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Permit CITY T I GA R D ELECTRICAL RESTRICTED ENERGY PERMIT fir4' DEVELOPMENT SERVICES PERMIT #: ELR2006 - 00243 I I l 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/6/2006 +L. " , ., PARCEL: 1S134DB -DG017 SITE ADDRESS: 11000 SW BRENDEN LN ZONING: R -4.5 SUBDIVISION: DAKOTA GLEN LOT: 017 JURISDICTION: TIG Project Description: All encompassing low voltage. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LAN DSCAPE/IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: LL ENCOMP : X HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: Owner: Contractor: DON MORISSETTE HOMES, INC. GENESIS HOME TECHNOLOGIES 4230 GALEWOOD ST # 100 9450 SW GEMINI DR LAKE OSWEGO, OR 97035 BEAVERTON, OR 97008 Phone: 503- 387 -7538 Contact #: PRI 503- 643 -1704 FAX 503- 643 -3300 FEES Reg #: ELE 26- 989CLE LIC 128098 Description Date Amount [ELPRMT] ELR Permit 10/6/2006 $75.00 [HRTAX] Hourly 8% St 10/6/2006 $6.00 REQUIRED ITEMS AND REPORTS Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699. Issued By: (�1 Permittee Signature: ..`_ OWNER INSTALLATION ONLY C � The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF UPR. ELEC'N: , DATE: LICENSE NO: Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. • • I Peri a� la a�0 \ �°',® •-.1'4)'.1 a 'li' 19 1x I 1 1 I i ..: t 1 7f ' ,. • City of Tigard ; 'T 0 6 2006 Thom' o e o ff _ 2, - 13".. ..a. 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 303.639.4171 Fax; 303.598,1960 CITY OF T1 GAR �h;, _ _ Wit Inspection Line' 30D.639.4 D lVt c .. ,` • f 1 Date : - „• • See 1'16114r boom www.d.tigei .ot.us BUILD1 t Neti9ei/Medrd: ' _ nazi ratormetion , ( - n, , r 1 } t 1, a r ' 11 , s p_ ?,4 , t. 1 1 New construction ❑ Addition/alteration/replacement Please check all that apply: ❑ Demolition ❑Other CiService over 225 amps, cannel OHazardous location ', ' , ' 7 4. , a . : 7. , , .. 7 . , . r , ' `t ' � '1 r ` i i t ' � r. ❑ ofHand 2•fltmlty dwellings �4 0r micro ova new n • Comerelal/In. • al • Accessory building ❑ ►1 1 and 2- flstnlly dwelling tn SYetem over 604 volts nominal mini in ono Master builder per; ❑$wing over three stories OFeeders, 400 =Ps or more Multi- f3stnll [] ❑ ❑ ®Occupant load over 99 parsons QMamulbctured structures or -1' , L , c: a r x 7 1 1 I: & t p RV park i�grcs !A B i :.. 1 Health grail' r. Job no 3 b site address: / 0 �. $ • ky 4 Submit .2. sets of plans with any of the above. City /State/ZIP: The above are not applicable to tcmpoamy oo. coos ton Suitelbldg. /apt. no.: Project name: Pre. t,,,,, El Dec Ilan Qty. Cross street/directions to Job site: eve residential oiogle- or muitt•lamily dwelling omit. Indudn attached : 1,000 so. R or less =1 145.15 — 131 211. add? 500 •. ft, or • r ion MI 33.40 �© <!� . . , Limited ea - , • rosidsntlal r] 75.00 /rim© Tax map/parcel no. 75.00 Ell ,, h . .... 1 is: _ . 1(. , Limited modular ar to _, service ■ 90.90 — A . < .: . Services or feeders Installation, alterotloa, and/or relocation MI S030 1E1 i � r % ; / 0 1 amps to 400 . o — 106.85 — r 160.60 © Name: �, . i !D , ,' .,,, .. . - 601 :r . to 1,000 some IIM 240.60 — Address: over 1,000: or volts 454,6 � .” - . ., 66.85 City /State/ZIP: j, / , ;/ , / / • ' emporary services or feeders Installation, alteration, and/or don Phone: (01) -- — Fax: ( ) 200 • or less IMO 66.85 _ Owner installation: This installation is being made on property that I own which is not 201 armps to 400 • s =I 100.30 El intended for sale lease, rent, or exchange, according to ORS 447, 449, 670. and 701. 401 am • = to 600 =Ps 1111111 133.75 Q Owner signature: Date: Ii�l ,'.I , I ;l C4 �i�i ii.'L' !ia :%f'1( h;r�i•N� + TJ l r . ,, t v , A. Foe for branch circuits with .. , ' •. ...; ... ..... r �. .... 6.65 Mil Business name: branch circuit B. Fee fbr brooch cimuirs Contact tame: whitens service or feeder tee, . 46.85 III e lil ach branch circuit Address; Ea ch add'I branch circuit Mill 6.65 — City /State/ZIP: Miscellaneous (service or Reeder not Include • • Pumper ' • circle Phone: ( ) Fax:: ( ) 53.40 —© S :• or outline li: , - = 53.40 — E - 1: Signal dratlt(s)orlimited- r } - r . t , ,' ,' . , ; 1 } s. +! .. .. • I I - : . ,, . energy panel, altetatIOn, Or r . extension. Describe: Page 2 Business name Each additional Ins . - on over allowable la a date above �. 62.50 -- Girt GENESIS HOME TECHNOLOGIES Jnvea _' 'em per hour 1 hr vein) M . 62.50 El 9450 SW Gemini Drive Beaverton, OR 97008 m industrial r hoot MI 73.75 �� P110 Phn- 60 - 843 -1704 Fax- 503- 843-3300 1 CC _ CCB 128098, CLE28 -989, Sabi/ WTZMI sup,, 1111 Plan review (25% of permit fox) Print ensure: Date: Steno surcharge (8% otpermit floe) r . _ .. Al A � TOTAL PERMIT FEE Authorized signature; 'rah permit oppiicadon expires 1t a permit h not obtained within 1110 days dyer It has halm seeepted as tampleSs Print name; Date: . • Fee methodology let by Trifiamety Building laduitry Service Bead •• Number ofinspeetioesper permit enowad. IVIMldinipennkd}tS.OimmnAppdm 17/05 44o.45,cTu v2/COM/wea • 1'd OOEEE49E0S S3I9010WH3 1 3WOH SIS3W39 WdS£ :2i 9002 90 100