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Permit CITY T I GARD ELECTRICAL RESTRICTED ENERGY PERMIT a ,I DEVELOPMENT SERVICES PERMIT #: ELR2005 -00284 III DATE ISSUED: 9/16/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2 S 109 DA -06400 SITE ADDRESS: 14998 SW GREENFIELD DR ZONING: R -7 SUBDIVISION: SUMMIT RIDGE LOT: 041 JURISDICTION: TIG Project Description: Security, audio. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: X AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: X 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 #100 PO BOX 14833 LAKE OSWEGO, OR 97035 PORTLAND, OR 97293 • Phone: 503- 387 -7538 Phone: 503- 234 -5558 Reg #: SUP 121 1JLE LTC 96806 FEES ELE 26- 565CLE Description Date Amount REQUIRED ITEMS AND REPORTS [ELPRMT] ELR Permit 9/16/2005 $75.00 [TAX] 8% State Surcha 9/16/2005 $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 OU 246 -6699. • • Issued By: : .,!',h� -1 _ 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. e 4 C1tfy t)t Tigard - v e �' i9- r i 13125 SW Hall Blvd„ Tigard, OR 97223 r �C PntmkNo. �L p 1 „,. +; Plan Review Phone: 503.639.4171 Fax: 503.598.1960 �° - Inspection Line: 503. 639.4175 �� 20 � .' n 't itr�. Rat lie Other Permit: Internet uwW of tigard or us .,,,A.,_ - ^ Data Rea ) 6d Se Pa 2 u Cl Notified/Method: '7( nt Rot F�� " 2a �Fyd, `S` tSi IlG .� ' tt?a wsz,4 , r i , r v,S r z I Supplemental lo tormatlon �`L .d - ,Ir F. ,zf V u . _i Oj 14, 7 +NrEi' l r� iA` k,� a r'�n tiS P }��r5 + � Rn y ir i , swr�•• {'17 .. 7 7. r-�t re� x ,c i ?r U , W .u... sti ti rsr:!: i ��} r 4i, J t .J Y ' ,J. `l , 1 kr *� �f AZ1rt. °:' Pleaiech check lUthat apply: ,'...A.. L;�,.L��l ^Trim „S1 n } � 4 i ewconstruction 0Addition/alteration/replacement aok all chat ''�`''� ❑ Demolition 0 Other r. , M y r �a ❑Service over 225 amps, Comm I ❑ hazardous location Demolition a � 4 1�u'lfa �i J e t ?�o 1r sir a ft u i srs r 7 ` ” o'r AV t d °Service over 320 amps rats rl..... x'iIfilfPre y Ynat by � ,.+ fit p — n8 ❑ o re new • rf a� of I- and 2- family dwellings 4 or more w resider L i ►. and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one struciun ❑ Multi family ❑ Master builder Other: °Building over three stories iFeeders, 400 amps or mot i i ° � .a•. u '141 u Z' t ��� Wa t1 1F 00ccu ant load over 99 persons ❑Manufactured structures c r .{,,, , Ntaj I r a sr•� t r "n _ 14 �f8 j �. ; p p :f,w Y ©Egmas/lighting plan LW park Job no.: 6 Q Job site address �. ❑Iiealrh -curb facility ❑Other City /StatelZiP ��`� Submit 2 sale of plans with any of the above. �i ?, r4=, The above are not applicable to temporary construction service, Suite/bldg./apt. no.: Project name. j y'l'l�s: " a '�1 "? q a q ` t'1 MC_� - CIO/ :. t ..� (7 J . QW . 3 t t ltt'3a µr • • Cross street/directions to job site: D.19710., Q�. Bow Taud New residential single- or multi- family dwelling unit. Includes attached garage. r 1,000 aQ• tt, or less 145.13 Subdivision: l D � J _ Ea. add 1 500 s !� ` .., Lot no.: ` q. $. or portion 33.49 Tax map/parcel no.: y� Limited energy, residential 75.00 �ry , f �k�v��1 '�: L ��'NtG.i r. 0 �4 ��� '^'':9�'i ww�y LimiEClf 15, 061 S"d,> aB r .„,;1 <y.rd�,, +•s `, °,>i �. ' 7Fik @, `y �J+ Eachmanufaeturedo 75.00 ,`/ __ c e L dwelling, service and/or feeder . 