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Permit
CITY TI GARD ELECTRICAL RESTRICTED ENERGY PERMIT AVA DEVELOPMENT SERVICES PERMIT #: ELR2005 -00323 -111 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/5/2005 PARCEL: 2S 109DB -02400 SITE ADDRESS: 14995 SW BLACK WALNUT TERR ZONING: R -7 SUBDIVISION: SUMMIT RIDGE LOT: 062 JURISDICTION: URE Project Description: Low voltage for audio wiring. Job No. 3445 A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: X 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 QUADRANT SECURITY INC 4230 GALEWOOD ST SUITE 100 PO BOX 14833 LAKE OSWEGO, OR 97035 PORTLAND, OR 97293 Phone: 503- 387 -7538 Phone: 503- 234 -5558 Reg #: LIC 96806 ELE 26- 565CLE FEES Description Date Amount REQUIRED ITEMS AND REPORTS [UELPMT] ELR Permit 10/5/2005 $75.00 [UTAX] 8% State Surcha 10/5/2005 $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 fo : r - adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 throu3 OAR 952 -0e • 1,'. You may obtain copies of these rules or direct questions to OUNC -, 5Q3 -2 6 -6699. lssu, d By: • / r,' J AAj_L Permittee Signat 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. Nit r - kcoL.4 .. ci_. ) , -c - c.),..)c 1=?.....ri vik-i::_ Eiectricai Pe. niit Application City of Tigard IteaeivQa 13125 SW Hail Blvd, Tigard, OR 97223 E kff,. h, D4.43 : �t7,dJ M 1..0v.: � D /t S Phone: 503.639,4171 Fax: 503.598.1960 ,,,�,.; . ..) . A Plan Review '/�%U inspection Line: 503.639.4175 ' ' I Date rn - Other Permit; w ww.ci.tigard.or,us OCT 4 �'�- Nofc adylBy: inte x _ t w r ZU I Notified/Method: rF r , Sr o Pa a for { r 'i +3+n5�� .f b J fr?�,t ,,w gn'.w k The SupYlCmont5rlloformatiou -� Cw construction e . ) F7 ° r - -�'y �,:rt L `k"� > 31..J!;; . a r Y '" Ei '�f ' w c�3c e . ^i1 *.�+ .,°4 '� fi a. •4'_ ' 1 ,n/ai ttOn/teplilcpment xRY Please ,,„ o i%titi= ^ .�w•t. + ...,dn- al Demolition T,� T 1'�y7�����'''? 7 �, , , � , � tease check all that apply: y ., • 1;1`C�erDINC Dl'1! x 4+i( l', ❑Service over 2 n G ,. 25 amps, cogrro'1 ['Hazardous location k)r,, f� t� u .,: P � �f' t�Srr " "°v'.k, ['Service over 320 amps – ratiIf ^ `'s �1 l'. "^` ''�� �•��' 1 A1,t,) , j1' of 1- and 2- family dwellings rating ❑ 4 or more new 1 residden - and 2- family dwelling • Commercial/industrial � •- " CI Mult and 0 Accessory building DSystem over 600 volts nominal one a y ❑ Master builder Building s or oroinal units hi structure � �" .,.,� > . { fia , ❑O ther, p ding over three stories DFeeders, 400 am �'�`" i w - ° ^ ° ,m .'3'4'' o ofd , .�n�,, "�:.;. '. -, ,:. dOccupant load over90persons ❑Manufactured p more • • k t a<t z 7 , ._ d.ii ' '.BF QE ress/lI ' or � � q 8 sit ing plan RV p ark Job no.: r V Job site address: 1- l q 5 #1 / /GL � cr1 / in ` 7 - piicalth -care facility EiOther: City/State/ZIP: a}- /S / Submits sets of plans with any of the above_ lJ RI �� not applicable to temporary Suilr/ bldg iapt no., hi 1- The above are nt porary construction service. Cross s Project name: ✓ ..','. ee,,,, h °; ` `a . r� y i Drcrlptlue M1 :• 5 : , w" 3 :'±art''�rc.1 ` . , . . street/directions to job site: Qty, Tenet } ' lill I New n res idential e d atingle^ or multi- family dwelling unit. atta garage. Subdivision: �Yt 1,000 aq, it. or less _� � U� ! r 7 1 / A- Lot no.: � � Ea. add`I 500 sq ft or po rtion r Tax map /parcel no.: is ` Limited energy, residential 33. a , enal : ' t , - , -- .s, 4? 