Permit t \
CITY T I GA R D ELECTRICAL RESTRICTED ENERGY PERMIT
I�
__,'� DEVELOPMENT SERVICES PERMIT #: ELR2005 -00223
`' I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: $/$/2005
PARCEL: 2S 109DA -06100
SITE ADDRESS: 15076 SW GREENFIELD DR ZONING: R -7
SUBDIVISION: SUMMIT RIDGE LOT: 038 JURISDICTION: TIG
Project Description: Limited energy - audio.
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 LLC QUADRANT SECURITY INC
4230 GALEWOOD ST. STE. 100 PO BOX 14833
LAKE OSWEGO, OR 97035 PORTLAND, OR 97293
Phone: 503- 387 -7538 Phone: 503- 234 -5558
Reg #: SUP 1211JLE
LIC 96806
FEES ELE 26- 565CLE
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 8/8/2005 $75.00
[TAX] 8% State Surcha 8/8/2005 $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 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC at 503 - 246 -6699.
Issued By: , 4 y Av Permittee Signature: 1Q �p
\ V
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.
•
08;08/,2005 05:58 5032362322 QUADRANT SYSTEMS PAGE 01
City --
it r Tigard � G/ ® Received /_Q �/�) 7
` g Datc/By: !1 A D r Permit N °.. �.. ^��' _,1 g2
13125 SW 1.1911 Blvd, Tigard, OR 97223 Plan Review
Phone; 503.639.4171 Fax: 503.598.1960AUG 0 '� " "`` "��i. 1 DatNAY: Other Permit:
1005 ._ , Date Read /B tong See Page 2 for
Inspection Line: 503.639A 175 _ = � Y r•
intcmct: www.ci,tigard.or.us Notified/Method: Supplemental Information
n14 \• e
W '1 -7 Ws tsp,' ' °� ' ..;„ 1: it a ' ,c •" - qJr : . r �:; , ,,,, ax: �1;"_-?;"'"r,",xl; .: TP �.:� • r", , !75,, , ' :h .
., ..�([ ' t , . . _,,, ; ;r . l C ,: ` u ; : g # ' i t .. �J �G�` 3 ,.., ; � :,? ' w, ,1,• , t y . ; tit a 'r.,r ° . , r t. „ , , - ;
:'1 .•pi.�5..:, � 1 5:� " ^i y91'h•'f':.'3'I: 1 ..,,y y{j ��l {. .y, ..11 ;1 wYd ].:�YF,� n':Jn ' Yr.. �lrh" if!: �i•l
.,. Y- � Wf: SSi', t�.`.>: 1. L. J. LiTC� M 151ft+'iK'f:•vnmuiai.�.
i A cw construction ❑ Addition /altefati&Piiii`filcement Please check all that apply:
El Demolition El Other ❑ Service over 225 amps, comm I ❑Hazardous location
� Service over 320 amps — rating ❑ l3uil dng over 10,000 sq. fi
`' n I VR %"'rM' •ta?: =Gy, r :; ` f cat . P . i,��5''�; ja klil !,,, 'r i.14.q of 1- and 1 Tamil dwellings 4 or mare new residential
,, ,r, ,• „,.: ` ,,, ? t(, • .,::,$.,fi,,• ;..4 „ •, t : ., .
a.; i • ,� .......... : :— ..a• *J: .C., 6.. . .t .•;14 ^ :};..:G..i'.:.: "': Y g
,ti 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ❑Sys” over600 volts nominal units in one structure
['Building over three stories 0 Feeders, 400 amps or mar
❑ Mu1ti f$m11y (] Master builder ❑Other; ['Occupant load over 99 persons :Manufactured structures c
..�� . + �.,; .,l' ���3�I .s,lxu:i" :T +:r''�.' RV p a rk
'spa r' g.4, yy",,"'; '�' a lk _' ",,ir'f **40 9'' a %001 a rt '`�+. �cv.:'.5" ::.' . . ❑Egress/lighting plan V
Job no,: _ Job site addre8a= � �{ (� ❑He alth -car's f ❑Other
t S Ul► � V1 1C1 I II V Subm 2 sets o plans w any of the above.
