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Permit A lk CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT iA' DEVELOPMENT SERVICES PERMIT #: ELR2006 - 00006 J DATE ISSUED: 1/9/2006 ' -- -, 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S 109DA - 10000 SITE ADDRESS: 15332 SW OAK VALLEY TERR ZONING: R -7 SUBDIVISION: SUMMIT RIDGE NO. 2 LOT: 089 JURISDICTION: TIG Project Description: Data /audio. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: X 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: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: Owner: Contractor: DON MORISSETTE COMMUNITIES, LLC QUADRANT SECURITY INC 4230 GALEWOOD ST #100 PO BOX 14833 LAKE OSWEGO, OR 97035 PORTLAND, OR 97293 Phone: 503- 387 -7538 Contact #: PRI 503- 234 -5558 FAX 503- 236 -2322 Reg #: LIC 96806 FEES ELE 26- 565CLE Description Date Amount [ELPRMT] ELR Permit 1/9/2006 $75.00 [TAX] 8% State Surcha 1/9/2006 $6.00 REQUIRED ITEMS AND REPORTS 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: _vE z.L Permittee Signature: _ S,P;. - ( 1 cN, 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 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. ' Electrical d 1::::-.1 • sit A iication �� s R . I( 7u01.11r 1 I i 1_' t y City of Tigard mowed n ..;. tisxs" 13125 SW Hall Blvd., Tigard, OR 97223 DeIr/B : '9 (� PerroitNo Phone: 503.639.4171 Fax: 503.598.1960 D ian Review Other c Inspection Liao: 303.639.4175 ,j A `e 1, V1v ' l I i fi r . , DaY./B : Oc}ror Parmit: Internet: www.el � i ; D ate r ,ITY OF i IGARD ' N "�" I See Page 2for a�,'° ,,�y,.:r,• w� ::`'`RS'• '�c rv.i L ." ' "��,F; is3t':; �� r, .. v _ / V Sueelemeatat Inforenul i ',1: ,;.•..� ml � f "%o: :, ; d' ... • i r il. . S. ` e�'b ' t , y I .`4' ,`,,. y, °Y� r ."� 7 1c en construction ❑ AdditiodaJteruti r t r ease c ch t lh l that `k.. � 1 ' !!� "1 mg11p r �r..• �.`` on/replacemcnt P lease check all H a I , ��'" " b �``. Q Demolition ❑ Other. PP y° 1 K :.. -• .; a .. , .. ❑Service over 225 am ' ❑Hazardous location 'fi °'S�w:tir: �ir+�I:SA %D'�ty�4tF • I�� u t y a.�ya amps, C0�1rt1 1 va 0 y p g' a o' . i' , e ❑Service over 1 - and 2 dwelling iA Atia `t ""- s r, of 1- and 2- 320 a rating ❑ o r m g over msid sq. ft., Y elling 0 Commercial/industrial 2-family dwellings u it morn new residential ❑ Accessory b uilding ! ]System over 600 volts nominal units in one structure ❑ Multi - family Q Master builder ❑8ui ,+:r iA ^. ^7 ' � � '•�' b 4'1 •• • �°,i'"�'°,. 0 lding over three stories ['Feeders, 400 amps or ""°',, ?, as vu'' l' f t e�,�,� . l` 1;i7K�4,ali•:, QOccupanttoadover99person £metaledStructureore :u 5 .^* ❑Mann s or Job >lo.. lob site address: r� - . D Eta'eea/Ilghting plan 1 W Park 1 • 3 = L a _ V ,) l ' , ■ Health-ewe facility 0 0ther: Submit 2 sets of plans with any of the above. • The above 5 uitr/bldgJapt, no.: Project are not applicable (0 temporary construction =vim Cross J na , ° '�q'�I r 1 tip V. e ' * i : _ ' a 0* ligillEtala Strret/dircctlOns t0 job _ .. • � may ; , : .;' ' .7'4 " ' j b site; New reaidential mingle - or multi-famlly dwelling unit. Includes attached garage. Subdivision " ' . 