211 JLE
LIC 96806
ELE 26- 565CLE
FEES Required Inspections
Description Date Amount Low Voltage Inspection
[ELPRMT] ELR Permit 7/29/2004 $75.00 Elect'I Final
[TAX] 8% State Surchart 7/29/2004 $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
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
07/28/2004 09:45 5032362322 QUADRANT SYSTEMS PAGE 01
Electrical Permit Applicat Received „ Electrical _ _
• Ti E C E il"E D Date/By: / 0 /n 7 ,V Permit No. C��` �v Y e /
City of Tigard u Planning Approval Sig
Date/By: Permit No.:
13125 SW Hall Blvd. JUL 2 8 2004 Plan Review Other
•
Tigard, Oregon 97223 Date/By: Permit No
Phone: 503- 639 -4171 Fax: 503 - 598 -1960 post - Review Land Use "-
Internet: www.ci.tigard.orms CITY OFTI 5 i.i GARD , n' ',i +.'TIIJ'�` Da CasoNo.•
24 hour Inspection Request. ,r# �4ISIC,.•:' -- Ccrntact St See Page for
Name/Method: 1i ( Supplemental lin formation.
` i } f J d: k r 1a [��� t� ri + o
§
IIU ti New construction P.oa.,, , s S .._. , .. .. . i . a 'SI: ,,e3 1 1V,, wl,Z§..:1 � 2.6,,rl l t i 1, ' 1 f ∎9:.iilif Ga �, r, ;']
n IN Demolition ■ Service over 225 amps- • Health -care facility
Ili n/ �r Other: commercial 1:1 Hazardous location
�u! _( Ry IF ?. ) , - i Nr , 9ny l an e 7'1 :. is 1 kr'I: :'r '11.../Y Er Service over 320 amps - rating of [] Building over 10,000 square feet,
a I & 2 fltmlly dwellings four or more residential units in
IN 1 & 2 -Famil dwellin • I■ Commercial/Industrial ❑ System over 600 volts nominal one stn,cturc
�� In Building over three stories
0 Feeders, to 400 amps or oc
IU Accesso Buildin
' ❑ Occupant load over 99 persons 0 Other:
structures or [ZV
U Master Builder IN Other: ❑ Egress/lighting plan park
I
i I " :.. , ; III ,nd6 rP i t t ,l(r. l har: • . . F, .j < . ,... P.,,.'. ? �' �- i.�t;li �i ii i7,`.•: , r t Jr Submit sets of p w any of the above
Job site address: Z v 0 5 t.0 L(./�1: -es' G 1 . .. T h tern . orar constrn service.
The above
are not a .
Suite #: Bid ./A t # • , �= ...... ..:..,........ .. " 'i`cri` : f ... _... ...._ .... ... .� > 1 �r.
Number of inspections per permit allowed
Pro 'ectName: Go rS •ei•S EL Descrption Qty Fee (ea.) Total
Cross street/,Dircctions to job site: New residential-single or multi-finally per
dwelling unit. Includes attached garage. •
Service Included:
1000 so. ft or less ' 145.15 4
Each additional 500 sq. R or portion thereof 33.40 I
Subdivision: 'I #: !I --Limited Limited enema. residential 75.00 2
Tax ma .1•8ICe1 aaer�, nen residential
Each manufactured home 75.00 2
� r.;"(.`1"'''./''..1^',', ome or modular dvrcllini;
' s - :'t.i: }i II frlll1I'1.`9)1' ` frljt+l;• ; aervicea nd/orfeeder 90.90 2
` Service or lead - 1.111040n, -
.c� ! [ A alteration or relocation; •
200 amps or less, 80.30 2
201 amt's to 400 amps 106.85 2
401 amts to 600 amps
,
,,:'` r i 1 I, 1, I :1i.;...1:i1."it
. i. is 1 -'; 1 m! "r:r \l . 601 auto 1000 160.60 2
Over 1000 amps or volts 454.65 2
Name: ► - /1/f
sa. Reconnect only J 66.85 2
Address: R „l. 'e Temporary services or feeders - Installation,
IES IVEM alteration, or relocation:
200 amps or less _ 66.85 1
Phone: SO - VZl- $ 201 amps to aoo amps ' 100.30
h " '`'' �'V �i;'r':14i _ ' _ I � .,.. + 401 to 600 amps 2
;�r. •, '. i - ' , X. ; ;[ -° '''f•`, Branch circuits - 133.75 2
new, alteration, or
Name: extension per panel;
Address: A. Fee for branch circuits with purchase of
Kr service or feeder fee, each branch circuit 6.65 2
r B. Fee for branch circuits without purchase of -
Phone: service or feeder fee, fret branch circuit 46.85 2
Fax: Each additional branch circuit 6.65 2
B- i1' M ce or feeder not
p '; '. •: , ... I, O,' I'd i i i t !,,: ' E ac h pump or ferietion circle , ... ' . 53.40 2
Job No: Each sign or outline lighting 53.40 2
Signal circuit(s) or a limited energy pane!.
Business Name: 0.. ,f , - alteraeion, or extension 1'n 2 2
lxscriptlon: L
Address: PL ; 1 , 3
Ci �StntelZi : y • }.{ • ` 9 - 3 Each additional Inspection over the allowable In anZ of the above:
Per in:.. . . . .r hour min. 1 hour 62.50
Phone: So 3-Z —rrSZ Pax: ro 3 - Z 36 - L 3 Z. 2- investigation fee:
CCB Lic. #: /6 ' : 0 6 Lie. #: 26 S S C-1-.E. ; other
Supervising electric! : ,1 1 : _.:.: _...... . ,, >;tt : E r �a�, y!r;:
si . ture re. wired: t - subtotal _ rip j
Plan Review (25% of Permit Fcc) $
Print Name: , , . WSIMMIRMICIMI State Surcharge (8% of Permit Fee) $ fp . a 0
TOTAL PERMIT FEE $ 8 l. O D
Authorized / p� Notice; This permit application expires If a permit Is not obtained within
Signature: - C - Date: 7 180 days after It has been accepted as complete.
*Pee methodology set. by Trl- County Building Industry Service Board.
E rll}IA Cr l t -S
(Please print name)
i :V7sts\Permlt Forms \SlcPerrnitApp.doe 01/03
CITY OF TIGARD 24 -Hour •
BUILDING Inspection Line: (503) 639 -4175 - MST c?W : ( 1(
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested 1,° AM PM BUP
Location l a n 57) LL Suite MEC
Contact Person .42 P Ph ( ) ?— t f y 3 7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC Access: �,�,�
Ftg Drain Access: ELR 01�V''I /"- �� ��
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final •
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
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 •
Final 04 VD
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /S ah
w Voltaq
Fire Alarm
PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
• S TE Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line /
ADA
Approach/Sidewalk Date r 0 Inspector �•, / Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL