Permit ` � ELECTRICAL PERMIT -
r C� TY OF T I G A R D RESTRICTED ENERGY
JII� DEVELOPMENT SERVICES PERMIT #: ELR2004 -00129
-- 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/19/2004
SITE ADDRESS: 12062 SW WHISTLER'S LP PARCEL: 2S103CD -WW272
SUBDIVISION: WHISTLER'S WALK NO. 2 ZONING: R -4.5
BLOCK: LOT: 072 JURISDICTION: TIG
Project Description: All encompassing low voltage.
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:
DON MORISSETTE HOMES INC QUADRANT SECURITY INC
4230 GALEWOOD STE #100 PO BOX 14833
LAKE OSWEGO, OR 97035 PORTLAND, OR 97293
Phone: 503- 387 -7538 Phone: 234 -5558
Reg #: SUP 12 l 1 JLE
LIC . 96806
ELE 26- 565CLE
FEES Required Inspections
Description Date Amount Low Voltage Inspection
[ELPRMT] ELR Permit 5/19/2004 $75.00 Low Voltage Inspection
Elect'I Final
[TAX] 8% State Surchart 5/19/2004 $6.00 Elect'I Final
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 95 e • 1 -0100. You may obt. in copies of these rules or direct questions to OUNC at (503) 246- 6699. (
Issued by �t - _ _ 1 _ � Permittee Signature (h
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
05/18/2004 14:34 5032362322 QUADRANT SYSTEMS PAGE 02
. Electrical, Permit Application FOR OFFICE USE ONLY
Received i 0 Bleetricul /
N DatelB . i d Permit No. • �/y-( , A N
City of Tigard .7/(6 1 Planning Ap• Mini
Sign 13125 SW Hall Blvd, Dete/B : Permit No.:
Tigard, Oregon 97223 Plan Review Other
Phone 503- 639 -4171 Faxr 503- 598 -1960 Date/13 w Land U se
Post-Review Land U
Interact: www.ci.tigard.or.us "''y Iii l .., Date/B , Case No.:
I ` f " N Method:
Na 6 See Page I for
24 -hour Inspection Request: 503 -639 -4175
` q Su Ilemental Information.
G}": �ZI C.� ila. i��� .�j��,�fi� {,���1�a rr ,
�! ew construction ;f:E ,. , , ' ,,., , iLd ;,111. Ii, 6 1.,305 }iy (I 1x ,r rI � 1 t . 5 u� r(( �l q
i
III Demolition II service over Nr � ' �. � "I ��
225 amps- "} `''
r l Addition/alteration/re ional eraholl/re lacement commercial P ■ Health facility
1 �t m , i 7 1 L O ther ❑ Hazardous location
;F, �1;' �! Via'. 1 � ,1 r1,e 6 ut,: >∎, tn)1 G Er r it , t tt'ui, 11 , ] xFicg ❑s er 320
1 i .. i �N , . s , e! � & ery fa m d
amps - rating of ❑ Building over 10,000
Itti & 2-Pamil dwellin . ge Commercial/Industrial 10 System over 600 volts nominal
four or more resident feet,
al units in
one structure
I
.A.ccess° Buildiri L ID
Buildin o ver three stories
�_ [r Occupant load over 99 persons ❑ Feeders, 400 amps t or more
fi r■ Master Builder '� Other p ❑ Manufactured structures or RV park
r+* 1p • I i7itil'•, � 1 -i j T.wr { t- ` .iki, 1 E, 1) :e .,,� lt � ,l 6 .r s . sg i I , ,� --, ❑ Egress/lighting set of la nswith any of the above.
Submit ❑Other;
t(Itl; €r plans site address: I aotoa wilt 03 • The above are not a licable to tem otar construction service
w, u I . i ( l ''a � 11 a j tf L it
Suite #: Bid-. /A t # , .. I h a�tal r n , r
Number of inspections per permit allowed
Pro •ect Name: lion _ . a ! Description
Cross street/Directitms to job site:
New rtsldeatAal- single or multi- family per Q� Fee (ea) Tots; Tj
dwelling unit. Includes attached garage.
