Permit CITY OF TIGARD ELECTRICAL PERMIT -
RESTRICTED ENERGY
A DEVELOPMENT SERVICES PERMIT #: ELR2000 -00178
�' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 08/02/2000
SITE ADDRESS: 12159 SW QUAIL CREEK LN PARCEL: 2S103CB -10800
SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R -4.5
BLOCK: LOT: 066 JURISDICTION: TIG
Project Description: Landscape irrigation controller
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:
Owner: Contractor:
DON MORISSETTE HOMES PROGRASS LANDSCAPE SERVICES
4230 GALEWOOD STREET 29895 SW KINSMAN RD
SUITE 100 WILSONVILLE, OR 97070
LAKE OSWEGO, OR 97035
Phone: 274 -5223 Phone: 682 -6076
Reg #: LIC 6136
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
5PCT JMT 08/02/200C $4.80 0004167
PRMT JMT 08/02/2000 $60.00 0004167
Total $64.80
This Permit is issued subject to the regulations contained in the Tigard Muniapal 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 � �a2 i 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 (;1 Ur tla.•Inv ='
.-
"CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by:
• 13125 SW HALL BLVD - RECEIVED Date Recd:
TIGARD OR 97223 . PRINT OR TYPE • Pert # HA/ a 000-� 8
V - 503 -639 -4171 X304
F - 503 - 598-1960 . INCOMPLETE OR 'ILLEGIBLE APPLICAT ilS 2 1 2 000 CusLCall'd:
WILL NOT BE ACCEPTED - • . i
Name cf Development Project . • TYPE Ofd IIMMEM ESIDENTIAL 'ONLY/
/ Lo T (o ( Restricted estricted Energy Fee.._....- ....._.._ .. -.. -.
, /4-01 / UL (FOR ALL SYSTEMS) • •
JOB Street Address - Ste # C heck Type of Work Involved:
ADDRESS /nLl �q „ca.) 611_0-cc CrceK ta e, •
G 1
/State vt�l_ �2 73�3
Z s ❑ Audio and Stereo Systems
TJ C •
Name " ❑ BurglarAar •
Von • - Ma ma scale,. 6farnes • . ... . .
❑ Garage Door Opener • • •
OWNER . ti Add ss • •
0 MD ... Ga./0.006D Lam Heating, Ventilation end Air Cond'ttionirg System!,.; . _ - ._
• ` .. •. - . ty/State I9- U3 740 G'
Zfp .. Phone t! ..... ,` � .
6C41-163C) 'fl � ❑ Vac
Name ^
Name
•
LLLnf1SCJY a PtrO rang LA- I'Lcis cape. W Other 1 . 4 -!? tiSCQ ' 1.dtAk_7Q 16 68 Syr
CONTRACTOR D Riip p. re,�s kin A let) • . TYPE OF WORK INVOLVED - COMMERCIAL ONLY •
(Prior to Issuance a Citx/SStaate L � IU Zip : Phone # Fee for each system... -. -- $80.00
copy of all licenses W 11 iC6r) UNI �. • I O. 4107) to Ira -{oo i /v . (SEE OAR 918-260-260) .
are required if Oregon Cgrttr. t rd Lie. # EICp. pate a•17
expired in C.O.T. • l9 15&P ti l it Check Type of Work Involved:
data base). • .• Electrical Contr. Lic. # Exp. Date ❑
Audio and Stereo Systems
C.O.T. or Metro Lic. # ' Exp. Date ❑ .
Boiler Cor.trcls
Owner's Name ❑ •
Clock Systems
OWNER Mailing Address
APPLICANT . - . • : .. 0 Data Telecommunication Installation
City/State • I Zip _ Phone # ❑ Fire Alarm installation : -
•
• • gills 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. ❑ Intercom and Paging Systems
These have asterisks(*). All others need licensing; - • •
• El] Landscape IMgation Contra •
2. Call for inspections when installation under this permit are ready for
Inspection at 603.6394175; . ❑ Medical •
•
3. Purchase separate permits for all installations that are not ready for an ❑ Nurse Celts
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
6. Assume responsioi:ity for calling fir a final inspection when all of the .
corrections are completed. ❑ Other
Permits are ncn- transfarab :e and eon- 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 we muted for all other Installasons
authorized to bind the app lit.
FEES:
c ENTER FEES s
Signature ���1c, • q I�
• 5 SURCHARGE (.05 X TOTAL ABOVE) $
•
Authority if other than Applicant TOTAL $ 10 i f
I ::dstslrol '.svesele.doc 9188
•
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 • ' Business Line: 639 -4171
c( BUP
Date Requested 9 c AM PM BLD
Location ),.._/5y ,5w '1 c (, �it.� - Suite MEC
Contact Person Ph e9 —4F37 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR ( 2OUD 00 l7
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab cl • '� -aO- 7 �"''1'K'o (lei SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm _ /
Susp'd Ceiling ! I �
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
'= Rt" -
Rough In
UG /Slab
. 1\\
L . o Fqr-
Fi • arm
F;;,„..,‘,---- ' PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspectio Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: A I , ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other D �D " `' Inspector r ' Ext
Final •
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.