Permit CITY OF T I R® ELECTRICAL PERMIT -
RESTRICTED ENERGY
r _� A, DEVELOPMENT SERVICES PERMIT #: ELR2001 -00202
" 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 08/07/2001
SITE ADDRESS: 14865 SW 74TH AVE 130 PARCEL: 2S112AC 01200
SUBDIVISION: FANNO CREEK ACRE TRACTS ZONING: I -P
BLOCK: LOT: 020 JURISDICTION: TIG
Project Description: Installation of burglar alarm.
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:
INSTRUMENTATION: OTHER: BURG ALAR X
TOTAL # OF SYSTEMS:
Owner: Contractor:
KNHS DEVELOPMENT CO QUADRANT SECURITY
26262 S MERIDIAN RD PO BOX 14833
AURORA, OR 97002 PORTLAND, OR 97293
Phone: Phone: 234 -5558
Reg #: SUP 1211JLE
LIC 96806
ELE 26- 565CLE
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRMT CTR 08/07/2001 $75.00 2720010000 Elect'l Final
5PCT CTR 08/07/2001 $6.00 2720010000
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 ; �, , 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. ELECN: (f� C� DATE:
LICENSE NO:
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
8 -03 -2881 8.58AM FROM QUADRANT SECURITY 503 236 2322 P_2
11
Electrical ermitA` ti , ,
Daterreeived: b / r �� �•.
i, :1'1+ City 0 gard ti .
Pmject/app no.: 13xp1zzdaDo:
City of Tigard Address: 13125 SW Hall Blvd, Tag , OR 3 Date issued: 0 Receipt no.:
Phone: (503) 639 - 4171
Fax: (503) 598 -1960 Case file no.: Paymenttype:
Land use approval: ....
CI 1 & 2 family dwelling or accessory " ' tg Coritmercial/industrial ... _ O Multi - fancily 0 Tena.uf .irrtprovement
CI New constrUet�ioa,;,, . +- :�,,_ti,, A
49 .,i O Other: L1 Partial
SITE hNl^"Ol2M : • < ' `,
Job address; 0 8qr:4 wi 4 'r" i 1 1 1 All Bldg. no.: Suite no_ :/5D Tax map/tax lot/account no.:
Lot: Block: Subdivision: .
Project name:.. .. Description and location of work on premises: o Ybl . _ - 0. J ' • 0 ,
Estimated date of completion/inspection: A
ICON l RACTOR; APPI ICATION ; , . , =ar; 'I EE . St ilLDULE
Job run:
' Description Qty
Business Warne: 010 �.y .. New residimdal- single ormulti- farailypc El rgligi31
Address:. • 4 p ;:„ 1 1 4 S' dwelling mtit.Includes attached garage.
BMW M 0,11111111111111e00,1 ZXP: g "Z P., 3 SerViceliteludcrt
Phone: $a g -3q . ...Z ,I Fax;'P3b- IOW Eq. ftorkss 4
CCB no,: : 1 4 Elec. bus. tic_ no: ,2 . - es S" C(... Each additional 500. •, ft- or • •rtion thereof ini_u
L.imited energy, residential r_a
City /m . 1i .,.o: OC,�DO a4 cob Limited. energy, non- residential _ Svr
Val 2
/�7- ; Each manufactured home or modular dwelling
S• , „ of su. is - electrician (required) pate Service and/or feeder ■� 2
sup. slat tillme (prior) c G rYL t I r Iioenst ao 0.3 LE allteerration feeders location -installation,
1111
' 1.'RO 3 1:1 {T:Y OWNER
200 : • or Is 2
Name (point):
I 1 amps to 400. amps IIIIII_ - MEIN!
Mailiii address: 401 amps to 600 amps . �_ 2
Mailing 601 amps to 1000 arn•s __ Mall
City: State: . ZIP: Over 1000 amps or volts ME_ 2
Phone: Fax: E-mail: Reconnect oil ��
Owner installation: The installation is being made on property I own Temparaq servics or redder$ - _ .
which is not intended for sale, lease, rent, or exchange according to Irsslallattao,dtrratlon , orrclomdoa
ORS 447, 455, 479, 670, 701: 200 amps or less 2
201 amps to 400 amps __111•11
Owrn &s si . - Dale: 401 to 600: ___ 2
I;'GII;I: ti
}°,,:: , Snatch draft - oevr, alteration,
or exteatloa per panel:
Name: A. Fee for branch circuits with purchase of
Address: service or feeder fee, each branch circuit 2
Ci State: ZIP: B. Fee for branch circuits without pured:ase IIII■
of service or fcedcr fee, first branch circuit: 2
Phone: Fax: FirYrail: Each additional branch circuit _��
PLLI■ ItL•'VIi. NV'.(Plc.t :i11 tline.apph) _ ',,: •• Misc. (Service or ■■ 11111
O Service over/25 amps-commercial . 0 Health-cam facility Each pump or irrigation eirelc
O Service , over 320 arnpa •terms of 1&2 . 0 Hazardous location Each signor outline lighting __EI. 2
family dwrilings ❑ Building over 10.000 square feet four or Signal circuit(s) or a limited energy panel,
O System over 603 volts nominal mons residential units in one structure alteration, or extension* �� 2
❑ Building over three stories 0 Feeders, 400 amps or more *Desch • lion:
Cl Occupant load over 99 persons 0 Manufactured structures or RV park Each additiootrl 1nspec ion over the allowabk la any of the above:
0 Egress/lightingplan 0 Other: - Per inspection
_ . aipbmit sets of plaus with any of the above. . Investigation fee
The above are toot applicable to temporary consirettatiioa (service. • Other ! 6M
Not ae t credit cards, pram call pinse;uioa rat roots Wonmat;o Notice: This permit application Permit fee $ S 2
,sa 0 MasterCard • :. , expires if a permit is not obtained Plan review (at _ %) $
aQar anal > 4 b24 •2-, Lb, o a 8'i • -`14 9 , 06- _10- within 180 days after it has been State surcharge (8%) ..., $ to CO
Expires accepted as complete. TOTAL rrlL $ i •
Name of cardholder as shorn co credit tad
Cardholder elyoatatc Amount , 4404615 (fi3OO/COM)