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Permit CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT I DEVELOPMENT SERVICES PERMIT #: ELR2006 -00067 Ail 13125 SW Hall B Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 2/23/2006 PARCEL: 2S109DB -04100 SITE ADDRESS: 13009 SW SUMMIT RIDGE ST ZONING: R -7 SUBDIVISION: SUMMIT RIDGE NO. 3 LOT: 120 JURISDICTION: TIG Project Description: All encompassing. Central Vac. 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. ALL WEATHERIZATION 4230 GALEWOOD ST #100 3030 SE 59TH LAKE OSWEGO, OR 97035 HILLSBORO, OR 97123 Phone: 503- 387' -7538 Contact #: FAX 503- 649 -2680 PRI 503- 649 -6542 FEES Reg #: LIC 46969 .:) Description Date Amount [ELPRMT] ELR Permit 2/23/2006 $75.00 [TAX] 8% State Surcharl 2/23/2006 $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 follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 1 -0 0. You may obtain copies of these rules or direct questions to OUNC at 503 -246 -6 9. Issued By: Permittee Signature: 5h OWNER INSTALLATION ONLY Thein'stallation 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. 02/ .01 14:33 FAX el001 /003 • • atdca P. mil :;R P...: 3.lt ED iy m id • 7 FB 2 3 2006 i,� '7".5 e -1 : 46 0(�- 1 25 SW Hall Blvd., Tigard, 9 t n•: 503.639:4171 Pax: 3 . 398.1960 '�•' I ' ' � : OtherPemtit: notion Lana: 503.639.4175 CITY OF TIGARD . :!;..e. - •1.L. De n to edyisy: /ME I ie S.. root vrww.ai tigard.ocw a ING DIVISION : S" rph esa tIon :,,;, r.., i1� i t .fir �- d' , i 1 1 0 a , i . , i I .'j', . S P:' it r �, � „c !,,..,L � � 1 1 I , I'r.'d ilI�1SI, Cii New construction . 1 I Addi • •,• tared • • ' Demolition 0 • ._ • ❑Srvioe over 225 snipe, oomm'I ❑liaardoua location 1:;i,i;L' 11 ,, '. �!t, ; ?j . 11 _ , 'j , • , , , _ I .. ❑�vioe over 320 amps -riding DBoideg over 10,000 sq. E., �- and 2- family • . : , of 1• and 2- Btmlly dw•Illnpa 4 or more new rosid•ntial III Acce8eoly building D Bymam over 600 voila nominal maim in ono elnaolwi Multi- family ' 0 Memel' • . _ 0 ❑13u11dlns over those Modes OFa•darti 400 amps or more Other DOoampapt Iced over 99 persona CI MuiutYo4u•d structures or 05.1cti ill' t1.rt #I'; .'t' • t 1..,1 : rl '. . i i RV • no.: 3 S5 r �' :to uddreee: 1 ;n . v ❑Resith osre hall Plan L7�m: n't- Submit jails olplws with any of ibs above. V /Stat aZ1P: T i k aaale: The above era not applicable to temporary oonatruation 'stoic* talbldgjapt• no.: Project ;; , '," , 1 ` ;,,fhyl• •� . ; ,t t c V44;:•'''' . !1 oV W , h1,4, 4a+ Q. rre. WM lial as street/directions to joll alto: New r•eldin'W aloes. or mdtl-&a) dwsUI tg welt. Includes attached arm a 1,000 • it. erica _ 145.15 0 dividaat: 5 41 m ( � tj � A'+ at<II E1 3:= on 33.40 MI t map/parcel no.: a L Lot no,: I ■� : ��yLl� _ 222X3 _' - 93. r_ 1yi i'i•t' ,1 r�1�t�I).11f� ... / 7 , (! 1 Ij NI I l' i • :1 }': '.�,; I :i '/ ` 1 < 1 I NU,�aailr 1 , ewnteddordial 75.00 _© • alv :1 7 4 J J/k C . 90.90 _ © �Oh/ VO I . Services orhad .lnafallaHora,altertion,and/or relocation aides i 80.30 -© •' , .', :;; ; t ..• : '_ in I j / • , , ; t , + `'t T. , L `: { ;'' :: ,1 ,,,.. • r , ' ,� I ' 1 ,( 201 to 400 106.83 - © • me: 401 • b 600 am • 160.60 1.4 �� O. o► • r l l .M / 1 Li-t. . 601 x 101000 • - 240.60 _ hose: 47_3o a lea wbni). 6'f Over 1,000 am • a or vow _ 454.65 - lst . te2IP: � • 8 � LI 1 Rsoa+,wo1 and 66.83 _ Q ..8.-7 ' 1 T'7n27� T a•rrlo•aerfbei•n lww�abandon, l., abandon, 1/13: ( •.3'' 3 ) /. 3$ I Fax (it3) U7 7(;,/,5- (n (s 2 Temporary 1111111 66 - aer odod In ste� tion: is on Is being made on property that I own veld& is not 201 •, . to 400 am . • 100.30 or e, ease, mn iudunge, according to ORS 447, 449, 670, and 701. 401 • to 600 am • lei' BigOatllre: � � 1 33. 93 -© ly!;� r b 1� .i'l,'',i:1;�1 • ,\'I , i ' I . , , 1 f.. r ~ il 1 r. • Date: • • , r 1 I ( A. ' he • "7".'• • • w(( . 1 „ ' ' x•rvio• a louder lira, «Ch Inea aname:,, , l l I✓ ' r - i t "t i ii4 • brenobo6rouit 6.65 II B. Fee far Imoli • • Is � ; �//d , 471�� each • . • . cir flr err .der he, . tact name: a: � 46.15 me 3 '03 � 1 t ''" 51'i% "T L Eat add'l brand it cuit MI 6.65 Ell atd7.IP: fh " T _ lad ((e. q - r /Z4 _ ,►o: ( 3) 6 ' 6 . Fax:: (•� ) 6' 268o or ini'• • on pirate - 53.40 . U nil: / . Mo 33.40 �, M - . u rte • i 8i ar 1 • • • to a Maltad- r 1 � 1'1 r� Gllt�: r •I�Ij: dit: r'1'II'1 1 r',' • r t ' � : .i \', ;'• en ray panel aitralton or III � 1 .� .5 r• 1 micas carne ' A y extension Describe: Page 2 teas � Q Sack additional has • - on over allowable In an of lb. above 'StateZIP: thI L - Gle 47/23 m 62.50 IN .� /• 62.50 w: ` ) 6t1 - Fax: ( ,) - f 2rfv . y 73.75 _MI I Lio.: ;2.1;1 r::: ,;::;c., '},,1v:.. • (4 6g I'le u prv. W ,,. 9 : . 7i' .•,II ',�i C: LI .,.L1 :.: [ • .g ►•. Lic.: Subtotal rr. Electrician signature. 5 - • idled: Plan review (25% of permit fee) t name: Date: Mute wdr eargo (it%otpermitAw) ' TOTAL Pi;lit>t0'f'tVM `M MI 146:4146:44:4 signature: Tar permit ap omie. apnea tf a pu.lt r ww un aa MU " lee aloe rfaas bbows gN 4841441040 baa bra eae� ea e�lala 1 t name: ,/1461 404. t V✓\ I DatriD•! i•- Oc • Fes m etbodolem mi by Tri.County Suildlaa bsolrtry aw(w hoard ' av Humber almond s err aeraJ' allowed