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Permit > 1is CITY T I G A R D ELECTRICAL RESTRICTED ENERGY PERMIT DEVELOPMENT SERVICES PERMIT #: ELR2005 -00226 c �L 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: $/$/2005 PARCEL: 2S 109DA -04700 SITE ADDRESS: 15364 SW GREENFIELD DR ZONING: R -7 SUBDIVISION: SUMMIT RIDGE LOT: 024 JURISDICTION: TIG Project Description: Low voltage - vacuum system. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: X FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: Owner: Contractor: DON MORISSETTE COMMUNITIES LLC ALL WEATHERIZATION 4230 GALEWOOD ST, STE 100 3030 SE 59TH LAKE OSWEGO, OR 97035 HILLSBORO, OR 97123 Phone: 503- 387 -7538 Phone: 503 -64 -6542 Reg #: LIC 46969 FEES 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: - 27 -; Permittee Signature: 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 10:19 FAX Z003/003 7 ,_ klectlrical Perlmi A ...A. f, .., ht),tt...l tSi:tl ra • City of Tigard U 11 D y -5 /(-{ /pC u YennitNo.:� 13125 SW Hall Blvd., Tigard, t'JR 97223 the ��Ltl . r 0 :t • i D to /13 : Other Permit: Phone: 503.639.4171 Fax 503.598.1960 AUG Pe rmit: �t1� 8 200 '� Date/13 Inspection Line: 503.639A175: -t1 ) I Internet: www.ci,tigard,or,us ' ' ._ .'_ . - _. N ote Ready/By: /� gi pleme 2 tor + Notified/Method: .... r -r i r_ A R it 8uppkm�rdatl Information •} �a .'!�r!��Si4at;,l;��;,`�'�'.-"�r ,r.•� °t,G -�, _ ' :.�.;i. �: "lPot�, {dh r7Pa a� 1, r,y, ,� �gv i,' '' n. (u 'ba` ;L�";` ) t' ls, y �} P. `s <4, , 10 , .iir 7" , .m , ra,,t +:l+ !�_���:�Ut% - ' `.ir': ' 14. ' ?' . A �.r k ' � - '( � ; ? -s' ..\ +1 k': t # ,.p;,, ,.t >r. , , h ,£ ;:,; ,..,,!.i. i`4 ,rr.., ,s. . •t :, sU, e; ig` i ,: :�1 '• k ;; ;� , c• t"" AI w4.: � New construction � i t. r` r�� . ,,, , ,e :� .�:� ,];•:. k i�� «;; 1 �`�' a a., 1'.. � •It • ill ' Additinn/al ,::�' e ap st? >tzs 4: � . 9�,,,:::, :: - ❑ teration/replacement ' Please check all that apply: ['Demolition 0 Other: QServico over 225 amps, comm'I ❑ Hazardous location `''ix `•Y" �'iar.; , ;r` % {', xsC € ^;; � F = `` }}:' ;,, '� ' ,. +. ti.- c : ; ,, u . , . :_ rt, ClService over 320 amps -- [ Huildn over 1 fl00 sq. !!�� ,I ,r4':L't � .,4 �: ^ � `.:�(.j1ii t(i , Y, : (•, 17 la . �' i'•' / M -. Y t " , ��, } .. {f Y':t, ":liY, i P $ 4 q. t4., y,,,, .;•!x,.,1,2., /,a +..,.,:.r;f t l 't( a t :1 y S" r; V ' ` � `c:` , - atki' +•st•cN�t#7 ?' n+.4df r(t.'I ? a tr'ln.. syA( ' ttiE• �`. Y :iii' ` l r, }, l� s'�;rr ;�: ',:} of I. and 2- family dwellings 4 of more new residential ti. T 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building Osystom over 600 volts nominal unite in one a ruaure . ❑ Multi- family [ Master builder 0 over three stories ©Feeders, 400 amps or more �} other' 000cu ant toad over 99 persons El Manufacturad structures or ,2A `: ;i '�j .ARP//i, 4:,V '"Tr JJtdvtC{�"i9t i�.ti' X,�'�2<4 ;v; ::,Ai'D. fir: ?, ir't'S 'ICI i, r F i I : p ' c f - P Pe ,, *...qr. ,, :... .40•• •:,3 ,bas ....,,:ti, r c .. , 1 . :. i,. t' ', r r % ,,,. „ ,. t•�.::.