1 s.. ft. or less — 145.15 _v 1 1 L ot no.: • EL 500 sq. ft. or portion Tax map /parcel no.: ii Liotited 33.40 r� ` "atiy , cs5 t r >:. ener r esidential III 75.00n C`'`'' , :,714:,. :' ; i f 'off ; c o. ' ' o... "eY; y Ya�., ?.,ar Limited ate non-residential 5.00 , _ i _ Each mauutiichitt:d or modular III service and/or feeder 90.90 Min Services or feeders installation, alteratio n, and/or relocation :-s' •w : ' 200 °,r:l;: s�1� Q ~ ia * : a r�!','� k° , am . s or less 80.30 ss KWAil '"' ,:r•' ';A: :, f 'r f41...,M;i: 1, 2°1 amP9 4°° am Ps �� Name: n:. a. °a;i:.a: `x to p 106.85 yk �� 401 amps to 600 amps r 160.60 Address: 1, 601 . s to 1,000 amps 240.60 _— �� Over 1,000 am Reconnect only r 66.85 © Phone: ( Temporary ti services or feeders Installation, alteration, and/or re loca Owner lnsta,llataQi This Installation is being made on property that I own which is not 200 amps or less _d intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 20t amps to 400 amps 10030 Owner signature: amps to 600 amps - 133 75 11 11.11E1 ' 1.... 1`I•' f t Y nch re not acircuits s name: service or feeder fee, each Contact name: branch circuit B. Fe 111111 c for branch circuits Address: Without service or feeder fee, 111E111111 each branch circuit Each add'! brand] circuit — 6.65 rA Miscellaneous Phone: ( ) (service or feeder not included) MrjIIIIIIIIIIIIIII Pump or irrigation circle MN 53.40 _IEll Sign or outline li Min: — 53.40 MINER - ° .� Signal it(s) limited - Business name: y R;iiya!ti % +.f :� it, anet pa el, alteration, or � extension. Describe: Address: . ) 4 .) / L C � . --,- ' 4,.... wage 2 Each additional inspection over allowable in an or the Above • ` I' investigation in 62.50 _- Phone: ( l>;3) L ,�j�j ^ gation per hour t I hr min) 62.50 IMMIll 5 • Fax: ( o )a3 , _ Industrial plant per hour r �- t r Electrical Llo 2 a .�t , ...�'' ': . A CLE S uprv. Lie.. 3 5 :: `1�I Ali .1 1f _ . ,: Suprv: Electrician signature, requited:1 "_ Subtotal r. Plan review (25% of permit fee) Print name: 30 ii `! Pt.... G a Date Sone surcharge (8% ofperrnit fee) rar Authorized Signature: ` 1 ii , A • , ,, TOTAL PERMIT FEE �� BEN Print name: / 1�1 This permit appliaadwa aspires Uu permit Is net obtained within 180 _ , Date days after it has been meowed am complete . . pen methodology yet by Tr4 Cnuory Building Industry Service Bond 1t3� t .peonlWpp doe 12/01 Number of inspections per permit snow & 440- 4615'it I NI/COM/WU (21001/001 CITY OF TIGARD 06/27/2005 07:55 FA I 5035961_860 1 ' 11111 Building Division ,4k Applicant Request for Permit Action c : o rFard _______ TO: CITY OF TIGARD, BIALDING OFFICIAL 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.639,4171 Fax 503.598.1960 -/ Applicant Name: • Mailing Addres: p Ada. , City/State/Zip: / 4/ /e ciao) 14 I - o O. ovI sIO Phone No : 053\14. 0 ---- e —.. Fax No.: f PLEASE TAKE ACTION CHECKED (V) FOR THE FOLLOWING PERMT: CANCEL PERMIT TI IT APPLICAON. REFUND PERMIT FEES. Permit No.: I S \ i 0 Type of Permit' • 4 a,g. - fie 'ia/ %.,.. ,....., 0 AP) Site Address: /5 33, • O WU ' _____ 70 .• Subdivision- -.' 41 / . C 4' , Lot No.: EXPLANATION: ke_di 1 a Signature: 1C9 /6/E / 441- -- _ Date: Print Name: AM eit-til'Aial,l';:eitii, Aitab,red-FFIC'EATSIVoNLY:iiiiiiitik4(:- Route to Admin.: Date: 1:. '' ,, - B' Permit Canceled: Date:_y .2.0 e6 B Refund Processed: Date: /e• 4 1311F2' immalii Date: = - a #: ,,j, 6 - 9 Ainnt: $ Pa ment Tpe: Cr IZIM, lec.a - r- - --- 0 , 0 -D i:11311 i/cling\FornukFtisqPermitA7ion 09.-2 744. d or