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Permit CITYOFTIGARD ELECTRICAL PERMIT - RESTRICTED ENERGY ; DEVELOPMENT SERVICES PERMIT #: ELR2000 -00268 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/7/00 SITE ADDRESS: 12541 SW QUAIL CREEK LN PARCEL: 2S104DA -00200 SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R-4.5 BLOCK: LOT: 039 JURISDICTION: TIG Project Description: Landscape Controller A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPEIIRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: ;ONTROLLER : X HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: Owner: Contractor: DON MORISSETTE HOMES PROGRASS LANDSCAPE SERVICES 4230 SW GALEWOOD ST 29895 SW KINSMAN RD STE 100 WILSONVILLE, OR 97070 LAKE OSWEGO, OR 97035 Phone: 503 - 387 -7538 Phone: 682 -6076 Reg #: LIC 6136 FEES Required Inspections Type By Date Amount Receipt Elect'I Final PRMT CTR 11/7/00 $75.00 2720000000 5PCT CTR 11/7/00 $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 -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 "rlit:2-e_44? 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 . 40 . Electrical Permit Apili : 9n Date received: Permit no.: /0 24 ;' :i City of Tigard g ard, OR�9 nn'' ``'' Project/appl. no.: Expire date: - Add 13125 SW Hall Blvd, Ti 223u 20�� Date issued: ( (l1 City of Tigard n B Receipt no.: Phone: (503) 639 -4171 111 Fax: (503) 598 -1960 COMMUNITY DEVELOPME file no.: Pa ent type: Land use approval: TYPE OF PERMIT ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family ❑ Tenant improvement ■ New construction ❑ Addition/alteration/replacement ❑ Other: ❑ Partial . JOB SITE INFORMATION Job address: fa 5/-) J QUCL.LL Creez. Lan - Bldg. no.: Suite no.: Tax map /tax lot/account no.: Lot: 3 9 I Block: I Subdivisions .LLB[ -1( dip I I cn,u / .. t 9 c ti On. Project nameatLW ( Hp( Jim 3' I Description and location of work on premises: La eel t✓ (11771, / /er Estimated date of completion/inspection: 0 3 • tf • CONTRACTOR APPLICATION I M FEE SCIIEtE Job no: UO -- Ga (P sq - ' Fee Mart Business name: PrO ( t S S / ail GS Cap Description Qty. (ea.) Total no. insp N ew residential idential - single or multi- family per Address: c c:-/ gq5 .5 LI2, K,r ' nc:LA dwelling unit Includes attached garage. City: L1) i (S L`71 v t / 1-�.• f State:O/Z_ I ZIP: G / 7 or .) Service included: Phone - 4c07 I Fax: 6SP), -9671 -mail: _ 1000 sq. ft. or less 4 Each additional 500 sq. ft. or portion thereof CCB no.: p f E l o �l �� Limited energy, residential 2 City /metro lie. no.: CC) :)-( Limited energy, non- residential 2 C --/7 / u /1...4T-/1...4T-G43 .4� Each manufactured home or modular dwelling Signature of supervising electrician (required) Date / -0'-00 Service and/or feeder 2 Services or feeders - installation, Sup. elect. name (print): Ej / e S 74 r 6 .-1..0 License no: alteration or relocation: - -. - - -- - - PROPERTY OWNER - - 200 amps or less 2 Name (print): Dc non- % SS C , lir mts_C 2 .1� 201 amp to 400 amps 2 . 401 amps to 600 amps Mailing address: Z.-/-,30 �U 6a /e_ .) cad ST i 60 601 amps to 1000 amps 2 City: LO—KG GS -7C, I State° fj.ZIP: e/ 763 _ Over 1000 amps or volts 2 Phone: • (Fax: 1 E -mail: Reconnect only 1 Owner installation: The installation is being made on property I own Temporary services or feeders - - Installation, alteration, or relocation: which is not intended for sale, lease, rent, or exchange according to 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, each 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): / 53� — 2 O Service over 225 amps - commercial • 0 Health -care facility Each pump or irrigation circle O Service over 320 amps-rating of 1&2 0 Hazardous location Each signor outline lighting 2 family dwellings 0 Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel, O System over 600 volts nominal more residential units in one structure alteration, or ex tension* 2 O Building over three stories 0 Feeders, 400 amps or more *Description: O Occupant load over 99 persons 0 Manufactured structures or RV park Each additional inspection over the allowable in any of the above: O Egress/lighting plan 0 Other. Per inspection I I I I Submit _ sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other • Permit fee $ 7 S- cio Not all jurisdictions accept credit cards, please call jurisdiction for more information. Notice: This permit application Plan review (at %) $ O Visa 0 MasterCard expires if a permit is not obtained Credit card number C. v / / within 180 days after it has been State surcharge (8 %) .... $ .-�� Expires accepted as complete. TOTAL $ Name of cardholder as shown on credit card S Cardholder signature Amount 440-4615 (6/00/C0M) Electrical Permit Fees: • Limited Energy Fees: • TYPE OF WORK INVOLVED - RESIDENTIAL ONLY Complete Fee Schedule Below: Restricted Energy Fee $75.00 • Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total y Check Type of Work Involved: Residential - per unit 1000 sq. ft. or less $145.15 4 ❑ 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 El 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 El 401 amps to 600 amps $160.60 2 Other r 601 amps to 1000 amps $240.60 2 Over 1000 amps or volts $454.65 2 !an lifs-C C f Reconnect only $66.85 2 Cern 7 //>°, ' Temporary Services or Feeders TYPE OF WORK INVOLVED - COMMERCIAL ONLY Installation, alteration, or relocation F for each system $75.00 200 or 201 amps to less $66.85 2 201 amps to 400 amps $100.30 2 ( SEE OAR 918 - 260 -260) 401 amps to 600 amps $133.75 2 Check 600 amps to 1000 volts, heck Type of Work Involved: • see "b" above. ❑ Audio and Stereo Systems Branch Circuits New, alteration or extension per panel n Boiler 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 El Data Telecommunication Installation without purchase of service or feeder fee. , Fire Alarm Installation First branch circuit $46.85 Each additional branch circuit $6.65 HVAC Miscellaneous (Service or feeder not included) I Instrumentation Each pump or irrigation circle / $53.40 53, Leb Each sign or outline lighting $53:40 El Intercom and Paging Systems Signal circuit(s) or a limited energy panel, alteration or extension $75.00 El Minor Labels (10) $125.00 Landscape Irrigation Control` Each additional inspection over n 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: Protective Signaling Enter total of above fees $ 53 , -/C) 8% State Surcharge $ O7 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 $ 5 7, G 7 Fees: Enter total of above fees $ 75- ,&._ ❑ Trust Account # • 8% State Surcharge $ COP • Total Balance Due $ 5 N • I :\dsts \ forms \elc- fees.doc 10/09/00 • CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 - BUP Date Requested 2-7 AM PM BLD Location /Z-P/( S w Qo Gt � f GrEc ' Suite MEC Contact Person Pr' t24 55 Ph 5Z3 -6YZ'' PLM Zee-r. - O (a 3 Contractor Ph IX-0V 7 SWR BUILDING Tenant/Owner ELC Retaining Wall ELR 7144) ci c' Z( 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 PLUMB Post & Beam Under Slab �� Top Out ((,� j Water Service Sanitary Sewer Rain Dr -'Is Fin, • 'ART FAIL HANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL C€LECTRICZ7 Service Rough In UG /Slab /Cow Volta e Fi - 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 h /Sidewalk D ! /9 �7 Inspector /t�-t Other tor Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.