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Permit CITY TI CARD * ELECTRICAL RESTRICTED ENERGY PERMIT DEVELOPMENT SERVICES PERMIT #: ELR2005 -00190 Ali DATE ISSUED: 7/13/2005 13125 SW Hall B lvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S109DA -07300 SITE ADDRESS: 15120 SW HAZELCREST WY ZONING: R -7 SUBDIVISION: SUMMIT RIDGE LOT: 050 JURISDICTION: TIG Project Description: All encompassing low voltage. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: X 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 7/13/2005 $75.00 [TAX] 8% State Surcharl 7/13/2005 $6.00 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 953 You may obtain copies of these rules or direct questions to OUNC at 503-246-6699. Issued By: Ati / ®/ �/ Permittee Signature: y� G� � fur/ A -7 OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: • CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N DATE: LICENSE NO: Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. = -- Gtr ",C: I C City of Tigard 'RECEIVED) 3 . ' / 0 ► Permit Nu.: : ip05 ___ ,c' 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review . Phone: 503.639A171 ax: 503.548,1460 x ^rPm : i ' ;'' Date/11 k_ Other Permit: Inspection I.ir SC5:1., ,4J75 !JUL JUL / 1 00 1- ' � D aleReat>y+ /liy: : I�beePace for Internet: WWW_Cf.[ig d.Ar_ua Notified/Method: / L(6-,. SupplumcutulIuformulian ,t' N it".c i'' +1}ti+$ }7.. u� ry b . t >� c�t^C, �+� Wi 7 u� , tie.. - ,,r � 717 l�7.7 i, a f4 • f .t ;'i.Z 1", `�t7 t'. .. ."-.. sac L . .. , . .� , • ••∎ -. G , .. • • d y 9 3 •d• ,. t'' I_ t 44. e v t .r.r �� d �:Ila .LV Luigi: �"' :: '.;,, ∎ ' .' . � � 'qaet r.,.; v . n . : ' � n .t ..'kt n . r x -, . t,' A. .:h l6 �7.> .:..:+ iL �l 1t�" Jy, v.: i „.a'.a.r+�.aw�i..,�a:. �' ;: �'� :.� - ��: New Construction ❑ Ad 'dltioti/u1teratinn/replactIment Please check all that apply_ ❑ Demolition ❑Other: El Service over 225 Iowa, comm 1 ❑Hazardous location R e s rating ❑Bulking over 10,000 sir, ft :�:tri z 7'��j:' , {� pe /!k ;j fi , t.nr..� a,Axvsr s�' +r--, ', %ia r��c,- r+ p �3 A, ik6 �#. ?.F o,1�f ;'i d.MGM ' !P.� 4 ! ;ick f.7, �� ❑Srvice over 320 am y g 9 4 or more r , , r „,�; of 1 -and 2-family dwellings new al resident nd 2- family dwelling ❑ Commercial/industrial 0 Accessory building ❑system over 600 volts nominal units in one struettrc ❑ Multi-family 0/Wilding over three stories Circulars, 400 amps or mot y ❑M aster builder ❑Ot her: �: :nw� {; �'�,+;}�'j�3° �:{'v �.wv,.. �,.,:. , �,lr:,+ -� • ,�,� ry • �; •.:, • �. �, n .,�, u � , rl ,., Cl Occupant load over 99 persons ©Manufactured structures c gef a �_ +k y,,�ffJJ t �,{� �/ry 0 `r��Vo a ''F,.�',:k t RV .: ,��: b'�' w a:.t.�.�•�. � . �!p'�''�!�'n',i! ��R= �:�i:S.!"�i. ">9F�rT"r„+,' ^�N�.�.�,� �[�i�t�dl44°�•tir�i�rN3 `�� ^' ,•1,' • °• '�7 . f ,� �'�>_ ©Egross/lightingp1an ark P Job no.: Job site address: I ao ill 1tk r€, ❑Health •earn facility ❑Other; p� � �` 1 � Submit 2 sets of plans with any of the above. City /State/ZIP: ' J t \ ` J � The above are not applicable to temporary construction service. Suitc/bldg. /apt. no.: C Project, name:i `� _ / ''�” G�.;� W� „ ' »; o "Y r risk '�". Mo J r� �1 1 Dascrtption Qqc Kt. Total Cross street/directions to job site: : New residential single- or multi-family dwelling unit. . Includes attached garage. 1,000 sq. ft. or less 145,15 E s. add 1500 sq. ti.. or portion 33,40 Subdivi3ion`a��( �� I- otno.: q p Limited energy, residential I 75.00 15,() ) Tax map/parcel no - � 1? !