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Permit . A CITY OF TI GARD ELECTRICAL PERMIT - RESTRICTED ENERGY 41P.tosa I ' DEVELOPMENT SERVICES PERMIT #: ELR2000 -00254 I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/1/00 SITE ADDRESS: 12192 SW QUAIL CREEK LN PARCEL: 2S103C6 -10400 SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R-4.5 BLOCK: LOT: 062 JURISDICTION: TIG Project Description: Installation of limited energy for irrigation control. 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: IRRIGATION : X HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: Owner: Contractor: DON MORISSETTE HOMES PROGRASS LANDSCAPE SERVICES 4230 GALEWOOD STREET 29895 SW KINSMAN RD SUITE 100 WILSONVILLE, OR 97070 LAKE OSWEGO, OR 97035 Phone: 274 -5223 Phone: 682 -6076 Reg #: LIC 6136 FEES Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRMT CTR 11/1/00 $75.00 2720000000 Elect'l Final 5PCT CTR 11/1/00 $6.00 2720000000 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 o ' ' rough OAR 952 - 001 -0080. You may obtain copies of these rules or direct quest s to OUNC at (503) • 246 -1 • :7. Issue • • y (�,t n t Permittee Signature �2 j ..A21_12 .-4 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 Electrical Permit Application • Date received: /p- pjp -CO Permit no.: O - op a ..,1 ' i, ' �•��i i City of Tigard � Project/appl.no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd, Tigard, 97223 Date issued: 134Debl Receipt Phone: (503) 639 -4171 '511a Fax: (503) 598 -1960 ()CI % Case file no.: Payment type: Land use approval: rtZAn 21.1 E1¢P1I • TYPE OF PERMIT ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family ❑ Tenant improvement `I4 construction ❑ Addition/alteration/replacement ❑ Other: ❑ Partial JOB SITE INFORMATION Job address: / 9 Q C -e-Liu-e_- ' , ' Lai)e. Bldg. no.: Suite no.: Tax map /tax lot/account no.: 6 55 13 c Lot: Block: (Subdivision: HU / /CTU( Project name: a-lajle Hr((tSLU (A oL I Description and location of work on premises: Land S Ca e , I r'Y7q Ai," OY1 Estimated date of completion/inspection: av 34-ei4 • _y i r et' ✓ _ ONTRA OR AEPLLCAT.ION --�-._. FEE SCIIEDU.E Job no: 00 - , - Co a - P Fee Max Business name:Pjo LandSCQfo-e.___ Description Qty. (ea.) Total no.insp New residential - single or multi - family per Address .' f S SIG() k ( r}S - /na/L•.l 2 •D dwelling wilt. Includes attached garage. City 1 ! gtY1 011 I-C•i n I S tateO/L_-I ZIP: q 707 Q Service included: Phone'a -6 Cal n lFaxtc k a- Y1 E-mail: 1000 sq. ft. or less 4 , ,J Each additional 500 sq. ft. or portion thereof CCB no.: (� / 3 (p I Elec. bus. lic. no: Limited energy, residential 2 City /metro lic. no.: ()) 3 2.4 Limited energy, non - residential 2 uell )etri [ /b/, L/ /OO Each manufactured home or modular dwelling Signature of supervising electrician (required) Date Service and/or feeder 2 Sup. elect. name (print): License no: Services or feeders- installation, alteration or relocation: - -- • — - - - - --- - . - - - - - -- PROPERTY OWNER 200 amps or less 2 Name (print): bp-r) /f tTYI S S C / /C /JZ3r - 201 amps to 400 amps 2 401 amps to 600 amps 2 Mailing address:9,93U S.t.(> Gc c��czyd., / 601 amps to 1000 amps 2 City: A I«', D g't, v I State. R_ ,I ZIP: g 7O3¢- Over 1000 amps or volts 2 Phon . 3)/o$a —(�Or7 ax:/,,,$A- 77ti E -mail: Reconnect only 1 • Owner installation: T 1 tion is being made on property I own Temporary services or feeders - which is not intended for se, lease, rent, or exchange according to llation, alteration, or relocation: 200 amps or less 2 ORS 447, 455, 479, 670, 701. 201 amps to 400 amps 2 Owner's signature: Date: 401 to 600 amps 2 ENGINEER Branch circuits - new, alteration, or extension per panel: Name: A. Fee for branch circuits with purchase of Address: ; service or feeder fee, ::ia:h branch circuit 2 City: I State: I ZIP: B. Fee for branch circuits without purchase of service or feeder fee, first branch circuit: 2 Phone: Fax: E-mail: Each additional branch circuit: PLAN REVIEW (Please check all that apply) Misc. (Service or feeder not included): O Service over 225 ampsommercial •❑Health-care facility Each pump or irrigation circle / 53 y`)1/4. S.