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Permit
` - ELECTRICAL PERMIT - CITY ®F TI CARD RESTRICTED ENERGY _� �'11I1 DEV W SW Hall Tigard, RR9 SERVICES 00031 (503) 639 -4171 DATE ISSUED: 2/18/2005 SITE ADDRESS: 15067 SW GREENFIELD DR PARCEL: 2S109DA -SR045 SUBDIVISION: SUMMIT RIDGE ZONING: R -7 BLOCK: LOT: 045 JURISDICTION: TIG Project Description: Limited energy data. 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: DATA : X HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: Owner: Contractor: DON MORRISSETTE COMMUNITIES QUADRANT SECURITY INC 4230 GALEWOOD ST # 100 PO BOX 14833 LAKE OSWEGO, OR 97035 PORTLAND, OR 97293 Phone: 503- 387 -7538 Phone: 234 -5558 Reg #: SUP I211JLE LIC 96806 FEES ELE 26- 565CLE Description Date Amount REQUIRED ITEMS AND REPORTS [ELPRMT] ELR Permit 2/18/2005 $75.00 [TAX] 8% State Surchari 2/18/2005 $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 ' r Permittee Signature tile c• 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 02/17/2005 16:10 5032362322 QUADRANT SYSTEMS PAGE 01 _. I Er) ime--12-121-------- City of Tigard bale -, ve -/ ) '�C'il rermilNo.. - �S 06 13125 SW Hall Blvd., Tigard, OR 97223 ( Plan Review other Permit: II Phone: 503.639.4I71 Fax: 503,598.1960 FEB 1'7 20,�Nrl'.� Ii. pat eady /tiy l++ s: / Inspection Line: 503,639.4175 BI sec panel for NotificdMletho t; J i lr _ snpplentental inrormatnn interne www.cr.dgard,or.us � - ��'� t t N °/ laceme t ( : •. - Please check all that apply: New construetiott ❑ l r ❑ service over 225 amps, Comm 1 ❑ Hverdous location ❑ Demolition 0 Other: CI Service over 320 amps — rating 013uildng over 10,000 sq. 0 of 1- and 2= family dwellings 4 or more new residential >" : .. .. . .(�l ': . ;•.`:','',•'' � " • •,'_:,• .:. .:. : . . • :; :, ' ",� ?'��79'�`��N " ❑System over 600 volts nominal units in one structure al. and 2- family dwelling ©Commercial /industrial 0 Accessory building . ❑Duildin 8 over three stories ❑Feedvrx, 400 amps Cr mot Multi - family ❑ Master. builder ❑ Other: [:Occupant load over 99 persons ❑@,tanufaetnred structures c ;.... ' .r.'•;, _- :. -:, ❑pgrs/lighttnftplan .. ". RV park , r�� � • ❑H ❑ Oth e r; ealth.cate facility --'• ..:.,— . Job no.: Job site address: 151101 61A) (�,1'� _ Submit 2_ seta of plans with any of the above. City/State/ZIP: -71 d o 1 Gri223 The above are not applicable to temporary construction service. _,. ; ' ti. t - "F, r.,..., U3.444.013317** sai - S';�_ ` {C,�-3?.� :� :a.n' ,4 •' ';' Suite/bldg. /apt. no.: Project name_ ("p0 rlssc.{4e am-,,o, Q. tee. Tarsi Cross street/directions to job site: New residential single- or multi - family dwelling unit. lneIudea attached garage. 1,000 sq. ft, or less 145.15 + Ea. add 1500 sq. ft. orErtion 33,40 Subdivision: Lot no.: 75.00 �t+c � , da le/ Limited energy, residential • Tax map /parcel no.: Limited energy, non - residential 75,00 ,-: ' ::....,'. ;.,, : , .i ';.''.' SrG�+'S . . Each manufactured nr modular �— ll and/or feeder 90.90 � dwelling, , I , I ► u / , / Services or feeders installation, alteration, and /or relocation P 200 amps or less 80.30 201 amps to 400 amps - 106.85 ': '' 1 1 '1'�?` l ':l s'N "' . i�i: ' : +''.' d`. 7VaL' 401 amps to 600 am�ra 160.60 y Name: 601 amps to 1.000 amps 240.60 Over 1,000 amps or volts 454.6$ Address: Reconnect only 66.85 City/State/ZiP: Temporary services or feeders installation, alteration, and /or relocation Phone: ( ) Fax: ( ) 200 amps or less 66.85 Owner iniltailation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701, 401 amps to 000 amps 133,75 Owner signature: Date: _ Branch circuits— new, alteration, or extension, per panel with _. •,:..