Permit - 1 �,
•
CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
DEVELOPMENT SERVICES PERMIT #: ELR2005
I! 13125 SW Hall Blvd., Tigard, OR 97223 503-639-4171 DATE ISSUED: 4/25/2005
PARCEL: 2 S 109 DA -07100
SITE ADDRESS: 15147 SW GREENFIELD DR ZONING: R -7
SUBDIVISION: SUMMIT RIDGE LOT: 048 JURISDICTION: TIG
Project Description: Low voltage - 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 MORRISSETTE COMMUNITIES 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 1211JLE
LIC 96806
FEES ELE 26- 565CLE
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 4/25/2005 $75.00
[TAX] 8% State Surcha 4/25/2005 $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 questions to OUNC at 503 - 246 -6699.
Issued By: Permittee Signature: _ e' --e T t
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 - - - -- - - - -- - V E Reserved ya2s lJs "�v'�`I� pemritNo.: �; r✓2�d� 0009
DWe/BY.
13125 SW Hall Blvd., Tigard, OR 97223 plan Revicw
Phone: 503.639.4171 Fax: S03,S9&196 2 2005 '"{''i +io-E'. 1 Dutc/By: D "'
inspection Line: $03.639.4t75 APR 5 5 4J. 'i J _ Du c RcadyBy: ,,, .. • • I See Page 2 roe
lnlemnt; www.ti.Lid.cpr.us Nodfiad/Mothod 3 I Supplearuntal Iorurutarion
.f: T,T� t � r� r15'.�7AT�' 9j ... '-� ¢ � .e � r,•' k;! ;its ^T??+ fA tlri ' a'Y 'it^.i q8h' u .,__.. W �r9 an w m•6
3 + • . �F ;s t ul� , ' y b . ��� ��,�:�' r:� R h ,s { ," • r� N 1� §� l al (� �', r i 1df1 yiGJt,
..(lt..L. �M � l 1 rv ti t � . n r 1 ,:. 1 ihp a �;'.• r ) ,� t �. , 1 �f � 0,.
eta_ . hr...ilari a._ .� "�:., k.ak ,H� _ ..tt::.t4i�t..t:iuw'L�L.�;t _.,..��. l.r.•.r_T.�:ETui...s,.: + tv:."
'4 New construction " �r� + Ueration/rcplacement Please check all that apply: 1
❑ remolition ❑Other:
❑Service over 225 amps, comm I ❑Fluzardous location
} �� rte , yK.. ! t , o f _ c ., v �, � r M , � F � �, }: 1 , ❑Service nabs 320 smp3 — rating ❑Bui{dng over 10,000 sq, f'
�'t��'�`��'a.1+"�. "��'d?� , ��t�C;.��r•s�;.". � ;..�"p.�5�� �ttci� of 1 -and 2- family dwellings 4 or mote maw residential
1- and 2- family dwelling 0 CommerciaL/industrial ❑ Accessory building ❑System over 600 volts nominal units in One structure
Q Multi -farm] . 0 Master builder ❑Building over tluee stories ❑Feeders, 400 amps or mor
lder ❑ Other:
��o'"`•' �f.: �"' �' �' �� �y� ,G �i�l, r � : a.�; ,.... �� .,t , 0- . .s�ru�,r_,.h n,.i� .:r..a: 7;.s�?v���•?:�. +F Occupant over 9persons nuf redstruelurea c
,,. A•. , ❑ 0 9 RV ark
e.: .. b kb', w, ❑Egress/lighung plan P
Job no.: Job Site address:1 i �V2 � �r ❑Health cure facility ❑Other
�--� I `. Submi[ z sots of plena with any of the above. .
City /State /ZIP: ' 1 (L.j-jJ l 7 a The above are not applicable to temporary construction service.
