Permit y - ELECTRICAL PERMIT -
CITY TIGAR® RESTRICTED ENERGY
la DEVELOPMENT SERVICES PERMIT #: ELR2000 -00196
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/23/00
SITE ADDRESS: 12189 SW QUAIL CREEK LN PARCEL: 2S103C6 -11100
SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R -4.5
BLOCK: LOT: 069 JURISDICTION: TIG
Project Description: Installation of restricted energy for irrigation control.
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 PROGRASS LANDSCAPE SERVICES
4230 SW GALEWOOD ST 29895 SW KINSMAN RD
STE 100 WILSONVILLE, OR 97070
LAKE OSWEGO, OR 97035
Phone: 503 - 387 -7538 Phone: 682 -6076
Reg #: LIC 6136
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRMT DEB 8/18/00 $60.00 0004585 Elect'I Final
5PCT DEB 8/18/00 $4.80 0004585
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 -00t rough OAR 952 - 001 -0080. You may obtain copies of these rules or dire t q esti ns to OUNC at (503)
246-19$7.
Issued Permittee Signature4,1 - V6t4 -0-12.60
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
.06/05.'99 TIT 10:59 FAX 503 598 196(1 CITY OF TIGARD !,1 00 3
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Recd •• : •' 6 w(
W
13425'S HALL BLVD lc 1 Date Rec •: rm. -00
TIGARD OR 97223 PRINT OR TYPE `, s A r�
V - 503- 639 -4171 X304 t� Permit #: Ea - — ePolg
F - 503 -598 -1960 INCOMPLETE OR ILLEGIBLE APPLICATION /(1� Cust.Call'd:
WILL NOT BE ACCEPTED
Name cf Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
o-
LOT (ti Restricted Enemy Fee... ..... .......... ........... -..-..-. $60.00
al l. Cu—C. [- -rttl. O.) (FOR ALL SYSTEMS)
JOB Sreet Address r,, Ste # RECEIVED
1 a') 1 � ' ` fi '` `�`
ADDRESS ! ) a1 0 k VK, Check Type of Work Involved:
I T
Ci !State o,(_ 012 C Zip 7 �LP Phone: ❑ Audio and Stereo Systems AUG 1 8 2000
gGo
Narh6 ❑ Burglar Alarm
Dim r1'1 cry- S S L.-i-11-e., eS COMMUNITY DEVELOPMENT
OWNER � pil Address El Garage Door Opener
�3 Li S I U (,c -� u oon 1) �� e_.
❑ Heating, Ventilation and Air Conditioning System'
City /State . Zip Phone*
L&IC - Utvtc'9% 9 G3 ' 7 64.37, ❑ Vacuum Systems'
, Name .
Ltt na•CL,Le Pro C, rz(S-& L.u.ri cape_ V Other 1 ( IS C -{ LL && 7 oM i exn/ //
CONTRACTOR Ulailing�a ress
--2-q k ! ,'1,U ktil SinCiti r2Q TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to Issuance a Citx /State Zio Phone # Fee for each system $60.00
copy cf all licenses W 1 l UM th I IC • 0 e11016 ( $a 1�0' /o (SEE OAR 918 - 260.260)
are required if Oregon Contr..6rd Lic. it Exp. Date as I/
expired in C.O.T. to )3 Lp EI3 0060 Check Type of Work Involved:
data base). Electrical Contr. Lie. # Exp. Date
C Audio and Stereo Systems
C.O.T. or Metro Lie. U Exp. Date
n Boiler Cor:trcls
Owner's Name
❑ Clock Systems
OWNER - Mailing Address •
APPLICANT n Data Telecommunication Installation .
City/State Zip Phone* u Fire Alarm Installation •
This permit is issued under OAE 918 -32C -370. This applicant agrees to n
make only restricted energy installations (100 volt amps or less) under this HVAC
permit and to do tie following: ❑
Instrumentation
1. Only use electrical licensed persons tc do Installations where required.
Certain residential and other transactions are exempt from licensing. 0 Intercom and Paging Systems
These have asterisksr•). All others need licensing;
❑ Landscape Irrigation Control'
2. Call for inspections when installation t.nder 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 tesponsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting*
inspector are done, and: ❑
Protective Signaling
5. Assume responsic •+ty for calling for a final inspection when all of the t -- 1
corrections are completed. I t Other
Permits are ncn- transferab.e and non- refundable and expire if work is not
started within 190 days of issuance or :f wcric is suspended for 180 days. Number of Systems
The person signing for this permit must be the applicant or a person • No licenses are . equlred. Licenses are routed far all other Ir>eaLatons •
authorized to bind the app' nt.
�� FEES: (n t2'
1 c � ENTER FEES S T
Signature rig. (� i�
'5 ° . SURCHARGE (.05 X TOTAL ABOVE) S `
S
Authority if ether than Applicant TOTAL S ��
l: •osrs :rorrrsvesele.do: 3198
•
CITY OF TIGARD BUILDING INSPECTION DIVISION
• 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST
BUP
Date Requested "' g AM PM BLD
Location 1 2 I $ 9 5 iv i i ( Cnta Suite MEC
Contact Person J1 m Ph 03 7 PLM
Contractor Ph / SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR "-/UV -a
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
`ECTRICAI)
Service
Rough In
UG QG
Volta
We Alarm
4 40 PART FAIL
S
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 rei pection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk Date 9 Inspector Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.