Permit C ITY OF TI GARD ELECTRICAL RESTRICTED ENERGY PERMIT
DEVELOPMENT SERVICES PERMIT #: ELR2006 -00055
— II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 2/15/2006
PARCEL: 2 S 108 D D -14900
SITE ADDRESS: 14934 SW HUNTWOOD CT ZONING: R -7
SUBDIVISION: VALLEY VIEW LOT: 024 JURISDICTION: URE
Project Description: All encompassing low voltage.
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: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: ALL ENCOMP : X HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS:
Owner: Contractor:
KIMBALL HILL HOMES ALARMTECH
4137 NE THURSTON WAY #100 PO BOX 820408
VANCOUVER, WA 98662 VANCOUVER, WA 98682
Phone: 503 -546 -5357 Contact #: FAX 360 - 882 -6888
PRI 360 - 608 -9033
FEES Reg #: LIC 159788
Description Date Amount
[UELPMT] ELR Permit 2/15/2006 $75.00
[UELPLN] ELR Pln Rev 2/15/2006 $6.00 REQUIRED ITEMS AND REPORTS
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 foil u adopted by the Oregon Utility Notification Center. Those rul - .. re set forth in OAR 952 - 001 -0010
throug OAR 952 -01 1 11. You may obtain copies of these rules or dire • -- .ons to OUNC a 63- 246- E;699.
Issu d By: /v' Permittee Signatu
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.
I runt P it A 1 atjom Irh1Z 1 9r 1 I I sl t,\I 1
�P ,� arm ®o ><c _ ®�
City of Tigard air . ECE% �! E n ws .2 �o (, 1�/� wit No.: ,Q. -. - woo 1.
13125 SW Hull Blvd., Tigard, OR 9722 Rau Review
Phone: 503.639,4171 Fax: 503.593.1960 Date/I3 . Other Permit: • Inspection Lino: 503.639.4175 FE 4 L W . r 1 � ,
I Date R �
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t S�.. 0.;: P',. rfC9 u.£ k 1' 'F.: ,.I . , t t +3- N i lIfil. f + ;hint ial " 115 1.421 , C ¢ r1'9 r 'l"l ai n:....x.thx ..,.r rm , 4410,,11, �` 4 6. i ''c ,{ m ktaakn
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t: New construction • , ,;,; t t', ",err fir - 4 $cement Please check all that apply:
❑ olitltxt [ Other: ❑Service over amps, comm'I ❑Hszsrdous loadings
,qtr / , 'cal m :?• r z + +� hN r j n x v { 1tUEttt tc, xt v �a r tlf j+. ; tf it z, ❑Service over 320 amps - rating ❑Buildng over 10,000 sq. ft., "r� � f c i, 1 ,, � < . pot 9 ' i "fit '�t . ^ ' "a� q 4 y � � ,�p,��l ,' yy r {�fl�fi t11 family dwellings 4 or more new residential
l u ��" �$ �" lf,. �8� ,r;r : r2 „, 'tY, 1 ` . !��tY t w : s � ¢ . tau + a �tr.�rh �r . r „ A'.'t;wc rat. M lz � • ' At1« 34��i ;�N�lapF'�+tSS.4111���Nilv4� of and 2 -
' 1- and 2- family dwelling • Cot imercia&rmdustrial 1 Accessory building ❑System over 600 volts nominal units in one structure
❑ Multr famr) ❑ Master builder [] Other El Building over three stories ❑Feeders, 400 amps or more
;q�rg! y r,1 i , f t y, xtJ ec a.wr M41411 0 MAR,41r rttilY) nt tr4r1 non . srr .t. • S"4T r , p r 1 .
❑Occupant load over 99 pcuons ❑Manufactured structures or
�i Pi�� r.t' 1: liith m:/fSil: 1'R 4i.,,,nbrx�:,„,. , ..ul:,x 40,1;11......,e;ain, , ,s - n1∎4sYi:, a,U.. 1 , - ,wlfrwi *,irat Tr,
p 9r tSPSt7R '1," i t , ,i^ " ❑ Egress/lighting plan Rv park
Job no.: Job site address: I ❑Health-care &eility ❑Other:
t .. ' ' .. Submit I sets of plena with any of the above.
City/State/ZIP: " cy G C L D ,.. l d
The above are not applicable to temporary construction service,
zr� u r,^ t,Q}��, »r rn S . 1 rpMa> nrtn. bw ) r x•,
Suite/bldg. /apt. no.: Project name: I�R YSf '�iisti,i, s G;ln,.t,gi1.J,, o..i u�,.0 .. , , w,�4 rArtSi d:li 9"n W
' _ -- Dow:O= Qrs. re& raw
Cross street/directions to jab site; New residential single- or multi - family dwelling melt
Includes enriched rarsge.
