Permit a CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00233
T laAab 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/5/2008
PARCEL: 2S 110CB -08300
SITE ADDRESS: 12454 SW AUTUMNVIEW ST ZONING: R -7
SUBDIVISION: MOUNTAIN VIEW ESTATES LOT: 008 JURISDICTION: TIG
PROJECT: MOUNTAIN VIEW ESTATES
Project Description: Installing audio system.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: X 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: 1
Owner: Contractor:
ACCENT RESIDENTIAL HOMES STREAM AUDIO PLUS VIDEO LLC
12583 SW AUTUMNVIEW ST 2 NW 10TH AVE
TIGARD, OR 97224 PORTLAND, OR 97209 •
Phone: 503 - 670 -4939 Contact #: PRI 503- 227 -7200
FEES Reg #: ELE CLE88
LIC 174695
Description Date Amount SUP 21907J
[ELPRMT] ELR Permit 8/5/2008 $75.00
[TAX] 12% State Surch 8/5/2008 $9.00 REQUIRED ITEMS AND REPORTS
Total $84.00
•
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 503.24.. .'9 or 1.800.332.2344.
Issued By: % %'` Permittee Signature: ����?,(47
OWNER INSTALLATION ONLY
The installation is being made on property 1 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.
•
STREAM AUDIO & !DEO Fax 5 07227 7 201 Aug 5 2008 11 30an P001/
',: " 1 :' e lilt 4. lication ,A'/ � , ' v1 - , , � i, , '' ,
rt �•'�''_ i� t o t13(lttl(fl5 ( h Y1
City of Tigalyd � � DatG'6v: Lly � ► 1YI pmnrt No.: " �if.rtSf --)2 - 3�
- 13125 SW Hall Blvd., Tigard. OR A4 ` an Review
Phone: 303.639.4171 Fax: 503.5 • •. ` s 0 % t- Qatar man Qatar permit: •
T '' Inspection Line: 503.639.4175 } , , � v Jura: B See Page 2for
fntanet: wvtw.tigard orgov p ®
hlelhod: � ) s
i k� i ° l - .x,��+' ' y .t- � +s $' 7..1 ! .. fi .` '' 2 �''k.
.-.. 1—..,.e_ ,. _ :A `- -.:.. _.,2,.. : :v.,v' •t1:> , • ,,..—.,1, $ s• @. ...ad v ..:..co ... he f, r.. i / .. _a Tr .,E:. i.. ... _ 5 Xo.,>;
® New construction ❑ Addition/alteration/1* �J!'.. t'''a' P1mse heck all that apply (sabmtt seas of plaoos . 40.7,5 checked below), `` ❑ $crviet Or *ales 400 amps or more ❑ Building over three stories.
❑ Demolition ❑Other: t � \ where the available fault cvncnt ❑ and boatyards.
4 r r « r . _ r , "� f r , I� a e:coeda 10 aAlOa at ISO volts or ❑ F102008 buildings
. t-:..., ...a.:" � : ' :... ?: r r '';' t .., r 5,i , a . _ V._ less to Board, 0 7 :weds 14,000 0 Commercial•mc agricultural
1- and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi-A111111 0 Master builder ❑ Other ❑ Fire Pap. ❑ Insanation of 75 KVA or
'Y ° , }r , T/ 4; e x c r. i r a v -� y, _ , B F... . , CI Emergency system. larger separately derived system.
;: � ' s i r s ,.. t.:r -. , . . is ..t _..,, 3 .,... � eac ..:: .. _ _ a? t .tt.:. ❑Addition elf aerr tttorpr load of O "A ", "E", - 1 -2" "1 -3',
�r J IOOHP or mote. occupancy. Job no.: Job site address:
1 a 14 5 J W A vri levioirlgt 6:t. ❑ Sin or more residential units. ❑ Recreational vehicle parks.
City/Stele/ZIP: j G D �' G�7 t,� ❑ Health-care facilities. ❑ supply voltage for more than
❑ neendoes locations. 600 volts nominal.
Project # e
CI Service Or feeder fA0 amps or more
Suite/bldg. /apt no.: name:
� U 4,,..e_.11,301- it ?l. ti s x . z . ' {
. . ,r , _ r ...._�,_ a #.. .' ,: 0 i. ,� S-
Cross street/directions to job site: 1 �' U► \ o cri pttan _ pee qua New residential single- or multi- family dwelling unit-
C S-14-/r5 Includes attached garage.
Subdivision: 1 Lot no.: g L000 sq. fl. or less 145.15 4
+ Tax map/parcel /,,�,�y I n0.: Ea. addl 500 sq. R or portion 33.40 1
- t p, � roe �, v r a'7 ter• - s swz , Limited energy, residential
t ,, Fi - F i 1 u ; ,; - far t 75.00 2
"'it ''.. _ . • c 3 . 1!.,.r.:`_r i , r ri ;sip:.+.. �i?. cc hF.. `�`.. , -*A. :.. Ea• •� fissd_ tweet xbOvt a4• R-)
__ Lnn;zed energy, multi - family 75.00 2
' 1,0b,) -r c' c Ti-- 11-6•osg evo ' residential (with above sq. ft.)
