Loading...
Permit CITY OF T I G A R D ELECTRICAL PERMIT • RESTRICTED ENERGY p DEVELOPMENT SERVICES PERMIT #: ELR2004 -00139 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/28/2004 SITE ADDRESS: 12072 SW WHISTLER'S LP PARCEL: 2S103CC -WW277 SUBDIVISION: WHISTLER'S WALK NO. 2 ZONING: R -4.5 BLOCK: LOT: 077 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 SW GALEWOOD ST 100 PO BOX 14833 LAKE OSWEGO, OR 97034 PORTLAND, OR 97293 Phone: Phone: 234 - 5558 Reg #: SUP 12I 1JLE LIC 96806 ELE 26- 565CLE FEES Required Inspections Description Date Amount Low Voltage Inspection [ELPRMT] ELR Permit 5/28/2004 $75.00 Elect'I Final [TAX] 8% State Surcharl 5/28/2004 $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- 01 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246-6699. Issued by 67 Permittee Signature QYi C YVki 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 05/27/2004 12:22 5032362322 QUADRANT SYSTEMS PAGE 01 ,3� ectrlca1 at10n FOR OFFICE USE ONLY Received , ` „ Datr/B : - , 1 7 Permit No Electrical ■ 4 . u i / / City of Tigard ry Planning Appro • al Sign 4J g 1 2UU4 Date/By: Permit No,: 13125 SW Hall Blvd. MAY 2 [ Plan Review Other Tigard, Oregon 97223 � Date/By: Permit No.: Phone: 543 - 639 -4171 C T Post -Review Land Use t �� ti : %u:,f fti \ Date/B Case No,; Internet: www.ci.tiga'%' • p r a � el 14 Contact Juris • r J see P 2 for 24 -hour Inspection Request: 503 -639 -4175 - - Name/Method: Su lemental Information. t .r S- 1aYTTr i;P.•p1S` n -, l , :.; j 4 Fl: 111111! .� ', �i.1 � , x:-,,-._ .v r '.. -': i' j ?1-: ' ' j:i',' 1 - , j ::4. 1 1 pl {� •1 ±� I { j ll qE1( :tea; g �t y 6 Q, i u f , i1 t i .r 1.:1 : �L 7L . t / i . .l . 1 7 � , f,�� ,' �� , r l � - ;l;�if:.l:.,1 !,(I�lS.1.�Le�.a�__....1.:7 l� +.rf .. �^ :�l�L•��+G,1�1..t. U. , t�.l 1. : _,._ ..�i , ' . .1 ' � �1_u1;i.:..ct. ...�,rt,_...Ra,.E�x�hJ1 �w. .a ��•,I� n_..�ef !) ' .r"_ �i :.�.a,a51,�.:1'.• , ►'4 New construction IU Demolition Service over 225 amps- • Hcalth•carc facility � commercial ❑ Hazardous location ill Addition/alteration/re • lacement • Other ❑ Service over 320 amps - rating of ❑ Building over 10,000 square feet, , yjct l� -f a l ` \iF 1 i t. 2 I, , (0)tilaPk..,0, ;;l,rl[r)sSlr+k,'f . r ,. ,: y '.!fi I & 2 family dwellings four or more residential units in IP2 1 2- 1 4 " - 111 A[U Commercial/Industrial ❑ System over 600 volts nominal one structure CI over three stories ©Feeders, 400 amps or more ■ • . r B ildin • NI Multi -Famil ❑ Occupant load over 99 persons . ❑ Manufactured structures or RV park IU Master Builder l• Other: ❑ Egress/lighting plan ❑ other. t&r.a'f.1 g,,Tilu :"'�: r : �{ ;,1 :: :, .li 1�T:ip ! ,;!,, lt . �� t( ; r ., _ :;'.;I Submit Sets of plans with any of the above. The above are not a liable to ter ■ ors construction source. Job site address: /.20"7„2 S) u) ,' <{ -I.erS Loa • , .. .-:. 7 -. . , . :: - ,-, %..) 1r l 1) , I , 1l'. f1 ",31111'''' r ;. 1 7 j V i " l ' - r 1 ` Suite #: Bid' . /A• t. #: Number of Inspections per permit allowed Pro'ect Name; Description Qty Fee (ea) Total 1 Cross street/Directions to job site: New resldenttai- alagle or multi -family per dwelling unit. Includes attached garage. Service Included: 100053. R or sass 145.15 4 Each additional 500 sq. ft. or portion thereof 33.40 1 Limited energy. residentia 75.00 2 Subdivision: .! Lot #: Limited energy, non residential 75.00 2 Tax ma • /. arcel #: Each manufactured home or modular dwelling 90.90 2 om ng rt 1 �t r' +' � i,'t }' 111 ilk 1);`4 : 1 i iIO lNUi t1 f 1 I .. :I service and/or feeder i , �,.,, 1. I _.,,5: MR .:L+,.! ,. :.� > Services or feeders - Installation, i ; ! alteration or relocation: 200 amps or less 80.30 2 �— • 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 E 1 "1 : /�`i ! c,y...1 : :,,!'fr . ; tiut,l ; I 601 amps to 1000 amps 240.60 2 Over 1000 amps or volts 454,65 2 Name: Reconnect only 66.85 2 Address: Temporary services or feeders - installation, alteration, or relocation: • 200 ampler leas - 66.85 I Phone: Fax: 201 amps to 400 amps 10030 _ 2 {ma ` i - . 1 l 401 to 600 amps 133.75 • 2 11 { i �! _ . 4, : ;aig.f : {Ili -, : ! 1 ; F I to }IiL .,1', { 1_,• I tw t' �I , . , Branchc - new,alteration,or Name: extension per panel: A. Fee for branch circuits with purchase of Address: service or feeder foe, each branch circuit 6.65 2 Ci /State/Zi. .: B. Fee for branch cireults without purchase of service or feeder fee, rust branch circuit 46.85 2 Phone: Fax: Each additional branch circuit 6.65 2 E -mail: . Mrsc. (Semee or - feeder not included): 1' Each pump ar irtiyatien circle 53.40 2 r: t�iilltqq;r' :(,i�1 . ,._1 Ir1, f { i.1. i.. a . .. d_:.n_ r I lif. �•. Each sign or Outline lighting 53.40 2 Job No: Si circuits) or a limited energy panel, alteration, or extension ___ 2 Business Name: 0 . , t , .; , ec r . t Description: 4 iiiil Address: Rte, - 1 3 Each additional Inspection over the allowable in any of the above: Cit /State/Zi r : (, y I • .-( r .7 c i - ' J Per inspection per hour (min. 1 hour 62,50 Phone: S 3- 2- -�S T lo t Fax: S 3' -Z 34 -7- 2 Z. _ Investigation fee: CCB Lie. #: 9 6 $d 6 Lie. #: 2 4. - s - 6. r G t...E > la sl ll ;'; Ej } 6,1 , , l i , _ Supervising electrici; 1 Subtotal $ ^f S; CG si t. attire re. uired: l/ cA - Plan Review (25% of Permit Fee) $ Print Name: • , • A Wl .1. t ev 181222MiriNSIN State Surcharge (8% of Permit Fee) $ to . o TOTAL PERMIT FEE $ ri . on Authorized • . This permit application expires If a permit is not obtained within Signature: ( • • Date: Z' I 180 days after it has been accepted as complete. *Fee methodology set by Tvl- Connty Building Industry Service Board. D YI C N -= tC101 p r -S (Please print name) i:\Dsts \Permit Fornts\ElcPermitApp -doe 01/03