Permit • CITY OF TI GARD ELECTRICAL PERMIT -
RESTRICTED ENERGY
, w�' � , DEVELOPMENT H P Tigard, ) 639 -4171 DATE PERMIT
8 23/00 0 -00195
SITE ADDRESS: 13520 SW 122ND AVE PARCEL: 2S103CB 10200
SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R -4.5
BLOCK: LOT: 060 JURISDICTION: TIG
Project Description: Installation of restricted energy for irrigation control.
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: IRRIGATION : X HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS:
Owner: Contractor:
DON MORISSETTE HOMES PROGRASS LANDSCAPE SERVICES
4230 SW GALEWOOD ST 29895 SW KINSMAN RD
SUITE 100 WILSONVILLE, OR 97070
LAKE OSWEGO, OR 97035
Phone: 503 - 387 -7538 Phone: 682 -6076
Reg #: LIC 6136
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRMT DEB 8/18/00 $60.00 0004585 Elect'I Final
5PCT DEB 8/18/00 $4.80 0004585
Total $64.80
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 -00 0_tbrough OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -198. flkeZ,./rNk P e rmittee Si nature � p Issued b , l�t g /y1 Lp_e_t 110
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 639 -4175 by 7:00 P.M. for an inspection needed the next business day
06'08/99 TUE 10:59 FAX 503 598 1960 CITY OF TIGARD �I,, :004
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATIO 1 Recd b ' ) a /
13125 SW HALL BLVD ''� Date Recd: , - r • -46
TIGARD OR 97223 PRINT OR TYPE
WIC � i
V - 503 -639 -4171 X304 4'/ _ Permit #: Ef�2 —66 �7 3
F - 503- 598 -1960 INCOMPLETE OR ILLEGIBLE APPLICATIONS ,,_ / Cust.Call'd:
WILL NOT BE ACCEPTED
Name cf Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
Restricted Energy Fee....... _..... $60.00
CO_ LL � F I CL,c j� 0 it 01,, L6 T ( 0 (FOR ALL SYSTEMS)
Sreet Address Ste
ADDRESS
JOB l 3 S Q- C) St� I O� ,/Id /4-t*e., Check Type of Work Involved: REWVE°
City/State Zip Phones E Audio and Stereo Systems
*rig a 1 a oil 'r - i _ AUG 1 g 200®
Na e 0 Burglar Alarm
D oYi 61 CY i S S e-� 1 - urn e4 DEVELOPMENT
OWNER
dress
iii
E Garage Door Opener' CUMMUN
� at d jCJ GQj' 170GD Lail E Heating, Ventilation and Air Conditioning System*
City /State Zip Phone*
LaKc L'ctLc' c9 6 3 y - 16 L. , - 614,6 - cc 0 Vacuum Systems"
Name .
L P 6 Ki.s& L uncl_c;cx e_ V Other t(t->?a.ScCci L jCiy) &tc)1/7z /lot
CONTRACTOR Mailing.Ac ress
r)-!./ V t x'11 kir►c mciti rep TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to issuance a City( /State Zio Phone # Fee for each system........... .......... ......................... $60.00
copy of all licenses W 11 X 01 0 , 0 C-- PI e on ?L to $ a -(,O ; t (SEE OAR 918- 260.260)
are required if Oregon Contr. Brd Lic. # Date a 1 il
expired in C.O.T. L 131 $13 j (x000 Check Type of Work Involved:
data base). Electrical Contr. Lic. # Exp. Date
C Audio and Stereo Systems
C.O.T. or Metro Lic. # Exp. Date
IT Boilar Controls
Owner's Name
E Clock Systems
OWNER - Mailing Address
APPLICANT 7 Data Telecommunication Installation .
