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Permit S ►: CITY T I GA R D ELECTRICAL RESTRICTED ENERGY PERMIT DEVELOPMENT SERVICES PERMIT #: ELR2005 -00253 E�l� I DATE ISSUED: 8/29/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S109DA -07600 SITE ADDRESS: 15032 SW HAZELCREST TERR ZONING: R -7 SUBDIVISION: SUMMIT RIDGE LOT: 053 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 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 1211JLE LIC 96806 FEES ELE 26- 565CLE Description Date Amount REQUIRED ITEMS AND REPORTS [ELPRMT] ELR Permit 8/29/2005 $75.00 [TAX] 8% State Surcha 8/29/2005 $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 at 503 - 246 -6699. Issued By: ,�� - Permittee Signature: r i.c' $ P.l, 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. 4 _�_�. - - -- - -- - � �, 1VED City Tigard Receive d .9 - � 13125 SW W Hall Blvd., Tigard, OR 97223 1)nte/By: Penult No.: J Phone: 503.639.4171 Fax: 503.598.1960 AU G 2 9 200 Fla" Revue T' `'^ '' Other Permit: Inspection Linn: 503,639.4175 Supple - Date Ready /ay; � luri &; El Sae pate Z for Internet www_cr tlgard or us Not !✓QTY OF TIGP: ~� ified/ e :7 � q � n1�11 1` „ N Notified/Method; '( a�antallaforar,_ tion �,�� ,'„,: Y 1. x u' 4.r }k p w� t.:t' 'P , 1'ri''t 'W x R ,�,� �`,' = :z �S?TT � 7T is r- �'ir,7 F. < . , .c' yL r TSikrie�, 3�'IaYx C�" ENm��P ; ., " , . t i : T !k�#n • ��ar ^�W, r , i7 �1�'%�, ' 3r fi :r � }" �'v,sr] �� �� .F�, • ) .f "' .A ..- , :�%l:h`_+b� . „M1 C +1H:+ .t - ywA.Y]e Yls'•�'. CLLLi.1- rw r J:1.. FX �'1�P � y'1VR ?. f .s tS �:�.k�,4..11�i 7: �3j Fl .�. A New construction y :u" ` ❑ Addition/alteration/replacement Please check all th apply, ID over 225 amps, comet 1 []Hazardous location ❑ Demolition ❑ Other: ""'j =e''t ° e "• ,' N' a a9 - ti . ,�•:- .:: ,., ,, ©Service over 320 amps - rating ❑13uildn over 10,000 sq. ti g .v. .f b +. 1 y',. ,.,,�1. t �P v . ? -; .: , , ( ; " tie % � y: ' 1 k �y, .s,., �n of 1 - and 2 - family dwellings 4 or more new residential ''1 1- and 2-family dwelling ❑ Commerei& /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure El Multi - family El Master builder ❑ Other: ❑Building over three stories ❑Feeders, 400 amps or mot 5 ` { i S'! �: 1 , ..r Ooeu ant load persons structures c ` ad over 99 e at ©Manufacture s _ -., ,� :, >w.. P eons ;, s. Y''�� • .:I N `4k SI t, % . ,`"�'. d' a c , r . o,, Wit.,;, . r:^ ; "r• DEgresailighting plan RV park C� =.1J�r��F. . ; '! �;ES,FJ[C'.M %2:�2,;_�,:r,:_,, l i, Job no.: l` ■ Job site address' ' ` 01-care facility ❑Other: _ 1 �-- Submit 2 sets of plans with any of the above. City /State/ZIP: 1 c ` , • r The above are not applicable to temporary construction service. Suite/bldgiapt. no.. Project name: it a V • Ai - y� F :y "' ? l ",' e Y t ° !' d +�7 : rrY?; . +il trascrlpdon „ Qtr. Gov. Toted Cress street/directions to job site: Now residential single- or multi - family dwelling unit. Includes attached garage_ 1,000 sq. fl. or less 145,15 Subdivision. ` Eu. add 1 s • �l Its ,� Lot no.: q• ft. or portion 33.40 �� Tax map /parcel no,; . Limited energy, residential ' t 75,00 75k.a $4A,,,',"xe': rc s G �, :i47 3'" , e, :, e ' •'n o+ r , : Limited energy, non - residential 75,00 _ : " a 'v. :‘:17.. : c.k. : r;i{ , 4° . 0`10 - each c ' ufact red or modular to ' • i , .',- C--. 