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Permit 1 , CITY OF TIGARD ELECTRICAL PERMIT - RESTRICTED ENERGY ;� DEVELOPMENT SERVICES PERMIT #: ELR2004 -00108 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/22/2004 SITE ADDRESS: 13620 SW PIPER TERR PARCEL: 2S103CD -WW271 SUBDIVISION: WHISTLER'S WALK NO. 2 ZONING: R -4.5 BLOCK: LOT: 071 JURISDICTION: TIG Project Description: 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: DON MORISSETTE HOMES INC QUADRANT SECURITY INC 4230 SW GALEWOOD ST 100 PO BOX 14833 LAKE OSWEGO, OR 97034 PORTLAND, OR 97293 Phone: Phone: 234 - 5558 Reg #: SUP 121 IJLE LIC 96806 ELE 26- 565CLE FEES Required Inspections Description Date Amount Low Voltage Inspection [ELPRMT] ELR Permit 4/22/2004 $75.00 Elect! Final [TAX] 8% State Surcharl 4/22/2004 $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 04/21/2004 12:59 5032362322 QUADRANT SYSTEMS PAGE 01 +'lkcxtricaI Permit App ` . � 12 OFFICE USE ONLY Received mai Elecbieal i Date/13 . I , 10 b. '01 Permit No. ,/ alp Ii-6 ■ City of Tigard t k G Planning I Sign ` 1 . * Date/By; Permit No.: - 13125 SW Hall Blvd. 2 ,\. Plan Review Other - Tigard, Oregon 97223 p � \ GP Date/BY; Permit No.: Phone: 503 - 639 -4171 Fax: 503-5924%6. z O� , Post Land Use - �' Interact: www.ci,tigard•or..us G� LN�a-i' GO ` `' 1 sir Date./By: Case No.: Contact Ju ' „ El See Page 2 for 24 -hour Inspection Request: 503-6041'95 Name/Method: _ Supplemental Information. .,c ' 1 ry: ♦•,'�1. r . r I r f • • '' : is x �,�4 3. .7-. . � N tf. 7 � .i . , '4.:'• • �W�AI . . i� ©�_�1.,'1nfiL'� �:v� {.:l.i:rli� r I I :'��� .. '� " .,• -v '. ?V'��� d ai /• �' •i � I In�� i5� r � l r` f New construction • Demolition • Service over 225 amps- 1 Health -care facility Addition/alteration./ • laCCment 1:1 Other: commercial 0 Hazardous location • Addit It ti4 �' c n :.; ; r � x I, ❑ Service over 320 amps- rating of 0 Building over 10,000 square `3".,- . ' ,..hwil "' c er "i. 1 t : 7! W,'e; �..), 2 ', t N'�'f'i ; family four or more 1 9 ate feet. �_�� 'I. � , , . � r. e ..d. a.l',:� I - ,.1 ,_..,.,.. , � I & 2 Tamil dwellings residential units in ■' .1 jawas' • " i ■ Commercial/Industrial ❑ System over 600 volts nominal one structure IN Accesso Buildin _ K■ Mtlltl -Famfl 0 Building over three stories 0 Feeders, 400 amps or more Q Occupant load over 99 persons ❑ ManuCaetured structures or RV park 0 Master Builder • Other: 0 Egressnighting plan 0 Other to -ifs AtE c l: i lli i1 i' "I P375.. l� k a ti ';'. Po 'c_∎ ' ' + Submit sets of plans with any of the above. Job site address: / 1 5(,v , 'P/ 7 1 . The above are not a Ileable to ten ore construction service. Suite #: Bld_ . t.#: "r' • ., _: -- .571'I 7. ��y r 'J-T, 9 11i11,IT' }'�"':Y - ,; 1r :.... :c Number of ins ectIons per ermit allowed Pro •ect Name: wi.: . os W . i s Desert ■ lion Qty Fee (ea.) Total Cross street/Directions to job site: New residential- adogle or multi- family per dwelling unit. Includes attached garage. Service included: 1000 se. R or teas 145.15 4 Each additional 500 5. ft. or portion thereof 33.40 1 Subdivision: Lot #: Limited ene1�'` residential 75.00 2 Limited eaet'py, non residential 75.00 2 Tax ma .1 • arcel #: Each manufactured home or modular dwelling Ai. 1 1 ' `2 ,2 ii.P aL: - :',1, t0 . "7 nj '°I 6 M ! !I ,... , ;7:1;fr: °. Wriiee and/mfeed 90.90 Serykes or seeders - installation, alteration or relocation: 200 amps or less 80.30 2 201 amps to 400 amps 106.85 2 L 401 amps to 600 imps 160.60 1 2 • n il ' ?'