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Permit CITY OF TIGARD ELECTRICAL PERMIT - RESTRICTED ENERGY �� DEVELOPMENT SERVICES PERMIT #: ELR2000 - 00146 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 06/14/2000 SITE ADDRESS: 12810 SW 135TH AVE PARCEL: 2S104AC 13100 SUBDIVISION: PP1997 - 031 ZONING: R - BLOCK: LOT: 002 JURISDICTION: TIG Project Description: Install a landscape 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: IRRIG CONT : X HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: Owner: Contractor: SHEARER, THOMAS M + CHERIE M PROGRASS LANDSCAPE SERVICES 12810 SW 135TH AVE 29895 SW KINSMAN RD TIGARD, OR 97223 WILSONVILLE, OR 97070 Phone: Phone: 682 - 6076 Reg #: LIC 6136 FEES Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRMT GEO 06/14/200C $60.00 0002952 Elect'l Final 5PCT GEO 06/14/200C $4.80 0002952 Total $64.80 ORIGINAL 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. / / Y � Issued by 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: /1}//fr DATE: (_7e-7/ LICENSE NO: Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day 06/05(99 Tt.E 10:59 I. ..e.1 ou3 eye 1yo" " "' CITY OF TIGARD • RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by: . 13125 SW HALL BLVD Date Rec'd: TIGARD - OR 97223 PRINT OR TYPE V - 503- 639 -4171 X304 • - Permit #:re 2 -60906 F - 503- 598 -1960 INCOMPLETE OR ILLEGIBLE APPLICATIONS . Cust.Call'd: WILL NOT BE ACCEPTED . • Name of Development Protect . TYPE OF WORK INVOLVED - R Restricted Energy Fee.._. ...- ..... _. ........... ".. -..... $60.00 - (FOR ALL SYSTEMS) RECENED • JOB Street Address Ste # �� 1 �' © / 3 5 f7 Check Type of Work Involved: ADDRESS t; and Stereo y JUN 12 2000 !State Zip Phone* ❑ ereo S stems �i9 oz q 7a p EVELOP�Ery� M ITA . r ❑ Burglar Aarm UOMMUNI� r 1 Garage Door Opener OWNER fv1 t d ass _ �°r D `T=L ___I . ' - „ ❑ Heating, Ventilation and Air .Conditioning System* • . Cit !Stara - Phone, . ' , 1 ' l akek_ d � • () r ova $/ i D Vacuum Systems' Nam 71"111 V LunaS�,PC Pro6 t cLScare- other L l/ aSCC. ,c. LA.-/Le_? 7CY) G6)1h CONTRACTOR �M?gi+ 4 ress • vi & �p TYPE OF WORK INVOLVED - COMMERCIAL ONLY ?l�LJ Zio Phone # Fee for each system... ".- .......... . $60.00 (Prior to Issuance a Cig(lState • " " ""' " """' " " " -" copy cf all licenses W 1 t WW1. h C.. • Ot2 410 ?U to $d —too: lc) . (SEE OAR 918- 260 -260) are required il Oregon Contr. 3 tic. # 4p. pate all Check Type of Work Involved: expired in C.O.T. • 119 tS I 311 • data base). Electrical Contr. Llc. # Exp. Date ❑ • Audio and Stereo Systems C.O.T. or Metro Lie.. # Exp. Date - Boiler Controls Owner's Name ❑ • Clock Systems • OWNER - Mailing Address • APPLICANT . - ❑ Data Telecommunication Installation • City /State • I Zip Phone # • ❑ Fire Alarm Installation This permit is issued under OAE 918 -32C -370. This applicant agrees to - ❑ HVAC make only restricted energy Installations (100 volt amps or less) under this permit and to do the following: ❑ instrumentation . 1. Only use electrical licensed persons to do Installations where required. . - 'Certain residential and other transactions are exempt from licensing. n Intercom and Paging Systems • These have asterisks('). All others need licensing; - - • ❑ Landscape Irr;gation Control' 2. Call for inspections when installation under this permit are ready for • Inspection at 603-639-4175; El Medical 3. Purchase separate permits for all installations that are not ready for an ❑ 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 responsibility for calling for afiinal inspection when all of the • corrections are completed. - - r] Other Permits are ncn- transfereb:e and lion- refundable and expire if work is not started within 130 days of issuance or if wor'i is suspended for 180 days. Number of Systems The person signing for this permit must be the applicant or a person • No licenses are required. Licenses are required for all other installations authorized to bind the app' nt. • .---E - FEES --P FEES: c ENTER FEES S Signature \"', • r L L SURCHARGE (.05 X TOTAL ABOVE) $ Authority if other than Applicant TOTAL $ � y Cc) • i:ioatslforrr:s\resele.doc 3/98 • • • CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 - BUP Date Requested VYla � v AM PM BLD Location (2 U ( 4 ' (, / ' Suite MEC Contact Person 1:-.a67 ,/ 2 �/ t Ph �r � - 6 6 -2(0 PLM %� u/ Contractor Ph }L 2/9 SWR BUILDING Tenant/Owner ELC Retaining Wall ELR j OG " ,o0' /L(z Footing Access: Foundation FPS Ftg Drain - SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler = li.I _ _ Fire Alarm Susp'd Ceiling Roof 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 FAIL � ELECTRICAL e Rough In UG /Slab Low Voltage Fire Alarm PART FAIL Backfill /Grading Sanitary Sewer Storm Drain [ I Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call f reinspection RE: [ ] Unable to inspect - no access ADA Other oach /Sidewalk Date eel D V r Inspector � Ext Final PASS PART FAIL D NOT EMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested /36 AM PM BLD Location / DgIO /(1.4 Suite MEC Contact Person �' /&- Ph 6 6 d 7 PLM c ;__e3c0 dv..11S Contractor Ph X a- l SWR BUILDING Tenant/Owner • ELC Retaining Wall " ELR 3LC) 00 // Footing Foundation t FPS Ftg Drain l `^ = 3 m SGN Crawl Drain Inspection No es: C ,Q Slab ` t/ SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service 6 Sanitary Sewer Rai a ' rains i 1 • PART FAIL HANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage rm •ASS PART 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 Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Date / y /J Inspector Other t EXtG�'" Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.