Permit C Tv
I 1 1 OF TI G ARD ELECTRICAL RESTRICTED ENERGY PERMIT
DEVELOPMENT SERVICES PERMIT #: ELR2005 - 00342
DATE ISSUED: 10/12/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 109 D B -02400
SITE ADDRESS: 14995 SW BLACK WALNUT TERR ZONING: R -7
SUBDIVISION: SUMMIT RIDGE LOT: 062 JURISDICTION: UR
Project Description: Vacuum system.
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: X FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS:
Owner: Contractor:
DON MORISSETTE COMMUNITIES ALL WEATHERIZATION
4230 GALEWOOD ST SUITE 100 3030 SE 59TH
LAKE OSWEGO, OR 97035 HILLSBORO, OR 97123
•
Phone: 503- 387 -7538 Phone: 503- 649 -6542
Reg #: LIC 46969
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[UELPMT] ELR Permit 10/12/200E $75.00
[UTAX] 8% State Sure 10/12/200E. $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: I � Permittee Signature: J.€_,..42_
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.
•
10/11/2005 15:56 FAX 0 007 /009
Viectric91 Permi4 4;nolUc& kir'r ECE1'/E'
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City of Tigard IEMP Parmit No.: ,ir.: / . % t'ti v. .2._.
13125 SW Hall Blvd., Tigard, d)R 97223 Pan Remow
Phone: .503.639.4171 x:398.1960 03.639.4171 Fax: 5 a.. Other Permit:
p „ ` tiirt,,' 1)ate/By:
inspection Line: 503,639.4175i OCT ... '',/,11„„ , - Date lbeatty/By: Iurie 61 See Page 2tor
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Yr New construction [] Additi n' : VT! , 1r ! : t Please cheek al that apply:
❑Service over 225 amps, conlm'1 ❑Hazardous location
Q Demolition [] ()tiler
y ( t• , t { , t1Y , t @ t °tr, / q y t � r P4 t , ly' r r � r ;� F r t r El over 320 am a -ratin Buildng over 10 000 sq. it
fdYtiii`1� Ii!i4.{ Ith:V`rA+>, U4�>!� 'YIE t `1'� y .!, : ' `,' i, 1 !'i ».:41 "T. t!) ( I S 1 �.f „ }t, i r l,� t, + + a1 f4 ;t g ` I' g ❑ r r
ss 1.i�1s L.aA , i u�I fir` 4 >z ;;, off. and 2-family dwellings 4 or more new residential
►: 1 - and 2- family dwellin: : 0 Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
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❑ Multi -family 0 Mbuilder ❑ Other: ❑Building over three stories ❑Feeders, 400 amps or more
�z` ``t��i ly i5" �I a1 � 'i,t t t ! t Master builder I! , ti . `II 1. „ tw . ❑occupant over 99 persona ❑Mattufacturod structures or
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f !!ilblei A.�sfillI �:,;..,,s.,� t ,�..��t�,Y :. �,.�,' t.i. '' l �f 't't¢£or,il�� Y t
11.l,i!!4 } ri ��v'u)}4i;� ❑Egressllightingalan RV park
Job no.: _ J ali. ± 'site address: I q� �Cf n) ❑Health - care facility ❑der:
City/State/ZIP: !
Submit 1, sots of plans with any of the above.
l S�r� r R ....L., �� The above are not applicable to temporary construction aarvico.
Suitdlbl / t. no,' Ai ct i141yJ I +1��1�+ 9l ln: F 1 (d !s E A �
d8• l'rojectnama: nwerlinkai Qtr. Yee. raid r•,tn'lin !..3,,.tA 4�.!+,u `J �! ;, i i.ri rt, dyiati .,:faj'�!�'}£UNr� ?.Sl�!�i }'(' ae .
Cross street/directions to jolt site: a I , � / i1 Now residential single. or multi - family dwelling unit.
(� Includes attached germs.
1,000 sq. R. or lass 145.15 4
Subdivision: 50 ,, m II- ,e) U , I Lot no.: Z Ea. add'I 500 aq. R, or portion 33.40 1 f
7'aX'tft8plpareel no.: JI ( Limited energy, residential 73.00 it 2
g�.t "y''ri{ �' +7 "lt', t ° '< 7 rs,a•,, ��n „, ua ?�t�pr..- m Limited energy, nom erc
pgf�5i7'�d' ( i1, �•4" ,, ra: i S1 I �' .1 ' ' i i i �7 l �!' 3 i i t jr { nt #' r 1!, q p t to l odul a l 75.00 2
� '�`' er..'!�^ : , }.' +,{. �� t� , t•� �:.' �'t": ��'e���k�, i,l,i(��i!�ai �l;ld tY,;;_�hit�� 5� Each manufactured or modular -
Ce d e ra.1 _ V6k C dwellin service and/or feeder _ 90.90 2
Services or feeders installation, alteration, and/or relocation,
1 / `
t ytt /� V ` ,L q j'� �t 200 amps or less _ 80.30 2 I
I rti�tiitlrtN'!des�a`I y �^ 4i��itt�tlj�il5�l�li l �I "C''21�1 '7,1 Ti'
Vi I
. ca t � ) �i ( I A {j = ti1' ampe 1°400 ampa 106.85 2
, t,. > >1�,.,;•..ka.rd,�A... �nru:i , & tn��!. 1t$ b.: S +lt!e1Hr:wg.r,.c4,,,i>�t��l�r.. �,+u.'a ti r ut �a s�
'w 401 201 amps to 600 amps 160.60 2
Nance: C:) E ,A� 6 C .` ,�14- , �\ 04 /' . 601 ampato 1,000 ak a 240.60 2
Address: 4 ,� ,; ` , 1 p - 41 , W , T - � i � l � S �-ti Over L000 amps or volts 454.65 2
City /StateJlJP; ! Reconnect only 66'83 , 2
t he_ . O . k.e.° Q Temporary services or feeders installation, alteration, and/or
Phone: ) ? p ..._ 3R J Fax: ( ) 200 a tion
or Owner installation: This in tion is being made on property that I own which is not 201 amps to 40 a 00.30 l
intended for sale, lease, rentxchange, according to ORS 447, 449.670, and 701. 201 amps to 40o am 100.30 2
D� stgnattre 401 amps to 600 amps 133.73 2
4 ;tUt �Y r pal t`; . r r tvx Fr l r � t. �� ,x)f 11 ! Date: Branch circuits -.new, alteration, or extension, r panel
rlr�w�a if;' &.aJSigi�` � 11 mull'!�6 ' Yn ,I siili4. !tit 9.:1 " I $ tii,ttt i ler fit brftlrul
ota phr
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t stxv o feeder ci fee eac
a usiness name: A,1 • _ /e - . 44e - U'.TI t ,„ 69,, a- - 1 . 4 L - branch circuit 6.65 2
contact name: r B. Fee for branch circuits
rr . , ✓ / 7 a � -tv t� without service or feeder tbe,
kddress: 4 G' 83 2
..,a ■ c ,. L:,.. each branch oi rouit
Each add'l branch circuit 6.65 2
:ity/StatefZIP: lit I I,C OA 7' q l- �eous (e=vlce or feeder not ineludedZ
�,'3) (,L q ' 6r5(11. Fax : ( ` ) Pump or irrigation circle 53.40 2
'hone: (
Moil I 6:x( 26v sign or outline lighting 33.40 2
u • ciroult(e) or limited -
Signal
WHIM ' .,; t �$ •,, r :,T,,,. ,,,,•.,. 8 ItircaGon,
i w3:?: ' � +,�, �t',�¢ ?1 t 'P y�1r •'{�l ::;7t1•t'ct1,.: Y.':x:�; ye t -��( { . !�,,:�, cf t,� �l'tt}o assn <Y�' Ic
�W' ��dc.1. qE:. i,. tt:':..,.. i:;., �} �11kik�. s` �+ kS+ ia9�k( acvk i! Y37+ �k�l3 t�hiYN' 3�'' i •�:�•�'i$;1'.�Iufi1�,titti4i�C�N °tt°rYy panol,a °r 3usittess name: l ox I)etlotibo: Page 2 2 /Ai
kddress: c Each additional inspection over allowable in any of the above
Par inspection 62.50
+ity /State/Z,1P: IIII a 0 ( i e, inveatption per hour (I hr min) 62.30
/hone: ( .a. ) 6 e G+' 6 2 Fax: ( ) // / (♦ G
Industrial •lent • er hour 73 73
q 13 "1 r•- • 4 tt:a':,a� .i. 1 ; 1 1 t i cal, t , .�1''f Amgen I t f , Iv aTistio'