City /Sta.te /ZDP.7 j OR_ C11 4 The above are not applicable to temporary construction service.
Suits/bldg./apt no.: Project name: I. t 1 & ) �' ' .f "�'` "' ig ` ' S d � N' y"
a I.. A De.rion.. Qty. , Total
Cross streot/directions to job site: New residential single- or multi- family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145,15
Subdivision: u, / /, J Lot no_: 3S ha. add 15011 aq, ft. or portion 33.40
- Limited energy, residential 75.00
Tax map /parcel no ited energy, non - residential 75.00 •
�„ y Lim
.T 51:i't "'r ' x+ p+A s7: � AI "' y ,. y �, - .w
�t�,t`:� -�t �rt,,; �t':. a, �t. 9�f` �' r ,.m;�l�{:��;�� *- ��'�'�� :?�� ,� achmanufactured ormodulsr
dwelling, service and/or feeder 90.90 ,
7 �
gt • 'I ia L t L - O. �.i Services or feeders installation, alteration, and /or relocation
2 00 amps or less 80.30
r! ii , Y, V ," �• "- ti 201 amp , s to 400 amps 106,R5
401 a
,7:r' 't .. !;: E,W t . ' ' ,�;' a rP7 k�t' r id' E ;r, �'� m :.i. ' %'7': }%�':tt � J �ysA�_,ti pat 0 amps
: #i',r4fr�. wa a. .�I: '.� m o 60 160,60
Name: 601 amps to 1,000 amps 240.60
Address: Over 1,000 ramps or volts 454.65
Reconnect only 66.85
City/Statc /ZIP: Temporary services or feeders installation, alteration, and /or '
relocation
Phone: ( ) Fax: ( ) _ 200 amps or less 66,85
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 10030
intended for sale, lease, rent, or exchange, according to ORS 447, 449.670, and 701 401 amps to 6(10 amps ,. 133.75
Owner signature: Date: Branch circuits — new, alteration, nr extension, per panel
ry �v g;,. g'{1, 731 F a J branch circuits with
fFk -s' �`� t ' �'�� ; . �*i!? ,t + d + � yr8,3�,� ��(,T� '�•:�•' . grim ' y �!_ � : �.1���'/��`u' ":l�t' A. Fee. for bra c each
.Y AR. .Z: .. ,. "Y ,,. i'�^y4.Lr� RvA' .f C,l� !1^:.. `] G
I
service t,f feeder fee, 6.65
Business name: branch circuit
B. Fee for branch circuits
Contact name: • without service or feeder fcc, 46.85
each branch circuit
Address: '
Each add !branch circuit 6.65 ,
City /State /ZIP: 11'tiscellancous (service or feeder not included)
Pump or irrigation circle 53,411
Phone: ( ) I Fax: : ( ) Sign or outline lighting 53.40
.E -mail: Signal circuit(a) or limited-
# wI Rn 1 s t b 1 , c t , ! { 3{rs s ?:na b' "P" "$i e panel, alteration, or '
extension, (. d t 7 11 •� � 'J/ :, • t .*y, '•. : energy Page 2 15 (�
r „ Describe: s
Business name:. UC,tiC:krr n.:,. );-`tiX.. t,1�5
Address: -1 ~1 i 1 Each additional inspection over allowable in any of the above
C. y ` `- Per inspection 62.50 •
City/State /ZIP: (2.1-t Y si ' { ' Investigation per hour (1 hr min) 62.50
hone -_ �` tfa) - Industrial plant per hour 73.75
P : i , c2 � r Fax: C' "- — 08w , in to ' >t t �, t r :I ' ?'" "R
CC13 Lie.: C - ^ 2 Electrical Lie.:'. ,4 r - Suprv. Lie.: f 1 - :n subtotal .15, a)
Suprv. Electrician signature, required: ` ,:,.../ / mil F f(I ` _
i= __ ,., . . Plan review (25% of permit fee)
- I G 1 L ^ State surcharge (8% of permit fee) �,
Print name: �` ` F , .t -- Date: I G � c
I. ��.'V i 1 TOTAL PERMIT FEE ki, V0
Authorized signature: 9 i 4 A 0 This p application aspires Ira permit Is not obtained within 180
days after It has been Accepted as complete
Print name: �t h arm.. p Date: E. 05 ° !'tic methodology at by Trl -County Building industry Service Board
" Number of inspections per permit allowed.