� •t, ,..l , ., '7 „' _,.. � . . „ 5 i'i., r;� +'i, !S,'. i?�','r; ". >>tr tt�n }ft''v t! SG11 �t t. ��ira�te i. ?t,f f,, :::` RV park Job no.' 3,1 G t ; :;,;, .. u . . • • G .; ,: , a,_:�j; W l,�: a, J�; � „” " =s:�i,�3 ❑ >;grosanighting alan P Jab. site address: L are facility ° Other: - - • .- �, , � ' I: Health-cue 1, note of plans with any of the above. City / State/ZIP: j c _ The a bove are not applicable to l +' pp ' temporary cowl= ction service. Suite/bldg./apt. U if ism x . /apt. no. � Project =lr'�(�'t� .�.” ,,i . ta. e e rl, _a�.. t 1]ante `. ,. , :M9'':?i fi yy ;t i a 'i• • `, tr� z�li.sr. >.�,:' :;:;.: . l Yk�: uW,�S� � �t5 I Il. l�,�C +..:.: • ..; . ^•—" - Description Qtr. Vie. Total a• dross street/directions to job site: , i , 1.'1, New residential single- or inultl- family dwelling unit. • Includes attached garage. r - [• f �-- , 1,000 sq. ft. or leas 145.15 4 BbdiViS1011 . ..�1t'r1in;,, 1 t . . ,t �L =, r(1 ) .. _ i. Ot no.: L 2 Ea. add J 500 sq, t{. or portion 33.40 1 Tax map/parcel no.: Limited energy, residential 75.00 d 2 '•• 41' Lj? YS;C i a , . ;�.1�j1:;�,? ya ..�y_ :. :.• c '.,, v ,�,,,� ; ' •; , ,:�, s , : , r +, m Limited energy. ntxt�rosidential 75.00 2 ; _,,. i, "1,!.i` (;? r r ,,___, e: ra P , ` } ?.l ,t ), '• i 5,9+:k ;:. , } a;r - tip.:. n' �'^ d ; :4t^3 ? 'k,.!r §�;tt` ���`;� .a,��z Each manufactured or modular dwelling, service and/or feeder 90.90 2 � - " -- Services or feeders installation, alteration, and/or relocation ,r .. 200 amps or less '; '' t`i%j{9 e :, , ', „ b ic, pl ;; � S � 80 30 2 .. ireltati ,::', r Af e S i i t A x i: . • !' RV t y j tiS ;` t i � .ry:4:' t�j� 2OI 160,60 2 .ti amps 4OU alit A 14 �„ n� =RV ?4rn?;; > ;;r tsa n:i t�Y ? r;, ,': : P P G.85 2 - �. . 401 amps to 600 amps Name: - \ i ._ - ,r - - ! _ ;l > . l t i,.. i ((',,� 601 amps to 1,000 turps 240.60 2 Address: "7 2. ,.�( , 1 , : , .A Over 1,000 turps orvolts 454.65 2 C.,,,.:: r, Reconnect only C . t : r;5 , a —1 ,..., .,. Y 66,55 2 ' ... •l_, ' : f ' � � ` Temporary services or feeders Installation, alteration, and/or Phone: ('” 1 3) 7 ) Fax: miocaUon i . ,•:-,-,: . - ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent,; or exchange, according to ORS 447, 449, 670, and 701. ownersign signature; 441 amps to 600 amps 133.75 _ 2 n Date: Branch circuits - new, alteration, or extension, per panel (i;5"�[j��f1'• EuI:" `' \'Sl 1 p/�)� . f'a.•. y �� • �tY+it '.i:1i.� \4"]�� y '11''. �.'. +y ":N,n'iAr tiW 7(Yltir�1 iT�Nt 1'yN. -�y� per p r !,}li:Ftit. i A'.;tt ri (n�l,' , .� t •i'; J l','.'t6'I5 '7' }i1:'1 , +'' t ' , ),',.', +... .1.02 t'i. §fd !