1 •; , ,.. - , - ® 75.00 d.k.h. .; «,::s;: ,t :, ..1,...11„.„..x' ir a s i. `r,. , .i Limited u non-residential 75.00 � � i , � � � -: ,6 ` �:;. � � .., � r:. non -re � 75 .,, 1 CD ' �'" ^:' Bach manufaotttn d or mod J dwellin service and/or feeder 90.90 � Services or feeders installation, alteration, and/or relocation . � r� 200 am 80.30 Ell :. � '? ct .� c I ` "sY �," ; ''' • '',. �' ? 201 ainp9 to 400 a em u :. '`,. 't', �,.a �s' , 3- ,., ^;._, 106.85 fl � ,.• , �r , h i* / Name: 01 amps to 600 amps 160.60 �n r� –r 601 4 amps to 1,000 amps MI 2 Address: 40.60 1•11111111 Over 1,000 amps or volts r 454,65 III City/State/ZIP: Reconnect only r 66.85 Phone: ( ,• ) 3�� Temporary services or feeders lastaliation, alteration, and/or 7 a Fax: ( ) relocation Owner installation: This installation is being made on property that I own which is not 200 are, s or less 66.85 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 201 am .s to 400 e, 1 Owner sigttatur>r m i © ,.,R1, Date: amps to 600 amps r Ow n e r s na t e Fx r+. ,r ��"� c Braach circuits – new, alteration, or extension, +er panel • . a .sv " ; , ' ,.. ,, x,64° ip :I , I . ; 44 rU A. Pcc for branch circuits wait Business name: service or feeder fc0, each Contact name: branch circuit 6.65 2 B. Poe for branch circuits Address: without service or feeder fee, each branch circuit 46.85 Each add'I branch circuit 6 Phone: ( ) Miscetlaneutis (service ur feeder nut included) Pump ur irrigation circle 53.40 2 Sign or outline lighting „ _ g r swt'r „_,, 53.40 ' ,;': ai �a ., _ Vii. t4 tv .,'. , `, u . r of mi 0 { S ignal c 9 OC 1 °`�'�„�' �;� �;i t() .md_ Business name: r<s + S ". "k'•?i;k is 4g4:4 741' z p� energy petrel, altemuon, ire or il extension_ Describe: Page 2 Address: ) /(...)0K. I L C .r , - or Each additional Inspection over allowable in any of the above Per inspection 62.50 t ,_ Investigation tperh r l irrmurl ��- Phone: ( ��� ) '7 i Fax: ( J�" )3 r1` Indttetrial plant ( 62,50 CCi3 Lie.: � � r� , . Par hour ��i Suprv. Lie.: '''' ,' ,;` M *w: ' .. �,;� '�AIESI! :'k ` ;;' <t ,_.�_'..':: Suprv, Electrician signature, r � � Subtotal Mirral >3n , required: /' Plan review (25% of permit fee) Print name: ay) '' c )(' ' , Date: / State surcharge (8% of permit fee) / • '• beep a Authorized signature; f / TOTAL PERMIT FEE • f l . ' , — Mb math a • 00 Print name: Y 1 1 7 ` DDIICatl it b expires If t is not obtained within 180 days after a accepted as complete ♦ .� . / �� Date; er as ccept N Ay ° Poe methodology x1 by Tn- County Building industry Service Board Ha uildlneemflesIELe•Permiv►Qp.doe 1203 °Y Numba ofinsyacttoas Derpemritallnved. 