Permit i
_ .
CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
ik DEVELOPMENT SERVICES PERMIT #: ELR2006 -10018
�l DATE ISSUED: 3/20/2006
- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S109DA -10000
SITE ADDRESS: 15332 SW OAK VALLEY TERR ZONING: R -7
SUBDIVISION: SUMMIT RIDGE NO. 2 LOT: 089 JURISDICTION: TIG
Project Description: Limited energy for central vac system. Job No. 3523
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: : HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER: .
TOTAL # OF SYSTEMS:
Owner: Contractor:
DON MORISSETTE COMMUNITIES, LLC ALL WEATHERIZATION
4230 GALEWOOD ST #100 3030 SE 59TH
LAKE OSWEGO, OR 97035 HILLSBORO, OR 97123
Phone: 503- 387 -7538 Contact #: FAX 503- 649 -2680
PRI 503- 649 -6542
FEES Reg #: LIC 46969
Description Date Amount
[ELPRMT] ELR Permit 4/4/2006 $75.00
[TAX] 8% State Surchart 4/4/2006 $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 0 -00 -0 00. You may obtain copies of these rules or direct estions to OUNC at 503 - 246 -6699.
Issued : ___,/ Permittee Signatur_ Grp 71:
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.
03/17/2006 16:54 FAX 001/003
{ E4VEr)
ti edP erini' t !� ' i � F, L s Od
� ' 1 tri.ril I I{ 1 i-() \i 1 {_
'ity of Tigard ,.
13a 8 W Halt Blvd, Tigard, �97223
MAR 17 2006
' � ~M / . i Perni* No.: f LA - A40, g
as: 303.639:4171 Fax 3 3f398.l960 •
ferried ►vww of t13 63 41731 �� g �� l� s t � rr �ii, y; OtlwrPemtit: • Bard ecru l � g. o T V1 fl �'
t-` n '''..1'.1,-;/::
ITCT wort � Pap s
�� a.
.�/
14 a ::n�,l ii It 115.1. ) t ll ) , l . . ` /^ • � ® � �t' - - `.ww���..Y�
• , W
Now won • Additio
•
Fr.. ... i . < ., ' , .„ f , !... 1 .;' I 1 li tl al'i I 1 i tfS
1�0iD41itDemolition tl/: tent . , Moue • .. • f apply: �, f ! . 1' + •11 �,;•
I D e r Demolition
1 ;y, �• D 3 crvise over225amps, oonMl'1 ❑tl zankW location
1 t I .. , • I ,{ . .' t ' ' ,:: ,1 a l • ,1): ` I , ` : , DServla over 31D amps l ,its g DBui d g over 10.000 se,, ft.,
1 - and 2- family d j of 1- and 2 -&m (y dwblgnga 4 at more now residential Multi faintly builder •,., .'�`. ■ Y ding Dsystetoover600voltsnominal unitssin onestrttoturo
f t i %1� I +i Yr;l t i li} I ,' 1 j .. F t 1 0 Dauildlag over three ator'ioe Dresden, 400 amps or more • 1 • ■ 'flu, ' , , , t DOeoupelpd lad ova( 99 Perseus ❑M uActwlod atrudurea
no.: . f' 'f''; ; or
2 3 Eli : to address C I Healt ania Plan Ot parts
I • O t t . . J ' D NaJtlt -oaro fwJlib� DOther
y /3tate/LIp: a Submit ,!,• sets of plans with tiny oldie above.
,t 'bldg,/apt. no.: The above are not applicable to tempaery oopatrtrotioq service
P roject name: i' ,), ,' t1 r ,
• ,, .. ; • .1 r I • 4 ' f ' ' f '' i 4' : '2 4 1 + ri 1 ,jy;, q,
188 stroet/directitlns to j0. Site: tr�a ' 1,',; ' '' .. 4 1. . 1 ! i.!iL ttt is
New residential
Qty. tea Tend ••
or tali - fkmiy dwelling snit. !acted %attached
garage.
division: 1,000 re,. Q cc lu►te \
'• u I ' Lot no.: Ea add'! 500 sq. R or portio 145.15
33.40 4
map/parcel no 1
1,1''.:'',,,,, , , ' 1,., u r , Limited energy, residential 75.00 / 2
' ' .,1 Bee �'' ncoat°si 75.04 2
or niodulor
1 C. dweltinR service and/or feeder 90.90 2
/ Services of Boilers
O V D ' 200 amps or luau 50 30°rtrdoorttoa
;', /,'.:+t i. 11' I i l(, 11 , 1 ' 1 11 1@e ' t: 1 +
;•.. •,,• ( . 301 146.83 I 2
ie:
►�/ tt► or h 401 amps to 600 amps 160.60
rasa: a a a 11..t. 6 01 anipa to 1,000 amps ._ 240.60 2
.. 2
o I
Over1,000'ampsorvolts 454.63 3
Ntet42lp: ,
a: 8 fit/' . �, Renorntsot only 66.83 2
ie: (• ) , 3 Temporary services or *adore Isotailatier , atfos' direct. and/or
r 3 . Fax: relocation
►er installation: tio0 s . _ '- 200 amps or less 66.55 I
lied for sale, leases, rue a xctauge, according t OR perty Date 1 6 aid 7 201 atn t o 40o am
� ` � t' We l,, l4 1 11 r i { , 77.7.7. _` to ���W —raw, 1
100.34
401 snipe to 60p 133 75
,t... �. I I
Branch new, alterat!
' , i • j' t1 1 • ` rr 7 an, or eataAaloal, �Mell
.- � ' ' l'''' ..;' • I t i' " ' t \ , " „ ' ;: A Pee fir tie circuit, with T • Rea. nettle: iL ,«v1a or f feel h
act norm: it wr 0-4 branch circuit %c 6.63 2
/ / B. Pee for broach *omits
�^ rd.. without service or fbeder The, — +�+�- I......___:______.____.____
c f — awh branch circuit a 2
3tatdZIP: �' � Z Each add'i branch circuit 6.65 J 2
'`' Mlacellanerts tarok* or fowler not included)
11: ) )o Z Fax:: (�, ) q S � j Pump a irri�atiat viral, 53.40 2
�, Mo 6 a _ I . . Sift ar 1tu*i ( lighting 33.40 2
i1 /�aI; {t „��31l`ai`d y�fv },,' }�)i It �'. , 4,f1 t 1 1 : j , ,. I sY p
• S haloirsadt(a)cr'ladled-
eae tle7tle; 2;,, Nd, ahetatiorh, or
7 M, IL 12 .4- : �.„/ extatalon. Describe:
rage � 2
{a8:
O C e . 5 411‘ d� Bach additional fnapeetton over allowable in an alba above
►tatrizlP: fir! tl L ra oiC G ? �3 i° 'p ° 1 O 62.50
iay.atipti per !hour (1 or min) 61.30
IP 1 ) 6 �y, Fax: ( )) - (if 24 gt) bout 73.75
1
.,
Lie.:
1.,,',i u . l i . IP Y r.y ; (. •, f ) ',....%,...,.,.,•:: i 1
�G 9 6 g F l eckical Lin: Super. Lic.: , 1 1 t :.1. L,lv
, Electrician 5i: , : , - ri . red: gabl
Plan review (23% of permit fie)
•
Lame:
1 Date: i
ri Statuauovhmga(0%
:cod signature: ; : � TOTAL P>ZetMZT BS@ 9
{ Toe parmn application v pen
as Iwo pek is ant a sbeilmod east% too
dare slim to then thaw aaaapent es eaet4tde
lame:
/ 44016" ft,t,k I DatE:igl . GI a Poo nfdhodolop• w by Tel -Covey Building may 8erviae Dowd
• oa Mambas of iraeaoUona are remit allowed.
CITY OF TIGARD L-L6
BUILDING DIVISION PERMIT 006 – /60 /
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: / 5 3Z d24.4-- / / 7IA /LI CLASS OF WORK:
SUBDIVISION: Lel #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
•
Inspection Request Scheduled For: Date: 3 a 3-0 c Pour Time:
Code # , ynspect'on D scription Confirm # Contact # Message
t -q S>3 - 7 /5/4/e-e-
Corrections /Comments /Instructions:
•
9 PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL • n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: f ?/ 6 ? Phone #: (503) 71