Loading...
Permit CITY T I GA RD ELECTRICAL RESTRICTED ENERGY PERMIT AAA- DEVELOPMENT SERVICES PERMIT #: ELR2005 - 00367 DATE ISSUED: 10/21/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S109DA - 10600 SITE ADDRESS: 12926 SW BLACK WALNUT ST ZONING: R - 7 SUBDIVISION: SUMMIT RIDGE NO. 2 LOT: 095 JURISDICTION: TIG Project Description: Central Vac. 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 COMMUNITIES, LLC ALL WEATHERIZATION 4230 GALEWOOD ST #100 3030 SE 59TH LAKE OSWEGO, OR 97035 HILLSBORO, OR 97123 Phone: 503- 387 -7538 Phone: 503- 649 -6542 • Reg #: LIC 46969 FEES • Description Date Amount REQUIRED ITEMS AND REPORTS [ELPRMT] ELR Permit 10/21/200`. $75.00 [TAX] 8% State Surcha 10/21/200 $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: .,sA.-e 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. 10/20/2005 14:42 FAX a 007 /009 b r A CtriC�1 Pt rmi# t • I'/ •. ) I.uI, ttl il(1 1 ')1'. t),1.1 pity of Tigard •C� .,Z)'P� "Y�i Pemit Ne.: — , 0 7( 7 )123 SW Flail Blvd., T1gad, 97223 'OCT .0 LUJ Datets hone: 503.639.4171 Fax: 3 :598.196 .,./ t Planitaview Ispection Lint: 503.639.4175 0 1 �N I I. • _ DaW Other Permit: Ittvnot www.cl.tlgard.or.us � �`• Date wlBy: aayBy: / 0 8aa Page s fr o • TIGA l NotllladNethod: J l l f ' Supplatsattta) Informaiton § �1 (91,���k�lb'/ �' +` /� +'✓ irrrF'� ri�titZ I +Q ..:::i54 i t - t - vT r , 1%.EFi•.14ai:4,;R:1 1 ,: ff'. .s +,?>l.t ;R:(l ire `,:',1': ( 1 r , 111 � 7. t !:341';4' t. lt t�frrh+s h.,rii: '1' ii? '',)11.''"Y.;:%?: i` • r , ,< r r ..a,r_: �. T l r , +t ,.l }Y, g A t ttllt 4111: ?� i > •t :,�,'rt± °1l `, , AO l '1,!'‘i, lj ) . + r l t ft. ,. � rrtf AS { irl:. t �1��', ' :j New construction li _ ,"R : p terra; n/replacement Pleaae cheek el t n ° � : > t� e 144 )'rhnl St8•t . Npply: ] ;,I, D 011taOn i [� pe ['Service over 223 amp:, oomm'I ❑Flasardoue location r rt..� {Si I ,, : 1 F s t ! fft, ! �, , , r , , kt ❑Service over 320 amps - r,liA , >! &.x:F }1Elt'•�Ik^/,`1 il. a�'t 1 "., : ! ', ' t ' w t , , .: 'r 1 , v <: ?' I l'% .i' +' ''� ' 1t i'l t Of 1- end 2•fuufiy dwellings 8 ❑ 4 orr mg o av neew 0reasdential ', .40 - and 2 - family dwcllin : • . U Commercial/industrial I Accessory building ['System over 600 volts nominal unfits in one atrudure 3 Multi family Q Mester builde Q Other: 1, y.r: yl yy!;1 a , +,1 y -,a, 5 ClBuilding over three stories ❑ Roden, 400 amps or more '� l <��'C j +(�J 'c Rl tt `ti tx+ ,t i { ( „r. t i r + r t r� - e {. t i �1 u :j� •r `e , ©Occupant load over 99 persons ❑Manutticiared structures or to e ►rl t ,. tv> 1k . 1 , , < a . It i ' t , i 1 R ( L4 j c ,y , `i!i QE eaa/li .. ,r1 , , .•: ? !.,., ' �i 'hr,.!'n. 8r ghtingplen RV park � lb no.: � J ,1 site address: 12 / d /tiGK d t/01 I 4.1/1 - - ❑h �• ealth- care ,,..'Other: ity /State/7.IP: 1 submit .1., acts of plena with any of the above. T 1 � O 2 The above are not applicable to tempaery construction service. aite/bldg. /apt. no.: Project name: tiry 1;A'c(I + t, rl ,r yy li dl� r !Ill', 1 [ t t t t i , 1 f a r 4 r 'bt .q. :Ix ... ./,,A •1 s ... •., : : . T . ' . ... ll, x,114 ••iNJ . roar street/directions to jo aite: bier Qtr. it.e • r.(s •. New residential single- or multi-family dwelling unit. Includes attached , are • a 1,000 s R. or lase 14S.15 4 Ibdivision: 5.1 VY1 m tk R • 1CJ t I Lot no.: 15 Ea, ■dd'! 500 eq, ft. or portion 33.40 l OE Map/parcel no.: limited energy, reeldential 7,5.00 / 2 �;)11',1k, t t'(j'1 trjtr Y1t'y( :' „ !{"il,n, _ , y I t Limited energy, non�estderdial 75.00 2 , v,>!,}.>7v l. tl.> "r.T�}.t0,:.11;7.7fhiy.S +:fY' rlS,itanH .