Permit • f CITY OF TIGARD ELECTRICAL PERMIT -
RESTRICTED ENERGY
w l y ' ; DEVELOPMENT SERVICES PERMIT #: ELR2000 -00112
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/18/00
SITE ADDRESS: 12165 SW QUAIL CREEK LN PARCEL: 2S103CB -10900
SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R -4.5
BLOCK: LOT: 067 JURISDICTION: TIG
Project Description: Installation of timer for irrigation system.
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 INC PROGRASS LANDSCAPE SERVICES
4230 SW GALEWOOD 29895 SW KINSMAN RD
LAKE OSWEGO, OR 97035 WILSONVILLE, OR 97070
Phone: Phone: 682 -6076
Reg #: LIC 6136
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRMT DEB 5/18/00 $60.00 0002273 Elect'I Final
5PCT DEB 5/18/00 $4.80 0002273
Total $64.80 c)\ �
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 • % S , rough OAR 952 - 001 -0080. You may obtain copies of these rules or direc questio to OUNC at (503)
246 -19: .
Issued - ,�yy ' 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 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 Iiti00.1
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd b '
131,25 SW HALL BLVD Date Recd: S- /5 =/0d
TIGARD OR 97223 PRINT OR TYPE
V - 503 -639 -4171 X304 �� Permit #: �L� _ _ / /9-
F - 503 598 - 1960 INCOMPLETE OR ILLEGIBLE APPLICATIO 1 Cust.Call'd:
WILL NOT BE ACCEPTED •
Name cf Development Project TYPE OF WORK INVOLVED - RESIDENTIALONLY1
LOT Ill Restricted Energy Fee........ _ ............ ...._.. -. $60.00 ./
C)).kC(.,L� &ink) (FOR ALL SYSTEMS)
JOB D
5Z•eet Address Ste t€ RECEIVED
ADDRESS ID S S L J Quake crce, . (..o_/u- Check Type of Wcrk Involved:
- Ci1 /Stat G � 0 2 Zip Phone* ❑ Audio and Stereo Systems
MAY 15 2000
Name . ❑ Burglar Alarm
V6 Y1 /ha r S S ic. if orn cS COMMUNITY DEVELOPMENT
OWNER ryt� iii Address ❑ Garage Door Opener" ate Ity /State Zip pha ., Heating, Ventilation and Air Conditioning System' . . . .
• CQ- GctUG90 I97 63 q ? 90 - # G'{p� ❑ Vacuum Systems'
Name f -
Lun PM r0 ( f'IL� l�U -FILLS ca V Other L aSCC¢QG �1C)MOY) a //c
CONTRACTOR Vire , k A '-D TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to Issuance a Citx/State 1 Zio - Phone # Fee for each system $60.00
copy of all licenses W II �SSf Unit C. 1 41010 t - (vo i (D (SEE OAR 918-260-260)
are required if Oregon Cgntr. Brit Lic. # E o D ate I`]
expired in C.O.T. l9 3 �p g131 "dOQp all Type of Work Involved:
data base). Electrical Contr. Llc. # Exp. Date
Audio and Stereo Systems
C.O.T. or Metro Llc. # Exp. Date
El Boiler Cortrcls
Owner's Name
• ❑ Clods Systems
OWNER - Mailing Address
APPLICANT ❑ Data Telecomn-unication 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 licensed persons to do Installations where required.
Certain residential and other transactions are exempt from licensing. ❑ Intercom and Paging Systems
These have asterisks('). All others need licensing;
❑ Landscape Irrgation Control'
2. Call for inspections when installation under this permit are ready for
Inspection at 603 - 639 -4175; . ❑ 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 tit° ❑ Outdoor Landscape Lighting•
inspector are done, and; ❑
Protective Signaling
5. Assume resoonsioi:ity for calling for a final inspection when all of the
corrections are completed. ❑ Other
Permits are non- Iransferab,e 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 ocenses are required. Licenses are requted for all other Irstallauons
authorized to bind the ap ' nt. •
FEES:
c ENTER FEES S
Signature k, y
°? SURCHARGE (.05 X TOTAL ABOVE) $
clO
•
Authority if other than Applicant TOTAL $ tO i f
IndSts\ronrs\reSele.dO: 3/98
5/31/00 Activities for Case #: ELR2000 -00112
1:32:34 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELRA003 APPlication received 5/15/00 DEB MAIL No Hold DEB 5/18/00
ELRA010 Permit created 5/18/00 DEB DONE No Hold DEB 5/18/00 Delay in creating due to .
understaffing.
ELRA725 Low Voltage Inspection No Hold DEB 5/18/00
ELRA799 Elect'l Final 5/22/00 CD PASS No Hold AKJ 5/22/00
ELRA500 (F) Issue permit 5/18/00 DEB DONE No Hold DEB 5/18/00
ELRA800 Case Finaled 5/22/00 AKJ DONE No Hold AKJ 5/22/00
•
•
Page 1 of 1
05/26/2000 Activities for Case #: ELR2000 -00112
1:50:21 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELRA003 APPlication received 05/15/2000 DEB MAIL No Hold DEB 05/18/2000
ELRA010 Permit created 05/18/2000 DEB DONE No Hold DEB 05/18/2000 Delay in creating due to
understaffing.
ELRA•25 Low Voltage Inspection No Hold DEB 05/18/2000
ELRA799 Elect'l Final 05/22/2000 CD PASS No Hold AKJ 05/22/2000
ELRA500 (F) Issue permit 05/18/2000 DEB DONE No Hold DEB 05/18/2000
ELRA800 Case Finaled 05/22/2000 AKJ DONE No Hold AKJ 05/22/2000
•
•
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested s / 2_ 2 /O0 AM PM BLD
Location I 2-) LLC'. 1 I C4J? (1 J Suite MEC
Contact Person CI) ✓1/l, Ph 20-Li g a/ PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR 26C6 a
Footing Access: •
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: p�
Slab f SIT
Post & Beam
Ext Sheath /Shear / rr�- en- .r
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Fina
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
ECECTRICAt)
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
P S 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
Other Date r2.--7.1,6 Inspector v _ Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.