? 71 f] .c. `' 1 i , _ J Ei-h ^4`�I _ 3' 1 1 4 .(.,'. �.i i r.t. _ _ .... _; 601 amps to 1000 atnin 240.60 , 2 -" over 1400 amps or volts 454.65 2 Name: Reconnect only - 66.85 2 Address: Temporary services or feeders - installation, alteration, or relocation: - - ' 200 amps or leas 66.85 • 1 Phone: Fax; 201 antis to 400 amps - 100.30 . 2 O t r rr. i'.r. r+ln', �� �._:u -, 401 to 600 amps 133.75 2 larl'i7k2, -4 , 1 1 I TII �. �.1. ran !.`I ,1 .1. (d �Eif,� iii;,) k.' . .n , g,i .r t ' . „ i ' ,fj%µC' l4. r�.1.u.::..i '..� i1�.itl:a ai -ll !e. ,.� .. �' di:_,.._.;' _ .\ y., �. ,v B ranc h circuits - new, aiteretloe, or Name: extension per panel: Address: service Fee for branch circuits with purchase of service or feeder foe, each 'branch circuit 6.65 2 . S . Fee for branch circuits without purchase of service or feeder fcc, first branch circuit 46.85 2 Phone: Fax: zach additional branch circuit 6.65 • 2 E -mail: Misc.(Serviee or feeder not included): IT, P;.:a . 0',7 iJ2 •c 1 ,�:`• .L a'' n'.. i �� 1 r ?11, �,. . ; . . � .... .. j ' :1 •: 1 Each pump or irrigation circle - 53.40 2 Each sign or outline Iiithtins 53.40 2 Job No: • Signal ebouit(s) or a limited energy panel, Business Name: r _ , re: • Setup' r r i alteration, or extension ∎age. 2 ∎ 2 Name: �NC • ' Dcceription: ` ■ Address: - a_ E re l'F 8 3 3 • � g 3 Each additional inspection over the allowable In an &of the above: . v r • - ti -& fir/ Per inspection per hour (min. 1 hour) 62.50 Phone: t - 2 - , Fax: MT-236- Z 2.. 2-. Investigation fee: CCB Lic. #: 1 4. Yoto Lic. #: 26-C4 r c L g o t f J her: 1 Ic .:. :._ - :: :. II �„J�dk.' 1( R.1 1 'llflti.l : i. . L - .•.7. .. �. r .._. it i 11 li' Supervising electric'. 1 Subtotal $ '7 Zoa si attire re • uired: - Plan Review (25% of Permit Pee) $ Print Name: - .'c (, WA.' i I •e v EMEireiriiMni State Surcharge (8% of Perlttit Fee) S 4 • .4 G TOTAL PERMIT frEE_I I r QU Authorized e� - �/ , / Notice: This permit application expires If a permit is not obtained within Signature: .7...---. t C. Date: T 2 I - C7 180 days alter It has been accepted as complete. *Fee methodology set by Tri -County Building industry Service Board. I t i PTA tit C . N14. r. Ugare5 (Please print name) i :\Dats\Permit FormalBicPermitApp.doc 01/03 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested � AM PM BUP Location / Suite MEC Contact Person h ( ) 9t 't - .4,4›3'7 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ` M) c b/oe Footing ELC Foundation Access: i 1 �q Ftg Drain ELR �� "I ' �o) V C� Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall - Fire Sprinkler Fire Alarm Susp'd 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 CTRICA Serve • Rough -In U ow Volta. Fire • arm Fi - I Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PAS PART FAIL SIT ❑ Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date 'O L� Inspector v '`� Noe L Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL