Permit CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
, DEVELOPMENT SERVICES PERMIT #: ELR2005-00274
�' I I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 9!14!2005
PARCEL: 2S 109DA -02800
SITE ADDRESS: 15273 SW GREENFIELD DR ZONING: R -7
SUBDIVISION: SUMMIT RIDGE LOT: 005 JURISDICTION: TIG
Project Description: 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 9/14/2005 $75.00
[TAX] 8% State Surcha 9/14/2005 $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: T2' 11 Permittee Signature: ..{- ()
u
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.
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Ci o f T igar d ' v ,..
Received _ _ /} .,-
DaOrlB (l ! t<i Porxtlir a1,71(/
13125 SW Hall Blvd., Tigayd, OR 97223 P� � ere - �
Phone; 503.639.4171 Fax; 503.598.1960 SEP 1 2 2005 • :�.r' ,,,,�,: {.� Date/B�. Other Permit:
Inspection Line: 503.639.4175. _ Date Ready/By: Jeri:, 11 Sc e Page 2 for
Internet: www.ci.tigard,or.us CITY OF TIGARD Notifleed/motile& � (f Supplemental Information
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t . . ,., r4 ,,,„•,;,,„ d ` 51gU. VL,,S,v, • 4',4 "', , 1, - • F. .0.11161 f § •5,.,...,t 1' � 4, :' "„a N Y a t d.� , d ,i . 7 �i t 4: l * C � M1 rt
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❑f New construction ❑ Addition /alteration/replacemont Please chock all that apply;
1:1 Demolition till a thee: Wei CLiC'Estr OZ - k(4. ❑Service over 225 amps, comm 1 CI Hazardous location
/ dot i „T A3 , ,., t � ' a ° " srp 1. t : � , ; i a j , `r ❑Service over 320 amps - rating ❑ Buildng over 10,040 sq. A • r - .1., .,t , t„ of I- and 2-family dwellings 4 or more new residential
- and 2 family dwelling 0 Commerciallindustrial ❑ Accessory building (System over 600 volts nominal units in one structure
❑ Multi family [] Master builder ❑Other: ❑ wilding over three stories ['Feeders, 400 amps or mar
nen: 1 -fa , f ! �, ,I �i z O ? W ` ''',,;''''T,,,' 00acupant load over 99 persons CI Manufactured structures c
r j? rr f : ��'. a F t r 'il" u,;�� flit,_ a I. t 5 1. Q, w111a u r ,. X i, O ❑Egras&/lighting plan 1W park
Job no.: Job altc address: r ❑Haulth -care facility [Other:
��°�� C 1 C �� / / Submit 2 sots of plans with any of the above.
City /State/ZIP: 'Ti $ , dip. t The above are not applicable to temporary construction service.
Suite/bldg./apt, j name: T > � y i fI I rile ,'I`x� ;�:1"t "�''�ir l 11 1 0,1 „r Ili 4 t
no.: Pro , �7.:+v-. 'w,.mbS .ww.ui..,,c,_,,, u,a ,ra v.l r 9 a .y ; . i ,1
� ' �t� c�Q� O. ■ exrtptka Qt roc Toed
MI
Cross street/directions to job site: New residential Anzio. or multi- family dwelling unit.
^ - Includes attached garage.
