Permit ELECTRICAL PERMIT -
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CITY TIGARD RESTRICTED ENERGY
ate I n DEVELOPMENT SERVICES PERMIT #: ELR2000 -00133
„� 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 06/08/2000
SITE ADDRESS: 12271 SW QUAIL CREEK LN PARCEL: 2S103C6 -07800
SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R -4.5
BLOCK: LOT: 027 JURISDICTION: TIG
Project Description: Landscape irrigation controller.
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 GALEWOOD ST #100 29895 SW KINSMAN RD
LAKE OSWEGO, OR 97035 WILSONVILLE, OR 97070
Phone: 387 -7538 Phone: 682 -6076
Reg #: LIC 6136
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRMT JMT 06/08/200C $60.00 0002796
5PCT JMT 06/08/200C $4.80 0002796
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 through OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -1987.
Issued by 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 Cl'l Y ur liklAnv L z - "
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by: rna., (2•
13125 SW HALL BLVD " - Date Recd:
TIGARD OR 97223 V - 503-639-4171 X304- , RECEIVED PRINT OR TYPE Permit #: 0-177 bb 1 3
F = 503 - 598- 1960 1 ' INCOMPLETE OR ILLEGIBLE APPLICATIONS CustCall'd:
zn�4 WILL NOT BE ACCEPTED )
Name cf Deve ent Project
� TYPE OF WORK INVOLVED - RESIDENTIAL ONLY/
�I p � Restricted Energy Fee _._._. »..... ».._.._. $80.0 /
lI FV E ME (r (FOR ALL SYSTEMS)
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OB Street Address - - Ste k v
ADDRESS / o.-- / I Sul OUALL(.1 — __eK; Lin Check Type of 'Neck Involved: •
l tat el I /70, Phones ❑ Audio and Stereo Systems
Name ... • ❑ Bur
Don YMl�re S SUf14. lforn a .. .
OWNER �tA iii Add�;ss ❑ Garage Door Opener . - •
Y04,10 a") G a t e-Loot ' O _ (.' c _ Heating,VentilaUone S s6em• ; . ; _ .. ".
❑ . ngy .._...
(A• i�- s�f. I C) I Priors ii _
:
/state 7 03 /40- G ❑ Vacuum Systems'
Name 1 - •
Uu1CICA.i0t 11o(7 Yl1.S& lunLl -S f�e, Other L eiSCetcG ?0-11 Y) 6
CONTRACTOR r , iii igg re iu un SanciA R-0 TYPE OF WORK INVOLVED - COMMERCIAL ONLY •
Fee for each system... »._ »_. »....... .. $80.00
(Prior to Issuance a Ci1x/State L Zio • Phone � ••••- •••••••••••• -• .
copy of all licenses • W % I SAM UN 1 t. • I OR 4 in h (p ra -Coo: /v (SEE OAR 918 - 260 -260)
are required if Oregon Cgntr. pia N E 3I Q » ail
expired in C.O.T. • l0 3 iSI ( Check Type of Work Involved: •
data base). - Electrical Contr. Llc. 8 Exp. Date ❑ Audio and Stereo Systems •
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C.O.T. or Metro Lic. N Exp. Date ❑
• Boiler Cortrcis •
Owner's Name -
❑ Clock Systems .
OWNER - Mailing Address . •
APPLICANT 17] Data Telecommunication Installation
' Cityrtate I Zip I Phone # ❑ Flre Alarm installation
•This permit b Issued under OAE 918 - 320-370. 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 asterlsks('). All others need licensing;
❑ Landscape Irrigation Contra' 2. Call for inspections when installation Lnder tnis permit are ready for
Inspection at 603 - 639.4176; . ❑ 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 as suring that all corrections required by tit° ❑ Outdoor Landscape Lighting'
Inspector are done, and: ❑ Protective Signaling
6. Assume responsioi :ity for calling for a final inspection when all of the
corrections are completed. ❑ Other
Permits are non- transferab;e and -ion- refundable and exp're if work is not
started within 190 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 'mired. Licenses we reputed for all other IrrSaliatwns
authorized to bind the app • nt. •
1 c_) ,..__E= LEES:
ENTER FEES $
Signature ro y ?rte
"'C SURCHARGE (.05 X TOTAL ABOVE) $
Authority if other than Applicant TOTAL $
t ••dstsVarr"s resere.doc 3/98
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06/08 TUE 10:59 FAX 503 598 1960 l.:11:1 ur liurtni,
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PLEASE COMPLETE: - •
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,;•'.F:3-41-w•:::,::::•:-,-:-4---.•:::-->p■eVi(i5i:t :41Alti.Rypsi'.. ; _
.. Sink . , V ,
Lavatory • • .
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Tub or Tub/Shower Combination .
Shower Only
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Water Closet • ' ,
Dishwasher . '
Garbage Disposal V -
Washing Machine - - • V
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Floor Drain/Floor Sink 2" . • -
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• • 4" • -
Water Heater ' . . • . • ....
Laundry Room Tray . • . . . • .
Urinal " . - ., . •
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Other Fixtures (Specify) . . --, , . ..
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Bi-i-ck -f01/_). Pre-Le/them ,Zo . I ---;. • • ":.-- . r, • • - . " : . - ,,,,., .„...,
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COMMENTS REGARDING ABOVE:
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1:14stcdo rn-s \ our app. doc SNAG
06/15/2000 Activities for Case #: ELR2000 -00133
2:44:55 PM '
Assigned Hold Updated ,
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELRA003 Application received 06/07/2000 MAIL RECD No Hold JMT 06/08/2000
ELRA010 Permit created 06/08/2000 JMT DONE No Hold JMT 06/08/2000
ELRA725 Low Voltage Inspection 06/12/2000 CD PASS No Hold AKJ 06/12/2000
ELRA500 (F) Issue permit 06/08/2000 JMT DONE No Hold JMT 06/08/2000
ELRA800 Case Finaled 06/12/2000 AKJ DONE No Hold AKJ 06/12/2000
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