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Permit i . .,;. CITY TI GARD ELECTRICAL RESTRICTED ENERGY PERMIT 1 , .I I DEVELOPMENT SERVICES PERMIT #: ELR2005 -00316 ,�1 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/4/2005 PARCEL: 2S 109DA -10700 SITE ADDRESS: 12946 SW BLACK WALNUT ST ZONING: R -7 SUBDIVISION: SUMMIT RIDGE NO. 2 LOT: 096 JURISDICTION: TIG Project Description: All encompassing low voltage. . 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: ALL ENCOMP : X HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: : TOTAL # OF SYSTEMS: 0 Owner: Contractor: DON MORISSETTE COMMUNITIES, LLC GENESIS HOME TECHNOLOGIES 4230 GALEWOOD ST #100 9450 SW GEMINI DR LAKE OSWEGO, OR 97035 BEAVERTON, OR 97008 Phone: 503 387 - 7538 Phone: 503 643 - 1704 Reg #: LIC 128098 ELE 26- 989CLE FEES Description Date Amount REQUIRED ITEMS AND REPORTS [ELPRMT] ELR Permit 10/3/2005 $75.00 [TAX] 8% State Surchart 10/3/2005 $6.00 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 , through OAR 952 -,%r -0 00. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699. Issued By: 41.0 altel Permittee Signature: kVA ie ,■/ _/ / _, -,L OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N DATE: LICENSE NO: Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Sep 28 2005 1:47PM GENESIS HOME TECHNOLOGIES 5036433300 p.1 . rtit EleStr,,iical Permit Avnlication A 11)14•)1,1.1, 1: 11 ( )Nt.1 City of Tigard ® i�' E I V D Datan 0d f�. PamitNo4 0631. 13125 SW Hall Blvd -, Tigard, OR Plan Review Other Permit: ` --- Phone: 503.639.4171 Fax: 503.598.1960 ' a"+` " f{ "° Date/13y: inspection Line: 503.639.4175 ■ „ 1. I t Date Ready/ay. r : - E See Page 2 for Internet; www, cl.tigard.or.us SEP 2 8 2005 Notified/method: - _ ' Supplementalrmformation ly F -,,... y rr 9 iii: � .. s',. i r . �t , e, "y; tt,w u•��a a " rztl ttunws S .P Gs ' "I' ";,9'.`d 1 , 1 '; ,'r ! 1 ,. n ,I ,! '' (' v e{y � 1 �Fs�. ( ;�tv {� r tjr� l ,., r � i. ,„ • yu } l 14 ,. ,r,i3."IS k , 1 ^ .'. tit OFY , , 14 . ) .2 .. t l•r'bl ,:ff,N.; U.A1 a7.i 3$ ., .a�„ s9.�i"t3f �Alif :.hitttitif) "CI:t5�: +1 .i.I c2r1.3 .' 1t"kY� 'M `�fb i:��' ""`1'41:!!�42nIt :PIS � , c ��W.x w Yn�- w 1:1 New construction cg ' iii Witillaii4 la , r : cement Please check all that apply: [2 Demolition ❑ ether ['Service over 225 amps, Gomel ©Hazardous location y3t e )• a,�t ; s)i k ' tG7'� la < dlu 1 w� +, „ ; n ry t t �Nn t tr,, �, t F�I� $�l', t l,, > } 1 � 3 , ❑5ervicc over 320 amps - rating ❑ Buildng over 10,000 sq. ft. ' "R A V' ' 1 `` t :� i tali in bt,xo1 a y }a,'hJ ns iii 'Is;d4 ors``a vii.. ibtwkk ' �lt. .4 ti of 1- and 24amily dwellings 4 or more new residential u, ;1..12�M 1 i i rtra,i r i, ai. ,,.,;.i , t S, I i 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ❑cyst @m over 600 volts nominal twits in one Simon re r] Multi - fami ❑Master builder ❑ Other: ❑Building over three storks ['Feeders, 400 amps or more v1 >ws l - t - u +e .tc � � ^,xra tit t4 rr t 1 ..,,,,,,, , ,,,, ; ., •, ,,, ci i lx Yaxe.;r t x a ;x',wg , DOCCUpanl load over 99 persons ❑lVl�ill{aetured structures or � frl )��l tK gf { 1•.a .� ��� a r t s l it � 1 1 tu $ l i I' t .'l a& ( ti' 4 l . �<l.� t 1 { � ,{ 9 E ' 1 je E ss /h t plan RV park t x �l S I � G�78 � k. t�lr, da, _Y' ' il4 M i t m u tat 1 l { ¢�er�); r�. 61*l / A ... � t.'. , ci,, 0 8b tl P :Wealth-cam facility ❑Otter: _- Job no.: Job site address: At 5,W. 2.444 .),I✓Au94 i Submit Z seta of plena with any of the shove, City/State/ZIP ' 7; . - 1 1 . 4.€04 , �.� The above are not applicable to temporary construction service. 