Permit CITY OF TIGARD
ELECTRICAL RESTRICTED ENERGY PERMIT
DEVELOPMENT SERVICES PERMIT #: ELR2005 -00099
' X111 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 4/27/2005
PARCEL: 2 S 109 DA -04500
SITE ADDRESS: 15412 SW GREENFIELD DR ZONING: R -7
SUBDIVISION: SUMMIT RIDGE LOT: 022 JURISDICTION: TIG
Project Description: All encompassing low voltage. Job No. J3485
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 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 1211JLE
LIC 96806
FEES ELE 26- 565CLE
Description Date Amount REQUIRED ITEMS AND REPORTS
[ELPRMT] ELR Permit 4/27/2005 $75.00
[TAX] 8% State Surcharl 4/27/2005 $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 fo : r -- .dopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010
throur OAR 952 -00 -11 e:. +u may obtain copies of these rules or dir goon tions to OU► C . .03 -24. 6699.
Issu: d By: I► J11 / Permittee SignatrC d t o / .1 WF --- _
OWNER INSTALLATION ONLY I
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' Ge I '�`' 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.
Cr tea -(-60( P, I ji3/) I,,t.
City o R eceived
13125 o f Tigard Hall Blvd., Tigard, t G E I V'E ® y: girls- x./.�J Permit No,: �� , �, , _
Phone: 503.639.4171 Fax: 503598.1960 6•aam;)u hl " ,s ; , DatclBy: Other Permit! :,i, aannview
Inspection Line: 503.639,4175 APR 7 2005 Ks , � �.. �
/ 2 Dnw'ttauly/By; . Sna Pape 2 for
Internet: www.ci.tigs.rd.or.us .J Notified/Method:
Supplemental information
,� . ' . .7/ ' s ry
". " 11 i ■ ' •' ' �;♦c l ,. ' ", :. ' i ' '.' i F Ir ' . t. :1.'4' : - : = r,. , 16' , 7• . , Jff�'�9�`�j " Fg .A �,, w ms: •ter
_ _ 1 1.,:',1 1 i , .. . rt .mi, -•li' ' , : :1, ; . �: :; 1 a ? .�..� T���. to I� o lur3 p P
• New construction " ' ' ',. • ' Ite 1V replacement w 1
B U i Please check all that apply,
9 Demolition ❑ Other: ❑ over 225
: k Service v amps, cumin I ❑Fluzardous location
;,S i( "r H„ �'-: '+ ;, � ? +' ' �}� ; G �. .l C7Service over 320 amps — r
. r:_rOW,, ;;11~ iM'iP c,.1 "– :..-: "1 � ik 2:'� r • - w '. ' is p sting I] or more over 10 rePsid sq. 6
;
• � ° �; r -• rn•.�/'+,- =' ��sete,., n:�':W.�'a of 1- and 2-family dwellings A� or morn new tresidcnds!
i:: - and 2- family dwelling ❑ ComMercial/itidustrial ❑ Accessory building °System over 600 volts nominal units in one structure
❑ Building over three stories ['Feeders, 400 amps or mot
0 Multifamily ❑ Master builder 0 Other:
❑O
�''�' ' ccupant load over 99 ❑Manutuct
: .:,,.,A[ 4. " ig . : K 7 4 t,,, r `' - :-r., • ,, persons uteri strutter
i,......":' '''+rEt ? :. Ltl� o . I '�;!r.";w;:::�• 'If�'•aM:;i;::'�.. OS C
�t� . �° �„•`• i,-:-:. 1• �.:- i.�:;,:'.h ❑igress/lightingplsn RV park
Job no.:� 0 Job site address; I a — 1 • c. . 1 (]Health -cart facility ❑Other
CityfState/Z1P: ` Submit 2 acts of plena with any of the above.
lift
` .g.. 1 i. The above are not applicable to temporary construction servi
Suite/bldgiapt. no.. Pro eta ",; 1 - w1'i•" w° �.
J flume: ,- . - , .. ;� + s c 0 : r.: ,. j• F t
S I / . .don Qty. FIN. tell
Cross street/directions to job site: Now residential single urinulti- family dwelling unit.
Includes attached garage.
