Permit CITY T I GA R D ELECTRICAL RESTRICTED ENERGY PERMIT
''NIk DEVELOPMENT SERVICES PERMIT #: ELR2005 -00445
I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 12/23/2005
PARCEL: 2 S 109 D B -03100
SITE ADDRESS: 15046 SW 132ND TERR ZONING: R -7
SUBDIVISION: SUMMIT RIDGE LOT: 069 JURISDICTION: TIG
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:
DON MORISSETTE COMMUNITIES LLC GENESIS HOME TECHNOLOGIES
4230 GALEWOOD ST STE 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 #: LIC 128098
ELE 26- 989CLE
Description Date Amount
[TAX] 8% State Surchari 12/23/200E $6.00
[ELPRMT] ELR Permit 12/23/200E $75.00 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 : • es adopted by the Oregon Utility Notification Center. Those _ - are set forth in OA 952 - 001 -0010
thr. gh OAR 952‘=001-t 0. ou may obtain copies of these rules or di - ; ions to OUNC -t 503 - 246 -6699.
Is -ued By: A / r !� �� / , Permittee Sig• . 1 If
OWNER INSTALLATION 0
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.
Dec 23 2005 10:24FIM GENESIS HOME TECHNOLOGIES 5036433300 p.1
`'*
,t �i ie Permit A 6 6 licatlo c, C _O l 0 R 01.i 1( I. l i', I
x
503,639.4171 Fax: 503.548.1960 Reeeirnd
City of Tigard ` Dots, :: �� Permit No.: Ec.Q hoof' - eoVir5
13125 SW Hall Blvd., Tigard, OR 972 %"J Plan Review
phone: , . Other PernUt:
Inspection Line: 503.639,4175 e, \)--C''' KK-- � '� +�si,��l�� Dtslv(B
Internet: www.ci.tigatd•o .us of � �S , - -- NatifiadI $ See Page al for
lnformarion
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p i New construction ❑ • a • • /alteration/replacement Please check all that apply:
0 Demolition ❑ Other: ['Service over 225 amps, comm'I []Hazardous location
iy n'f ,. t, i , v,f. Id � ,dcl y ;} = xAI ? al bei t T ?,tI F 1tFWtl t}r x l ea w v� �r itay �r� lfl l i l t a '�y �( ,r,it,,,w,1,r ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq, 1t.
� � � m '� : ' iifrr, 9+1� ! 1 � • ° t t •1 ), ' . .i. , ii!i;N Exd v,l�l . n� ∎'' , I , , 4 r 14, i, X 1 1 ,11,at . � vC+ r i t ' a t t , i 1 l 0 of 1- 24turaily dwellings 4 or more new residential
h�.Rrc.Sn•,a,., h.. 'it i 114 nits l_ L kl:J.:r t 7,re ) , D I Ate,, til,,.. i4MI,
1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ['System over 600 volts nominal units in one afflict=
❑Muni -famil ❑ Mastti<builder ❑Other: ❑Building over three stories ❑Feeders, 400 amps or more
�,� fi r n ' ` r end l t , { r � ,l ti h x A l 4 ❑Ocou mint load over 99 arsons ❑Manuahctured structures or
'd f1 a ( "Irt r r, , I, I ,,,, .X+ e J v i rr , AA �(� IU 0. „ fN” 7F t . lxlk I ' g ig P k : a a � p p
1}Oggril� : 1� t ,it it n'? „111, 414, a ;,3„1 Jv'wiil�i� I ;rrtl ,,,, ,, s ' ,,,z, l tt.,J , maw i h s i l.1 ❑Egress/1tghttng p lan RV park
Job no,: Job site address: hit ['Health-care tbcility :lather: �SI�, ,. Submit 1, sets of plans with any of the above.
The above are not applicable to temporary oonatruction service
Suite/bldg./apt. no.: Project name: Al ? r ��a �s ! ti 1, ” . l 'i I..'..,'_ `70 r. e ? i%2 as t
ne.erlptlon Q c . Q Fee. Total
Cross street/directions to job site; New residential single- or multi-family dwelling unit.
Includes attached garage.
. 1,000 sq. ft or less 145.15 4
Subdivision• .4M1.1131131` Lot no.: - Ea, add 500 eq. S, or portion 33.40 1
Tax map/parcel no.: Limited energy, residential / 75.00 f ft 2
g Limited energy, non - residential 75.00 2
�° `� `I°��1�h� I�witGtl l' �1 , g , 7 } f �ly qua wl¢i�rtr>x, �^a,yrn q� !,its , yt it�E }bQIA S �P���C�" �u i�,� r a y �` , � l
t1r.��J3��4'I ' Sri :1t *:.Ut. s' t., it?, a•!.. ∎ imot,, i,�7v harA cdiart o lbb ill:rl il:ile.20o , A,l,s1a .#14.. 1'ia.3, }.� 4∎• A� Jet 1H Eac manu fitcf u r ed or madtttett -
dwell in:, service and/or feeder 90.90 2
Services or feeders Installation, Lit:eration, and/or relocation
a 200 a mps or less 80.30 2
,,I , �' h ' � a , ,wri i pol∎f lot "
rk$111 A 7 4 r z rr 7u �� { tt� :' li eIre� . {` i , r ne»r ( , if, ,, -- I' r. � d r , � p 201 amps to 400 am ps 106.85 2
�grgig ((1 y ,� ,: i r. 1,.,' J+ ,i Y 1 2 dJ� , 1 P. � � L���,�f`Y Nfigi `itll ,�3 O kcal jJ, „ f a��41 4 ,,a I� �' 4 i.
