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Permit I,, .., ..: Ph . CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT ' COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00307 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/2/2007 PARCEL: 2 S 109AC - W R02 7 SITE ADDRESS: 13168 SW NICOLE LN ZONING: R -7 SUBDIVISION: WILSON RIDGE NO. 2 LOT: 027 JURISDICTION: TIG PROJECT: WILSON RIDGE NO. 2 Project Description: New SF low voltage for security and 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: STONE BRIDGE HOMES NW LLC GENESIS HOME TECHNOLOGIES 16869 SW 65TH AVE #505 9450 SW GEMINI DR LAKE OSWEGO, OR 97035 BEAVERTON, OR 97008 Phone: 503- 387 -7577 ; Contact #: PRI 503- 643 -1704 FAX 503- 643 -3300 FEES Reg #: ELE 26- 989CLE LIC 128098 Description Date Amount [ELPRMT] ELR Permit 8/2/2007 $75.00 [TAX] 8% State Surcha 8/2/2007 $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 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 • -stions to OUNC at 5e . - 46.6699 or 1.800.332.2344. 4eiC Issued By: _/j , j / `/ // 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. Ruh 01 2007 1:41PM GENESIS HOME TECHNOLOGIES 5036433300 p.1 e+iw:t C81 Permit ADDlCatlon ii 1 is 11' i' I t I I, ' i• ) NI ti City of Tigard t '• ' -�° D; e : ©D L. Pewit No.: • 2a� ■ 1312.5 SW Hall Blvd., 75g�Ria9�2� � -a � � - plea Raciea ,, ��y Phone: 503.639.4171 Pat: 503.398.1960 Date/BV; OOwrPemriL 24;i - ,v / j Inspecdtm Line: 503.6394175 „ DateReady /By: r ®gee !Page 2 for �: �' IntetneL www.tlgard- or.gav [ ) 1 LUU I • Not Isd/Mclbod; I ( O + &rpplamantal Infbr'mttlon -•. a � - �'+j . ^�. .�r�. . i.��.;i �' � _ �r.ea�.<< r ....:.;�A...,.__ ._.r:�ro.'.It , : ) . 1'I New eonstr ictIon ❑ Addi o p _ AA ploaae check all that apply (atbmit lots of ptuu w /lt.nu checked below): '' i �1 ©1 �� service or reader 400 crape armor Cl 8sildita over three ttwdet. ❑ Demolition ❑ �lfQ�✓ �� - � wbars the available resit cusses O Merin® sad b�yarde. tE�f; o a.' at ` .-`� J i' t ` f � ..," �' ,r t s' �.�,c�• ! { i , . axraem 10400 amps at 150 volte m Q Hooting baildiaye. 7 tlrsz yy n?_ ers�•.:. .v� �')r.4.,.,.. ._�.':� °- --._.. L 5. �,m at to ouatl,orescaedat6,00o CCoian rcla1-u66agrltulhVal )'1 1 - and 2- Family dwelling ❑ Comrnerelal /induslnal ❑ Accessory building amps for all other ioatdladone. building.. ❑ Multi Pan dl ❑ Master builder ❑ Other ❑ !tee pump. Cl lnetelletioe of 75 KVA or 'w " `yR� r'' Y r G Y , ;" . ; .4 r :n �- 0 Emergency ayat n. larger aeparatay derived eyasm ; r nr . ❑ Addltloa of aew motor load of ❑ r. ., , -2 „ ., 3 ,. • 100HP or morn. �P�Y• Job IIo.: J o b site addre , , S • , _ , , ❑ six or more rvaidedial ants ❑ Hecreatlotal vehicle parka. Ci ty/StaterZlP: r ❑ tioilth case (acidtiea. Cl Supply voltage for mine than � - ❑ Hstordoua looatlans 600 volts eaminal. Sulte/bldgJapt.no.: Project name; ❑Swvkeor6eedcr600' W"Die Cross street/directions site: n : :en ____ _ . C' , ? ,> E New reeldantlal single. er multi -family dwelling unit. Includes attached garage. Subdivision: Lt) i r.1 ! � Lot no.: 1,000sq, ft. orleoa 145.15 4 Ea odd' l 300 sq. ft. or pastton 3340 1 Tax map/parcel no • ' I$ 2 1 { t r Limixd enetpy, residential ol� S i'•= 73130 2 } � p 5 @ s ', � 3�,� -� � '^� � �,g± Whh BhaVe ail. ft]f Yfe`�, )()f�.L' R�.,.dTi� �.�m �� ,. }�)u:i a.c.. T.Y,'.aM:i......�c.. e... �..� ,� w�?�� -+,. �.. :�)..