1� , Suite/bldg. /apt, no.: I Project name: U' rc 5: tK 't $f r t t zt� , n g t q n ice ,t- �,: i v a ,t t VA 'i' y i ' � ii'.,: �' h ", .� tt R t itli t l� F1' ' SI, :ti,,, rn,,, }., : n a a w . ",... r t ,1 a ,tY w, », Ducrlptlun Qty. Fee. Total Crass street/directions to job site: New residential single- or maiti- family dwelling unit. -- Includes attached garage. 1.000 sq. ft. or less 145.15 4 Subdivision: � i y- e €.- Lot no.; Ea, add 500 sq. ft. or portion 33.40 1 Tax map/parcel no.: "� l0v Limited energy, residential 75,00 7 ,5 °� 2 t .aM M , ` j xry t rjM s n4 Limited energy, non - residential 75,00 2 • G'fna .a.4..."., v',. , : a g . tiff 'NEW Al .a i tx 41.: gar ti:' � ? 1 ' 1 . rt 'r, ri' •,at r N. '. Each manufactured or modular r dwelling, service and/or feeder 90.90 2 r f/ #d . '/2i4 d .40/5 dwelling, or feeders installation, alteration, and/or relocation • / 200 amps or less 80.30 2 11414;r7 ir411 t . l�m lw y " t_,al S it " r'ua Z t7 E� t' t �,9Kt ,r E i ir : f,�t l �y il I 'I l ti 201 strips to 400 eln" 106.85 2 4��kiM'.4 €3 a4,to, aSi {41nv . 11`Ytr��'' 1 r t 4 4 ..1 .� ✓:,....,s,, 1/ INI1 t6tuc 'J b iSk,;t 401 amps to 600 amps 160.64 2 Name: -..il_ 4/76,e01 ss e //e_ 601 amps to 1,000 amps 240.60 2 Address; �Glei £.4 /i/[,c:00d .: `0e) Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City /State /ZIP: • 4.<1.4) ifi2! /fie. f7,02.5- Temporary services or feeders installation, alteration, and /or relocation Phone: (5 "p! ) 487 r 7,53 Fax: ( ) 200 amps or less j 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 OR.S 447, 449, 670, and 701. 401 etnce to 600 amps 133.75 2 Owner signature; Date: Branch circuits - new, alteration, or extension, per panel � , ,, . - iv batI,�, : l�w�, a + 1 a t t q ` t 'f "'•ax `t" r t�.R t ,t�, t T �Frrr~r a , . t fig A. Fee for branch circuits with S� " k t 1 > ∎,.,1 tit k t1 7 w RG &I C D ` ` .. i k d r , r< < u' 6 l ..., ' ” k t4: Y, t' u�E,si;+sx:att.. I S rum�ta,iA�.,AMwK ,��xn'4awS+r�s.�er service or fb@det ie@, each Business name: branch circuit 6.65 2 - B. Fix for branch circuits Contact name: wirhout service or feeder fee, 46.85 2 Address; each branch circuit _ Each add'l branch circuit 6.65 2 City /State/ZIP: Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 2 Phone: ( ) I Fax: : ( ) _ Sign or outline lighting 53.40 2 E -mail: Signal oircuit(s) or limited - �� �y tP3' ti "n7rr t' r �"i °'�t' " l ,'1 r r�M1, t'�t 1 rlj t� ener panel' or �a��+ �i��l�' fi���Jtsf�itfdl�R1?�� 'r(tA713�w'l,.r,�t,�, � aka a. a.'�', lilidSUl£' �Lb�11 �1 ilSfdl. � .�iti��e'8-�x�kt: gyp , , extension. Describe: Page 2 2 Business name: • Add? - - - -- ... • — • -- -- - . - ... - - - -- - .._._..__ .... Each additional Inspection over allowable In any of the above Cit) GENESIS HOME TECHNOLOGIES Per ve s tig action 62.50 � Investigation per !tour (t hr min) 62.50 9450 SW Gemini Drive Beaverton, OR 97008 Industrial plant per how 73.75 Pho Phn- 503 -643 -1704 Fax- 503- 643 -3300 I, i;�t �,� ,-� „ ,iw ,art : • ca `''�'t CCB 128098, CLE26 -989, g• «� „� ii t t � �. subtotal r � 0 ° 2885 -JL5 19.6.