44 Q-1 515 T(10/02/eQM/ W m CITY OF TIGARD BUILDING DIVISION ' PERMIT #: ELR2005 -00323 13125 SW Hall Blvd., Tigard, ••R 97223 DATE ISSUED: 10/5/2005 Phone: (503) 639 4171 A ij i �I Inspection Requests (24 Hrs.): (50 639 -4175 ' 1,,`� ' �.. INSPECTION WORKSHEET FOR BATE: 12/6/2005 TIME: 7:02M PAGE: 5 SITE ADDRESS: 14995 SW BLACK WAL UT TERR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 062 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE DESCRIPTION: Low voltage for audio wiring. •b No, 3445 OWNER: DON MORISSE I I E COMMUNIT - S, PHONE #: 503-387 -7538 CONTRACTOR: QUADRANT SECURITY INC PHONE #: 603 -234 -6658 Inspection Request Scheduled For: Date: 12/6/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 023018.01 503-209-4837 N Corrections /Comments /Instructions: X i PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL ❑ CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED Inspector: • ° e 6-8 � Date: Z 4 0 Phone #: (503) 718- /1#6___ CITY F TI ARD - , \ CI ® G BUILDING DIVISION PERMIT #: ELR2005.00323 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/6/2006 Phone: (503) 639 -4171 �o pB�1� l Inspection Requests (24 Hrs.): (503) 639 -4175 '•' I.. INSPECTION WORKSHEET FOR DATE: 10/7/2005 TIME: 7:05AM PAGE: 82 SITE ADDRESS: 14885 SW BLACK WALNUT TERR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 062 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE DESCRIPTION: Low voltage for audio wiring. Job No. 3445 OWNER: DON MORISSE! I E COMMUNITIES, PHONE #: 503 - 387 -7538 CONTRACTOR: QUADRANT SECURITY INC PHONE #: 503 -234 -5558 Inspection Request Scheduled For: Date: 10/7/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 017672-01 503 - 234 -5558 N Corrections /Comments /Instructions: • K PASS % P ' A L APPROVAL ❑ CANCEL ❑ NO ACCESS I FAIL IP ' A FOR INSPECTION n ADDITIONAL FEES ASSESSED ■ I )7 625 Inspector: r Date: Phone #: (503) 718- Inspections Required for: ELIZ a 'S- co 3 a 3 ✓ 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 115 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 260 Tilt -up panel 195 Misc. inspection: 265 Masonry y 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 g _ 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\I VR\InspCard- BUP.doc 04/06/04 r CITY OF TI GARD ELECTRICAL RESTRICTED ENERGY PERMIT DEVELOPMENT SERVICES PERMIT #: ELR2005 -00323 .� �l' DATE ISSUED: 10/5/2005 - '. 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S109DB -02400 SITE ADDRESS: 14995 SW BLACK WALNUT TERR ZONING: R -7 SUBDIVISION: SUMMIT RIDGE LOT: 062 JURISDICTION: URE Project Description: Low voltage for audio wiring. Job No. 3445 A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: X 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: i Owner: Contractor: DON MORISSETTE COMMUNITIES QUADRANT SECURITY INC 4230 GALEWOOD ST SUITE 100 PO BOX 14833 LAKE OSWEGO, OR 97035 PORTLAND, OR 97293 Phone: 503 -387 -7538 Phone: 503- 234 -5558 Reg #: LIC 96806 ELE 26- 565CLE FEES Description Date Amount REQUIRED ITEMS AND REPORTS [UELPMT] ELR Permit 10/5/2005 $75.00 rrli — 7 [UTAX] 8% State Surcha 10/5/2005 $6.00 Total $81.00 ?J 0 CA This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not 0 started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires o you to fo lowi to adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 throw OAR 952 -0$ :1 i 2 . You may obtain copies of these rules or direct q tions to OUNC -t 5Q3 -2 6 -6699. Issu d By: # f I � , r - ' _ Permittee Signat �, �, '4• 'i 'c' 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.