Permit ,r
4 6, • CITY OF TIGARD ELECTRICAL CTED ENERGY
RESTRICTED ENERGY
'r�, DEVELOPMENT SERVICES PERMIT #: ELR2000 -00064
-11 !. 13125 SW Hall Blvd., Tipard, OR 97223 (503) 639 -4171 DATE ISSUED: 3/21/00
SITE ADDRESS: 12186 SW QUAIL CREEK LN PARCEL: 2S103CB -10500
SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R -4.5
BLOCK: LOT: 063 JURISDICTION: UR
Project Description: Landscape irrigation device
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
4230 GALEWOOD STREET
SUITE 100
LAKE OSWEGO, OR 97035
Phone: 274 -5223 Phone:
Reg #:
FEES Required Inspections
Type By Date Amount Receipt Elect'I Service
PRM3 BON 3/21/00 $60.00 0000831 Elect Final
5PC2 BON 3/21/00 $4.80 0000831
Total $64.80 O RIGINAL
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. r ���
Issued by V, 1-- Permittee Signature Or Ilca. t9 — it4.1(L
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 a 004
CITY OF TIGARD REOFE TED ENERGY ELECTRICAL APPLICATION Recd by: &t I
• 13125 SW HALL BLVD Date Recd: 3 -2-1- D
TIGARD' OR 97223 MAR 21 2000 PRINT OR TYPE .
V - 503 -639 -4171 X304 ����yypp Permit #: IzZILD - WOW
F - 503- 598 -1960 COMMUNITY DEVELOPNIENTL OR ILLEGIBLE APPLICATIONS Cust.Call'd:
WILL NOT BE ACCEPTED
Name cf Development Project TYPE OF WORK INVOLVED - RESIDENTIAL
• (,l LQ� ..tn
E- -o-i- ) r ip 3 Energy
ALL SYSTEMS) " » " "' $80.00
JOB Street Address Ste N
ADDRESS /Z �10 e l V1,ya .uJ Check Type of Work Involved:
City /State Zip Phones ❑ Audio and Stereo Systems
t I arc( f 0 R . 97aa3 _
Name ❑ Burglar /ann
Vo mm-4 sSplc. Horn e.s
OWNER �p� �I��q Address ❑ Garage Door Opener'
7ot� 0 �� GLr ��)OUO �" ❑ Heating, Ventilation and Air Conditioning System*
• CIty Zip Phone* • -
• LA.LCt?. octucep 97 03 q 7lo- 601%, ❑ Vacuum Systems'
Name
LaiiaCcAr Pry & IZLS.& �,CLnGLS Cape- W Other L .QG ��./ 1Q
-M7 (LSCC¢ ! » 7 )J /G
CONTRACTOR R K ir�p�� dregs k n A It TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prtorto Issuance a CitVState 1� Zio Phone* Fee for each system...... $80.00
copy cf all licenses W 1 I &671 UNI C. . I 0 - 4101 ova --( i (O (SEE OAR 918 - 260.260)
are required if Oregon Contr. rd Lic. # . pate a.I'
expired in C.O.T. - l9 I31.p 31J X060 Check Type of Work Involved: .
data base). Electrical Contr. Lic. # Exp. Date .
.
Audio end Stereo Systems
C.O.T. or Metro Lic. # Exp. Date •
❑ Boiler Cortrcls
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 n 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;
❑ Landscape Itgation Control*
2. Call for inspections when installation under this permit are ready for
inspection at 603- 6394175; ❑ Medical
3. Purchase separate permits for at 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 resoonsioi:ity for calling for a final inspection when all of the
corrections are completed. ❑ Other
/
Permits are ncn- transferab :e 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 installations
authorized to bind the app' nt. •
C---- 1 ` . FEES: •
Si nature ENTER FEES $ [ f
9 3 SURCHARGE (.05 X TOTAL ABOVE) $ ` E°._
10 CI)
Authority if other than Applicant TOTAL $
I :ldsislrorrr stresel e.do: 3/98
•
03/31/2000 Activities for Case #: ELR20O0 -00064
1:59:56 PM •
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELRA003 Application received 03/21/2000 BON DONE No Hold BON 03/21/2000
ELRA010 Permit created 03/21/2000 BON DONE No Hold BON 03/21/2000
ELRA730 Elect'I Service No Hold BON 03/21/2000
ELRA799 Elect'I Final 03/24/2000 BRP PASS No Hold AKJ 03/26/2000
ELRA500 (F) Issue permit 03/21/2000 BON DONE No Hold BON 03/21/2000
ELRA800 Case finaled 03/26/2000 AKJ DONE No Hold AKJ 03/26/2000
•
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION �� 'r
4
24 -Hour Inspection Line: 639 -4175 Business Line: 639 - 4171 l��l q /r
BUP
Date Requested 3/ L.1 /a AM PM BLD
Location 1 21 b CO ��1ii-/lit l l Ot. .4. Suite MEC
Contact Person IQ Ph 2 — y831 PLM
Contractor Ph SWR
BUILDING Tenant/Owner EL i0
Retaining Wall 4 9. 0 '1
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 r
Misc:
Final / --r.
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 i Smoke Dampers
Final
PASS PART FAIL
ECECTRICAj
e �i "lipJJ
Rough In
UG /Slab ,;fi
ow Volta Ii -. ,
Fire ar
''' illi t7 141M . : . 1110 •ART FAIL
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required befog spection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA �j
Approach /Sidewalk D , Inspector 1 / - 00 Iector \
I .
Other Gfalty Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.