90.90 i d Services or f (Jot k feeders installation. alteration, and/or ( : relocation nr:I , 200 amps or less 8030 1 t�. . °I?.7..1��i�.A E Nn F' cS++ M "r� y Yl s l y a� X�� ��"� �4 "� °' y Y r 2l)1 amps 10 i �r.:ura u x,!�y�' r ti t r te p 400 amps 146.85 Name: 401 amps to 600 amps 160.60 _ 60l amps to 1,000 amps 240.60 Address: Over 1,000 amps or volts 454.65 City /State /ZIP: Recwmet t on 66.85 Temporary services or feeders installation, alteration,, and/or Phone: ( ) Fax: ( ) relocation Owner installation: This installation is being made on property that I own which is not 200 amps or less 66 85 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 201 amps to 400 amp 1 . signature: Date: 401 amps to 600 amps Owner ature !33.75 10030 A F k �?St 1 uL •r K �,�, Branch circuits new, alteration, or oattenslun, p er panel CS �'e "f �k � �v� l t�f,;� a'+rwoJ �41 t� sett " s' A. Fe �LL EP11. �' , . t. far branch circuits w"h Business name; service or feeder fees, each branch circuit 6.65 Contact name' B. Fee for branch circuits Address: without service or feeder fee, — each branch circuit 46.$5 Each add 1 branch circuit 6.65 City/State/ZIP: Miscellaneous (service or feeder net included) Phone: ( ) Fax: ; ( Pump or irrigation circle 53.40 Sign or outline lighting 5140 mail ?f, #h i° '#xk��r� t +r Af •S " J yt�, `/ y+�y.., Signal ci — : `t,..3.r IT , r •tu , j 1 �', u (` t , ',�T �� , Ya. • s lie r a er !uni or /� Mr} �::i.r 1 q T r. ai 3 S r�„ t'd�i ' "� `k "�tl- energy panel, alteration, or Business name: al ) 1 . r . . extension. Describe: tr _ "Y ^� Page 2 Address: -F C 1 t; C S i - Each additional inspection over allowable In an of the above 0 City/State/ZIP: : Per inspection 62.50 Mil -��, , C c.. ( -� Investigation per ( 1 Phone: x7(.9 . ?i,. ,) ^Sy ti d hour 1 hr min 62.50 T 1 j ^ Fax: ( , ) ' ' �� }^ �` Industrial plant per hour 73. 75 CCB Lie.: (. S (4,, Electrical `� : r rti'ht Q {1� 4 .Q �Niir p }:i ;r � ""t n a ( f �() Lic��t,. Film, (- Suprv. Lia: Id.N. L(...,: �,.... t,tira �:;; y � �'�,.•��, - - �r� ���t', � Suprv. Electrician signature, 11 Subtotal gesture required:, 414{ -, Plan review (25% permit fee) Print name: t. �. �� - r Date: C State surcharge (8% of permit the) Authorized signature: r s / - Print name: , TOTAL PERMIT PEE r O. This per salt ap p t icattoa ex t r's it s � p a "rant is notobtatoed within 180 �' `� f� . ■ n , Date: `7 days after It has been accepted as complete • F oe methodology set by Tri- County Building Industry Service soiled "a Number of inspections oer permit allowed, CITY OF TIGARD BUILDING DIVISION #: ELR2005 00264 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: • Phone: (503) 639 -4171 " j ll Inspection Requests (24 Hrs.): (503) 639 -4175 : . : _...W INSPECTION WORKSHEET FOR DATE: 9/29/2005 TIME: 7:08AM PAGE: 72 SITE ADDRESS: 14998 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: SUMMIT RIDGE LOT #: 041 LOT OF USE: PROJECT NAME: SUMMIT RIDGE DESCRIPTION: Security, audio. OWNER: PHONE #: CONTRACTOR: DON MORISSEI 1L COMMUNITIES LLC PHONE #: 503-387-7538 QUADRANT SECURITY INC 503- 234.5558 Inspection Request Scheduled For: Date: 9/29/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 016982 -0 503.234 -5558 N Corrections /Comments /Instructions: r. ' . , A , i ,""' , (._, IN PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: q _ " 65 ' . - p Da te. Phone #: (503) 718