°1+ 1 i r l 6� r T t w t t 1 , r a. t1 , 1 i$' ;? +, t .'l IStt +l�! ',flit.`,' r Iv,lf Eachmanujurod or modular C(,'r. ►; 1rti ( Vk C, dwollln& service and/or feeder 90.90 2 ki VD Services or feelers tnutalletlon, .iteration. and/or relocation ' >r,' jai! �,r a +4 7 f uu r i v t .r 1 t, 200 amp' leis 80.30 2 +bkICJS:',ilr `, 1 1 '5i.. / , i t -t +t it i 'r i r' J I .1 t r , f , }1,G ) tr t�n:.!,. :avta•�.�� i;{ix��:tr:5t �.�i�' + Ttti�,ii w� , l ' �t S,li, � k ii r r I � �1 fl 11�1 '�Ol atnpl1 t0400atnPa 106.83 2 5 � :.. xt Lei l.t..,1. lIY1l�•�j tee: p �A /�^-_ ll� 401 amt to to 600 amp: 160.60 2 �, t-• O t $ +k co*t,' UA i'fi • 601 lungs to 1,000 amps 240.60 2 'dress: 4 730 i a leA k/bc2i)■ Sf Over 1,000 amps or vohe • _ 454.65 2 iy/ tateJGlP: A , U� ; Reoonnect only 66.85 2 ' ^ �� Temporary servkee or foeduv laataDetlou, alteration, and/or one: ( 3) .Gg 1 - � : - 75 3,u j Fox: (SZ0) .. 7 741_5 (n relocation veer Installation: This in�Gllation is bey made S 200 amps or lees 66.85 1 ended for sale, lease, rent, ccr exchange, according to ORS 447, 449, 6 0 c not 201 amps to 400 amps 100.30 2 yner B1tl tune 401 amps to 600 amps 133.73 2 Date: t� Branch chitties -new, alteration, or extension, ter panel MAR t,,,�•»f11,. t 11� J (a , i(Q� i t , 1 t + . br ',..4lr•rly"i``lj /r}4tc? +� {....,ere tntil!i::dl� +t i ( ' i , , i 1 \ to Ip _, _ twlt A. pea ibrliranob roults wllh alintsss name: ,�. l }Ira' "+I : arvioe or feeder oi fee, ascii 1J i tie e r t �io.n t f ,,Z , branch circuit 6.65 2 Intact name: ' � - B. Toe for branch circuits xire j Mn V/ CY AZPt. whhoyr eerviee or feeder fee, O Sl" i q L + each branch eirouit _ 46.85 2 dress: elLTl': T L Each add'! breach circuit 6 .65 2 /hi ( /.. d de. q 7 /ZJ Miscellaneous service or feeder not included) D": ($) ��(R � (Z I Fax:: (�3) 6L�Gf Z6 $q Pump or irrigation circle 33.40 2 nail: :�Crr , / 0 : ' ivn Sign l li l tie or limited- l 33.40 2 `luf:ijlcy �•,p �( ;tl)!� u.. {g�� yt�,j s 1 . � ri � lIR1� a � , G y � �+ $igaalciu+wlt(a)ortimlted- . , .$t {ta4tC3rt.•tF; , U,�1r12 iil�i:'fc�±J7S3t2�igl i d n 1 !S 1 '''.1: I f �:r�,41ili �Lr.��YUi.'�t /11 .;1 ",: (i l ? N ens, anel, ahCradon, c'r sillass naltte: / , J /1_ �, fi f o Paget 2 dress: 1 v! �"✓1 C b lc- G $ash ■dditlonal inspection over allowable in anZof the above y /state.Lrn: ^ tiff L (pie Par s tio oa 62.50 � 71 3 Invrali8aiian per hour (I hr min) 62.50 Inn. (5 7 ) (j y cl 7 I Fax: (5l.S) if 2Zeo l tduehrial due . er hour 73.75 El 16.. 1� 6Ci l t: ct rtcul Liu,: Suprv. Tic.: :au 1.1:1.:.: .,:j0'S L e ' uYro' i.:. 4t. fS1 fitot.t.1 T.I.;•Cf.t!.I;:c�2�,[t t••i L 1 S.tu aSr- 3:�;it i,." .. t 1, ...1.r.n. S ubt o tal Irv. Electrician signature, uired: Plan review (25% of permit fee) 14 suite smtmrlurgo (8% of permit fee) at name: Date: thorized signature: _ TOTAL PERMIT FEE .1 i Tai+ permit cattam par>ort ii a ib sh lit 11.111110; r . it 11 Cdr Li.r . Date' • • * d eppli ry s weer N txp(ras If a ri..ount Roadie r ct dust' ed within 180 Se ft'J Pee methodology sot by Td•Cotatty Buil iitte Tn4u,hy Service Ruud • . Number of Imaoeotiens ear oeimit Wowed CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2005 -003 7 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/21/2005 Phone: (503) 639-4171 ' pivi oir 112. nspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 12/27/2005 TIME: 7:03AM PAGE: 3 SITE ADDRESS: 12926 SW BLACK WALNUT ST CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE NO. 2 LOT #: 095 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE NO. 2 DESCRIPTION: Central Vac. OWNER: DON MORISSETTE COMMUNITIES, LLC, PHONE #: 503.3137-7538 CONTRACTOR: ALL WEATHERIZATION PHONE #: 503 -649 -6542 Inspection Request Scheduled For: .