-- Sup. Plan review (25% of permit fee) T � / Date: �1 State surcharge (8% of permit fee) 6 te Print name: v1AS[?e ire 6,7 Q - -,r 5r TOTAL PERMIT FEE e/ OO Authorized signature: This permit application expires if a permit is net obtained within 181) days after It has been accepted as complete Print name: Date: • Pee methodology set by Tri- County Building Industry Service Board - •t Number of inspections per permit allowed. is lsuildrnalPennha�ELC- PermitAay,doo 12/03 440.4615T( 10/O2JCOM/WEB ✓ CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR200S -00316 13125 SW Hall Blvd., Tigard, OR 97223 . DATE ISSUED: 10/4/2005 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1 2/ 1 5/ 2 005 TIME: 7:04AM PAGE: 4 • SITE ADDRESS: 12946 SW BLACK WALNUT ST CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE NO. 2 LOT #: 096 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE NO. 2 DESCRIPTION: All encomp.ssing low voltage. OWNER: DON MORISS E COMMUNITIES, LLC, PHONE #: 503 CONTRACTOR: GENESIS HOME CHNOLOGIES PHONE #: 503-64 Inspection Inspection Request Scheduled For: Date: 12/15/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final +23552 -01 203-209-4837 N Corrections /Comments /Instructions: ►1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS • ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ® Date: 2,o-car Phone #: (503) 718- 7-Iii-110 CITY OF TIGARD • , •*• BUILDING DIVISION PERMIT #: ELR2005'00316 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/4 /2005 Phone: (503) 639 -4171 w agm'�° ;I, Inspection Requests (24 Hrs.): (503) 639 -4175 : ' ''' I .. INSPECTION WORKSHEET FOR DATE: 10/20/2005 TIME: 7:09AM PAGE: 106 SITE ADDRESS: 12946 SW BLACK WALNUT ST CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE NO. 2 LOT #: 096 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE NO. 2 DESCRIPTION: All encompassing low voltage. 4 OWNER: DON MORISSEf TE COMMUNITIES, LLC, G PHONE #: 503-387-7538 CONTRACTOR: GENESIS HOME TECHNOLOGIES PHONE #: 503.6113.1704 Inspection Request Scheduled For: Date: 10/20/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 13) Low voltage 0113754 -01 503 - 643.1704 V Corrections /Comments /Instructions: • • . PASS I I PARTIAL APPROVAL n CANCEL El] NO ACCESS . I I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: A, Z�. U� �� — —^� Date: I d ' ' Phone #: (503) 718- Inspections Required for: ELC2005 -00317 ✓ Code Inspection Description PASS Date By ✓ 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 • 1,15 Electrical service 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 7 2`j)/ 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 920 Suppression trip test 310 Crawl drain 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 L \Building \IVR \InspCard- AOP.doc 06/17/2005 CITY TIGARD RD ELECTRICAL RESTRICTED ENERGY PERMIT 4 "'� i DEVELOPMENT SERVICES PERMIT #: ELR2005 -00316 , : 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/4/2005 PARCEL: 2S109DA -10700 SITE ADDRESS: 12946 SW BLACK WALNUT ST ZONING: R -7 SUBDIVISION: SUMMIT RIDGE NO. 2 LOT: 096 JURISDICTION: TIG Project Description: All encompassing low voltage. 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: ALL ENCOMP : X HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: : TOTAL # OF SYSTEMS: 0 Owner: Contractor: DON MORISSETTE COMMUNITIES, LLC GENESIS HOME TECHNOLOGIES 4230 GALEWOOD ST #100 9450 SW GEMINI DR LAKE OSWEGO, OR 97035 BEAVERTON, OR 97008 Phone: 503- 387 -7538 Phone: 503- 643 -1704 Reg #: LIC 128098 ELE 26- 989CLE FEES Description Date Amount REQUIRED ITEMS AND REPORTS [ELPRMT] ELR Permit 10/3/2005 $75.00 I [TAX] 8% State Surchart 10/3/2005 $6.00 tit Total $81.00 t O O W 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-ye -0 00. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699. Issued By: G ti � , Permittee Signature: %L i , � , j / / ` � , �( 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. 1 I