Permit CITY TI GA R D ELECTRICAL RESTRICTED ENERGY PERMIT
DEVELOPMENT SERVICES PERMIT #: ELR2005 - 00231
l �h DATE ISSUED: 8/16/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S109DA 11400
SITE ADDRESS: 12994 SW BLACK WALNUT ST ZONING: R -7
SUBDIVISION: SUMMIT RIDGE NO. 2 LOT: 103 JURISDICTION: TIG
Project Description: Low voltage - audio.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: X 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: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS:
Owner: Contractor:
DON MORISSETTE COMMUNITIES, LLC QUADRANT SECURITY INC
4230 GALEWOOD ST. STE. 100 PO BOX 14833
LAKE OSWEGO, OR 97035 PORTLAND, OR 97293
Phone: 503- 387 -7538 Phone: 503- 234 -5558
Reg #: SUP 12117LE
LIC 96806
FEES ELE 26- 565CLE
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 8/16/2005 $75.00
•
[TAX] 8% State Surcha 8/16/2005 $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: , 0AN
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.
Pe..r m ■*-
City of Tigard -- � 1 EWE D nQ s �y%f� 7 r
) �,,,i,N..' 05 '/
13125 SW Hall Blvd., Tigard, OR 97223 Plait Review
Phone: 503.639.4171 Fax: 503.598.1960 r ;(T 2UOg 4 ' ` • r "tn,br'. { D Other Permit:
Inspection Lino: 503.639.4175 A 1 AL- i ' 1 � I
AC:
>SAte Rca4y/BY lure: 1 61 See Pogo 2 for
Internet: www.ci.tigercLor•us Notified/Method: •� Supplemental information
.`,. ' °
l�KM,A W V� � ttf'[''1''y•'"Y �'�'A'�:� ii .Y�'�r� T�+L`} ; `t'Lo r+9frd „7G u ?r;T.n .;•. i"•�:..� f r s ^rc M1'�4 I
A -' ,ti,' +"' , " 4i1 i °. x �A,: 1 f R• .-, G0^ . ,' .. ,. i "'r d�` h l Vy - I�i�,"1'•A• !- it >'F!"M >tl10 Y�sl-
, i , ... �'' ;F'_, U .�I'uY,��. .f' .'y�'. ,,�,. � "' X14:. r9: tr' � ii: C. �� . ?�t''�'Q��, tar.Jilq� ?�Y�L ? >i LK�i.. ,�,
'ew construction 0 tlditionlift& tine /replacement Please check all that apply;
0 over 225 amps, comm l ❑11ntrdous location
El Demolition 0 Other;
z '.�/Ida'i. `'s' ' �c ' �� ' r ':-..?4, T ❑ Service over 320 amps -- rating ❑ Bulldng over 10,000 sq. 11
;�Iti'`:.li. <k.T.�a:i.'. y f 2 i4�'.,. •,• !.; -.0 :1t'Tf.,Rrt.'...r , i i `'"iit+ {:' ` n`�a
• !':�'ri'i!;i, ./ of 1- and 2-family dwellings 4 or more new residential
@i 1.•
1- and 2- family dwelling ❑ Commercial/industrial El Accessory braiding ❑Syst over 600 volts nominal unite in one structure
D ulti- family Master builder ❑ Other: ❑ Building over three stories CI Feeders, 400 amps or mot
AA ' Li . v " d , t . 0 Occupant load over 99 persons ❑Manufactured structures c
`r:nk ?d;t "'' . 4 'a. ^ n , 1 ', y �
;•f�; :;. o Iz r �. ', :' ;f 1 a 1 a; i
❑Bgress/ltght,ngplan RV park
Job no.:, -19 Job site address: p aC L� f Y 1 � ❑Health: care facility ]Other
�lC,,c k (1 ^'llnut Submit 2 sets of plans with any of the above,
City /Statc/Zip: The above are not applicable to temporary construction service.
Suite/bldg./apt. no.: Project -�- ia,;Y,1�,�ro�m 1 a t " L " l " :rR ':
'name :D (\nof' " «a1° ,�. ,.�tVl t trt,. r�:z
Description Qty. lint. Total '
Cross street/directions to job site: New residential single- or multi- family dwelling unit.
