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Permit
,f Y ' CITY ®F T I G A R D ELECTRICAL RESTRICTED PERMIT _ ENERGY RESTRICTED EERGY �aill^� - 13125 DEVELOPMENT Tigard, (503) 639 -4171 DATE ISSUED: 5/19/2004 00130 ss. SITE ADDRESS: 12064 SW WHISTLER'S LP PARCEL: 2S103CD -WW273 SUBDIVISION: WHISTLER'S WALK NO. 2 ZONING: R -4.5 BLOCK: LOT: 073 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 DATA/TELE 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 SECURITY INC 4230 GALEWOOD ST PO BOX 14833 STE 100 PORTLAND, OR 97293 LAKE OSWEGO, OR 97035 Phone: 503- 387 -7538 Phone: 503- 387 -7538 Reg #: SP1113- 5558211JLE LIC 96806 ELE 26- 565CLE FEES Required Inspections Description Date Amount Low Voltage Inspection [ELPRMT] ELR Permit 5/19/2004 $75.00 Elect'I Final [TAX] 8% State Surchart 5/19/2004 $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 A l / `�-- I/ 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 • 05/18/2004 14:25 5032362322 QUADRANT SYSTEMS PAGE 02 , :f 'E Permit Application R Received FOR OFh1CC USE ONLY Electrical Date/ : 9 / Permit No. / ..../C4. -- c7c /t Li City of Tigard Planning Ap. rove Si 13125 SW Hall Blvd. Bat Review Othe No.; 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.or.us 741 s; , ,,, . 'I °' D Contact t use No.; 24 -hour Inspection Request: 503 -639 -4175 ' - -- �---" Na I Su See Page x fog Name/Method: C \ Supplemental Inibrmatioti. .g3T.§r 1"1;Rii., !�ut {_afm, D)FC3,90 yJti <1 i :, 1. J ,? nt i! : r `., ln. J ir & _t. •,,,L L,,,, u ,n,, ; ,l, ,L ,. 1 gi' �M� :: e v_ 1�1b J t 4' /'( , 1 W Z ; - ; t r� t ' vv �' _ ry / 3 �: � �. � t� �r .,1:�11.1; ., Ra ew construction III Demolition ■ Service over 225 amps- • Health -care facility ■ Addition/alteration/r- • acement (■ Other: commercial >a l Hazardous location 1 , j i t i t�-;� ' 2 ti?f41�7 „il h �1P 4 fi ltl_ rl lr r � I-- ❑ Service over 320 amps -rating of U Building over 10,000 square cc' uare a 4,.>'...,.,4,.)...F. f + lmfib .•,. r.,. '. 1 &2family dwellings iourormoreresidentialunityin I ILd 1 & 2 -Famil dwellln: I. CommerciaVlndustrial I=1 System over 600 volts nominal one structure ❑ Building over three stories Feeders, 400 amps or more ll AeeesSo Buildin • 1111 ❑ pecupant load over 99 persons © Manufactured structures or RV ark [] , Masterr Builder 1=1 Other: ❑ Egress/lighting plan El Other: p a J .I,Ir,F,a,I:'e_IfN� {II:1 - i� i∎i 5:` T! tJ I: 1n” , .\It4:F „ '±- Submit aetsof lanswithff Job site address: 102,0 g �j p ny co die above Suite , F �� v � Tlte above are not a livable to fete ore construction service. #: Bld• ./Act. `Tr )`- 1/1'x! /y 1 .:?:'-c.:!... 2: ... `, !...1.Il Id `J 01 b71ri L.f l .... ail _..t J..a :::., t t 1t Number of insertions per permit allowed Pro'ect Name: like It O !... " ( g Iescription t S Qty I Fee (ea.) Total Cross street/Directions to job site: ws d resldenclsl -Angle or attached multi-family per dwelling unit. includes attached garage. Wh '44.gAt Wailk.JE - t0+ 9 3 Service Included: 1000 sq. R or less 145.15 Each additional S00 se, it. or portion thereof 33.40 Subdivision: Lt) S �E I , �_ Lot #: -J Limited energy, residential 75.00 Limited energy, non residential 75.00 Tax ma. /.arcel# g _- Each manufactured home or modular dwellin f F `. it , t . 1 ; : :':): _i'fif; I, 2?e?Ifiii 'sli f LO l_;u. ; _.. _ i service and/or feeder 90.90 I, . Services or feeders - Installation, .. .. 1 g . r 11'J . alteration or relocation: i r 200 amps or leas 80.30 201 amps to 400 arops 1 06.85 2 401 anms to 600 amps .4 ---- i' 1t 5IY (iTo4, :rr 1 i i ):4 1 -. ..,,.,.,i. Jr 11'Itf , r °I. r f11', . 601 antes In 1000 amps 160.60 ; 240.6 — Name: Over 1000 antes or volt 454.65 2 Reconnect only 66.85 2 Address: Temporary services or feeders - Installation, Cl /StAte /Zl s : alteration, or relocation: 200 amps or less 66,85 1 Phone: Fax 201 amps to 400 amps 100.30 2 I f. l !0J.1 r i f,l J I , t II r r;;; ', �fT S .. .;. , r, L L , .Lead. _ �, ?1 ..,11L i t �� L I F7, Jf' rtr ; [ 1 vrr:' +! i, `!'1 B ranc h c - new, alteration, or 133.75 2 Name: extension per panel: Address: A. Fee for branch circuits with purchase of service or feeder fee, each branch circuit 6.65 2 13. Fee for brands circuits without purchase of Phone: service or feeder fee rest , st branch circuit 46.85 2 Fax: Each additional branch circuit 6.65 2 E Mise,(Service or feeder not included): E 1 1 - t A ` , , , 1 r , .,. . . , . . , `ij'- i` /!fiir1, 2 ;:,t! 'I. n } .i . ' Each mutnp er irrigation circle 53.40 2 Each sien or outline lighting 53.40 2 Job No: Signal circuit(s) or a limited energy panel, Business Name: 0 _ — alteration or extension 1 Page 2 95 2 Address: RCP, 1 . 3 nescriptioa: Cl, Address: s : y . M ei r ; 9 - - 7 Each additional inspeetlon over the allowable in en of the above: Per inspection per hour (min. i hours 62.50 Phone: So 1-2. -sr 't Fax: 57) S - a Y4 -7- K Z 2 Investigation fee: CCB Lic. #: g Co .'0 6 Lic. #: 2 62 S6 r c LE pdfer: , � ` • • ' _ v ! • 1 Cwti+. .... ... .‘1...11::;11.'i t1 '1.I fi g.. tl . >.` iat. }!ri .. i.. t I ' ,17 " 1- ' ' // �� Subtotal �y l Q si: attire re •uired: c t - Plan Review (25% of Permit Pee) $ Print Name: , , ' v . `I l € d IgtErFAIMMEI State Surcharge (g% of Permit Fee) $ i o. 01) TOTAL PERMIT FEE $ 00 Authorized ti eft Th . ermrit application expires If a permit is not ob within Signature: / 147,4.../\ dth81H C ., . J - ( Bate: . can accepted as complete 4 -- ' .by Tni- County Building Industry Service Board. Er, <- Nt 1A.! (Please print name) MAY 1 8 2004 i :\Dsts\Permit Forms'ElcPcrmitApp.doc 01/03 10i I CITY OF TIGARD BUILDING DIVISION