Suitc/bldg./apt. no.. Project namej�O(•1� -� �1,,rr��--[[��,, '
Ixorrlpeba Qry, see. 'rotor
Cross street/direetions to job site: New residential eingle- ur multi- family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15
Subdivision: (�Y� rr r C I Lot no.: Lj Ea. add 1500 sq. S. or portion 33.40 VV
Tax map /parcel no.: V " Limited tlnorgy, residentis] 75.00 7 -
r'! r of Tvs+ `tysr , Limited energy, non- residential 75.00
S 11 N -'' ' :r 's �i6 ,' " :: ��5 ip a Each manufactured or modular
t•- dwellin}t, snrviee antler feeder _ 9D.90
l OL..� -s \-.:: �� - �&)ci i s arvieea or feedtsra inatal lat;en r alteration, audlor relocation
_ 200 amps or less 80.30
201 amps to 400 amps 106.55
401 amps to 600 amps 160.60
Nairn: 601 amps to 1,000 amps 240.60
Address: Over 1.000 amps or volts 454.65
Reconnect only 66.85 _
City /State/LI?: Temporary services or feeders installation, alteratiou, audlor
Phone: ( ) Fax ( ) V relocadon
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 100.30
intended for sale, tense, rent, or exchange, according to ORS 447, 449, 670 and 701. 401 amps to 600 amps 133.75
Owner signa �(q Date: Branch circuits new, alteration, or extension, per panel
�„r , Jr .lr
.. t • -A7� y�l?1 ,4^1 '.'7f;R �.y i h'trT S 7 5 y u"i • '
.i ;yyM .�,•;;,.�- 6 D t e• i ' . � t '�� ^'`+l'i ° 4 �A. Nee for branch circuits with •
- 1' e .' t. 14.. �. ' irurr:5.„ .�' service or feeder fee, each
Business name: _ brnnuh circuit 6.65
B. Fee forbranch circuits
Contact name: _ witfwul service or feeder feu,
Address: each branch circuit 46'85
- Each add 1 branch circuit 6.65
City /Sr to /ZIP: Miscellaneous (service or feeder not included)
Phone: Pump or irrisation circle v 53.40
( ) Fax. ( ) Sign or outline 1$hting 53,40
E -mail: -
. u Signal Ulrtuit(s) or limited-.
ilk .."zwil I.b �`SY ;' }�'., w u . ru i� �.. ; "t ?;,' F,:F +,. v energy panel, alteration. or
Business name, j � extension. Describe: Page 2
(' t .z .
Address: ¶) h ' �acb additiouai iuspeetion Over allowable In any of the nbuvc
�� ��� Perinspecdon 62.50
City /State/ZIP: � 'tii \ O . Investigationperhour(l hrrolrr) 62.50
Phone: (t -ii J '`Z L c' fi t' < I Fax: � ? .) `'-' industrial plant per heat 73.75
CCB Lie. C" c r Electrical L1C_: 0 F
. : '� )1 Suprv. Lic.: ) t Subtotal
Suprv. Electrician signature, required; d�i'1j. �t%;b..r1 Plan review (25% of permit foe)
Print name: �7't� •
Date: � ll
� /U5 State surcharge (8% of permit fee) ( j)
' � / •TOTAL PBRI111T T+'EE � � „
Authorised signature: 3 J �,p e_ 5 .. r � � This permit application aspires Ira porurlt to nut obtained within i U
-
LL ' d. Nn
ya ty It has been accepted at complies
PirI name: W ( ✓�� 4 � Date: u/), • Fee methodology sot by Tr-County Building lndusay Servie eou4
' •• Number of uhepacriuns par permit uAowed,
ze
Ed SWaISAS 1Nb'f(IdflO zzEZ9EZEe5 tiI:ez 9013z/5z/b0
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2005'00096
13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: 4/25/2005
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/29/2005 TIME: 7:08AM PAGE: 81
SITE ADDRESS: 15147 SW GREENFIELD DR CLASS OF WORK:
SUBDIVISION: SUMMIT RIDGE LOT #: 048 TYPE OF USE:
PROJECT NAME: SUMMIT RIDGE
DESCRIPTION: Low voltage - Audio -
OWNER: DON MORRISSETTE COMMUNITIES, PHONE #: 503- 387 -7538
CONTRACTOR: QUADRANT SECURITY INC PHONE #: 503 - 234 -5558
Inspection Request Scheduled For: Date: 6/29/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 010387 -01 503 -234 -5568 N
Corrections /Comments/ Instructions:
N O SO00 . s s J S Pik k s p s T
A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G c.' NI d 8 L_ Date: ( of q Qi Phone #: (503) 718 -