CITY OF TIGARD b m
BUILDING DIVISION PERMIT #: ELR2OO 6- 0O23
131,25 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/ j,Nots
. Phone: (503) 639 -4171 . %: l4 e1
Inspection Requests (24 Hrs.): (503) 639 -4175 �: i 1 1I
..
INSPECTION WORKSHEET FOR DATE: W1 TIME: TaAlv4 PAGE:
SITE ADDRESS: 16()76 SW GRE. ENFIELD DR CLASS OF WORK:
SUBDIVISION: SthviMIT RIDGE LOT #: O36 TYPE OF USE:
PROJECT NAME: SUMMIT RIDGE
DESCRIPTION: Limited tinerqv
OWNER: DON MORIS;➢E @ COMMUNITIES LLC, PHONE #: 503.3a7.
CONTRACTOR: QUADRANT SECURITY INC PHONE #: ?- x73.231 -5558
Inspection Request Scheduled For: Date: 8/18d200E, Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Lunt voltage 013787 5o - 234 -5a6k N
Corrections /Comments/ Instructions:
•
r. f
i PASS PARTIAL APPROVAL ❑ CANCEL NO ACCESS
I
FAIL p ,-CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
9
Inspector: r '' -°"" �� Date: g ,"( OS Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2005-00223
• 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 802005 Phone: (503) 639 -4171 �
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/17/2005 TIME: 7:05AM PAGE: 94
SITE ADDRESS: 15076 SW GREENFIELD DR CLASS OF WORK:
SUBDIVISION: SUMMIT RIDGE LOT #: 038 TYPE OF USE:
PROJECT NAME: SUMMIT RIDGE
DESCRIPTION: Limited energy - audio.
OWNER: DON MORISSETTE COMMUNITIES LLC, PHONE #: 503 -387 -7639
CONTRACTOR: QUADRANT SECURITY INC PHONE #: 503 - 234 -5558
Inspection Request Scheduled For: Date: 8/17/2005 Pour Time:
Code # Inspection Description • • • Contact # Message
135 Low voltage $ 136701 503.519-6452 N
Corrections/Comments/Instructions:
•
❑ PASS . ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
N 4 FAIL 1 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
p� 4
Inspector: v 8 t Date: b - 17 - OS --
Phone #: (503) 718-
!
•
1
CITY OF TIGARD ,' . ,,, A .
ir
BUILDING DIVISION PERMIT #: ELR2005.00223
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/8/2005
Phone: (503) 639 -4171 �i 1
Inspection Requests (24 Hrs.): (503) 639 -4175 ,..2._,W #� u 'as
INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 5
SITE ADDRESS: 15076 SW GREENFIELD DR CLASS OF WORK:
SUBDIVISION: SUMMIT RIDGE .LOT #: 038 TYPE OF USE:
PROJECT NAME: SUMMIT RIDGE
DESCRIPTION: Limited energy - audio.
OWNER: DON MORISSL:I I E COMMUNITIES LLC, PHONE #: 503- 387 -7538
CONTRACTOR: QUADRANT SECURITY INC PHONE #: 503 - 234 -5558
Inspection Request Scheduled For: Date: 10!31/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message •
199 Electrical final 019890-07 603 - 209-4837 N
Corrections /Comments/ Instructions:
MINI .
` A ' ASS % rARTIAL APPROVAL ❑ CANCEL El NO ACCESS
❑ FAIL % • ' FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: _ _ ��� Date: /0 : 74' C'S #: (503) 718-