Permit C ITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
Ar1, DEVELOPMENT SERVICES PERMIT #: ELR2005 - 00390
DATE ISSUED: 11/3/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 109DA -10400
SITE ADDRESS: 15432 SW OAK VALLEY TERR ZONING: R -7
SUBDIVISION: SUMMIT RIDGE NO. 2 LOT: 093 JURISDICTION: TIG
Project Description: All emcompassing.
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: LL EMCOMP : X HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS:
Owner: Contractor:
DON MORISSETTE COMMUNITIES, LLC GENESIS HOME TECHNOLOGIES
4230 GALEWOOD ST #100 9450 SW GEMINI DR
LAKE OSWEGO, OR 97035 BEAVERTON, OR 97008
Phone: 503- 387 -7538 Phone: 503- 643 -1704
Reg #: LIC 128098
ELE 26- 989CLE
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 11/3/2005 $75.00
[TAX] 8% State Surcha 11/3/2005 $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: Permittee Signature: y4
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.
Nov 03 2005 4:08PM GENESIS HOME TECHNOLOGIES 5036433300 p.1
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Electrical Permit Ann F 'VEDA f (.', t ( ,
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City Tigard ! Ptamit No.
13127 �
9W Hall H NOV Blvd., Tigard, OR 97223 P D t ate/B // '3 0� v61 t'�iC,� c',4790 Phone: 503.639.4171 Fax: 503.598.1960 Y 3 e� 2 �oo Ail" Date/By; OthcrPermit:
Inspection Line: 503,639.4175 CITY OF TIG' :..' ' »ate dvBY: E Bee Page 2for
Internet: www.ci.tigaM•Or.us . ► • • . NadZed/Mdhod. I (' ' Supplemautaf Information
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p New construction ❑ A.ddldon/alterution/replacement Please check all that apply:
❑ m
Scrvicc over 225 amps, com'I ❑Hazardous location
❑ Demolition IM Other:
rt7 irV� T j t±,l huh , 1 S pTr r„ ,t ,x 1A/ ,' 4til! r Y i 1 +' t t 4 { VP i} �1 t '�' t tY f t t =! �I' y 1 tr )e ['Service over 320 amps - raring ❑ Buildng over 10,000 sq. ft.
riNi;114, ::2 +1 . i uf. : :d? k , . ; ti„ dr a�', Str r 7 , n "of. i z �l!:.:A ., �3 h',-, , ,,,,oAe, .': of l and 2-family dwellurgs 4 or more new residential
►:t 1- and 2- family dwelling Q Commercial/industrial ❑ Accessory building ['System over 600 volts nominal units in one structure
['Building over three stories [Weeders, 400 amps or more
❑ Muha •family ❑ Master builder ❑ Other ClOOc llo over 99 persons DManufkotured struonires or
' l i -r A , G'tii i ° ) le n 1 , r ? I lt! V i r ,1 t , . (r I('r m a y 1 1 f A OIWi t t i l r f lrl ^r o
i ❑ E : re s s/B e gin s p
y , e 7. , !) b I , .., I i ! �+� . 1 x .[ , r� f+_i, ti tq ;: r, ,t'• Ian RV park
r'- FEr?f.f,.�.kid..,._e.�. .:. 1i _iL:�rn tx v,r t.�.re�.aA..ro.frMd ,IF e L +�k 11r�J:`r_
Job ❑Health -care WHO ❑Other:
ob no.: Job site address:
�- ' ' . - - - Submit 1 sets of plans with any of the above.
City /State/Z1P: r . The above are nut applicable to temporary construction service.
Suite/bldg./apt. no.: Project isms: , w�x.�� °�i�,_r& ii ro: 1[1.:x, `"''L 1 :, ' " .M1,t, l� i`� 7 il t', tg : �'r 1.
DeSMAptien Q. Fee. Total
Cross street'directions to job site: New residential single- or mold - family dwelling unit
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: _ 1 f hat no.: , Ea. add'l 500 sq. @. or portion 33.40 1
Tax map/parcel no,. Limited energy, residential / 75.00 075' °S 2
� 1n
Tax }� {p '�( �� io .',: r r st • �� 7j 1 t ♦yt i,ti� p Via}- t .0 .� y r, ., : � e , oa J n j � j r iu r.t L�l Q j �!A, { tg I t p� i} ^ ' , 7; ik y � t< uti. Limited energy, non- residential 75.00 2
r
`�l • 7.Y' ,i 1 'd; ,Ir V w�I. . i� + } ht r{.' UN , :�k.'C,w v ...,.o.d l ....../.1.. t!.,! ,r�� t,, .1i c� t Y?fi IA . j r „j��1� J Each manuf$c'Med or modular
dwelling, service and/or &eder 91190 2
:,,, = = Services or feeders Installation, alteration, and/or relocadon
. : 1 �/ 200 amps or less 80.30 2
'1 +s� I ^ ,r �c':luPa r+F} yi�m' lus.t�r7t,�iti, + I° �. } k N`k1� �rd' �� (1 fir 201 amps to 400 amps 106.85 2
iii, ]( tiI u ) s o Y ,� t � 1 I$I� °1�r ' 0, :e I I j� t tit n , a tyl ili 1j 6 ,� 9 � t
;u. ci..s.,_, ,:, u: .1.u'r. <.,,..,, �.,,J 1' I:rta.,>i....m .i(t1.1 Rr ilT kf�J !ID∎,•n.r:r.EArognr_,'.uw_,.� A1 19 401 lumps to600amps 160.60 2
Name: „ , i f”, • �,,, 601 amps to 1,000 amps 240.60 _ 2
� �. Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City/State/ZIP: Le ♦ . , c/ . ' / 5— Temporary services or feeders installation, alteration, and/or
relocation
Phone: (53) • Fax: ( ) 200 snips 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 fbr sale, lease, rent, or exchange, according to ORS 447, 449.670, and 701. _401 snips to 600 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or ex tension, per panel
7'4!�.i.'C' , :ti rT' I �r St 1t f i.- Is ' ,si , ,r�JI I r I'1 * 1tf � : 1 f`•,rf;`;t ;',,'l,•"' ;` ;;; J;+j; +11 F5t A. Foe for branch circuits with
• r w � i 6 1 S;,ha t r S %. a; .v. :t.'nA:.,. :.e?.e.,af�,.., L1:�11L v: � azdAnettt hPAU4ud,A.
