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Permit
CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT DEVELOPMENT SERVICES PERMIT #: ELR2006 - 00229 'I I4 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 9/22/2006 PARCEL: 2 S 109AC W R008 SITE ADDRESS: 13426 SW ANGUS CT ZONING: R - SUBDIVISION: WILSON RIDGE LOT: 008 JURISDICTION: TIG Project Description: Vacuum System. 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: X FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: Owner: Contractor: DON MORISSETTE HOMES, 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 Reg #: LIC 46969 FEES Description Date Amount [ELPRMT] ELR Permit 9/22/2006 $75.00 [TAX] 8% State Surcha 9/22/2006 $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: ` I:. Permittee Signature: D — 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 Permit Application FOR OFFICE USE ONLY Ca of T1 and ,1 .t livED Receiv • - — _ `J g Date /By: L i , Permit No.:6� y _ y '13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax 503.598.1960S EP 2 2 2006 i j Date /By: Other Permit Inspection Line: 503.639.4175 Date Ready/By: luriss 0 See Page 2 for Internet: www.ci.tigard.or.us CITY OF TIGAR[J` Notified/Method: — \ Supplemental Information I% eon r .su nllttol"ul • ` -, n ... ..�, c ." _ .a, s...F<a ". i?c . .._.. -�-r. xlx- :. v: x._- &a ".,-v;�cM x-�.x:. °<t +:1::., . x._. ...x .. ., i .c,,,_._..x... .._; -. �o...x..ca:.> 0 a -:x,:, ..:.�. - - -v xxax.. x.:.s- ,�v ••. �: ".,,. :. , i l' ,�,.�.,� . � x , a?, i.:x f �%,x',' .� \ >: c.: .r -a:.r ,. ...r :i >; a:,,_e x.,�`,- .:•i+. -c., a;..,.,p� .. V. y� �Wx .:3?'vx' \,. «i ', .•\ v. •u .. .w.nx . H,..-.,,. .s. ,y.., -�i, a _ .. " , t > _,3, t x� £ :v \ :'x. . - p }N� �j4�}` k .%�''':�r. .. J New construction ❑ Addition /alteration /replacement Please check all that apply: ❑ Demolition ❑Other: ❑Service over 225 amps, comm'l ❑Hazardous location < : __: = s �.,•. .x ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft., ^�,r = � `�'` >.G`" `T *G ' RY = T C NSTR C - : n ...��s� y rz.r of I- and Y d 2 -famil dwellin g s 4 or more new residential ria - ,max "..� „ ,. <- ,m,.� . »� >, s- ';. :�.� ..,- :� : W -; -'o, a:x <_ �t;. =.:.t': =s =.. �,�d; ,..���: "�_ �� �.sr. 1- and 2- family dwelling 11 Commercial /industrial El Accessory ' building ❑System over 600 volts nominal units in one structure ❑ Multi- family ❑ Master builder ❑ Other: „ ❑Building over three stories ❑Feeders, 400 amps or more am l a • r s ❑Occupant load over 99 persons ❑Manufactured structures or ? m . . - " 1Jd SC p. , A ON- ri (3cATiO'4 .0 ; t, ❑E gress /ligh plan RV park Job no.: G Job site address: ` 0- Health -care facility . ['Other: 7 / 6 I �� ! k) G c.),, CI- Submit 2 sets of plans with any of the above. City /State /ZIP: 'n 50,4 0e— The above are not applicable to temporary construction service. Suite /bldg. /apt. no.: Project name: Description I Qty. I Fee. M I y\ Total I ** Cross street/directions to job site: &+I 44 1t eo g ' New residential single- or multi - family dwelling unit. Includes attached garage. 1,000 sq.ft. orless 145.15 4 Subdivision: (\ \53 fz � le , Lot no.: 5 Ea. add'I 500 sq. ft. or portion 33.40 I Limited energy, residential / 75.00 7C 2 Tax map /parcel no.: energy, re 1 75.00 2 Limited nergy non s en la *a ;- lii. C ,�.If- g* t) F-: UI ” ":aft.. _•. ��a.:� ' ;,r���- ��- -� -.._ 5� � �r._� � >,.: - "::a � = 3 �� �, .�� <.<,• ^�.,n•� °.�a�-= �= �:; "r-� _ � Each manufactured or modular k f dwelling, service and /or feeder 90.90 2 Ce n A.l. 1/4 C U11 rti S c j 4-e v✓- Services or feeders installation, alteration, and /or relocation J 200 amps or less 80.30 2 t, ,:,,::.3;' 0 amps 106.85 2 t °::~ ,� �� °�ss� . � , £ w, ti . ,. . 