- �;, f each 6A5 A circuits . .. .. ;��',� ., i �� : serv brunt ce or feeder cenClu e Business name: branch circuit 13. Fee for branch circuits Contact name: without service or feeder fee, 46,85 each branch circuit Address: Each add !branch circuit 6.65 — City /State /ZIP: Nliscellaneoa9 I(Ser ice or feeder not included) , Pump or irrigation circle 53.40 Phone: ( ) Fax: ( ) — Sign or outline lighting 53.40 E -mail: r Signal circuit (s) Or rmr . , . • , .. ��BY Panel, slletation n . _. • - '; ... ... ,,:: ,,; ..�.. ' �" ---- extension. Describe: l r " Page 2 , � Business name: ih ,. a o' [a, S Ste ens , Each additional inspection over allowable in any of the above Address: PQ Q 183' r 1 Per iEcetion 62.50 Clry /Suite /ZTP: O , ©� /� • �l1 I rr lnveabjiation per hrmr (1 hr min) 62.50 industrial plant, per hour 73.75 Phone: (3)3 Z' 5s8 Fax: (5b, )2.3u1.2.32.2_ SfdEC" '` ` vu> :5._.. : CC13 Lic.: 91/4 2. Electrical Lic- :21¢•5o67Ie Suprv. Lie_: '.2t. 1EA Subtotal 15_t, Suprv, Electrician signature, squired: ,) Plan review (25% of permit fee) State surcharge (8% of permit fee) (0. 00 Print name: 1 t-1 Th/ (,( ) Ltry- Date: a 1 ' 05 TOTAi, PERMIT FEE in . tX:2) Authorized signature (,t N Thls permitapptication expires If a permit Is not obtained within 180 vl days after it has been steepled as complete Print name: / r DaCe: _ t 1) 05 • F+c methodology act by trl- County Bnildintt Industry Service Board Ly �t4, ..�� .. Number of insnec60119 net' permit allowed. CITY OF TIGARD . • BUILDING DIVISION PERMIT #: ELR2006- 00031 13126 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/18/2005 Phone: (503) 639 -4171 4114 ��� ' Inspection Requests (24 Hrs.): (503) 639 -4175 > `_ I INSPECTION WORKSHEET FOR DATE: 5/512005 TIME: 7:16AM PAGE: 72 SITE ADDRESS: 15067 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 045 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE DESCRIPTION: Limited energy data. OWNER: DON MORRISSETTE COMMUNITIES, PHONE #: 503-387-7538 CONTRACTOR: QUADRANT SECURITY INC PHONE #: 234 -5558 Inspection Request Scheduled For: Date: 5 Pour Time: 3 - Code # Inspection Description Confirm # Contact # Message 6 3/ 199 Electrical final 006144 -01 503-234 -5558 Y Y7 /0 -/Zp Corrections /Comments /Instructions: i ,;.- . , / / ji r / 0 -a i I k it I A i _...t. .11.---Z, .4 - , _: 1 . 1._ A ...41rj it ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS FAIL n / CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: � be #: (503) 718- CITY OF TIGARD - BUILDING DIVISION PERMIT #: ELR2005 0003'f 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/18/2005 Phone: (503) 639 -4171 A „ ,i ^ Inspection Requests (24 Hrs.): (503) 639 -4175 " II I _ INSPECTION WORKSHEET FOR DATE: 4/8/2005 TIME: 7 :10AM PAGE: 108 SITE ADDRESS: 15067 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 045 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE DESCRIPTION: Limited energy data. OWNER: DON MORRISSETTE COMMUNITIES, PHONE #: 503. 387 -7638 CONTRACTOR: QUADRANT SECURITY INC PHONE #: 234 -5658 Inspection Request Scheduled For: Date: 4/8/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 004009-01 503 - 234 -6558 Y Corrections/Comments/Instructions: v 5 L ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 6, /1 Lllll Date: 2 1 4 7 l Phone #: (503) 718- CITY OF TIGARD 24 -Hour BUILDING Inspection Line1503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received /Zl 1 1 Date Re nested /� M PM BUP Location / -S 6? 7 w2.e.v1 ':eisd Suite MEC Contact Person De-4 4 Liz Ph ( ) 2 ' 3 7 55 g PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain �� — ©00:5 r: Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear _ �_ l _ 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 CL___941 W � L Rough -In UG /Slab c Eow Vo e Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Ei Please call for reinspection RE: Unable to inspect — no access Fire Supply Line , ADA Approach /Sidewalk Date 5 Inspector Ext Other: Final DO NOT REMOVE this inspection record from a job site. PASS PART FAIL