Permit A - CITY OF TIGARD ELECTRICALPERMIT-
RESTRICTED ENERGY
L �I�;� DEVELOPMENT H O P r S � ERV SERVICES (503) 639 -4171 DATE ISSUED: 0 -00109
ED: 5% 5/00
SITE ADDRESS: 07400 SW LANDMARK LN PARCEL: 2S112AB 00400
SUBDIVISION: ZONING: I -
BLOCK: LOT: JURISDICTION: TIG
Project Description: Install Commercial Landscape Irrigation Control.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:. X
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: 1
Owner: Contractor:
HAYTER FAMILY LIMITED PARTNERS PROGRASS LANDSCAPE SERVICES •
23643 SW STAFFORD HILLS DR 29895 SW KINSMAN RD
WEST LINN, OR 97068 WILSONVILLE, OR 97070
Phone: . Phone: 682 - 6076
Reg #: LIC 6136
FEES Required Inspections
Type By Date Amount Receipt Elect'l Service
PRMT DEB 5/15/00 $45.36 0002198 Elect) Final
PRMT DEB 5/24/00 $14.64 0002420 PAls.
5PCT DEB 5/24/00 $4.80 0002420 Total $64.80 1
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 wi hin 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requir you to folio rules adopted by the Oregon Utility Notification Center. Those rules are set for • in OAR
952- 01 -0010 through •AR 9 2 001 -00:0. You may obtain copies of these rules or direct quest. s to OUNC at (503)
246 1987.
Iss d by y "'% �% y Permittee Signature 1`j, , j//
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
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
n,
Date Requested 5 71e0/ O,M PM BLD
Location -- P-4 bb l Suite MEC
Contact Person 24 LD1 Ph C RZ— (p076 PLM
Contractor Ph Y V 7 SWR
BUILDING n ; ' Tenant/Owner ELC
Retaining Wall ELR inno--oO]O9
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab � // �i ' E (61aC11.1 SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler 1 .r a
Fire Alarm
Susp'd Ceiling
Roof .
Misc: Final
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 PA,BT FAIL
S
Service
Rough In
UG /Slab
Low Voltage
Fire 'I-
ir
PART FAIL
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__ [ I Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Opproach /Sidewalk. D C ?,/,,/.4910 Ins Inspector �i
Other p EXt
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
06/08/99 TUE 10:59 FAX 503 598 1960 CITY OF TIGARD !ri004
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by: 'TO
13125 SW HALL BLVD Date Rec'd: "?% ! - r
TIGARD OR 97223 PRINT OR TYPE
V - 503- 639 -4171 X304 Permit #: 1- 3 0 - U °I O
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
B 0--y-, i-1-z�, PYO(t.LLC,rS Restricted Energy Fee S60.00
(FOR ALL SYSTEMS)
JOB I Sreet Address Ste #
ADDRESS 1-7 Li OD S O A tt. ut L.a.
me n -e, Check Type of Work )evolved: ��,1°
I City State Zip Phone # 0 Audio and Stereo Systems �� ® ®(
- r i q cut_ O
Na Burglar Alarm � - o N
Can Sr !'Ll L14-1 E Garage Door Opener"
OWNER Mailing Address
0
e AV 1 `7 Lf o. a 3 — r1G4 S e ;�
City/State Zip Phone # 'J Heating, Ventilation and Air Conditioni ystem*
&.Lm O & C1730D- Vacuum Systems*
Name
Pro 6 r-ci -sS Lcc /idsca fe__ i?4' e) fl Other '
CQNTR4CTOE? " X - WIS s w v kt hs •
cch, R17 TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to issuance a ty /State Zio Phone # Fee for each system,....._.. $60.00
copy of all licenses U) \-1 UNn D L O_ - 910 6Rd — b07b l (SEE OAR 918 - 260 -260)
are required if Oregon Contr. Brd Lic. # Exp. Date
expired in C.O.T. Co C " -ep T E/pp Check Type of Work Involved:
data base). Electrical Contr. LIE. # Exp. Date
E Audio and Stereo Systems
C.O.T. or fv etr Lic. # Exp. Date
-4 _ n Boiler Controls
Owner's Name
0 Clock Systems
OWNER - Mailing Address
APPLICANT , 7 Data Telecommunication Installation
C City /State Zip Phone #
Fire Alarm Installation
This permit is issued under OAE 918 -320 -370. This applicant agrees to : -- 1
make only restricted energy installations (100 volt amps or less) under this l l HVAC
permit and to do the following:
0 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 asterisksr). All others need licensing; x,.,-
Landscape Irrigation Control"
2. Call for inspections when installation under tnis permit are ready for
inspection at 503- 6394175; n 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 Ti Outdoor Lardaccp, Lighting*
inspector are done, and; El Protective Signaling
5. Assume resoonsiol ity for calling for a final inspection when all of the
corrections are completed. n Other
Permits are non - transferable and non- refundable and expire if work is not
started within 180 days of issuance or if 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 required. Licenses are required for all other Installatbns
authorized to bind the applicant. •
C I-_6 S-190--r-M-U FEES: at-) C� ENTER FEES $
Signature / �
�r5%.SURCHARGE (.05 X TOTAL ABOVE) $ T �
Authority if other than Applicant TOTAL $ ( 9 , �U
ladsfs \forrrs1resele.doc 3/98
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