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Permit r• ELECTRICAL PERMIT - CITY TIGARD RESTRICTED ENERGY 44, 1 DEV w H PMENq Tigard. SERVICES 1 639 -4171 DATE SSU 6/2/03 003 00149 SITE ADDRESS: 13646 SW LEAH TERR PARCEL: 2S109BA 08100 SUBDIVISION: DAFFODIL HILL ZONING: R -7 BLOCK: LOT: 007 JURISDICTION: TIG Project Description: Install all encompassing Low Voltage. 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: ALL ENCOMP : X HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: Owner: Contractor: HEIGHTS CONSTRUCTION QUADRANT SYSTEMS 1 PO BOX 14833 PO BOX 91249 PORTLAND, OR 97293 PORTLAND, OR 97291 Phone: 503- 291 -2550 Phone: 234 -5558 Reg #: MDT- 29101466 SUP I211JLE LIC 96806 FEES ELE I46064$nspections Description Date Amount Low Voltage Inspection [ELPRMT] ELR Permit 6/2/03 $75.00 • Elea! Final [TAX] 8% State Tax 6/2/03 $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 throuc Issued by j rt >t-l61,4 Permittee Signature ,�,�� C r 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 SIGNATUREOF- SUPR— E-LEC'N - DATE: LICENSE NO: Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day 05/,30/2003 16 :16 5032362322 QUADRANT SYSTEMS PAGE 01 FOR OFFICE iISE ONLY Electr P Application Received Electrical ED Date/13 A ro 03 �� Permit No. J , x /13 - 6o�U /V e Planning Approval Sigh City of Tigard ��' patter; Permit-No,: 13125 SW Hall Blvd. Plan Review Other Date/i.e _ Permit No,: Tigard, Oregon 97223 ` 2 20 post - Review Land Use Phone: 503-639 -4171 Fax: 503-598-190A/1 ,,,„ ‘ ,,,,„ 4 „, �, ,� 5 Da -R Case No.; Internet: www.ci.ti and -onus ''1 ! I Contact luris.; ►:4 See Page 2 for g �1 -y 1C17 Su temente! information. 24 - Inspection Request: 503639- 411 51L��NC' I . — Namc I '.=TYPE.OF:'•W;OIUC " • PLAN . RE' �i EW;( please,.c'b.e A .,_ ,::.; ' .' i; , :: '; • ... , ,;" � ❑ � Health -care facility Demolition Service over 225 amps - New construction commercial 0 Hazardous tocapon Additiorilalteratl .017JreplaCemBriC Other: ❑ Service over 320 amps - rating of ❑ 13ui (ding over 10.000 square feet. , +C TEGO' Y.O :CONSTRUCTION I & 2 family dwellings four or more residential units in I. & 2-Family dwelling ©Comirlercial/Industrial 71 System over 600 volts nominal one structure _ ❑ Building over three stories ❑ Fccders, 400 amps or more Accesso Buildin ❑ Multi- Family ❑ Occupant load over 99 persons 0 Manufactured structures or RV park Q t 1 V laser Builder , 0 Other: ❑ Egress/lighting plan ❑ Other; Submit sets of plans with any of tine above. ;I, ;7pgi151C7fE: IN?Ok1�iTtIIN end; LOCATION The above are not applicable to temporary construction service. Job site address I_ .D b _ _ S l h i a h T Q i T C . 1 4 :. z! ., FE] ?SOip3,,',13 L.; 1i!' i ;,. :•.;;:,.; Suite #: Bldg. /Apt. #: Number of inspections per permit allowed Project Name: j-t (CjvC�S r��,, Description Qty Fee (ea.) Tow Wtl !S C E New residential- single or multi- family per • Cross street/Directions to job site: dwelling unit Includes attached garage. r f-_ )Q, „Q - Xn . tit ■` ` y 1 � Service Included: 1000 sIn. or less 145,15 4 Each additional 500 sq. ft. or portion thereof 33,40 1 Limited energy, residential 75.00 2 Subdivision: i . sits . Lot #: Limited enemy, non residential 75.00 , 2 Tax leap / #: End, manufactured home or modular dwelling ;;i : ' ,: : ;:r; ':`i�lS+ CRIB •'YYIVif1P""M?1rOltXC?,;::';' service and/orfccdcr 90.90 2 � j.jl: ; i , , E , s � _ ' . ..” Services or feeders - installation, • .`� ,e (� i �, _ y � a II alteration or relocation: 200 amps Or less 80.30 2 - _ — 201 am sp 9 400 amps 106.55 2 401 amps to 600 amps 160,60 2 h l',; •F ,, r-;:r• , :; 601 ern to moo am•s 240.60 2 iW: 4d,•.r�'''� �' ! 1i; ^ . , ,.. ;a,. a bll�l�. 454,65 �• 2 Over 1000 amps or vo Name: - Reconnect only 66.85 2 Address: Temporary services or feeders - installation, - - alteration. or relocation: Ci. tState / 200 amps or less 66.85 1 201 amps to 400 amps 100,30 2 PrAOXie: • �` 401 to 600 am ]33 -75 2 �;: °lu!.," ! iarON x A r:'PT+IRSON Branch circuit." - new alteration, or Name: Qd.1 _1L. '-._ • L l l exten don per panel: r A. Fee for branch circuits with purchase of Address: service or feeder fee, each branch circuit 6.65 2 Cl! /State /,Zi. ■ : B. Fcc Cot branch circuits without purchase of service or feeder fee, first branch circuit 46.85 2 Phone: Fax: Each additional branch circu 6.65 2 E -mail: Misc.(Scrrice or feeder not included): 53.40 2 _ iii!ri, . - �� iPil', r : :,1;�ir0Dl�'h'Ritkria -:,:'i ;' :;I' :- h ; .. .. . _ Each pump of irrigation circle S3.40 2 t e ;,: ,:ai:, : ',,,,. , n t >� , „ _ Each sip or outline lighting Job No: Signal oircuit(s) or a limited energy panel. alteration, or extension P 2 2 . Business Name: a � I h I . it . :AIL. ne' Description: Address: PQ r 1'R'?, 3. . _ Each additional i nspection over the allowable In arty ofthe above: Cit /State /lip: • ,,� fir' - Per inspection per hour (min. I hour) 62.500 investigation fee: Phone: 3 2,..3%..\ Fax: 3 Z 3[a 2,524. investigation t v. CCB Lic. 0 : �D. �nlv s Lic. #: 21,? 5105 EE's - ,. : �Flecti ?,I.c�X�!��l;i�i{iti�l?`i�g;� '' ,'ila !�•':! Supervising electrician /, \ _ Subtotal signature required: (6/ all- / 1 " t(-------- Plan Review (25 /o of pe rnit Fee �� 1 1 ir r Lic # : 2, / d,�. State Surcharge (8°/n of Permit Fee) $ L.0. Print Namc:Q� r¢ /L TOTAL PERRMVJIT FEE $ ( g1,07.) Authorized ` y ) Notice: This permit application expires If a permit it not obtained within Signature: cy\Ci Y ).1't'._4'' i_ L, .Datc_ilb 180 days after It has been accepted as complete. • / *Fee methodology act by Tri- County Building Industry Service Board. c.t3 — em u. sC (Please print name) is \Dsts\Permit farms \ElePcrmitApp.doc 01/03