Service Included:
1000 soft or less 145.15
Each additional 500 Eq. ft. or portion thereof 4
Limited ester, 33.40 I
w , !.� Lot #: gv resianri - L - 75.00 2
Subdivisiota
Tax ma • / • steel #:
Limited energy non residential 75.00 2
y q Each manufbetured home or modular dwellin g
� ?.j -.FE ,�W'.�: II S4 7.I t ; ;ij 5.J-. `}1.11 „i ijo' t7',(,, ,p: r,)1.91 ilk,,.., i' service and/or feeder
90.90 2
� / . l n r�Q IO S ervices or feeder's - Instahatioo,
En/ i i s - 0 ' Lt s alteration or relocation:
200 amps or less 80.30 2
2 01 arnpSit, 400 to 400 am 106.85 2
f 1� I 1JJl''t1 t131;',4i Gl Y . , •,f iti I ,� o •;� ; -.• •. .. 401 amps amps
160.60 2
16
, ,. ,.- ... .: ; :, .,. 11 : • .. i 1. ;; Ik l i i .. . .:. : s I 60I amps to 1000 amps 240.60 2
Name: Over 1000 amps or rolls 454.65 2
Reconnect only 66.85 2 I
Address- Temporary services or feeders - installation,
Cit /State/Zi . ; alteration, or relocation:
20o amps or leas 66.85 I
Phone
For "201 amps to 400 turps 100.30
I it, 10 J .(' ` : g'''fiL,ILE31: r Vy 11.=Y 1,1 I } ZO.. s :`1Y,1ti ::1 Ol 600 [33.75
8ran efr circuit -new. alteration, or 2
Na i e - extension per panel:
Address: A. Fee for branch circuits with purchase of
service or feeder fee, each branch oircuit 6.65 2
Ci /State /Zi s : B. Fee for branch circuits without purchase of
Phone: Fax: service or fbeder fcc first branch circuit 46.85 2
Each additional branch circuit 6.65 2
1<mail
il , • I. ;.!;. ',(y, !a :.. _,Plt, (If ". F..1 .. .t S ! Serve irrigation le 53.40 2
included):
rsc.( ce or f
., • ; Each punt�Of ¢ri .
• ,..: � . .. __ ..
Job No: Each sign or outline lighting 53.40 2
Signal circuit(s) or a limited energy parcel,
Business Name: e / alteration or extensiou I Page 2 95-0D 2 •
Address: PIO, C I - Deser;ptionl
Cit /State /Zi .: v I • A4 • r . q - 3 Each additional inspection over the allowable In any of the above:
Phone' s o S- _ investigation inspection per hour (min 1 hour) 62.50
2. - cfrg Fax: s z r - 2. 3ev - L Z 7- Investigation fee:
CCB Lie. #: 9 6 g0 Lic # 2 - Other: . S � t � P JF rc - . ..
Supervising electric - tl ' �1( !,F�1T ia�,Jae, `~
�� ature rc uired: � , Subtotal S O . pO
Si
Plan Review (25% of permit 1 ee) $
IFISEMINIFEMBNIEZNIME State Surcharge (8% of Permit Foo) ( OO
authorized 9 TOTAL PErtivoT FEE $ R 1• t"
Au hors e: .. 14-7/?4
y Date: r • ) r C E i bls permit application expires ire permit is not obtained within
180 days after ft has been accepted as complete.
B Y 1 'A-1./ C. { r to (t4 S MAY i p 5 ( ethodology aot.by r1- County Building Industry Service Board.
(Please print name) , rl l 1 O
i :\Dsts\Permit Font ts1E1cPermitApp.doc 01 /0e. CITY OF TIGARD
BUILDING DIVISION