1 dwelling, service and/or feeder 90.90 11 Services or feeders installation, alteration, and/or relocation q ry p t eat. Few. ,.,,�.,, 200 amps or less 80.30 pilrka:;i�..�evo ::;; ;'.._' ' ir M? m v.) ;01K` f,:5 , 1 �. ",` -.; I 201 amps to 400 am s 106.85 Name: 401 amps to 600 amps 160.60 601 amps to 1,000 amps 240.60 Address: .. Over 1,000 amps or volts 454.65 City /State /Z1P: Reconnect only 66.85 Temporary services or feeders installation, alteration, and/or Phone: ( ) Fax: ( ) relocation Owner installation: This installation is being made on roe _ 200 amps or less 66,85 intended for sale, lease, rent, or exchange, ac ording to ORS 447, 449, 6 0 and 701. not 201 amps to 400 meat 100.30 401 am amps to 600 s 133.75 Owner signature: .. (n;"'{ _ Date: Branch circuits -• now, alteration, or extension, eat panel , T ". 12 � ,4•,., .t. .,,,Jr v d ..,3"G14� , • . 1�: ..,i% . R,. ,e1 ., .7, 7; .���'i " 3 54Y�Sr ,�'�+,� ' +'�': � A.>oe for branch circuits with Business name: service or fender file, each branch circuit 6.65 Contact name: B. Fee for branch circuits without service ar feeder lee, Address: _ each branch circuit 46.85 City/State/ZIP: Each add 1 branch circuit _ 6.65 Miscellaucaus (service or feeder nut included) Phone: ( ) Fax: : ( ) Pump or irrigation circle _ 53.40 E-mail: Sign or outline lighting 53.40 Ali' t om: ; ,' .1� "� c y _ stn : . , ,„ Signal clrcuit(e) or limited- a o , 4 :9 h, 'n lh ate; / P-' • t{}':? t< "Ii �� 14. energy panel, alteration, or �` .I V -. ..: c_ extension, Describe: Page 2 Business name: t 1 ) Address: .) � i . . _ Each additional inspection over allowable in any of tho above City/State/ZIP: . - it •l q - -1 , �� Ci - - Per inspection 62.50 `�+ k� _ Investigation Phone: ( . ,::7,2 .� � c _• ,-� r per hour (1 hr min) 62.50 CCB lJic., ,. � - "� <' �c Fax: ( , ') :� ; .� c Industrial plant per hour 73.75 C. (,tf'{ )� Electrical l.iC. l,.r c µ .tttaii`a „' it4terJ3I'' VIM ' 4. s . ,� / , Suprv. Lic.: j. s �' w elm' f .i (_E.7.-.) Subtotal M - Suprv_ Electrician signature, required: - • �` ` � Plan review (25% of permit fee) Print name: �` • Date' ��f State surcharge (8% of permit fee) r . �' Authorized si attire: ( TOTAL PERMIT PEE ,10* • R' `� .4 1 1 This permit applicadon expires Ir permit Ic not obtained within 11111 Print name: ! jr ` . A Date: j e dare Meer it hate bean emoted em complete a �� Fee m etho d ology ,yet by Tri •county Building industry Service Hoard "i Number of inspections per aernrit allowed. Z0 39Vd SIJ LS/S 1NVNGV1lJ ZZEZ9EZEOS sS :SI SOOZ /9 /80 r CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2005"00253 13125 SW Hall Blvd., Tigard, OR 97223 - ' DATE ISSUED: 8129/2006 Phone: (503) 639 -4171 1111 il Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 9/1/2005 TIME: 7:14AM PAGE: 73 SITE ADDRESS: 15032 SW HAZELCREST TERR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 053 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE • DESCRIPTION: Low voltage - audio. OWNER: DON MORISSEI I E COMMUNITIES LLC, PHONE #: 503 -387 -7530 CONTRACTOR: QUADRANT SECURITY INC PHONE #: 503 - 234 -555B Inspection Request Scheduled For: Date: 9/1/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 136 Low voltage 014761 -01 603 - 234 -5658 N Corrections /Comments/ Instructions: N o 4 q, (: , —. 4fil C irs() / C. PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS $EAI.L CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ► J Date: `� M Phone #: (503) 718 -