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Permit t.; C ITY OF TI GARD ELECTRICAL RESTRICTED ENERGY PERMIT `� I DEVELOPMENT SERVICES PERMIT #: ELR2006 -00004 �- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 1/5/2006 PARCEL: 2S 109 D B -03200 SITE ADDRESS: 13126 SW HAZELCREST WAY ZONING: R -7 SUBDIVISION: SUMMIT RIDGE LOT: 070 JURISDICTION: TIG Project Description: Limited energy for vacuum system. Job No.3561 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, LLC ALL WEATHERIZATION 4230 GALEWOOD ST #100 3030 SE 59TH LAKE OSWEGO, OR 97035 HILLSBORO, OR 97123 Phone: 503- 387 -7538 Contact #: FAX 503- 649 -2680 PRI 503- 649 -6542 FEES Reg #: LIC 46969 Description Date Amount [ELPRMT] ELR Permit 1/5/2006 $75.00 [TAX] 8% State Surchart 1/5/2006 $6.00 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 f w rule -do •ted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 throug OAR 952 -0e 1 -0 I. You may obtain copies of these rules or dire stions to OUNC a 503 - 246 -6699. Issued y: ;� 7 46'_ , ..! _, ■ Permittee Signa re: ( 49._...■ 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. O1!v04/2006 14:34 FAX �CE1 !9 E® Q 001 /003 ±.lcctricgl ll'emti ADoticatiiop nnnc 97223 I'014 t,l list 1 I :.r t)\I.1 :ity of Tigard I ' G lie.1u0 t0 V 3123 SW Hall Blvd.. Ti(;ard, �Zi Dede/B : '/ a0 YemlitNo.: r hone: 503,639.4171 Fax: p ITY O 71GF+RD P nReview aspectionLine: 503.639.41751 503.598.1960 other DIU'S A '(. D " Y (�th+xPetmit: Rteinet Www ct tigard.ur.ua • BU `� I Nol le Res ��y . i 0 See Pagel for NotifNMethod ft1)'t3�`5 fl j ,e � 11 i � rt' a � { }� /� f,. Y:ti! t f<.�L�.)U1° } , 11 - Ifs r'h, i 4� h { 1 1 1 i . � 11 i ' i b li+ , ° k ;, r}1.11' •,i �. �(,/• Supplemental Information al,y.040 ! «.4 ace ti ,.)r': . 1! . i 4 t1 I i, ,J i .i a..,.:,a114 S T: ',t' T 1 l tI r , i c. ; ', } i 5. ...fv c 4k, ti i 1e 1,U A s� 14 i, tt.. , : ` < Y l f 1 , 4 t ti ' ,, 11 -1.1 1 I t i t t �; tructjon ❑ Ad dition/ r . . . s.5 i A f1� % i f l an , 1, ; yip ,5 l fe t New costs t itnatl aeetne Plane . � ! • „ ; a >s, . " . $ zt <h� ,.�rh,li,!! ' 'a • Oftlt�epl Bare eheak t apply. Demolition - [] Other, ❑Service over 225 am oomm'i `,o' r '' eel b u y z r } �,. amps, ['Hazardous location 1l ? iffy, } i �n.� ' /l t) ! 1 1'1 , ' 1 c,:. ;e a i' :,, y (rl r ;' 1) ! i 'g.'', l it l i t °` i '• ti t 4 k ti l ' rat ❑Servioe over 320 amps -rating ❑04 414g over 10,000 sq. ft., R ', + ■ !1 c' •,:, '. , 1, )''tO 1 , � 4'v' of 1- and 2 - .' i mil dwells 4 or more new residential i 1- and 2 - family dwellut :: M Commercial/glduatria1 • Accessory building 0 Systern over 600 volts nominal units In one elruolu n Multi- family ,, [] Mader • - Q Ott, ❑Buil g throe stories ❑Feeders, 400 p din over amps or more i