�44 �'a �Y.1' Y',lt } P;i� �a e,..�+t„�t��. �ok.:�I:�� •,i�:'� �,,,- A Fea for br h circuits with service or feeder fee, each 6.65 2 Business name: • _ branch circuit Contact name: �_ B. Fee for branch circuits without service or feeder fee, 46,85 2 Address: each branch circuit — - Each add'i branch circuit 6.65 2 City /State/ZIP: _� ^- R4laceliancoua (service or feeder not included) • Phone: ( ) Fax: : ( ) Pump or irrigation circle 53,40 2 E- mail: sign or coolers lighting_ 53.40 2 ; , 5 , ti\y n Signal oireuit(s) or limited- I�.. ,. C:7 "..r ..�.,. n.r j:'1' R Ft i � 3 ' .)t. �i'i', ti, :i: ..',! r,:t! %` - ':i- _..°�„�''"�� S . ta: r;;=„??`};:*;, a: t: 4��� , l,:�r.;���t'si[e� > : +.ii, energy Panel, alteration, yr Business name: r . /-.-, Describe: Page 2 2 Address: 1 - _ , . 1 - Cy L.�(;( t o , ,'' %_.4, Each additional inspection over allowable in any of the above Per inspection_ 62.50 ityJ5tatc[ZlI': , , -'- . .. c L' L j investigation per hour (1 hr min) 62,5 _ ..: ' Industrial lust 73.7 Phone: ( I� ) 1 7 � _ ' c I'ax: ( ; _ J) / r�.� P per g ( f.' (� t� S ' �/ ;:Y.•.,. F s r kc t•: ",.:,..1 g ri �l"'°Y`.G "•, r ' n s l • ,,,!r"'si,:• 6 :%C13 1 ' ��, iei��_ x,. t5l.±,.ti ��:: �.._ s..:.. r ..S.itia.:���1`�'- i,�.,'W.:. tic,: , ¢f . ,-. -, � Electrical Lic.: Suprv. Lic.: _ Suioaaf Suprv. Electrician signature, required: Plan review (25% of permit fee) Print name: �y C:1 Date: 7 _ State stuclu+rgo (8% ofptrrnit foe) 7 J (L' 4�A t., tv'r` � C C� 7007! AL P1 RM1T PEE k Antllortaed signature: i . . t. This permit application ezpfrac Ira paalt la not ob atnad within 1a0 �•,•._.•..,....��.,._� - •._ ... _ days saner it has been accepted as complete Print name: Date: a Fee methodology cot by Tri- County Building Industry Service Board — - -- " Number of in»rectiens oar ma nn allowed. CIAFAL OF TIGARD BUILDING DIVISION PERMIT #: ELR200S -00226 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 818!2005 Phone: (503) 639 -4171 �411 ii _I� Inspection Requests (24 Hrs.): (503) 639 -4175 "''I� INSPECTION WORKSHEET FOR DATE: 9/6/2005 TIME: 7:06AM PAGE: 16 SITE ADDRESS: 15364 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 024 TYPE OF USE: PROJECT NAME: . MMIT RIDGE DESCRIPTION: L. •I�. tage- vacuum system. OWNER: DON MOB' SETTE COMMUNITIES LLC, PHONE #: 503.387 -7538 CONTRACTOR: ALL WEAT �IZATION PHONE #: J03..64 -65 Inspection Request Scheduled For: Date: 9/6/2005 Pour Time: Code # Inspection Des '• ion Confirm # Contact # Message 199 Electrical final 014980-01 503-209 -4837 N Corrections /Commen _ -. * 46/4*-6-.' \NCO Il ■ is v 1 6 ► C.L . (- 2cL. 1_gES ' L\- , w o�`"S S 1fl .1(c.._, skis 1 - . \\‘ _ASS El PARTIAL APPROVAL n CANCEL n NO ACCESS =�"Alr1• 11, - ' FOR INSP • i n ADDITIONAL FEES ASSESSED • Inspector: `13 `-' `a Date: C I l GE Phone #: (503) 718-