201 amps to 40 '„ 0.761 Eit O tl `R ';? :. ❑=. T N I N .. 'sl^ m.� - • „xua��:a•�rn��. ., .-. fir �.�•�� .. .� " `''�` �'�' " <°'`�'` 401 amps to 600 amps 160.60 2 Name: f)0 rk0 r 1 ?..S4 1-toe e. 601 amps to 1,000 amps 240.60 2 Address: LI 3o & e A. �l �,a S 4- Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City /State /ZIP: j_f,,, VVQ ©s wey Q q''7d_ s- Temporary services or feeders installation, alteration, and /or U l t relocation • Phone: (Sris/ ) 3g 7 -75 3 �{ Fax ( 5 -4 3 G a3 ) O 7 7/ < 200 amps or less 66.85 1 Owner installation: 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 600 amps 133.75 2 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel �:.� �;:. �F` „�'"' `' � -'�` ��;:;'-: �W�w A. Fee for branch circuits with r :r AP.P COANT'.. ®` coN l`A t*: Q <' .41 '- :.•: :-: W, < . "...:.':.. _ :... a -....: ,,:�. �_ service or feede r fee, each 6.65 2 Business name: A r 1 i e d . 22k 4_; , ' A , N F ,,k) C branch circuit B. Fee for branch circuits Contact name: re3 11/10 n G V � 1s without service or feeder fee, 46.85 2 J first branch circuit Address: 3 , 56 s- C- • Each add'l branch circuit 6.65 2 City/State /ZIP: 1Tt I is 60✓z 0 O)2 q 11 ZS Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 2 Phone: (5 3 ) L[ 4, 65N Z Fax: • (V ) C 44 2z) Sign or outline lighting 53.40 • 2 E -mail: Signal circuit(s) or limited - A . -, -, y .,; €, ' >: Ei. - p '- ,: '> " �t , ; r e ne r panel' alteratio or m. ��, ,_,; 'y,�: ,, ��U O rii2R�A`�TO gyp � extension. Describe: Page 2 2 Business name: 41` kve„ t 1Z.,t 1,,, 4on� " Tit), - - - Address: J C 6_4.6, Each additional inspection over allowable in any of the above 6 Per inspection 62.50 City /State /ZIP: (it /A' 4, eo ? 23 Investigation per hour (1 hr min) 62.50 Phone: ( ' ;) '�' C t Fax: (f- . 3 ) Cci f 26E0 Industrial plant per hour 73.75 ice::''ET 011140;8 tMl',. EES* 1 ' I:. CCB Lie.: X16 6- f Electrical Lie.: Suprv. Lie.: Subtotal 775 Suprv. Electrician signature, required: Plan review (25% of permit fee) pre Date: l�'- State surcharge (8% of permit fee) C Print name: Jer� ' � L � l n _ / TOTAL PERMIT FEE &I, 60 Authorized signature: � This permit application expires if a permit is not obtained within 180 I days after it has been accepted as complete Print name: I Date: * Fee methodology set by Tri- County Building Industry Service Board III ** Number of inspections per pennit allowed. i \ Bui [ding \ Permits \ELC- PermitApp.doc 12/03 440- 46I5T(10 /02 /COM/WEB CITY OF TIGARD • ' OD22 ? BUILDING DIVISION PERMIT #: E''" :M • ;n°' 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 0/2/200G Phone: (503) 639 -4171 u �� @�yl� i Inspection Requests (24 Hrs.): (503) 639 -4175 ii 1 INSPECTION WORKSHEET FOR DATE: )/27!2008 TIME: 7 :07AM PAGE: 2.3 SITE ADDRESS: 131i26 SW ANGUS t:T CLASS OF WORK: SUBDIVISION: WILSON PIDGE LOT #: co TYPE OF USE: PROJECT NAME: WILSON RIDGE DESCRIPTION: New SF. OWNER: DON MORISSE TE HOMES, LLC, PHONE #: 03.381 - 7S3R CONTRACTOR: DON MORISSETTE HOMES' INC PHONE #: 603 307.75313 Inspection Request Scheduled For: Date: ,127/2006 Pour Time: Code # Inspection Descri -. nn Confirm # Contact # Message f35 Low volt J(/I/" 037224 -10 6003- 19 -�52 N Corrections /Comments /Instruction • • • C(/7,-A 67 .„. r. i -- L- b- 6�02 q PASS I I PARTIAL APPROVAL XCANCEL U NO ACCESS FAIL CALL F011 INSPECTION ADDITIONAL FEES ASSESSED t it q I ; /n6 ,...) o Inspector: i N Date: Phone #: (503) 718- V V I � 1