Includes attached ;garage.
1,000 sq. ti. or less 145.15
Subdivision: 1/4....1-YNr() re ' ?i Lot no.: 3 13 \Q a. add 1500 sq. ft. or portion 33.40
�` �
Tax map/parcel no.: Limited energy, residential i 75.00 ') ` ' 00
{ ",�W !tt ?t1y ff �!1?'�4 r"" "t o �i �y� tw' s' TVA. ''.,,,,.......-1;'.+`.6-1, Limited energy, non - residential 75.00
7 . se r' . . . ' Y.. v .Iji Nl� ... e_ I d t7l� � ?GJ %F �f I• w � Y ' •' Y 1:>
Each manufactured or modular -
I . 3 R- • i -_ _dwelling, service and/or feeder 90.90
VD
���� Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30
:rF:AI.114:•SfiAallS;: �•j*.#0.4 c, r •:71,:':‘..i, rt:'4 1r, 4 , P.. , pl Ya Y ar *,.,: „t 201 am Ps to 400 amps 106.85
401 amps to 600 amps 160.60
Name. � s V,.. A� �� C\€ 601 amps to L000 amps 240.60
Addreds: 7r ,Zj D Cr \ -t_L,)b /9 C I, / CJ '6 Over 1,000 amps or volts 454.65
CirylState/ZIP: 1 );,_:--t, 10, J �p _ Reconnect only 66.85
� - V l � Temporary services or feeders installation, alteration, and/or
Phone: (J 7 - 73 -3' m ax: ( ) relocation
or
Owner installation: This installation is being made on property that I own which is not 200 amps to less p 66.85
201 1
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. net s to 4110 am s 100.30
Owner signature: 401 amps to 600 amps 133.75
Owner , 't � e l„ : X71 1 Date: - Branch circuits - new, alteration, or extension, per panel
/ '':, t" : ' ' • ...:IA.?' for e ? W . ilea' , l 1 , , }j .'.; . 'r';':5 U t R ` (._ i o " circuits wit /i
. s � -:�, �: &� :. r..' " a t ''7,' � ' : e � p ���,°,�„ ;;�; A. Pee for b runch
Business name: service or feeder fee, each 6.65
branch circuit
Contact name: B. Fee for branch circuits -
without service or feeder tee, 46.85
Address: each branch circuit
Each add f branch circuit 6.65
City /State/ZIP: _Miscellaneous (service or feeder not included)
Phone: ( ) _ 7 Fax.: ( ) Pump or irrigation circle 53.40 _
E -mail: Sign or outline lighting 53.40
a; t,, ?•4:.-. y J�ypY1My °M� Signal circuit(s) or limited-
l " ;io fiq WAanS O i'�sire 1I. H '1- . i• iY . t yi,•.L Tet1)q "7",. - .'
,a. T 4�'�'T ➢ x' ' /�� °•' Y
cnorBY Pal, alteration, 01'
Business name: \ ( )/ i k 4 - c • - .-.1,--15 extension. Describe; Pa C
g 2
Address: ir "(' p J 1 = . 1 Each additional inspection over allowable in any of the above
City/State/ZIP: O , � a - Per inspection 62.50
�' `"'' • 1. V / C C.i htvestigation per hour (1 hr,uu0 • 62,50
Phone: :� t �
(i A∎-- , T.) 75 Fax: � (3) i ..a. ::: Industrial plant per hour 73.75
s ,,
)(2 1 Sup1V. Lic.: la 1 �
LC-77::) subtotal - �5 c (j
Suprv. Electrician signature, required: t t ( /}� -
,,' ` ••• Plan review (25% of permit fee)
Print Warne: 1 -) ��, j Date: :� - State surcharge (8% of permit fee) G� -C.-
Authorized signature: � 4� J Ift . J � Ll± TOTAL PERMIT FEE I !J ( • C)
Thu permit applicatloe expires Ira permit it not obtained within 180
Print name: a 1 (' rR�
dive elm It has been accepted ae complete
Date; �� Fee methodology set by 7'ri•Counry Building Industry Service Board
" Number of insoeatione per oarmit allowed.
