Permit CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
DEVELOPMENT SERVICES PERMIT #: ELR2005 -00251
l — 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/25/2005
PARCEL: 2S 109DA -05400
SITE ADDRESS: 15198 SW GREENFIELD DR ZONING: R -7
SUBDIVISION: SUMMIT RIDGE LOT: 031 JURISDICTION: TIG
Project Description: Low Voltage, all encompassing.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: X BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: X CLOCK: MEDICAL:
HVAC: X DATA /TELE COMM: NURSE CALLS:
VACUUM SYSTEM: X FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: ALL ENCOMP : X HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS:
Owner: Contractor:
DON MORISSETTE COMMUNITIES LLC QUADRANT SECURITY INC
4230 GALEWOOD ST #100 PO BOX 14833
LAKE OSWEGO, OR 97035 PORTLAND, OR 97293
Phone: 503- 387 -7538 Phone: 503- 234 -5558
Reg #: SUP 1211 JLE
LIC 96806
FEES ELE 26- 565CLE
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 8/25/2005 $75.00
[TAX] 8% State Surchart 8/25/2005 $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 quejtion,s OUNC at 503 - 246 -6699.
Issued By: '(„' Permittee Signature: ' j (rn
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.
City of Tigard - -- - NitUtfiVED ReCCi� l r
13125 SW Hall Blvd., Tigard, OR 97223 / / i. _ i Permit No. 1 �G —120 5
6'w. Plan By
flf f r+ � . y 5 2 00 4 i�.11 Do
{'` Date/By
Oth" Berndt;
Phone: 503.639.4171 Fax: 503.598,1960
utspection Lino: 503,639.4I75 NA) � ¢ �- 1 Da" R : . � —•
int met Www ei tigard or us
NotiT See Paco 2 fur
CITV .
-r g �1� Ttr� n n n �Ltarupplemaetal
OM', e construction /2v�Y� TtiYsr k � 3� ��1iai?z�,� n r�ti_nm;0'mi nr
4a_ . r kf a
b l , n !^ ,. . ar�Y 4 . , ,.. r ,1: , n•g f P vi er uT a x w
..,,,J,. . construction " ' " `^� `. � �' °' �.-
❑ Addition /alterntiori/eepl'acotrtent Beast check all that apply,
Demolition Other:
❑Service over 225
amps, cotton 1 [� Hazarxioua location
:t : >(Y,` u' >° ''i' „ c '° + ; ❑Service over 320 amps — rating ❑ Bttildn over
�� ., . ,: ' ' ; ' ",n r u t ! n;� ),: " Yi / ' ` a . 8 residential 2 -fami! dwelling e4.s ,
�� � �� ,a of I - and 2 - family dwellings 4 or more new
2-family g ❑ Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
Multifamily ❑ Master builder ❑8uildi ov er three stories
0
❑ OtfiGr: t'S ❑Feeders, 400 amps or mot
( t it° ,'. "6 r Fit l �r�b, a }�' ' .�� y l'"e u7 . F . r ❑0u.upant load over 99 pe rsona ❑M ann t etures c
, .. Y• .:q..7 a .. ",. , ..;;,, , :e.-7 fat used Soto
l
4 +.. •: H. ":.. •�' � 'T ❑Egrosstiighting plan RV park
Job no.: Job site address: 1 I • Ell-cars facility (]Ocher:
�a Submit 1, sets of plans with any of the above,
City /State/ZIP: i 1 The above are not applicable to temporary ` - � RP porary constpvction service.
Suite/bldg./apt. no,; .ib2r ■ 3;1,, nF ,t All3 rX y
L .,► .••• 4 : ...., . . ,...„ y,rU � j , ,. ... -. , �'., t " • , t`'T a 1, � � ' ..:
Cross street/directions to job site: Deseripttsn Qty. pa. Total
New residential single- or multi- family dwelling unit.
