Permit r'' ELECTRICAL PERMIT CITY O T I G A R D RESTRICTED ENERGY
DEVELOPMENT SERVICES PERMIT #: ELR2004 -00223
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/22/2004
SITE ADDRESS: 12052 SW WHISTLER'S LP PARCEL: 2S103CC -12000
SUBDIVISION: WHISTLER'S WALK NO. 2 ZONING: R -4.5
BLOCK: LOT: 067 JURISDICTION: TIG
Project Description: Install of audio limited energy.
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
[ELPRMT] ELR Permit 7/22/2004 $75.00
[TAX] 8% State Surcharl 7/22/2004 $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
07/22/2004 10:47 5032362322 QUADRANT SYSTEMS PAGE 01
i .
Eleettical Permit A Lion FOR OFFICE USE ONLY
Dawn,: 7 4 y ia • '
Electrical
6-LJayv -a 3
Planning A amitNo,
City of Tigard, k e. ^ 8 ppr vat sign -
125 SW Hall Blvd. r Datc/13y: _ Permit No.:
13
Tigard, Oregon al Blvd. �� LQ Plan Review Other
' � Datr/By: Permit No.:
Phone: 503 - 639 -4171 Fax: 503-598-19.60- PA , Post- Review Land Use
Internet: www.ci.tigard.or,us � - t y O w \ c' 4• Date/By: case No.: 0 24 -hour Inspection Request: 503
internee
1 - ° �'�' Contact 1 'S ' g See Page 2 for
u Name/Mfethad: ( r St�rp[emcntaf Lnformatlon.
225 am
GIr:�' il,51.L "u,l7 u�/.1: ( T�l�-....� �:�r' U ..K:�trf.S'.S - S' - a���' � ... ��I� r11t:` ; s 'i71M.[ry � 15
' T/ ��`+i ,y. .. ., ,r Ii-S6\7'. - n'
Co J: ". _ ..,. �.
s : �a .4.1 .A,�f)'r �� � ^�� ...� 1 1 L ,,. d ?,= r',,;1r, ,
VA ' eW construction 'I Demolition • Service over 225 re facility
ili ``• '� r
Addi '
P ■ Health
p I . ition/alteratton/re.lacemtiient III Other
commercial El Hazardous location
t��t'•p t{ 'r�t :li�lty!, ■llI?Rrc (�Y 1° f9l,liQ ninNT41 : i 'rl ❑ Serviceover320amps- rating of ❑ Buildingover10,000squarefeet,
• €k•- 1!, -� G .4 r :1 1 & 2 family dwellings tour or more residential units in
eel 1 & 2- P'amil dwellin, ■_ Commercial/Industrial ❑ System over 600 volts nominal anc structure
' 0 Bung over tree stories F
III. ACCCSSO BU11d1Ii_ r � ❑ ceders, 400 amps or more
❑ Occupant ildi load over h 99 persons ❑ Manufactured structures or RV
N FU Master Builder in Other: ❑ Egrecs/lighting plan ❑ Other:
13Ty1 _ park
i ' ; 'u' tT,'� ib.V.1�rflPl I�011, )A65-t-� �10- 11ki', :giii : .,,'_..�_•syl� Submit gets of plans with any of the above.
Job site address: The above arc not a Ilcable to ter ors construction service.
Suite 0 ' . � i.4vS oo• �.:._.•, s - -'7 1 ?7i! i /'1_t21,—ff ri�'r! f} •r.1 i TI ;Oh
3
u t #: Bld• /A t #. 1..l v...irt
Number of in per permit allowed
Pro'ect Name. /'a MDri Description
i Qty Fec (es,) Total
Cross street/Directions to job site: New residential-single or multi-family per
dwelling anit, Includes attached garage.
Service Included:
1000 sq. ft or less 145.15 4
Each additional 500 sq. it- or portion thereof 33.40 j
Subdivision: irlf ; , • i Lot #: Limited energy, residential 75.00
Limited energy, non residential 2 1
Tax ma• /• arcel # 7 S� — z
Each manufactured Noma or modular dwelling
f
Ia! } .1+ 1 Lj.t ... 1 . ; .... i)I `1 rMl IT `i {l K.i'1_ Sit } ; 7 h�i If t9 V� _. service and/or feeder 2
.., �..... . .