- A 2 ❑ Service over 320 amps - rating of 1&2 ❑ Hazardous location Each sign or outline lighting 2 family dwellings ❑ Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel, . ❑ System over600 volts nominal more residential units in one structure alteration, or extension* 2 ❑ Building over three stories ❑ Feeders, 400 amps or more *Description: ❑ Occupant load over 99 persons ❑ Manufactured structures or RV park Each additional inspection over the allowable in any of the above: ❑ Egress/lightingplan ❑ Other. Per inspection I I I l Submit sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other [- Not all jurisdictions accept credit cards, please call jurisdiction for more information. Notice: This permit application Permit fee $ �1, ' c7 ❑ Visa CI MasterCard expires if a permit is not obtained Plan review (at _ %) $ Credit card number: / / within 180 days after it has been State surcharge (8 %) .... $ to . CO Expires accepted as complete. TOTAL $ cF/ Name of cardholder as shown on credit card $ Cardholder signature Amount 440-4615 (HW/COM) • Electrical Permit Fees: Limited Energy Fees: .. .. TYPE OF WORK INVOLVED - RESIDENTIAL ONL Complete Fee Schedule Below: c Restricted Energy Fee $75.00 • Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved: Residential -. per unit 1000 sq. ft. or less $145.15 4 El Audio and Stereo Systems Each additional 500 sq. ft. or portion thereof $33.40 ' 1 ❑ Burglar Alarm Limited Energy $75.00 • Each Manufd Home or Modular Garage Door Opener Dwelling Service or Feeder $90.90 2 Services or Feeders ❑ Heating, Ventilation and Air Conditioning System' Installation, alteration, or relocation 200 amps or less $80.30 2 Vacuum Systems' 201 amps to 400 amps $106.85 2 401 amps to 600 amps $160.60 2 601 amps to 1000 amps $240.60 2 they � Over 1000 amps or volts $454.65 2 /" Reconnect only $66.85 2 c2O71 7 //ey' Temporary Services or Feeders TYPE OF WORK INVOLVED - COMMERCIAL ONLY Installation, alteration, or relocation 200 amps or less $66.85 2 Fee for each system $75.00 201 amps to 400 amps $100.30 2 (SEE OAR 918 -260 -260) 401 amps to 600 amps $133.75 2 Over 600 amps to 1000 volts, Check Type of Work Involved: see "b" above. ❑ Audio and Stereo Systems Branch Circuits New, alteration or extension per panel Controls a) The fee for branch circuits with purchase of service or ❑ feeder fee. Clock Systems . Each branch circuit $6.65 2 b) The fee for branch circuits ❑ Data Telecommunication Installation without purchase of service or feeder fee. 1 1 Fire Alarm Installation First branch circuit $46.85 Each additional branch circuit $6.65 HVAC • Miscellaneous (Service or feeder not included) ❑ Instrumentation Each pump or irrigation circle I $53.40 53. y a Each sign or outline lighting $53:40 ❑ Intercom and Paging Systems Signal circuit(s) or a limited energy panel, alteration or extension $75.00 Minor Labels (10) $125.00 ❑ Landscape Irrigation Control Each additional inspection over ❑ Medical the allowable in any of the above Per inspection $62.50 n Nurse Calls Per hour $62.50 In Plant $73.75 ri Outdoor Landscape Lighting Fees: 53 b 0 Protective Signaling Enter total of above fees $ ' `� / 8% State Surcharge $ /7 / • a 7 n Other Number of Systems 25% Plan Review Fee See "Plan Review" section on $ • No licenses are required. Licenses are required for all other installations front of application. • Total Balance Due $ 57-€.0 7 Fees: S Enter total of above fees $ '' 7 J ❑ Trust Account # 8% State Surcharge $ C' Total Balance Due $ 8I - oz) i:\dsts \forms \elc- fees.doc 10/09/00 PITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 J / BUP Date Requested / (" AM PM BLD Location / 214 1-5 4i Qk 4 17 02,u1 Suite MEC Contact Person J /,e) Ph ..70 z-f 3 7 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Q Footing Access: Foundation FPS Ftg Drain SGN Slab I Drain Inspection Notes: � Post & Beam /` ` ifi' /'' SIT Ext Sheath /Shear / Int Sheath /Shear Framing Insulation Drywall Nailing Fire wall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL tCTR[gAD ice Rough In UG /Slab ow Voltage') ire arm Fin PART FAIL Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA ` Approach /Sidewalk / Date /6 - 0 Ins Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 - Business Line: 639 -4171 BUP Date Requested 1/- Z AM PM BLD Location ( Z / 9 Z_ Otter ! GZ.c.c. t Suite MEC Contact Person f7rL 5) Ph 5 G Z ,C PLM V U Contractor Ph ex 2 / 7 SWR BUILDING Tenant/Owner ELC Retaining Wall ELR 7...e>011-0 2.5 Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL 1 A Post & Beam Under Slab Top Out t 4C/C clot, Water Service Sanitary Sewer Rain Drains F'n . PART FAIL ANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ECTRI Service Rough In UG /Slab Fire Alarm Fi 4 PART FAIL Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA / Other Date //72V, Inspector Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.