01n �! D o CA-7'5 Services or feeders installation, alteration, and* relocation
200 amps or less [ 80.30 2
-� �7 ..:YE f7k ts;� t-r^ �.1f ....,. -. y , i • v----'''54%"* .{4 ..--_
i -, s. r p ' • , t , 201 Snips t 40 amps 106.85 2
Name: 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: '. Over 1,000 amps or volts 454.65 2
City/State/ZIP: Temporary 5eniees or feeders installation, alteration, and/or
reloeattpn
Phone: ( ) — I Fax: ( ) 200 amps or less _ 66.85 1
Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 tarps 133.75 2
Owner signature: Date: circuits - new, alteration, or extension, per Panel
A. Fee for branch circuits with -
c ,e , t Y C , ¢ °s` 2,' above service or feeder fee,
. ._ ._ �,. _�,.. ..i> ,...t7..e.t t ...cu. . . .,.a..._.<,.. . 3r ,.ro r r. r. a
name:
_ �' ,..� . "� ;�. 6.65 2
• Business � `l each branch circuit ,
s T g .em∎ A R t O mac V 1 tE.a i..- B. Fite fbr branch circuits
/-4.01_04.1.£5 without service or feeder fee,
• Contact name: ,+,^ t first branch circuit 46.85 2
Address: 2 niAI .117 �� Each aeld'l branch circuit 6.65 1 2
Miscellaneous (service or feeder not included)
City /State/ZIP: P -1-1_,k.,,,, a Dg. 9 7 2D9 Each manufactured or modular
9°.90 Z
dwelling, service and/or fender
Phone: (
Spa) Z27- 72 I Fax: ; ( 553) 227 • 72 Roccmnect only 66.85 2
E-mail: O If i ' S _ re! - 21 • L a?In Pump or irrigation circle 53.40 2
l'' ?....:' 77,6710.1 i u._. ,.,i:1t,:�, t -,'11 i�uFt a ., sign or "line lightotg 53,40 2
Business name: Y- Signal circuit(s) or l -
+ it GA'J\ T� 1 D ' - U 1 £p . L L_ C . energy panel. alteration. or � P 2 . 00 2
Address: extension. Describe: age 75
City/State/ZIP: ' _T L tN9 T' cx-7401 Eaeb additioaai inspection over allowable in a . of the above
Per inspection 62.50
Phone: (5 Z2 7 - 724) 0 Fax: ( 503) 227 - 72.0 r' lnvcuigatlon p horn (= Iv min) 62.50
CC13 Lic.: I 'j g 5 Electrical Lic.: eye 1 Suprv. Lic.: 2 ICI 0 7 industrial plant per hour 73,75
• Suprv. Eleetri 3{ re, required: �' 1 ! z h � � Subtotaal :
Plan review (25% of permit fee): �_
' Prue name: F P.1 pr,.: R • 1Z D S s vDate: V51$
State surcharge (12% of permit fee): _ CO
Authorized signature•,/ - S - t
`� TOTAL PERMIT FEE: FS , JC
•
Print name: Q/_ / V p 1" e S Date: SI5' / r ibis permit a ppliudoo tzar been if a permit is not obtained within 180
days after It t bas been accepted as complete.
* Number of in$peeti0ns allowed per permit.
I: 1Buildingenveitat .0.pcvmMpp.deo f06 4404615T(Ir't)S/COSIVca
INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for: F Lk:?t w... xba-33 REQUIRED ON GREEN INSPECTION CARD.
✓ Code I Inspection Description I PASS Date I By ✓ Code I Inspection Description I PASS,Date I By
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground /slab cover
410 Fill 110 Temporary electrical service
415 Grading 115 Electrical service
205 Footing 120 Electrical rough -in
• 805 MFG - Structure grading /footing 125 Wall cover
210 Foundation walls 130 Ceiling cover
215 Footing drain 135 Low voltage
220 Slab 140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
225 Post /beam structural 150 Hot tub /spa /pool
230 Underfloor insulation 195 Misc. inspection:.
235 Shear walls /anchors 199 Electrical final
240 Exterior sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 Low voltage
260 Tilt -up panel 195 Misc. inspection:
265 Masonry 199 Electrical final
270 Reinforcing steel (rebar)
275 Framing
•
810 MFG- Structure set -up MEC - Mechanical Permit
280 Insulation 605 Post /beam mechanical
285 ' Drywall nailing 610 Gas line
287 Suspended ceiling 615 Mechanical rough -in
295 Misc. inspection: 620 Hydronic piping
899 MFG - Structure final 625 Duct work
498 Grading final 630 Fire damper
299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection:
699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit
910 Sprinkler rough -in
915 Fire alarm rough -in 305 Plumbing underslab
920 Suppression trip test 310 Crawl drain
995 Misc. inspection: 315 Post /beam plumbing
998 Alarm final • 320 Plumbing rough -in
999 Sprinkler final 322 Shower pan
330 Water service
335 Rain drain
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation 345 Culvert /catch basin
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection:
205 Footing 399 Plumbing final
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection 599 Final inspection
I: \Building \Forms \InspCard- AOP- Blankdoc 02/02/07