City /State Zip Phone # E Fire Alarm Installation
This permit is issued under OAE 916 -32C -370. This applicant agrees to I I HVAC
make only restricted energy Installations (100 volt amps or less) under this
permit and to do tie following: O
Instrumentation
1. Only use electrical licensed persons to do Installations where required.
Certain residential and other transactions are exempt from licensing. 0 Intercom and Paging Systems
These have asterisks('). All others need licensing:
0 Landscape Irrgation Control'
2. Call for inspections when installation t.nder tnis permit are ready for
inspection at 503 - 6394175; n Medical
3. Purchase separate permits for all installations that are not ready for an E Nurse Calls
inspection when the inspector is out to inspect under this permit;
4. Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting*
inspector are done, and;
Protective Signaling
5. Assume resoonsici dy for calling for a final inspection when all of the
corrections are completed. 0 Other
Permits are non- transferab.e and non- refundable and expire if work is not
started within 160 days of issuance or :f work is suspended for 180 days. Number of Systems
The person signing for this permit must be the applicant or a person ' No licenses are - equired. licenses are required for all other Iraallatons
authorized to bind the atop' nt. •
.\ c_.) ` C-- FEES:
ENTER FEES S (e0
Signature a'' L.�
\ 5: . SURCHARGE (.05 X TOTAL ABOVE) $ `
cti
Authority if other than Applicant TOTAL $ L� L/
I :'•os;s\ro-rrslreseie. do_ 3158
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested - / 3 AM PM BLD
Location / 3 J 3 (✓ /Z Suite MEC
Contact Person Ph rr4z--- 6o 76 PLM
Contractor Ph P � 2- / 7 SWR
BUILDING Tenant/Owner ELC /�
Retaining Wall ELR UV GU� 7 S
Footing Access:
Foundation FPS
Ftg Drain `- /! / SGN
Crawl Drain Inspection Notes: /
Slab 1 f (. � ,14 o ../ SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
4
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
RICAL
Service
Rough In
UG /Slab
olta
Fire Alarm
sC7 S ART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ] Please call for rei pection RE: Unable to inspect - no access
Fire Supply Line
ADA
Approach/Sidewalk
Other D Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
BUP - Building Permit ELC - Electrical Permit '
4 Inspection Description Date Passed By 4 Inspection Description Date Passed By
Footing /Setback Underground cover
Foundation walls Wall cover
Footing drain Ceiling cover
Waterproof bsmt walls Electrical rough -in
Slab Electrical service
Crawl drain Electrical final — ( 3.. o o OC
Underfloor insulation
Post/beam structural
Shear walls /anchors ELR - Restricted Energy Permit
Roof nailing J Inspection Description Date Passed By
Firewall Low voltage
Tilt -up panel Electrical final
Masonry /Reinforcement
Framing
MFG - Structure set -up MEC - Mechanical Permit
Insulation
Drywall nailing 4 Inspection Description Date Passed By
Post/beam mechanical
Suspended ceiling Gas line
•
Engineered soils Mechanical rough -in
Welding Lab Final Fire damper
Concrete Lab Final Duct work
Bolting Lab Final Smoke detector
Fireproofing Lab Final Mechanical final
Structural observation
Final inspection
PLM - Plumbing Permit
4 Inspection Description Date Passed By
BUP - Fire Protection System Permit Plumbing underslab
4 Inspection Description Date Passed By Crawl drain
Sprinkler underfloor /slab Post/beam plumbing
Sprinkler rough -in Plumbing top -out
Sprinkler final RP /backflow preventer
Fire alarm final Rain drain
Storm drain
Water service
SIT - Site Permit Sanitary sewer
4 Inspection Description Date Passed By Culvert/catch basin
Footings Pump /fill septic tank
Foundation walls Plumbing final
Sprinkler supply lines
Sprinkler underfloor /slab
Catch basin /Manhole SWR - Sewer Permit
Engineered soils J Inspection Description Date Passed By
Engineering acceptance Sanitary sewer
Final inspection Final inspection
INSPECTION RECORD - BUP PLM, SWR, ELC, ELR, MEC, SIT PERMITS
CITY OF TIGARD ELECTRICAL PERMIT -
RESTRICTED ENERGY
DEVELOPMENT SERVICES PERMIT #: ELR2000 -00195
I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 08/23/2000
SITE ADDRESS: 13520 SW 122ND AVE PARCEL: 2S103C6 -10200
SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R-4.5
BLOCK: LOT: 060 JURISDICTION: TIG
Project Description: Installation of restricted energy for irrigation control.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATAITELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: UTDOOR LANDSC LITE:
OTHER: IRRIGATION : X HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS:
Owner: Contractor:
ON MORISSETTE HOMES ROGRASS LANDSCAPE SERVICES
230 SW GALEWOOD ST 9895 SW KINSMAN RD
UITE 100 ILSONVILLE, OR 97070
AKE OSWEGO, OR 97035
Phone: 503 - 387 -7538 Phone: 682 -6076
Reg #: LIC 6136
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRMT DEB 08/18/200 $60.00 0004585 Elect'I Final
5PCT DEB 08/18/200 $4.80 0004585
Total $64.80
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 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -1987.
Issued by Permittee Signature
OWNER INSTALLATION ONLY 011
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 b
SIGNATURE OF SUPR. ELEC'N DATE:
LICENSE NO:
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day