1,000 sq. ft. or leas 145.15 4
_
Subdivision: Lot no.: L Ea_ add'I 500 sq. ft. or portion 33.40 1
Tax map/parcel no.: 1 Linutcd energy, residential 75./0y0� � 7 •eo 2
'$ '^'tk c ' 4b�,� ,Y,7 N5 M f S,^�N\ / gb 7 i \ yN\ W } �lY -..Yh� W)t1r4,1.: f 1 .�' l 1^ '� � . { Limit energy, norm - residential 75.00 2
tit G'ti.iliPhi „� i �, /dill idcll4h,E'� :r, .. M M w Ma,. >iti 'rni.7r w1 o.flw� iiete T r +t nfi§ Each manufactured or modular
dwelling, service and/or feeder 90.90 2
1 S Services or feeders lastulladoe, alteration, and/or relocation
200 amps Of ICU a
s 8030 2
nr A t9 y;.(IV h JS1 ! 19 i 'tt 1 , : 'i F .T.4,. (y..+;ll�llt �$ 201 00 amps 106.85 2
9�'in d i ose xl 1F r ) ; ' :''i IC ''''pp�� '•44. . �.. xx r'1q�t h ItY M ,, t . , ' ., ` ft � s to 4
AGv.1 Yii hL v, J4 �(.fQF1;y.lY4A.MY�IiY 1>i'IWI[>Fµ,bpnrcj'{ 6 A �M hr�h�630 Yo
401 amps to 600 amps 160.60 2
t _ _ 601 amps to 1,000 ampa 240,60 2
Address: Over 1.000 amps or volts 454.65 2
• Reconnect only 66.85 2
Cit Temporary services or feeders installation, alteration, and/or
relocation
Phone: . s o) Z ..) Fax: ( ) 200 amps or less 66.85 I 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps " 2
intended for sale. lease, rent, or exchange. according to ORS 447, 449.670, and 701. 401 amps to 600 amps 133.75 2
Owner signature: Date: Branch circuits - aew, alteratba, or entangle., per pearl
'fir d6� I� 't1 � ) P rt, War rtlypt g M1U 1E T g tI•" . t 'R Hscr; ! 8`+ '+�+•'Y'•► tk � , " •
rat it i� ^E y t M kt,,IL of fu,i i l ''ire *d 91.'1 re' ` �7r ; ��. s {, ` , ' y „ t,p,.r i a 1, sv IW�iu " i,u m xltl r A Fee for branch circuit" with
service or feeder fee, each 6.65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee,
Address: Oust branch circuit 46.85 2
Each add'I brand' circuit 6.65 2
City/State/ZIP: M1scN4neons (service or feeder not Included)
Phone: ( ) Fax:: ( ) Pump or irrigation circle 53.40 _ 2
E . 2
Sign or outline lighting 53.40 _
d'. r2 1rS W .�P. �r°k ¢ r� ry, �. " e' w Y x y d r « � {,Y, Signal cirraiit(s) or limited-
F7t t.' s6i� ttiYi�fi�r B.u:: i tY„�sl., ",7.9�}� ,�te'i.1, •i ,,,.;;C oar,, <I' illi :tP,'3`�YLM '+�:.�r t �ty{�g; enargY Panel, alteraQOn. Or
tactraraion. Describe: Paget 2
Address: Fink additional inspection over allowable I. any f the above
F - Per inspection 62.50 • tY t
Cr /State/ZiP: _ t ' Investigation per hour (I tirade) 62.50
Phone: • 1) . 4 - _ 0 Fax: , O ) sec __ G 8 8 8 Industrial plant per hour 73.75
witcom gu a " i ; r1tr'i tlr".t .... ' r.: 7.`" ', � r' e
CCB Lic.: I .. • Electrical Lic.: Suprv. Lie.:
Subtotal (
Suprv. Electrician signature, required. t ` � Plan review (25% of permit fee) ci
-
bee
'3 Date: Z, -
Print name: State surcharge (8% of permit fee) 6 N _ • TOTAL rER.MIT FEE e l sr.
Authori2ed sig0atttre: Mb penal* application aspires if a permit Is not +bestia l within ISO
day. alter It has Seen accepted as complete
Print name: Date: • Fee Methodology .a by Tri-Coonty tau 1ding Industry Service Board
•• Ntmmbarof inspections per permit allowed
islaeildiel reeelhlffi.c.PambApp.aos 12103 14044 tsrQwo Ico1Wwia
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR200S•00055
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/15/2006
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639- 4175'I �..
INSPECTION WORKSHEET FOR DATE: 5/30/3008 TIME: 7 :15AM PAGE: 24
SITE ADDRESS: 14934 SW HUNTWOOD CT CLASS OF WORK:
SUBDIVISION: VALLEY VIEW LOT #: 024 TYPE OF USE:
PROJECT NAME: VALLEY VIEW
DESCRIPTION: All encompassing low voltage.
OWNER: KIMBALL HILL HOMES, PHONE #: 503-546-5357
-5357
CONTRACTOR: ALARMTECH PHONE #: 360-608-9033
Inspection Request Scheduled For: Date: 5/30 /2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 030754 -01 503-490-6058 N
Corrections /Comments /Instructions:
PASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G ( 1 - Date:.-cU • 06 Phone #: (503) 718 - 2-6-17V