----. 1,000 sq. R- or less 145.15
Subdivision: •Yr 1� Ea. add 1 500 s
I \1( � „ � Lot no.: �. _ — q- ft. or portion 33.AU
Tax rti&p /parcel no.: s E Limited energy, residontial M 75. 00 '�
?o0' ;rr�rl . �:,., ; pl ' 1 rti :. �''� :o' .� 1'x`4` ",tip •,_ ,:.. „ ,,,..,,r. ,: a° v Limited energy! non- residential 75.00 r
t " `' ; °� : i ` "il • • Each manufactured or modular
i mot,
1 �� ' C ( � I I e) dwelling, service and/or feeder 90,90
�` ` �v' Services or feeders installation, alteration, and/or relocation
`7 ... 200 amps or less 80.30
.t rvo; mm i ,:, , . �,..,. a s o400 a 106-
. ;r ° '•7t6:.a' , � , p p ►; "�.i'a�r ;� ,�iLH ti+• � •J tt.�. Y � ' ��,; �'r r71 � 201 amp t mp3 85
Name; 40] amps to 600 amps _ 160.60
601 amps to 1,000 amps 240.60
Address: Over 1,000 amps. or volts _ 454.65
City /State/ZIP: Reconnect only 66.85 —`
Temporary services or feeders installation, alteration, and/or
Phone: ( ) Fa ( ) relocadun
Owner installation: This installation is being ade on property _ 200 amps or legs 66,85
intended for sale, lease, rent, or exchange, according to ORS 7, 44 670, d 701. ot 201 amps t o 400 a 100.30
Owner signature; 401 amps to 600 amps 133.75
Date:
i �' "`� �t rya _ , Branch circuits teratlon or
'0 e.,.,,4 1: ,l.;,y - , •,, fig :,,,,, k [ netv,'?tI extension, per panel
. . , t �'�'t ';• r A. Fee For slant h circuits "at
Business name; service or feeder fee, each 6.65
branch circuit
Contact name: B. Fcc for branch circuity
wig/lour service or feeder fee,
Address: each branch circuit 46.85
City /State /Zip: Each add 1 branch circuit 6.65
Mlseellaoeout (s.erviee or feeder not included)
Phone: ( ) "
Fax; ( ) Pump or irrigation tittle I 53.40
.8-mall:
or outline lighting l i
j 53.40
ry s t5 t , si r ,a ja Iva. 7' ' (+ u, 'I!' rai''u ;3 r" x ti Signal circuit(s) or limited -
sea ::Ya11' tnergypattt:l, alteration, or
�r �-- • .1 r 1 . ` > ,; extension, Describe: Page 2
Business name:
3 i l L5( 1 "�
Each additional Inspection over allowable in a
Address: -�-' � ° ��: ;r� ;9 ( �..' _rty of the above
City /Stole /zll�: Per impaction
D, c -7 Cam( 62.50
Phonc;(r .�} � __ •�� _ lnvo sti garion per hour(lhr,sin) 62.50
cXx' L- r
CCB �� `^'�•~� : 3t J. ` �`��, - : �� Industrial la � n p} t 1 p hour 73 -75
.
>ric,: C �� '7 Electrical Y 1C_: " ( c •:r .17gekl t,_t 4, 7 i 1 tv : r t , ,1 r .
1't , Su prv. Li c. :lc� t ;', 'r . 11; su
L 171 t
subtotal . •
Suprv, Electrician signature, required: 1 ry6
/ Plan review (25% of permit fee)
nt name: , , +Data: `, J � ��
• Pri State surcharge (8% of permit tae)
�lL. v I a
Authorised signature: t r (, , TOTAL PERMIT FEE ,
. , , ii..[ This permit applltrUen expfrni If a ilcrinit to net obtained within 181)
Print name: days Miter it bag bee„ accepted as complete
1 ` Date: MANI • Foe methodolo ac
(;J` by Tri- County Building Industry Servlun Board
'• Number of lesnections am =null allowed.