�:� ,: —:L�' �� C Limited energy, mold- family 75 00 2 �� r roaidenpal (wib, above eq. ft.) Services or feeders h ealalladnn ca i alteratlon, and/or relotion i v i . 200 atttps or less 80,30 2 r.:. ^..r °.. ��_.... iii.,:,± r. �e., ,.cv- T '.'"....r..ltn£,r.�` }.1. rm .._�f1,...� '!3. ..tiilrUrt�.t_.'..�i 201sagsato400amp6 106.63 2 401 snipe to 600 amps _ 16(1.60 r 2 r . „ i - r 601 eagts to 1,000 strips 240,60 _ 2 Address: r d _ ® Over 1,000 amps or volts 45465 2 City /StatefZIP: d _ . l Tea J , _. Te mporary services ot•feederd Installation, altaradon, and!or Phone: ( D3) - — Fax: (91)3) ,3 7 - - : 200 amps or less T 66.83 1 Owner Installatinni This installation is being trade on property that I own which is not 201 amps to 400 arnpa 10034 2 intended for sale, lease, rem, or exchange, according to ORS 447.449, 670, and 701, 401 amps to 399 amps 133.75 2 Owners tllrC: Date: Branch circuits - new. alteration, or eatelston, der pane! A. Fee for branch circuits with ' ].S ,r or -V�, �ti -•� 3:) .+FTP dr { a �'}i - �" .w � . `-n` t ' � + `4 -��+ T� ri i < ` { aboveeeMcefeederfee, T �'ri, F: ;v,.r.f _2 c ...., . �,. i..... a., �1 ,�, ,} s.�F...)r ._ r. • _., C, _�sY 645 2 each branch circuit Business name: B. Fee for branch circuits Confect name: without service or feeder fee, 46 85 2 Pint branch.Cirtuit Address; Each add'! branch circuit 6.65 2 Miscellaneous (service or feeder not Induded) City/State/ZIP: Bach manufactured or modular 90.90 2 dwelling, service and/or feeder Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 �> Pump or irrigation circle 53.40 2 ____ , a' --T. s... ,. r ;� , y � • . Sign Or outline Ii ng 53.40 2 .. �. L�:. r�7: ►�..:f..r...ii ..�i�:h .�r• ..,. ..._....nt„f�:,' --} _....... .. - m®r�•rr d.....1. _. .. -.... Huainoaa name: Signal circuit(s) or limited - energy panel, alteration, or Address eztanaion• Describe: / Pagc 2 / 2 City /State/ZIP: Each additional tosuedlon over allowable io am' of the above Per inspection 6230 Phone_(_ -) _- Fax ( ) - - - Invesdgatian per hats (t lv min) 6230 CCH GENESIS HOME TECHNOLOGIES Industrial .lent... hour 73 8450 SW Gemini Drive Beaverton, OR 97008 � ...,. {.. tr Suer Phn- 503443-1 704 Fax- 503 -643 -3300 f Subt otal : ' D Print `.» COB 128088, CLF28 -869, �' Plan review 2546 of permit 2885 -JLE . _ State swoharae (e% of perrrut fee): 4. and Aunt. TOTAL PERMIT FEE: DD Thin permit application explree If a permit Ia not obtained within 180 Print name: ,_ : ` _ Q Date' j C days after (tine been aneepted as eoenplate. e Number of Inspections allowed pet peamit. L1B,u4aatWetmlvlBLC- lmMnp IGu 0i/J 440.461pr(t IW`OMIWEB CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2007 -00307 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/2/2007 Phone: (503) 639 -4171 4ii ,-,.;i l i Inspection Requests (24 Hrs.): (503) 639 -4175 L. INSPECTION WORKSHEET FOR DATE: 8/7 /2007 TIME: 7:03AM PAGE: 58 SITE ADDRESS: 13168 SW NICOLE LN CLASS OF WORK: SUBDIVISION: WILSON RIDGE NO. 2 LOT #: 027 TYPE OF USE: PROJECT NAME: WILSON RIDGE NO. 2 DESCRIPTION: New SF low voltage for security and audio. OWNER: STONE BRIDGE HOMES NW LLC, PHONE #: 503 -387 -7577 CONTRACTOR: GENESIS HOME TECHNOLOGIES PHONE #: 503- 643 -1704 Inspection Request Scheduled For: Date: 8/7 /2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 053497 -01 503 -643 -1704 N Corrections/Comments/Instructions: LI �� a PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CA L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • Inspector: Date: 07 Phone #: (503) 718 -