Ka q for.: �i ; % •., �t >` ; ; ,. `",' t , i , t ❑Oacv t load over 99 none 0.l all� SA, dI {1y1J�,fla/ net'1 ;ts I t. 1 I,':',-." ' t ' n l 1 1 ! r1 ` r i Y{t pan persons El Msnuatctured atluoturoY or Q I. hrll , li:'. k )},Sct Ui4l ■at1 ❑ >;gress/t{ghtisgpian RV puk )b no.: 35G 1 y. , ,;site address: ❑Health -care headily ©Other: ' J 6 7 L i � �'� 1- Submit „7,_ sots of plane with any of the above. Sty /StateI7lP: -F I t fx �,� (3 Q The above are not applicable to temporary construction service. uitttbldg. /apt. no.: Project name: �'3 ` ?'i0 I h ? o :F "q+ t ;d + 1 ! ''u itp t� �,l';t . ;,? 5 Irk ,t�al� �ihrsll x ' ' Qty r... Total a toss s1reet/directions to jot site: 15(.4 1 /14 F e 0 New residential single- or multb t'.rtat� dwelling unit. Includes attached garage. 1,000 sq. tt, dr leas 145.15 4 abdivision: —at v - ' , Lot no.: v Ea. add'l 500 sq. ft. or portion 33.40 1 ax map/parcel'no.: I/ Limited energy, residential 75.00 / 2 tl 1t :l r! 'fi i ts t , ,diy��7;F, y �.,� r �. g -r ,11.:170,1 i it ,.1'I � ,. : ;f ' t , 1 7 ' U ,{ 1r r Limited overly, non-residential 7S.OD 2 )14, nieh Y,+,.1,. Yt a rim his •I (?h�I ∎ctlfi!A ' o f .: i I., % .. S i. .l, 1;,,,'1, tl r, fA4 �S a 1 1 r,i Each tnanutl<ctwed or modular � G/ , dwelling, service and/or tinder j 90.90 12 I Vo Services or feeler. Installation, alteration, and/urrelocation jD 6 rV lei i trirr 1. ,roP "14 1t, 200 amps of leas 80.30 2 1 ) 5,1 I i V}} t', i , "0 , ..1i , t I t ur n 1 r oi 4. ' , p � Y ' 1 , , � f TY ' 11 .e ,• " ,'S,. 9i fi F , 111 ` i/ , 1 ' 1'tl7 6 ' 2Ql tQ 4QQ amps ..t.t :.,tr, • o , i , :a•.,t t m , .. . :. l,!h ire,) t ',:c. ,,t,t spa P 106.63 2 • r1 UM: p + 401 amps to 600 amps 160.60 2 s/ 1 EMIR. 601 amps to 1,000 amps 240.60 2 : 4230 1 a CA Wbnt� �� Over 1,000 amps or volts 434.63 2 ty /StattlZlP: , a_ � .. , yr. - Reoonneat only 66.95 2 Temporary services or feeder. installation, alteration, and/or sane: C' Fax: relocation Weer [ t ratio � 1� t made ( $t 3 ) 7 7 C� ' 200 amps or less 66.85 1 tended for sal lea ng c property that I own which is not 201 amps to 400 amps 100.30 2 t:, se, rent, exchange, according to ORS 447, 449, 670, and 701. pNnOr 401 amps to 600 amps 133.73 2 Date I�i�v :' , {•1 to y n , w r . � , p ! �l t Branch circuits - new, alteration, or extension, r panel ) a ,41,k � i itj 1 r11 /tt . � �I .,,.15.t. 14 5 I .� 1. 11 1 J', -. " l f . ,, ,,.. 1 4',, ' : �' , , • ' , d 1pt i • 1' ; :; (4S' A. Pea ta b circuit with �. s•, .,,,f.1,rl.rtt1 IaitiOtie tlatiie: W� . service or feeder fee, (tech 6.65 2 o n n branch circuit Intact name: B. Pee for branch circuits , /1 ,., w /thou;• service or feeder fee, Ickes*: ? Vii° 51= �w—Q fit} 7 L_ each branch circuit 46.63 2 �, /��; �j., Each add 't branch circuit 6.65 2 I I ' ( ! / J { c, oe 1 T1 Z3 bliscellanerw (rervlee or (elder not lnclu4ed1 one: (��� 2 Fax: G ► p or irrigation circle 53.40 ' 2 Resit: �,-� i Mo I ` 1 an - A i { ��, 6 t $� Sign or ou gh i ng _ 53.40 • 2 thine li t' Mail: ,�jt jjj�,g'�t g1 Jt � , , ) r .a �i lI p Signal oircuit(s) or limited - ffiiii+}� W,`.' tie Ill iiP�ilfSJ�1 �a'a'�.