Z0 39Vd SWaLSAS 1Ntiaa flO ZZEZ9EZE0S SS:ZZ S00Z /LZ /t0
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2005 -00099
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2712005
Phone: (503) 639 -4171 i
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/7/2005 TIME: 7:10AM PAGE: 76
SITE ADDRESS: 15412 SW GREENFIELD DR CLASS OF WORK:
SUBDIVISION: SUMMIT RIDGE LOT #: 022 TYPE OF USE:
PROJECT NAME: SUMMIT RIDGE
DESCRIPTION: All encompassing low voltage. Job No. J3485
OWNER: DON MORISSE I I E COMMUNITIES LLC, PHONE #: 503 -387 -7538
CONTRACTOR: QUADRANT SECURITY INC PHONE #: 503 -234 -5558
Inspection Request Scheduled For: Date: 7/7/2005 Pour Time:
Code # nspectio ■ : cription Confirm # Contact # Message
199 Electrical f inal 010319.0 503- 209 -4837 N
Corrections /C • •• - • • - ctions:
fr\X
•
V _
,S PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
• ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 6' t V'a Date: -9 . Q Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2005.00099
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/27/2005
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/5/2005 TIME: 7:12AM PAGE: 2
SITE ADDRESS: 16412 SW GREENFIELD DR CLASS OF WORK:
SUBDIVISION: SUMMIT RIDGE LOT #: 022 TYPE OF USE:
PROJECT NAME: SUMMIT RIDGE
DESCRIPTION:. All encompassing low voltage. Job No. J3486
OWNER: DON MORISSETTE COMMUNITIES LLC, PHONE #: 503- 387 -7638
CONTRACTOR: QUADRANT SECURITY INC PHONE #: 503 - 234 -5658
Inspection Request Scheduled For: Date: 7/512006 Pour Time:
Code # Inspection Description Confirm # Contact # Messa e
, I
199 Electrical final 010752 -01 603- 209 -4837
V
Corrections /Comments /Instructions:
was
Ste. F A� L
14Ec) L- 5
-4 ‘NctsT
- -V 2 N p e.
'∎s ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N L Date: Phone #: (503) 718-
r
i / `
- CirTY OF TIGARD
1
BUILDING DIVISION PERMIT #: ELR2005 -00099
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/27/2005
Phone: (503) 639 -4171 � � "��'�P�y�iigpl 1I
Inspection Requests (24 Hrs.): (503) 639 -4175 _J.& ' " `:_L
INSPECTION WORKSHEET FOR DATE: 6/29/2005 TIME: 7:08AM PAGE: 80
SITE ADDRESS: 15412 SW GREENFIELD DR CLASS OF WORK:
SUBDIVISION: SUMMIT RIDGE LOT #: 022 TYPE OF USE:
PROJECT NAME: SUMMIT RIDGE
DESCRIPTION: All encompassing low voltage. Job No. J3485
OWNER: DON MORISSE! I E COMMUNITIES LLC, PHONE #: 503 - 387 -75538
CONTRACTOR: QUADRANT SECURITY INC PHONE #: 503 -234 -5558
Inspection Request Scheduled For: Date: 6129/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 010389-01 503.234 -5558 N
Corrections /Comments /Instructions:
IRAN %■ O062. gL1.- 0 FrzAa b 00K
czp N�c t& VRAE -itAiJ v Boa- of Wl (L'€ 1-\m Al o5 c
F--ksl. + vi N11,- cL -c% V' c44L, , I.) \-,p,vt ,
v
?R°7 ''''`L'7-5 M D '
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
XFAIL IX CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: '. N Q B L Date: 61 2 (1I oE ---- Phone #: (503) 718 -
, .
CITY OF TIG
BUILDING DIVISION ' PERMIT #: ELR2005-00099
13125 SW Hall Blvd., Tigard, OR 97223 - ' • • DATE ISSUED: 4/27/2005
Phone: (503) 639-4171 .
. ,
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 5/3/2005 TIME: 7:14AM PAGE: 101
SITE ADDRESS: 15412 SW GREENFIELD DR CLASS OF WORK:
SUBDIVISION: SUMMIT RIDGE LOT #: 022 TYPE OF USE:
PROJECT NAME: SUMMIT RIDGE
DESCRIPTION: All encompassing low voltage. Job No. J3485
PHONE #:
OWNER:
DON MORISSETTE COMMUNITIES LLC, 503-387-7538
CONTRACTOR: QUADRANT SECURITY INC PHONE #: 503-234-5558
Inspection Request Scheduled For: Date: 5 Pour Time:
Code # Inspection Description Confirm # Contact # Message .
135 Low voltage 005895-01 503-234-5558 N
Corrections /Comments/ Instructions:
•
•
IE -ASS 11 APPROVAL 0 CANCEL 0 NO ACCESS
FAIL IN CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
-----
Inspector: Date: ‘s-.--- 3 OfPhone #: (503) 718-