Permit CITY TIGARD ELECTRICAL ERG
AWAtW RESTRICTED CTED ENERGY
j DEVELOPMENT SERVICES PERMIT #: ELR2000 -00219
r� I � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 09/22/2000
SITE ADDRESS: 12252 SW QUAIL CREEK LN PARCEL: 2S103C6 -10000
SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R-4.5
BLOCK: LOT: 058 JURISDICTION:. TIG
Project Description: Installation of 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: ;ONTROLLER : 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 CTR 09/22/200C $75.00 2720000000 Elect'' Final
5PCT CTR 09/22/200C $6.00 2720000000
•
Total $81.00
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 ' A r � Permittee Signature /97 0 /ef9-77o71
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
09/14/00 THU 12:46 FAX 503 598 1960 CITY OF TIGARD LEPJ V
CITY.OF TIGARD Restricted Energy Electrical Application Rec'd by: /1 L_
13125 SW HALL BLVD Date Recd: 7 /2i,erd
TIGARD OR 97223 Incomplete or illegible applications RECEIVED Permit #: &U22 er - DD02/J
V - 503 - 639 -4171 X304 will not be accepted Cust.Call'd:
F - 503-598 -1960 pp noon
Name of Development Project TYPE OF WO IN = RESIDENTIAL ONLY
C (,Ct Ho lino /no . [`g Restrictsd'Energy Fee.... .._ ........... :::.L._.._....... $75.00 ,
JOB Street Address Ste* (FOR ALL SYSTEMS)
ADDRESS 4aD-sa cadttc heck Type of Work Involved:
�y /grate ph Phone #
/ l `/ � `y 7; ❑ Audio and Stereo Systems
e
DO) Mari i Z e, _ Horn _ ❑ Burglar Alarm
OWNER Ma !��n� A dr v � ss 1 � Th0)04 T � r DYY1 0 O ❑ Garage Door Opener'
City /State ) t Phone* ❑ Heating, Ventilation and Jr Conditioning System`
�aa3 9 -4g 3q
N O --1. 9G 0 de ❑ Vacuum Systems' -
Pt�rriSS' I�� - Other La id e, 0A
CONTRACTOR Iv d i eski) KL, �?,„A. �Q �"` col f7'D / /e,"
1 Ci�r / ? 7�p TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to issuance a
copy of al licenses wl /�lv{ i)1", otc, 5r r/ �� ( p e go
Vi
are required if Oregon onr. r ! # t te. p. to Fee for each system $75.00
expired in C.O.T. �p �01 1 (SEE OAR 918-260-260) •
t Electrical Contr. Lit # Exp. Date
database). Check Type of Work Involved: •
G.O.T. or Metro UC. # p r7 Audio and Stereo Systems
Owner's Name ❑
Boiler Controls
OWNER - Mailing Address
APPLICANT ❑
Clock Systems
City /State Zip Phone # ❑ Data Telecommunication Installation
This permit is issued under OAE. 918 -320 -370. This applicant agrees to Alarm Installation
make only restricted energy installations (100 volt amps or less) under this
permit and to do the following: n HVAC •
1. Only use electrical licensed persons to do installations where requited.
Certain residential anc other transactions are exempt from licensing. n Instrumentation
These have asterlsks( "). All others need licensing: ❑
Intercom and Paging Systems
2. Call for inspections when Installation under this permit are ready for
inspection at 603-635-4175; ❑ Landscape Irrigation Control'
3. Purchase separate permits for all Installations that are not ready for an 0 Medical
inspection when the Inspector is out to inspect under this permit;
0 Nurse Calls
4. Assume responsibility for assuring that all corrections required by the
Inspector are done, and; ❑ Outdoor Landscape Lighting`
5. Assume responsibility for caning for a final inspection when all of the ❑ Protective Signaling
corrections are completed.
Permits are non - transferable and non - refundable ana expire if work is not 0 Other '
started within 130 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 • authorized to No licenses are required. Licenses are required for all ocher lnsta!latiacs
�j bind dt the applicant. /,
tl___ -- ) qLC12 ' FEES:
�j !Ib
[ `
Signature ENTER FEES $
8% SURCHARGE (.08 X TOTAL ABOVE) $
TOTAL $ Rt . 60
Authority if other than Applicant
1 :`tlsts'dormslresele.dcc eice
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested / � l AM PM BLD
Location / 2' Z- 5 2-- 5L✓ ak G if -'4 Suite MEC
Contact Person rn Ph 2-e, 9 5 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR 7 ', ' —0(1-g/ I
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 / ! ` t
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final I
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
CTRI
Service
Rough In
UG /Slab
ow Volta e
ire
F' al
PASS ART FAIL
SITE
Bad frill /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
tiA Date -65-61
Other ae h Inspector ► �� �� Ext
Final —
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24-Hour Inspection Line: 639 -4175 Business Line: 639 -4171
// BUP
Date Requested AM PM BLD
Location / 2 - 7-- Z - Qi4c,/ Cu/a Z A-1 Suite MEC
Contact Person Ph 6•6 6 ' PLM
Contractor Ph - Z/ 7 SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR 2r5'i ' � 11 7
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: / c
Final i Y KI y ��. �e ✓Yi 1--)4- PART FAIL 5
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
�'€LECTRIC
ervice
Rough In
ta
Fire Alarm
tlidt • RT FAIL
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before inspectio ay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: i ] Unable to inspect - no access
AVI
ADA /� /�
Approach /Sidewalk Date��/ —�� Z Inspector Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.