� y ,• T; Limited energy, non - residential 75.00 i Ay:T•l �..,��' , ' '1 i Y: 1 "'4 VIi� ^ it + 1 r . �..mx' F r`1: iul . , �i' ° � yf • err � 1 u _ ; �+�K 4. , !r �, ` +�' ? q,�. Each manufactured or modular k C — ) ( k,) `I ^ C� k r iC-1 dwelling, service and/or feeder 90.90 * 3( V Services or feeders installation, alteration, and/or relocation 200 amps or less 60.30 i i i T �t . �^ , " fi. . :In ° . °], . g20"./.1 y 6f 201 amps to 400 amps 106.85 i� r': 1 ! i Y 1�' 4 l �> • - rG� r Nor; fy; it. , ,f -.. r.:";l 1�.!1�.. i . .,..� P'. „'s: � .�i- ii� �:t . � ■ :Y,� �. _ :i rt�1.h61 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 66.85 City /State /ZIP: Temporary services or feeders installation, alteration, and /or Phone: ( ) Fax: ( ) 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 f� ^ {��l�v l , 1 s 4 f 1 r�7 f i "�i'1�y''" �t�; �tr�ci}Ypr,WS1 J1 tdr�l�h��i 'ry?N� r''ie A. Fee for branch circuits with '/! �, ������.,,% �r R:• t;:'+ w. laay�9i :�'.4NE!�T:a.:M "'..'lof:�Y A� 1#L.Ar.`�� M.,� .f '�.`i�l�Atn7•^!� ��7R�.�t'iY service or feeder fee, each 6.65 Business name: brunch circuit B. Fee for branch circuits Contact name: without service or feeder fee, each branch circuit 46.85 Address: Each add 1 branch circuit 6.65 City /State /ZIP: Miscellaneous (service or feeder not included) Pump or irrigation circle I 53.40 Phone: ( ) Fax: : ( ) Sign or outline lighting w 53.40 E- mail: Signal circuit(s) or limited- ''N"1.:. L'F:4lr,,, ?• : ,..r � "tw ,, w r : I ��k ',t 'A , sae ; F energy panel, alteration, or 4 _ extension- Descri Page 2 Business name: Address: IT � ' r .. Each additional inspection over allowable in any of the above `. j �( > Le , , f ' - Per inspection 62,50 City /State/ZIP: ' „ ' 'ly o 1 C � c 1 _ C•a Invest' ation per hour (1 hr min) 62.50 (�-� l 1 . 11 p r .Z ; r r Industrial plant per hour 73.75 (X Phone: ;.9 L� _ c j �' .�s l Fax: ,) ��1(.. -o c� r Y , , � . , . 4! >i ci: r A ,' CCB Lie.: Ci f f t,<l +)(t% _ Electrical I.-ic.: i -c ,1, ,r ? c Suprv. Lic.: 0 1 ( e / =) __ Subtotal - 7 5, a _ Suprv. Electrician signature, required: /US Ibt ,,.,‘6b -- _„ Plan review (25% of permit tae) State surcharge (8% of permit fee) (,Q , L Print name: l7,--)`4C_ • A 1 i -- Date: l TOTAL PERMIT FEE 1 00 ( ' L - Authorized signature: p ' y This primal expires If a penult lei not obtained within 180 1 L days after It has been accepted as complete Print nu ne: Ka k C f tit (� J'1 K 1 r ) Date: — 7/ (ai • Foo ,nrnhodology ant by Tri- Couuty 'Building Industry Service Board 1 f Number of inspections yet oennit allowed. ZO 3Eid SW3ISAS 1Nbi'Iavno Z LE :VT SOOZ /ZT /LO CITY OF TIGARD . BUILDING DIVISION PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ELR2005 00190 Phone: (503) 639-4171 /a iii ei 7/13/2005 Inspection Requests (24 Hrs.): (503) 639 -4175 „Jai.' 'IL. INSPECTION WORKSHEET FOR DATE: 9/29/2005 TIME: 7 :06AM PAGE: SITE ADDRESS: 15120 SW HAZELCREST WY CLASS OF WORK: • SUBDIVISION: SUMMIT RIDGE 050 #: 050 TYPE OF USE: PROJECT NAME: SUMMIT RIDGE • DESCRIPTION: All encompassing low voltage. OWNER: DON MORISSEI 1 E COMMUNITIES LLC, PHONE #: 503 -387 -7538 CONTRACTOR: QUADRANT SECURITY INC PHONE #: 503 -234 -5558 Inspection Request Scheduled For: Date: 29/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final V 016973 -01 503-234-5558 N Corrections/Comments/Instructions: 1 .Z6 141 'ASS ❑ PARTIAL APPROVAL n CANCEL H NO ACCESS n FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: P D ate: `G' ' v Phone #: (503) 718- ___q____5