1,000 sq. tl. or less 145.1 5
Subdivision: ��� n - l - r ( Lot no.: J'� Ea. add 1500 sq. ft. or portion 33.40
-
14 energy, residential idential 1 75.00 - 2503
Tax map/parcel no.:
ex,f s'avY, s �, w.) W< �, y�aMF�r �: v r a " " a t, R lei. "3z ,, Limitedencrinon- residential 75.00
ti k � ) V.c II ', . .Y. ` �� p,� rwf: � �ti` ' � M>F t tF H .4 le�O`' pp, 4
�., i.•y.� f I i , ,,7 Each manufach red or modular
C) )■_ t [ C) \ k ( 5 ^,� . f-? r r . � C ( dwelling, rfee service and/or feeder 90 .90
V L \ \U'I'c Vt-�t Services or feeders installation, Wendell:. and/or relocation
200 amps or less 80.30
ti e z9; /.. rz . ;i= 'u I ., f A m r . -0,RN, A.,z�''•� b Ip"; + ^. •7Z!"t''x`'e 1 � t'.I , '} rgy r
,1uvu . ,ut.{r., t ,^�.tY. c. ;. ssk, at' i • ,w,•• ° j.....d �rdB
w isd. .:..• t e, 201 amps to 400 amps 106.85
. a
401 amps to 600 amps . 160.60
Name:
601 amps to 1,000 amps 240.60
Address: Over 1,000 amps or volts 454.65
Reconnect only 66.89
City / State/ZIP: Temporary services or feeders installation, alteration, and/or -
Phone: ( ) Fa ( ) relocation
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, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75
Owner signature: _ Date: Branch circuits - new, alteration, or extension, per panel
r ell" � ��'NYi v � •" yy �j°,,����'y • Y,. { i�} �i Y �
, W§F " , `� VIlai r�� ;,' , y;•l" t10, A A. Fen for branch circuits with
service or feeder fee, each
Business name: branch circuit 6.65
E. Fee for brunch circuits
Contact name: without service or feeder fee,
Address:
each branch circuit 46.135
• • Each add !branch circuit 6.65
City /State /ZIP: Miscellaneous (service Or feeder not included)
T
Pump or irrigation circle 53.40
Phone:
( ) -Fax, ) Sign or outline lighting • 53.40
E-mail; Signal circuit(s) or limited -
" r '.f'� P4':`,t3`..°c�r ,. ", 3a1:-r,4 c c i,y�,.aw � ..a tiv ^x,�a� I It �'t�?'t`� t1 " 1 {; �'Y'�{'k%.
f� r t �•.,Y + `. r`.l��y; r` u 4,.6.$f.i;!w..WK,�t 9�.1'�'".0 it a�, ; ' "�,r� ¢ ,� ,1,, �• ,1�, � Crier
LL. � yJ's energy panel, alteration, or
Business name: a. fi , . i •_ ,. �� e - • - r c. extension. Describe: Page 2
Addn sa , �` Each additional inspection over allowable In any of the above
� �( -) 1
Per inspection 62.50
City / State/ZIP: III �y - O C 7 c"
Investigation per (tour (1 brmtn) 62.50
Phone: q_5(.' )l,. ` " A • Li .L7- ,t � I Fax. .;, ,)) 0. `L' 1 :--"-):-.1),r. Industrial plant per hour 73.7$
>3 Lit.: CI c � �Y� f :,, Electrical Lic, x �G r T : 't,I i i• J •i Ile1 r" `4•;tS �
CCB .� ca : Cl : (5 r Suprv. Lic,: )CR J E,T=t Su *
btotal , O
Suprv. Electrician signature, required: fi ,(i l ( If6' - ` _ - Plan review (25% of permit fee)
l � 1 ` \ p a�- /
�' 9 1 ' , 0 5 .� State surcharge (8% of permit fee) Co TOTAL PERMIT FEE 1
Print ntunc; i.. na
!"� �: 1 A�r -- L _
Authorized signs tire: : r j � = i2_ f t ,� Thu permit application expires If tt permit If nut obtained within ills
! t r / V �/( r '�� day■ %tier K has been accepted as cotupiate
Print name: 1 , �/ 4 4 Date: t • W • Feu methodology set by Tri -Ccounty Building Industry Service Board
°• Nw» sot of esooctiona tier oetmit allowed.
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2005-00274
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9114/2005 I
Phone: (503) 639 11
Inspection Requests (24 Hrs.): (503) 639-4175 .isi - I
INSPECTION WORKSHEET FOR DATE: 11/3/2005 TIME: 7:06AM PAGE: 56
4
SITE ADDRESS: 15273 SW GREENFIELD DR CLASS OF WORK:
SUBDIVISION: SUMMIT RIDGE LOT #: 005 - TYPE OF USE:
PROJECT NAME: SUMMIT RIDGE
DESCRIPTION: Audio 'Q
OWNER: DON MORISSETTE COMMUNITIES LLC, PHONE #: 503-387-7538
CONTRACTOR: QUADRANT SECURITY INC PHONE #: 503-234-5558
Inspection Request Scheduled For: Date: 11/3/2005 Pour Time:
Code # Inspection Description Confirm # Contact # ,
199 Electrical final 020221-01 503-234-5558 01.
Corrections/Cornments/Instructions: .
71:I
4 ‘ I
- ---
• C
_ .
* ASS n PARTIAL APPROVAL I I CANCEL 0 NO ACCESS
FAIL a • op CALL FOR INSPECTION
............. Li ADDITIONAL FEES ASSESSED
Inspector: AL.1.—„,■■.- Date: / 0 S ----- F:hone #: (503) 718-
, . /