� 3ir` dEl, e � Io „... �=- ra+�trvR,n�u ,! l5iwi�r:t service Or tl>edef fee, each
Business name: branch circuit
6.65 • 2
B. Pee for branch circuits
Contact name: without service or Ibeder fee,
each branch circuit 46 85 2
Address: Each add'I branch circuit 6,65 2
City /State/ZIP: Miscellaneous (service ar feeder not Included)
Phone: ( ) Fax: • ( ) Pump or hripation cirole 53.40 2
Sign or outline lighting 53.40 2
E- mail; Signal circuit(s) or limited -
t b A ' #h' Y 1t +' Y I YM R2' r' a , .` r e , tl V )Lr' .- 4 [ I. i - I ttrj an0 alteration, or
Il l meal iri;k:�s.+. i.reliirl' �1r4 �.E:3�t�?i:+ 2, V1•!'f ,'!,'' S.1IW,� orb. �Jl gti,U ;i,t,,i4.:. AT,.. 3 .r lt .,. @�' p
erttensi Describe: Page 2 2
Business name:
Each additional Inspection over allowable in any of the above
Per inspection 62,50
Cit. GENESIS HOME TECHNOLOGIES Investigation per hour (l lir min) 62.50
Pan 9450 SW Gemini Drive Beaverton, OR 97008 • Industrial plant per hour n- -6 Fax- 73.75
03 -fi43 -3300 = i �Sf 1� Yt ?� f C � "L r , ^. i � ': • ;p •�;�1: ' •
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sd ,�..ad,,�.�r:�,,,;a.t,:rav,ci4 fa. a
CC CC B 128098, CLE28 -989, Subtotal ,
s. V 2885 -J L E
Sup Plan review (25% of pmatit fee) �� ;
Print name: Date: _ State surcharge (8% of permit the) /, 1^f? - • . II .' - - TOTAL PERMIT FEE g / r oG
Authorized signature: This permit application expire, if a permit is not obtained within 180
days after it has been accepted as complete
Print name: Date: • Pee methodology sat by m}i- County Building Industry Service Band
•• Number of inspections per permit allowed.
iNBuildiae ∎petntieelia.C.PerentApp.dnc 59.1)r •1461sT(Ldtz/COM/WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: F l..R2005
13125 SW Hall Blvd., Tigard, OR 97223 /, , DATE ISSUED: 1113/20m
Phone: (503) 639 -4171 °;��.,_ I I�
Inspection Requests (24 Hrs.): (503) 639- 4175�,i '� ..
INSPECTION WORKSHEET FOR DATE: 2/27J2006 TIME: 7:02AM PAGE: 62
SITE ADDRESS: M132 SW OAK Viol LEY j ERR CLASS OF WORK:
SUBDIVISION: SUMMIT RIDGE NO 2 LOT #: 093 TYPE OF USE:
PROJECT NAME: SISMMIT RIDGE NO. 2
DESCRIPTION: All emcompassing.
OWNER: DON MORISSE (TE & OMMUNITIES, LLC, PHONE #: 503.387.7638
CONTRACTOR: GENESIS HOME TECHNOLOGIES PHONE #: 501,60,17w
Inspection Request Scheduled For: Date: 2122/2006 Pour Time:
Code # Inspection Description Confirm # Contact # - s":"--
135 low voltage 027264 -01 603 -643 1701
Corrections/Comments/Instructions:
!' /S 1/ /sue f
❑ PASS M P' AL APPROVAL
pANCEL ❑ NO ACCESS
❑ FAI 'SI . LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
c
Inspect. *a e: ��� °'--Phone #: 503
P � ) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2005-00390
13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: 11/3/2005
Phone: (503) 639 -4171 � l�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/15/2005 TIME: 7:02AM PAGE: 102
SITE ADDRESS: 15432 SW OAK VALLEY TERR CLASS OF WORK:
SUBDIVISION: SUMMIT RIDGE NO. 2 LOT #: 093 TYPE OF USE:
PROJECT NAME: SUMMIT RIDGE NC). 2
DESCRIPTION: All emcompassing.
OWNER: DON MORISSETTE COMMUNITIES, LLC, PHONE #: 503 -307 -7538
CONTRACTOR: GENESIS HOME TECHNOLOGIES PHONE #: 503 -643 -1704
Inspection Request Scheduled For: Date: 11/1512005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage V 021175 -01 503 - 643 -1704 N
Corrections /Comments/ Instructions:
Xf PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
M (
l t C/0.5
Inspector: `�� Date: Phone #: (503) 718-