.. .. 'v se d/ fd
— 90.90
Services or feeders - Installation,
W... _i� l l .,' M: ! A uM alteration or relocation:
a 200 amps or leas 80.30 2
201 to 400 a 105,85 2
I r r 401 amps to 600 amps _
7 { 2
r :l� it . r 'C) o'1 �i /1e1r •d �t i t , �.: I�'1�;.,� i[i J�l�( ` iJ( , :' � . : I 60[ amps to 1000 amps 240.60
Name: _.: Over 1000 amps or volts _ 454.65 _ 2
lint Si DY) ' sr t• • Ad, r S Reconnect only 66.85 2
Address: Temporary services or feeders - installation,
IECIIAZEIZEMIIIMIIIMMIIIMIIMIIIIIIIIIIII alteration, or relocation:
200 amps or l 66.85 1
Phone Fax 2 01 amps to 400 amps 100.30 2
'r. ' 1 1 ye�}7 1 l r + .r I ti It �t.3� t.t� oil la) k , 401 to600amps 133.75 2
I einu , 1, ,..� .. i . _a� , _,,11.., 1 I, _ '' `'l Branch circuits - new, alteration, or
I, L' . . extension per panel:
Address: �� A. Fee for branch circuits with purchase of
_ service or feeder fee, each branch circuit 6.65 2
Eg 0 a a r a 0 -.i rb B. Fee for branch circuits without purchase of
service or Roder fcc, first branch circuit
Phone: .b • ?, : Fax: , ►�,- 2. 3(a 3 a2- Each additional branch circuit 46.85 2
E -mail: ec or feeder der not
; .:.,,,:,..:.,..... _ included):
�, I ;. :,i; ;'a GfID rI;I 1 1�;r ',',,., Each 53.40 2
. >.., •, Each si{crt or outline lighting 53.40 2
Job No: Signal circuit(s) or a limited energy panel,
Business Name: /y f s� alteration, or extension \ Page 2 rj (3:.. 2
Description:
Address: P.O, - i .
CI /State/Z> . y I }{ a 3 Each additional inspection over the allowable In an�r of the above:
Per inspection per hour (min. 1 hour) 62.50
Phone: co 1-2. - f f ' Fax: ca r - Z 3b- 7 . 2 - investigation fee:
CCB Lie. #: 9 !o :0 , Lic, #: 24 - 5 5 C. 1,-.E other
Supervising electrici: /) ' - . ._ I ..l P4:' `(' . rk : ? .:. ' .. 7 �' �,1 7 a rc'
Subtotal S 5.00
sit.' ature ■ uired; Li a - plan Review 25% of Permit Pee S
Print Name: r , ' illiglifiBEIMEIMIrM.111 _ State Surcharge (8% of Permit Nee) 8 (p. QQ
Authorized TOTAL PERMIT FEE S $ I -Oa-_
( Notice: This permit application expires if a permit Is not obtained within
Signature: ( - , D ate: Vf zz l t ` - 1 I80 days after ft has been accepted as complete.
I *Fee methodology set.by Tri- County Building Industry Service Board.
8 rfA'u C., > tC c) IA-S n, ^QS 1_
(Please print name) l' Ul �v`Q
i:\Dats\Permit Fortns\ElcPertnitApp_doc 01/03 C yl ].1 L C �
1 n n in Er ,L-)
CITY OF TIGARD 24 -Hour
BUILDING Inspection (503) 639 -4175
INSPECTION DIVISION Business Licae: t ' (V) 639 -4171 MST
&, BUP
Received Date Requested /3 AM PM BUP
Location / a 0 S a— `_ 4_ �`4 Suite MEC
Contact Person � _ Ph ( ) a0 - '/k37 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspectio Notes: l SIT
Post & Beam c
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Roof 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
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
( Please call for reinspection RE: El Unable to inspect — no access
Fire Supply Line z
ADA D q,, l % i
Approach/Sidewalk Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL