Permit IN n CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00035
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/7/2007
PARCEL: 2S 109AC - 03900
SITE ADDRESS: 14543 SW ANGUS PL ZONING: R -
SUBDIVISION: WILSON RIDGE LOT: 013 JURISDICTION: TIG
Project Description: All encompassing.
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: LL ENCOMP : X HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER: :
TOTAL # OF SYSTEMS:
Owner: Contractor:
DON MORISSETTE HOMES, INC. GENESIS HOME TECHNOLOGIES
4230 GALEWOOD ST #100 9450 SW GEMINI DR
LAKE OSWEGO, OR 97035 BEAVERTON, OR 97008
Phone: 503- 387 -7538 Contact #: PRI 503- 643 -1704
FAX 503- 643 -3300
FEES Reg #: ELE 26- 989CLE
LIC 128098
Description Date Amount
[ELPRMT] ELR Permit 2/7/2007 $75.00
[TAX] 8% State Surcha 2/7/2007 $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 or 1.800.332.2344.
Issued By: ' �{J ..„ Permittee Signature: � .R 'e_ cl
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.
Feb 06 2007 2:21PM GENESIS HOME TECHNOLOGIES 5036433300 p.1
Electrical Permit APolicati I t (lu ()I. 1('t tISE i iNl .i
iiiii City of Tigard It = — 1 Pemtit No: 12 -
Ai e. 13125 SW Hall Blvd., Tigard, OR 97229 i 2 007 Plan Review Other Permit:
Ir Phone: 503,6394171 Fax 503.598.19600 V ' J ba. x :
t t ; : ; a, l , Inspection Line: 503.639.4175 Date Ready/By: Jude • Bee Page 2 for
Internet: www.tigard- or.gov CITY OF TIGARD Neillied/Method: Supplemental leibrmatlon
, , r ' l ' rl+ .: W rOi ,. E .j,. Y P. .1a w7< y <Cp4<aa M1tr 4.11r� 1'.'"yenn !'� - F.n.l{: r jlIle, �:1 M { : Cil J1i 1, p v . q "r j' , r � ,.,, • �( F+4.a« t�xttl�� --r` .Y n r a ^ ^' '"C' .' bra p;'aN'�r!tJ _.
t,1a1,(�t.� t . �c Y / { / {/{ q5! � . f ,^ ,r. T ry Y' y �y ii +r . p ge Y '�1 1 4 ' k' �r /�V{ 1 t . „ ) A e 1. �j r Y
LL•Jr; \IIYN, "� �. :�F tii':�.• +�x4 �`�y p ���F:t- X11 YMMXVQTmtl. qQ + 3 "� �r �' � � '' tArtTM ,.u\� 11 �1 !' IY �� 1NMIArti 4'�,YYJ Y�.nn $ I! I�q } � Y'{.Y
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/'1 New Construction = Addition /alteration/replacement Please check all that apply (aubtnit Z sets of plane Whams chocked below):
❑ Service or feeder 400 empe or more ❑ Building over dues stories.
❑ Demolition ❑ Other where tea available fkult currant ❑ Marinas and boatyards,
c F, " S rkw q�t, y "sr c u�Y V'w , t � e a 4 ts�rr{ V tr tuiTF �,F ,,ya inn <
m lik� ,�J : ... a�� , ' ^I�, , /
t� r-, I' 4r' f 4 'aAtt,° �J'kl; 84., 1r:? exceeds 10 ground, amps at s 1 voila or Pleader -u a.
a ct: s Z'�a .x&�s :k :.,, amGGk�ls3lls e gin ek, xS tab to ly . �',1kJ leas to ground, or exceeds 14,(l0(l ❑ Cotivnetolal -use agricultural
i 1 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other Installations. buildings.
❑ Multi fatnil ❑ Master builder ❑ Other 0 Firepump• ❑ Installation of 75 XVA or
va fou n p vrr C m nr 4 'm t:r.a err ,uqg; r x ni • e`i , ii' iv d v;t >s t�q gpre¢ y f , (y +�y or. , v ❑ Emergency n ystean larger ao rarely derived system
. , � � t* ! ' ,'. .,,
f ' . ,. 20 x i { 1'. t , ' u z , v t6.� v ,,, , � � ILi �. Ad dition of new motor bad of (� ., ,.
a w u t r ft St r-0i.rtoulak. tu!,:v w. 1 - 2', "1 ",
Jab no.: Job site address: 4 1001 ur more. ocoupamy,
- e. _ ❑ Six or more residential unite. Q Recreational vehicle parks,
City /State/ZIP: . ❑ Health -care facilities. ° Supply voltage for more Chas
❑ Hazardous louden,. 600 volts nominal
Suite/bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or mare
11A1Y tt�J�,�i� ! � ",.0.N rt J^J .. r OUr�,� a v, 1
i r r }.ii�l"N i,, ..� dUr Vir!) ". „ Y I Ir. iii.°J�I ,Iiu %diCS rah f ,.e mirk 1
Cross street/directions to job site: Da¢tlattgrl eta. Fee. Total *
New residential single- or multi- fancily dwelling unit.
Includes attached garage.
Subdivision:
(.4.)1' I S t7 r ' , Lot n0.: t 1,000 sq. ft, or less 143,15 4
Ea. add' 1500 eq. ft. or portion 33.40 1
Tax map/parcel no
, r 11Y n,. �, t :r r�.o.s7�r� „ro,«.n'tux r I C 'ee wrn y r� n Q Limited energy, residential
k 1`ai� s' rf” Idn4p: r,. rtim� ?: 5 .>ti r74n .4ik�i :i :r r f 4 ; v ?y, ">'S'+ t�u1,51 (with above 1 . ft.) 73,00 7C 2
So :,; Y vt tear v
Limbed energy, multi- family
1 201 r _ ., Y I. 0 I 1 :' 1 residential( with above se. ft.) 75,00 2
Services or Ibeders instaUnitoo i niteeration, and/or relocation
- ' ,s 1 � . ' 'I �` ` . & i ll w ' 200 carps or leas 80.30 2
��t s, g , e„w .,5.11 , nCCkg use as t�' ,,,c 4 ; �o''d�d . ne Y is (i A �+ ,- e piv.rM� , t,, Vi e" ,1.t $+4'x
} SaI�I�° p'f: �(d S t r e : �°q * E v.'4"`�,t�' + `e 4�d �P e^ rarWow .I...Wli 911,1 «e'.a1 44 y�i amps to 40 amps 106.85 2
iku.s�,�i� 2..�:�mtsJinlriu,. �� tarc v.,,xa, ,.,
r ( D � - 401 amps to 600 amps 160.60 2
601 amps to 1,000 Arnim 240.60 2
Address: Z 4• . _ d to i - e, D • Over 1,000 amps or volts 454.65 2
City/State/ZIP: x T elo�m ors ry services or feeders installation, alteration, and/or
Phone: (50 .3) w - Fax: ( ) 200 amps or loss 66.85 1 1
Owner r r aIationi This installation is being made on property that I own which is not 201 amps to 400 amps_ 100.30 2
intended''for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Date: ^ Branch circuits — new, altaraHon ettendon. per panel
Owner signature: A. Fee for branch circuits with
v 1 > ny4.vyQ. :w1IMIr � kR ri ,y > vr v J, Ir + w'A I,mt :aal" ^o xr 4 rtx"S + -
V�,�' k ¢ � , ri: l; ; r ... a m ' , A ' ,rg f i 4 A g ' di * , i r e , i #' :.° � b ' E+ { r . i ' .o ^Y
shove servi of feeder fee 6.65 2
,a - ,, rd,lr,, I? lti 39o tom. F.d w;.i 1 k ,., lim,LA� .h. h s,4, ;Ya +'rriA each branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee, 46.85 2
first branch circuit
Address: Each add'l branch circuit 6.65 2
Miacellarteous( or feeder not Included)
City /State/ZIP: Each manufactured or modular 90.90 2
dwelling, service and/or feeder
Phone: ( ) Fax: : ( ) Reconnect only 66.135 2
E-mail: Pump or irrigation circle 53.40 2
t :'."J'C' a . , +Z i < i c , ) v s 7 , y � , r ;4 i lit , . � V , ;t ..+
`.n' f'4.x''' i � ∎au k. ve t ' h "'' ..?. x %, o r r .0.1.tw r a.J x : : Ve x, ti.yga Ar U W . l 6:1:!1P 4` >_MC.J�iS: vV4.0..1 .lk'$° a 4ci sign or out lighting 53.40 2
, • ,.� tlY4'e , / 9 ,ger �i� "woc�s .�.� �" ��� f at
Business name: Signal circuit(s) or limited -
energy panel, alteration, or
Addres extension. Describe: Page 2 2 •
City /State/ZIP: Each aslditianal inspection over allowable In arty of the above
Per inspection 62.50
Phone: ( ) Fax: ( ) Investigadon per hour (I hr rein) 62.50
CCI GENESIS HOME TECHNOLOGIES IndusM plant . ,hour 7395
:5171,.I'� Yj7.[L an+, i bEt 7;7 rS ... p r. ;: i f r'a"tlii�l gi
stip 9450 SW Qemini Drive Beaverton, OR 97008 subtotal 7r
Phn- 503- 643 -1704 Fax- 603- 843 -3300
GCB 128098, CLE26 -989 Plne review (25% of permit fro):
Prin Ap''�hI' '
` � `■• , State surcharge 019$ of permit fee): ix
a —
2885 -JLE -
,
Aud TOTAL PERMIT FEL
ilia permit application expires if a permit In not obtained within 180
.
Print name: 5 I Date: Z —L — 07 da after It line been accepted MI complete.
* Number of i,tapeetiona allowed per permit.
tlfulldInstPennitsuil .C- PsmiitAFRdon 05 440.46 1 5111 1/ds/dOM/WBB
V
CITY OF TIGARD
BUILDING DIVISION , , PERMIT #: ELR2007-00035
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/712007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 —111.- 1 ....1-.
INSPECTION WORKSHEET FOR DATE: 2 I "I 4 .1 2 0 0 '7 TIME: 7:01AM PAGE: 16
SITE ADDRESS: 14543 SW ANGUS PL CLASS OF WORK: .
SUBDIVISION: WILSON RIDGE LOT #: 013 TYPE OF USE:
PROJECT NAME: WILSON RIDGE
DESCRIPTION: All encompassing.
OWNER: DON MORISSETTE HOMES, INC., PHONE #: 503.387-7538 .
CONTRACTOR: GENESIS HOME TECHNOLOGIES PHONE #: 503-643-1704
Inspection Request Scheduled For: Date: 211412007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
136 Low voltage 043391-01 503-643-1704 N
Corrections/Comments/Instructions:
/ ? IC) /
/
...__
t DASS PARTIAL APPROVAL EI CANCEL fl NO ACCESS
I I AIL I I CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED ,
Inspector: _ e Z. /
filP Date: , 07 Phone #: (503) 7186
■' - . ,