� h �..,:: : r i 1 ,' /. 1 1 i1 f �. : /i', Y .Lt.} 1.t.Spf� : ,t } 1%N'�1) 1F? 11 '2. 1 `.: S:1.f t N�a �,{ en agY panel, alteration. or isisieva name; • 1 extension. Describe; pa e 2 2 .t IV • — f0 it 8 Idre9s: O ^7 garb additional inspection over allowable to an orate above /ZII': t-�' J j[� _ � G ! J 13 Per inspection 62.50 ty /State �` �LtW r InveatiQation per hour (! hr min) 62,so asp: �9 ) 6 i f 6 ? Fux: (9,S) `Oti sf Zzgo lttdurtlrial •rant et hour 73 7s 3 Lio.: �ii.. , v( . ' I' Plrtl ; F 1 e' V � 6 l Lb .: mr $, :Sf at t !tl ' ' S't' ('' ' 3 , r ) ' L` 'i : :`rt 4 ' [ t c l g Suprv. Lic.: r /,,...,. , sS�r1.. Subtotal PLY. Electrician signature, Hired: Plan review (2344, of permit fee) e nt name: Date: State stirpharge (8% of permit Me) 0 lhorizad signature; 1 - --• .. TOTAL PERMIT FR$ •a 76Y permit application a:paree are pitman La w 51A oat eeaaYd epeu 150 71t name: , T days after It lie. been emspted d complete a 6, L Date:0- r a Yee methodology pet by T .County Building Industry Service Board **Number of inseaciona tar coma allowed. CITY OF TIGARD BUILDING DIVISION PERMIT #: M S - 7 002/. 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 :V iO/'(; 1.i Phone: (503) 639 -4171 falik. Inspection Requests (24 Hrs.): (503) 639 - 4175?/ S./R/6747400a/ INSPECTION WORKSHEET FOR DATE: 411212006 TIME: 1:0 PAGE: , i SITE ADDRESS: 1 12( SW HAZEL.0 RE` T WA.r CLASS OF WORK: SUBDIVISION: SUM M;II RIDGE_ LOT #: 0 /C) TYPE OF USE: PROJECT NAME: SUMMIT RIDGE DESCRIPTION: New SF OWNER: DON M _ RIt SETTE OPMt r IIJMTIE_S, I IC., PHONE #: 603 - 387 -1'-;: 3 CONTRACTOR: DON MORIS; E_=I TE- t_:s 1MMLINITIFS L..Lc: PHONE #: iO3 87- 7'_;_,z? Inspection Request Scheduled For: Date: 4 /1?.r.'00 � Pour Time: Code # Inspection Description Confirm # ontact # Message 19 E le trig:! final 02/848 -L 503 -Ka- 3�;9 1f}� d !J >°r9 „ice a� -xs'f, Corrections/Comments/Instructions: ‘:_ . - s---- i ip, ... os _ ... it e,L .Z ©© . -_0000 -- 1 .. : : ....„._ Airy i , , --- ,.- 0 eke .7 %.. ,... (i e.- 0 , -- /0`2 YD J Ca:• a re IF ..- i 4--/__ _e • Al . ,• ,- a /7 L &/ 70 e, /2)-e/V . i/ec-ii 1 / AL c— oil/ . ,--7A74--4_. ---- 4- :A - ,. . . . z . _ r - ; - 3 c:Di Alc) ,/ u t -..-- R_thq.,Nri — /4-/c. i c f C Il PASS n PARTIAL APPROVAL ❑ CANCEL NO ACCESS 04 AIL HST"' ALL FOR INSPECTION 1 ADDITIO • L F 'S ASSESSED • Inspector: r . ' -' I ,.. ' Dat / - Phone #: (503) 71802 .-,