ZB ADVd SN ISAS INddQtNl0 ZZEZ9EZE05 60 :ST 50aZ /5T/80
WI .
CITY TI G A RD ELECTRICAL RESTRICTED ENERGY PERMIT
j DEVELOPMENT SERVICES PERMIT #: ELR2005 - 00231
' °' '' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/16/2005
PARCEL: 2S109DA - 11400
SITE ADDRESS: 12994 SW BLACK WALNUT ST ZONING: R -7
SUBDIVISION: SUMMIT RIDGE NO. 2 LOT: 103 JURISDICTION: TIG
Project Description: Low voltage - audio.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: X 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: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS:
Owner: Contractor:
DON MORISSETTE COMMUNITIES, LLC QUADRANT SECURITY INC
4230 GALEWOOD ST. STE. 100 PO BOX 14833
LAKE OSWEGO, OR 97035 PORTLAND, OR 97293
Phone: 503- 387 -7538 Phone: 503- 234 -5558
Reg #: SUP 1211 JLE
LIC 96806 m
— FEES ELE • 26- 565CLE r
Description Date Amount
REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 8/16/2005 $75.00
[TAX] 8% State Surcha 8/16/2005 $6.00
Total $81.00
1
v
0
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:
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.
Inspections Required for: V L`�.�0��'Ol�eZ c�f
I - -' Code Inspection Description PASS Date By ✓ - Code Inspection Description PASS Date . Sy - 1
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 _ )C 135 Low voltage 1
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 _ F
285 Drywall nailing 610 Gas line
• 615 Mechanical rough -in
287 Suspended ceiling
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
61
695 Misc. inspection: _
699 Mechanical final
BUP - Fire Protection System Permit _
905 _ Sprinkler underfloor /slab PLM - Plumbing Permit
, 910 Sprinkler rough -in 305 Plumbing underslab
915 Fire alarm rough -in . 310 Crawl drain •
920 Suppression trip test _ -- 315 Post/beam plumbing •
_
995 Misc. inspection: 320 Plumbing rough -in
998 Alarm final — 325 RP/backflow preventer
999 Sprinkler final 330 Water service
335 Rain drain
340 Storm drain
SIT - Site Work Permit _ 505 Sanitary sewer
405 _ Excavation 345 Culvert/catch basin
410 Fill i 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
1 495 Misc. inspection: 505 Sanitary sewer r .
498 Grading final 595 Misc. inspection:
499 Final inspection 599 Final inspection
I: \Building \IVR \InspCard- AOP.doc 06/17/2005
CITY OF TIGARD
BUILDING DIVISION S' t PERMIT #: ELR2005 -00231
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/16-/2005
Phone: (503) 639 -4171 h alt
Inspection Requests (24 Hrs.): (503) 639 -4175 ..
INSPECTION WORKSHEET FOR DATE: 9/1/2005 TIME: 7:14AM PAGE: 62
SITE ADDRESS: 12994 SW BLACK WALNUT ST CLASS OF WORK:
SUBDIVISION: SUMMIT RIDGE NO. 2 LOT #: 103 TYPE OF USE:
PROJECT NAME: SUMMIT RIDGE NO. 2
DESCRIPTION: Low voltage - audio.
OWNER: DON MORISSETTE COMMUNITIES, LLC, PHONE #: 5 503..387.7538
CONTRACTOR: QUADRANT SECURITY INC PHONE #: 503 -234 -5558
Inspection Request Scheduled For: Date: 8/1/2885 Pour Time:
Code # Inspection Description Confirm # Contact # Message
Low voltage 014769-01 503. 234 -5558 N
C. - do - /Comments Instructions:
r
Q1+ \:\M I I e n,
0,..../H:
;
6 _, ovikq 1,I.3o,a,
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
p CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
.. _ hi ' g,..._ / ,-
Inspector: `al 1 - :I Date: Phone #: (503) 718-