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Permit `� • ELECTRICAL PERMIT - CITY TIGARD RESTRICTED ENERGY III' DEVELOPMENT SERVICES PERMIT #: ELR2004 -00260 --' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/17/2004 SITE ADDRESS: 13688 SW LEAH TERR PARCEL: 2S109BA-07800 SUBDIVISION: DAFFODIL HILL ZONING: R -7 BLOCK: LOT: 004 JURISDICTION: TIG Project Description: Security & audio. 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: HEIGHTS CONSTRUCTION QUADRANT SECURITY INC PO BOX 91249 PO BOX 14833 PORTLAND, OR 97291 PORTLAND, OR 97293 Phone: 503- 291 -2550 Phone: 234 -5558 Reg #: Sbl3- 291130LE LIC 96806 ELE 26- 565CLE FEES Required Inspections Description Date Amount Low Voltage Inspection [ELPRMT] ELR Permit 8/17/2004 $75.00 Elect'I Final [TAX] 8% State Surchart 8/17/2004 $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 Ard _ 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 OFSUPR.ELEC'N DATE: LICENSE NO: Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day 08/16/2004 12:41 5032362322 QUADRANT SYSTEMS PAGE 04 , 1 1. , E lectrical Permit Application FOR OFFICE USE ONLY � ® Receives c/ Electrical ,1 RECEIVED E® Dam a -� l / • Permit No.: ` 7 � v ©�/ ._- , Cl of Tigard Planning Approval /� Sign g Date/B : Permit No.: 13125 SW Hall Blvd. AUG 16 2004 Plan Review Other Tigard, Oregon 97223 Date/By: Permit No.: Phone: 503 - 639 -4171 Fax 3 -1960 Post-Review Land Use Internet: www.ci.tigard.or. LC� W�y� I 1 Y OF TIGARD `'' "!'' irt: I `� Da y' Case No.: ��.�•."y�ISI ^� r`---0 Contact Jynp Q See Page 2 for 24 -hour Inspection Request: S %•j Name/Method: -) I (.f' Supplemental Information. [ �h•' . i r l 6: 1. 1 k t4. ' l; :j "'jI11,1 iris .....�., ."a,..,..n . :1.::�...:1d�1 . .. _ .. ... •s , , , i, o i d: i wr -0 o ? .;w,,. 12 New construction 'I Demolition ■ Service over 225 amps- 11I Health-care facility LU Addition /alteration/re.lacement •■ Other: over amps-rating Bilding Hazardous location commercial Fw•��'Se: �� try i�° " rs;�6�'. ; , "� • �;. r " ❑Service r 320 amps -ra ing of ■ Building over 10,000 square feet, : ;�fij t �Sli45ir,ii:',ail L`Er:R.ls;:r. :s,rt,4 � > .A, i.,i, p,,iiI, tt?aiIki;i e. .;i ^' <; ',.a 'i I & 2 family dwellings i fear or tTlofe residential Units in ' 110:1 1 & 2 -Famil d wellin: I N Commercial/Industrial 0 System over COO volts nominal one structure Ir Access Buildin: / - ❑ Building over three stories © Feeders, 400 amps or more (=Occupant load over 99 persons 0 Manufactured structures or RV park IN Master Builder IM Other: ❑ Egress/lighting plan ❑ Other: ;' lair ' .tf;c'1K :i;41jl .1:'fl r i " + 4TG1'j., :J1, •ij: ?i Submit sets of plans with any of the above. above are not a • , Ilcable to tern , orar construction service. Job site address: lo, • Stt/ t - 1 ,'r/.,4 c �,,,,ff The a� .. '']°lit ...., i��C'!J� ; ;•1 (. 'i:f %1:11f9111 ... '.sr - j'i`' Suite #: Bld• .1A.t. #: Number of inspections ons er _permit allowed •.. ' p p all Pro'ect Name: Description Qty ' Fee (en.) Total 7 Cross street/Directions to job site: New �ldaatlel- single or muld-famlly per dwelling unit. Includes attached garage. Service Included: 1000 sq,ft or less 145.15 4 Each additional 500 to. ft. oon thereof 33.40 1 Subdivision: • F} ! , ai i ir igirMill Lot #: Limited energy, residential 75.00 2 Limited enerlty, non residential 75.00 2 1110125 Each manufactured home or modular dwelling :,.... , ' 9 . , „, service and/or feeder 90.90 e.. ! - .. ... ,,.n• . . .. • . - tiitirtIj: ..:: r , r<;r':: Services or feeders - installation, / Al - — - e V t f. : 4...fi alternation or relocation; 200 amps or len, 60.30 2 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 - 2 r:. ,, ..a : , .. �;,• F - �- ; �,r,,'iri4 �- . ,�,,g,i,,ia;11;; , : . '., I_:'''ii7asr >'d''j' .. ..: 601 amps to 1000 amps 240.60 2 a3I18: a Over 1000 amps or volts 454.65 2 �'e •o = ' _ • Reconnect only 66:85 2 Address: - •. Temporary services or feeders - installetion, .iteration, or relocation: Cl /r7tlite/ZI • : 200 amps or leas 66,85 1 Phon,e:To - 2,,q- /74 Fax:,Sb7 251-- 6 SZ- t 201 amps to 400 amps 100.30 2 • °''l -:1 ei •_yfy ' ,:.` i ti i i1. '4 401 to 600 Amps 133.75 2 ' 'i" '' - '" �' "' Braneb circuits - new, alteration, or i• Name: ...f .,. ,...� ,.,.,. / i, extension per panel: • Address: A. Fee for branch circuits with purchase of aemrx or feeder fee, each branch circuit 6.65 2 in I MEME B. Fee for branch circuits without purchase of - service or feeder the, first branch circuit , 46.85 2 Phone: Each additional blanch circuit 6,65 2 E -mail: MIsc- (Service or feeder not included): i''', .... ... .' ... ..... . ........ ''.';'fi;ir.} lj" ,•.VC'ICti;q Each pump oriniRaticnerele 53.40 2 Each sign or outline lighting 53,40 2 Job No: signal citcuit(s) or a limited energy panel, Business Name : / r/ .0 , :. alteration, or extension Page 2 _ 2 Description: Address: PCP 1 . Ci /StBte/21.: y i • ,u.(• to : 9 , Each additional inspection over the allowable in any of the _ a above: Per inspection ur� per Itomin. 1 hour) 62.50 Phone; Co 7- Z -fr t Fax: 17J 3 - Z 36 - Z 3 E. 7— Investigation fee: - CCB Lis # Supervising electrcci' / s store re aired: Li vrtl - 3nbt0ta1 } a4 -- __ Plan Review (25% of Permit Peel, $ Print Name: ; t ' SESSIMMEMEIMEMEIM State Surchari a (8% of Permit Feel_ $ &_, GIP TOTAL PERMIT' !ME $ $ Authorized _ � _��� Notice: ThIs.permrt.application- expires -Ifa- permit- is- notobtained-within— T Signature: - C _ Date: 180 days after It has been accepted as complete. *Pee methodology set. by 'Fri- County Building Industry Service hoard, 3.1 C. t t t Gin' Lei (Please print name) 1:\ Dste \PermitForms \ElcPermitApp.doc 01/03