Permit ELECTRICAL PERMIT -
CITY TIGARD RESTRICTED ENERGY
' I DEVELOPMENT SERVICES PERMIT #: ELR2000 -00062
r' i- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 3/20/00
SITE ADDRESS: 11686 SW PACIFIC HWY PARCEL: 1S136CD -01700
SUBDIVISION: ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
Proiect Description: Install 1 Landscape Irrigation Control System
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPEIIRRIGAT: 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:
THE HOLLAND INC PROGRASS LANDSCAPE SERVICES
109 W 17TH ST 29895 SW KINSMAN RD
VANCOUVER, OR 98660 WILSONVILLE, OR 97070
Phone: Phone: 682 -6076 OR t Reg #: LIC 6136 AL
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRMT KJP 3/20/00 $60.00 0000804 Elect'l Final
5PCT KJP 3/20/00 $4.80 0000804
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 throug OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
24e -1987.
Issued by Permittee Signature ` 7 LC ._ 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 ")'t - /GL , DATE:
LICENSE NO:
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
•
06/08/99 TIE 10:59 FAX 503 598 1960 CITY OF TIGARD 0 004
- -CITY'GT TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by:
13125 SW HALL BLVD RECEIVED Date Rec'd:
TIGARD OR 97223 PRINT OR TYPE
V - 503 -639 -4171 X304 ����RR 11 g 2000 Permit #: - Gb(D�Z
F - 503 -598 -1960 INCOMPLETE OR ILLEGIBLE APPLILf41'PO1�S" Cust.Call'd:
WILL NOT BE ACCEPTED ����y py[�o T
C
Name cf Development Protect TYP &'( WQRIC I NVOLVED - RESIDENTIAL ONLY
171 nolta. bfi - P1 w `f die Restricted Energy Fee ........ _.._._ ............ - .._.. -. $60.00
(FOR ALL SYSTEMS)
JOB Street Address Ste it
ADDRESS I Mai 1" / CC.C./'F'IG cI Check Type of Work Involved:
C� /Stage i oe Zip 1 J � Phones ❑ Audio and Stereo Systems
Name `! ❑ Burglar Alarm
T. M. Can crtyu.chert
ailing ddress ❑ Garage Door Opener
OWNER
r. 0 - & a o8�-O
Ity /S a a to # (p _ •
❑ Heating, Ventilation and Air Conditioninc System`
eu -r qua_ i ►oa_ pi 3- as
Name r Vacuum Systems'
(.Qy1C SC 4 p v ( LoSClL• -P( - ZY1 G ❑ Other . •
CONTRACTOR Mating S re 1611C/wt-n, R-D- TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to Issuance a City /State Zio Phone # fog a- Fee for each system...... $60.00 .
copy of all licenses W U..40Y1u ti(, - 0R.. • 970 - )0 100'') b x• a..17 (SEE OAR 918 -260 -260)
are required if Oregon Contr. Brd,,LL�c. # Date
expired in C.O.T. lD 13 g I aavrt Check Type of Work Involved:
data base). Electrical Contr. Lie. # Exp. Date
❑ Audio and Stereo Systems
C.O.T. or Metro L,Ig } p Date ri (yU 2f( Boiler Controls
Owner's Name
❑ Clock Systems
OWNER - Mating 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 -
make only restricted energy Installations (100 volt amps or less) under this ❑ HVAC
permit and to do the following: ❑
Instrumentation
1. Only use electrical iicensed 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;
!al Landscape Irrigation Control*
2. Call for inspections when installation under this permit are ready for
Inspection at 603- 6394176; ❑ Medical •
3. Purchase separate permits for all installations that are not ready for an El Nurse Calls
inspection when the inspector is cut to inspect under this permit:
4. Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Ligh-ing•
inspector are done, and: 0 Protective Signaling
5. Assume responsibility for calling for a final inspection when all of the
corrections are completed. ❑ Other
Permits are non - transferable and non- refundable end 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 ere required. Licenses are required ror all other Installations
authorized to bind the applicant. •
g FEES:
P ,
0J
Signature ENTER FEES $ l S v
1
6% SURCHARGE (.06 X TOTAL ABOVE) $ / i Y 6
•
Authority if other than Applicant TOTAL S / •. 2
I:dstslrorrrsvesele.doc 3 /sa
05/18/2000 Activities for Case #: ELR2000 -00062
3:27:27 PM
Assigned Hold Updated - -
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELRC001 Application Received 03/13/2000 KJP RECD No Hold KJP 03/20/2000
ELRC003 Permit Created 03/20/2000 KJP DONE No Hold KJP 03/20/2000 Delay on permit - no check sent
w /application.
ELRC725 Low Voltage Inspection No Hold KJP 03/20/2000
ELRC799 Elect'I Final 03/31/2000 CD FAIL No Hold AKJ 04/02/2000 reschedule when system is
completely finished
ELRC500 (F) Issue permit 03/20/2000 KJP DONE No Hold KJP 03/20/2000
ELRC799 Eiect'l Final 04/26/2000 CD PASS No Hold AKJ 04 /26/2000
ELRC800 Case finaled 04/26/2000 AKJ DONE No Hold AKJ 04/26/2000
•
•
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
/ BUP
Date Requested h /Z�/ 0O AM PM BLD
Location I/ (o k"LP Ir'% L 1-1 0 Suite MEC
Contact Person ff (p / Ph 601Z'(o07 PLM
Contractor P/Djatid-d Ph a' Z/ 7 SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR l a ice/ �M
-006603-
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
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
E CTRI
Service
Rough In
UG /Slab
Low Voltage
F' - Alarm
• 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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk Date •
Other Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.