:CB Lie.: 1/ G Hle c triccl Lie.: Sup t�.i:St � ,t,1 ..!. t..,.is' .. , , t . 1nz
7 / Suprv. Lie.: Subtotal
luprv. Electrician signature, r quired: Plan review (25% of permit foe)
'rint name: Date: . State atiroharbo (8% of permit fee) el/ TOTAL PERMIT YEE 1
Authorized sigrilitw -e: This peratltappUcatton expires permit b a permit net ob &Ia.d within 71_i
'tint mane, day, utter N ties, been accepted ea eemptete
Date: • Fe me thodology eel by Tri.County Euildina Industry Service Board
a• Number of Insarotlune Der permit allowed
. .
-. .
P .
CITY OF TIGARD . .,
.- •
=
BUILDING DIVISION
A PERMIT #: FIR2005•00342
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/1212005
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 A, - 411.
INSPECTION WORKSHEET FOR DATE: 12/23/2005 TIME: 7:02AM PAGE: 3
SITE ADDRESS: 14995 SW BLACK WALNUT TERR CLASS OF WORK: CP
SUBDIVISION: SUMMIT RIDGE LOT #: 062 TYPE OF USE:
PROJECT NAME: SUMMIT RIDGE
DESCRIPTION: Vacuum system.
OWNER: DON MORISSETTE COMMUNITIES, PHONE #: 503
CONTRACTOR: ALL WE.ATHERIZATION PHONE #: 503 6Ey1 2
Inspection Request Scheduled For: Date: 12/2312005 Pour Time:
) _
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 023997-05 503-209-4837 N
Corrections/Comments/Instructions:
•9 A.---( "Ye_ ss
SS 1,_ j PARTIAL APPROVAL 0 CANCEL . El NO ACCESS
FAIL I I CA /FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: ' 1
t,i Date: (2 -2-3 — S Phone #: (503) 718-
•
Inspections Required for: ELR2005 -00342
✓ Code Inspection Description PASS Date By ✓ Code Inspection Description PASS Date By
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground/slab cover
410 Fill . 110 Temporary electrical service
415 Grading 115 Electrical service /reconnect
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 X 135 Low voltage
260 Tilt -up panel 195 Misc. inspection:
265 Masonry X 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 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 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 \IVR \InspCard- AOP.doc 02/02/2005
C ITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
�� I DEVELOPMENT SERVICES PERMIT #: ELR2005 -00342
'-'� �'I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/12/2005
PARCEL: 2 S 109 D B -024 0 0
SITE ADDRESS: 14995 SW BLACK WALNUT TERR ZONING: R -7
SUBDIVISION: SUMMIT RIDGE LOT: 062 JURISDICTION: UR
Project Description: Vacuum system.
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: X FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS:
Owner: Contractor:
DON MORISSETTE COMMUNITIES ALL WEATHERIZATION
4230 GALEWOOD ST SUITE 100 3030 SE 59TH
LAKE OSWEGO, OR 97035 HILLSBORO, OR 97123
Phone: 503- 387 -7538 Phone: 503- 649 -6542
Reg #: LIC 46969
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[UELPMT] ELR Permit 10/12/200E $75.00
[UTAX] 8% State Surc 10/12/200E $6.00 o
Total $81.00
•
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 rei
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: 6 9(4) I l ,• Permittee Signature: j' f,'
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.