� Date: 12/2712005 Pour Time: Code # Inspection D s irceD p ititbn Confirm # Contact # Message 199 Electrical final 024 048-0 1 5209-4837 03 - I Corrections ° /Instructions: • . M Aim, . . a%11111110111 ff4 PASS P' ', IAL APPROVAL fI CANCEL + NO ACCESS IL ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: • / 2 Z7 hone#: Date: (503) 718 - Inspections Required for: ELR2005- 00307 ✓ Code Inspection Description PASS Date By If Code Inspection Description PASS Date By BUP - Building Permit ELC - Electrical Permit 405 Excavation 105 Underground /slab cover 410 Fill 110 Temporary electrical service 415 Grading 115 Electrical service /reconnect 205 Footing 120 Electrical rough -in 805 MFG- Structure grading /footing 125 Wall cover 210 Foundation walls 130 Ceiling cover 215 Footing drain 135 Low voltage 220 Slab 140 Sign installation 310 Crawl drain 145 A/C or heating unit circuit • 225 Post/beam structural 150 Hot tub /spa /pool 230 Underfloor insulation 195 Misc. inspection: 235 Shear walls /anchors 199 Electrical final 240 Exterior sheathing 245 Firewall 250 Roof nailing ELR - Restricted Energy Permit 255 Wtr proofing basement walls X 135 Low voltage 260 Tilt -up panel 195 Misc. inspection: 265 Masonry X 199 Electrical final 270 Reinforcing steel (rebar) 275 Framing 810 MFG Structure set-up MEC - Mechanical Permit 280 Insulation 605 Post/beam mechanical 285 Drywall nailing 610 Gas line 287 Suspended ceiling 615 Mechanical rough -in 295 Misc. inspection: 620 Hydronic piping 899 MFG - Structure final 625 Duct work 498 Grading final 630 Fire damper 299 Final inspection 635 Smoke detector shutdown • 640 Exhaust hood 695 Misc. inspection: 699 Mechanical final BUP - Fire Protection System Permit 905 Sprinkler underfloor /slab PLM - Plumbing Permit 910 Sprinkler rough -in _ _ 305 Plumbing underslab 915 Fire alarm rough -in 310 Crawl drain 920 Suppression trip test 315 Post/beam plumbing 995 Misc. inspection: 320 Plumbing rough -in 998 Alarm final 325. RP/backflow preventer _ 999 Sprinkler final 330 Water service 335 Rain drain 340 Storm drain _ SIT - Site Work Permit 505 Sanitary sewer 405 Excavation 345 Culvert/catch basin 410 Fill 350 Septic tank • 415 Grading 395 Misc. inspection: 205 Footing 399 Plumbing final 210 Foundation walls 215 Footing drain 420 Sprinkler supply lines SWR - Sewer Permit 495 Misc. inspection: 505 Sanitary sewer 498 Grading final 595 Misc. inspection: 499 Final inspection 599 Final inspection I: \Building \IVR \InspCard- AOP.doc 02/02/2005 J , CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT DEVELOPMENT SERVICES PERMIT #: ELR2005 - 00367 �I DATE ISSUED: 10/21/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S 109DA -10600 SITE ADDRESS: 12926 SW BLACK WALNUT ST ZONING: R -7 SUBDIVISION: SUMMIT RIDGE NO. 2 LOT: 095 JURISDICTION: TIG Project Description: Central Vac. 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 COMMUNITIES, LLC ALL WEATHERIZATION 4230 GALEWOOD ST #100 3030 SE 59TH LAKE OSWEGO, OR 97035 HILLSBORO, OR 97123 Phone: 503- 387 -7538 Phone: 503- 649 -6542 Reg #: LIC 46969 FEES Description Date Amount REQUIRED ITEMS AND REPORTS [ELPRMT] ELR Permit 10/21/200E $75.00 f [TAX] 8°A State Surcha 10/21/200: $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 d 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. t '` Issued By: 7:4, 2C Permittee Signature: ,7 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.