,ajt . tiil11, rt ANS Y5 �:1 1lyam A v l,l • ' ,` 1 i �1iI t } l i, ; .m, . / Y ,,, P ,it�_x liNl� ', •• .L' 401 amps to 600 amps 160.60 2
Name: • -' ' . 601 amps to 1,000 amps 240.60 2
Address: Ova 1,000 amps or volts — 454.65 2
_ • I s �' "_ / 1 Reconnect only 66.85 2
City /State/ZLF: - , , ,,,,t r -- Temporary services or feeders Snatalladon, alteration, and/or
relocation
Phone: ($25 ) - 1,1M Fax: ( ) 200 amps 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 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- new. alteration, or extension, per panel
re, .. ,, v ,�1 � y,1� a� I ), °t , {yi� �a �t . i 1. iii a ` ii �,7 � 'K 1 �� i , ' � �9 p p ' A. P ee for branch cif nits with
t , i w1C1 r,Vo'I,"4,;u �r 'ra rilwr 7Pi iri�falhrr 11 k�a'„S L eal t tIk'' # eau slily: il ' Ale, w z } e derwtn VIr I.� ' b .. _: , 1 1 service or feeder fee, each
Business name: branch c 6.65 2
B. Fee for branch circuits
Contact name: without service or feeder fee,
each branch circuit 46.85 2
Address' Each add'I branch circuit 6.65 2
City /State /ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: ( ) Fax:. ( )
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited -
K ¢ I :' 1� r� r ' I y a° tw !,I i fth I., •" iw n e i' 1 Igo e f t r^ I ti + , r ener panel' aleeratl0
����. �', u1: s�< �,_ �������1������' ��t�., �z�>,. 4: a} �.. ���;., �; rty��a�. �. �', 1, ��, �" �... ��w ��3��;> ���# i`, t���l��� '>�t���;�J���y,������?�;��� l�vt, or
octension, Describe: Page 2 2
Business name:
Each additional inspection over allowable in any of the above
Address: _ Per inspection 62.50
City/State /ZIP: Investigation per how (t hr mix) 62.50
lnduabial plant per hour 73.75
Phone: ( Fax �' w } ,avray,�xt� I ,,*'� '6'(�"'a r,T �f: o'r i t Ir i
aIfai +aiwt,�: #a l.lt}f t Y.r. . } 21 . a..,..tit, I:.1..k 4' 1• n .: r iii ti d r: ':):f .
CC. GENESIS I-IOME TECHNOLOGIES Subtotal #.7.-- _
Sue
9450 SW Gemini Drive Beaverton OR 97008 Plan review (25% of permit fcc)
Phn- 5 -843 -1704 Fax- 503 - 843-3300 ®o
Prim �
L -- � CCB 128098, CLE28 -989, state surcharge (8, trfpermittbo)
2885 -JLE TOTAL PERMIT FEE B/ ■
A.ul This permit application expires If a permit Is not obtarnea widths 150
A days after it has been accepted as complete
Print name: Date: 2 - 6 J am. O S • Fee methodology set by Tri- County Building Industry Service Board
•" Number of inspections per permit allowed,
1; 1Building \Pormiss 12/03 44o -4615T(10/02/CMIAV613
CITY OF TIGARD EL /"
BUILDING DIVISION PERMIT #: a06s --O 6 e i ��
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 it��uh @��iu� �il
Inspection Requests (24 Hrs.): (503) 639 -4175 ! . �
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: /LS?) 1--/ / 3 0 . .'/a CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3 J L/ _o (4 Pour Time:
pode # Inspection 9pscription Confirm # Contact # - Message
I q6/ .--0 q W3 7
Corrections /Comments / Instructions:
W s. ..ASS r] PARTIAL APPROVAL n CANCEL n NO ACCESS
I I FAIL ' LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: G Phone #: (503) 718 -
glill
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2005- OO'145
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/23/2005
Phone: (503) 639 -4171 aaki ��
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 12/30/2005 TIME: 5 :59AM PAGE: 80
SITE ADDRESS: 15046 SW 132ND TERR CLASS OF WORK:
SUBDIVISION: SUMMIT RIDGE LOT #: 069 TYPE OF USE:
PROJECT NAME: SUMMIT RIDGE
DESCRIPTION: All encompassing low voltage.
OWNER: DON MORISSE'i T'E COMMUNITIES LLC, PHONE #: 503- 387.7530
CONTRACTOR: GENESIS HOME TECHNOLOGIES PHONE #: 503 - 643.1704
Inspection Request Scheduled For: Date: 12/30/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
. 135N Low voltage 024170-01 503. 643 -1704 N
Corrections /Comments/ Instructions:
) 17 -
km PASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
AIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date://2- 6 Phone #: (503) 718 -AV 76*