Includes attached garage,
1,000 sq. it or less 145,15
Subdivision; E a, add 1500 s II ( -.A.— Lot r10.: q. f1, o r portion 33.40
Tax 75.00 map /parcel no
•. � II El energy, residential 1 -76,C10 '' �`• 'Z {�i 1 s; 2. e , , ji° ti; :, i � %&��T 1 eNt?w;, •
Limited energy, non- residential 75.00
S
r „� 1 ` �\ 0 � _ p r Each manufactured or modular
��J J ' dwelling, aervioe and/or feeder 90,90
r �. � � �n Services or feeders laatgllatlo
i t� w II 200 amps o , alteration, and/or relocation
12 ., „ t t J r r less 80.30
,11;. s� ,i-!.-•''' l �a[ �� r' fi,�tt L1 „ rl� ! .' 'r
. a' i ' it ; F:3 r , , : � ; (`i ti. i 201 amps to 400 amps 106.85
Name: 40! amps to 600 amps 160.60 '—
601 amps to 1,000 amps 240.60
Address: — Over 1,000 amps or volts 454.65 J •
City/State /ZIP: Reconnect only 66.85
Temporary services or feeders installation, alteration, and/or
Phone; ( ) Fax; ( ) . relocation
Owner installation: This installation is being made on property that I own which is not - 200 amps or less 66.85
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701, l amps 400 amps 100.30 to
Owner stb�ttature _ 401 amts to 600 amps 133.75
S ti� Date Branch circuits — --
;'� ^6 J 1 .L+�r; . h ; �t new, alteration, or extension, per panel
' "` . r,. " . tl :. . i .x ` ;b y. . ^1t. -4 W h,.� J a i IJ. \ 1 • ' , o ,, 7:, 2 A_ Fee for branch circuits with
Business name; service or feeder fee, each
brunch circuit 6.65
Contact name: E. Fee for branch circuits -
without Service or feeder fee,
Address;
each branch circuit 46.85
City /State /ZIP' "— Each add I branch circuit 6.65
- 1VIlseellaneous (service or feeder not included)
Phone: ( ) Fax:: ( ) ! Pump or irrigation eirclo • -
Email: 53.40
Sign or outline lighting 53.40
t'� "SSi?i v`lrv" rWjw in
Signal '
f ,a , ,9 iiia:WA :rr ttiS(�. }' �, , � g circuit(s) a or limited-
"'�'" "" -'�.'` `r ° '. v.' energy panel, alteration, or
Business name: ( i ) '., ,� • — C , I extension, Describe:
l 1"l'�..7 Page 2
Address: S "> "" _ t ` r— ' - - 7 :4 ) ‘ -
.
. --! s. y ' Each additional inspction over allowable in any of the above
Giry /State /Z1P: �j Per inspection
al�/i � 1.LIL — 1 is - ' 62.50
Phone: f - .,t Investigation per hour(1 hr min)
( k;J ) ;�>Z; .� ) 6 2.50
0 : e ;�) � ' ' 1 a ' industrial lantperhour 73.75
CCS Lie.:
,t7, )1 ;, IIMMTMENIM Suprv. Lie.; j;: 1 - ', '1 : ["tip .. °,; .. 0':
Suprv.131ectriciert signature, required: I �.� 7 1 _ Subtotal CO
' .j'4 ,,� _ — i
Plan review (25% of pettnit fee)
Print rattle: ''-'>' .
C - Date :% �l State surcharge (8% of permit fee) i
Authorized signature: ; M I L 1 TOTAL PERMIT PEE '
This permit application enplres lt,t permit Is sot own pa. within 150
47/7111r days attar it has beet[ accepted as
IV , . Date: j •.tI �i I • Foe methodology set by Tri- County Building industry l
Print name: Service Board
•• Number of impactions per permit allowed.
Z8 39tld SWaLSAS ±Nvela ifli9 ZZEZ9EZE05 EE 60 500Z/5Z/89
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR200S -00261
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/25/2005
Phone: (503) 639 -4171 4,70 /It
Inspection Requests (24 Hrs.): (503) 639 -4175 _ ,.W
INSPECTION WORKSHEET FOR DATE: 8/30/2005 TIME: 7:11Ahtl PAGE: 107
SITE ADDRESS: 15198 SW GREENFIELD DR CLASS OF WORK:
SUBDIVISION: SUMMIT RIDGE LOT #: 031 TYPE OF USE:
PROJECT NAME: SUMMIT RIDGE
DESCRIPTION: Low Voltage, all encompassing.
OWNER: DON MORISSt. I E COMMUNITIES LLC, PHONE #: 503 -307 -7630
CONTRACTOR: QUADRANT SECURITY INC PHONE #: 503 - 234-5558
Inspection Request Scheduled For: Date: 8/30/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
136 Low voltage 014530-01 503.234 -6558 N
Corrections /Comments /Instructions:
5
J PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n `FAIL I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: ' i ✓ - /6 f �� 718-
p r D ate: Phone #: (503) 718