Permit CITY OF TIGARD ELECTRICAL ENERGY
-
4 RESTRICTED ENERGY
y, DEVELOPMENT SERVICES PERMIT #: ELR2000 -00052
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 03/08/2000
SITE ADDRESS: 12220 SW QUAIL CREEK LN PARCEL: 2S103CB -10100
SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R -4.5
BLOCK: LOT: 059 JURISDICTION: UR
Project Description: Installation of a landscape 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: IRR CONTRO : X 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 Elect'' Service
PRM3 GEO 03/08/200C $60.00 0000530 Elect'l Final
5PC2 GEO 03/08/200C $4.80 0000530
Total $64.80 1 !■ .p 7 A
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 95 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -1987. e Z
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: 3 fs 00
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 V] 00.
CITY'OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by:
13125 SW HALL BLVD Date Rec'd:
TIGARD OR 97223 PRINT OR TYPE
V - 543 - 639 -4171 X304 u ff Permit #: gt le 0 S
F - 503- 598 -1960 INCOMPLETE OR ILLEGIBLE APPLICATIONS CusLCall'd:
WILL NOT BE ACCEPTED
Name cf Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
r 1-49— p Restricted Energy Fee.. ...... _ ..... _ ............ ........ S60.00
( tio-Le . t - -a-LLt!1) S / - (FOR ALL SYSTEMS)
JOB Street Address Ste
ADDRESS I J Sr03 GklculL, Cra_t?,r!e. 100Th- Check Type of Work Involved:
City/State Phone* ❑ Audio and Stereo Systems
- net LLAL& 6g 07aa3
Name ❑ BurglarAerrn
Von Mole/ s Se,/le.. Horn es
OWNER �p�iii�q Address ❑ Garage Door Opener'
`Totd B Sto &a(W3O6D Lome— ❑ Heating, Ventilation and Air Conditioning System*
• Ity /State Zip Phone #
6S s)D q7 03 q - 7 3 4 - 10 1- 1.,_ 6
Name
1' ' ❑ Vacuum Systems' •
LttY)aScstpe P r o G n i - v 3 La vis cape- . W Other L&-ii 4SCC�G LPL u ,oM y) 60s/1-bile
CONTRACTOR ?gir�g G rays K. n k I.0 TYPE PE OF WORK INVOLVED - COMMERG`IAL ONLY
(Prior to Issuance a City(/S - Zio Phone # Fee for each system . $80.00 •
copy of all licenses U)1 l &S6f1 ULII C.. . OR. 41670 tp $d -(vo i b (SEE OAR 918 - 260 -260)
are required if Oregon Contr. rd Lic. # ate d I'
expired in C.O.T. • Ur I L-p $1311MoOD 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 Corfrcis
Owner's Name
❑ Clock Systems
OWNER - Mailing dress
APPLICANT ❑ Data Telecommunication Installation
City /State I Zip l I Phone 0 ❑
Fire Alarm Installation
This permit is 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 asterisks('). All others need licensing;
❑ Landscape Irrigation Control'
2. Call for inspections when installation under this permit are ready for
Inspection at 603 - 6394176; . ❑ 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
5. Assume resoonsioi:ity for calling for a final inspection when all of the
corrections are completed. El Other
Permits are ncn-transferabe and rion- refundable end 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 tcensee are required. Licenses are reputed for all other Iris allaeons
•
authorized to bind the ap • nt.
,,„.___P FEES:
E ENTER FEES S
•
Signature b
"' SURCHARGE (.05 X TOTAL ABOVE) $ _ Y Ff-
Authority if other than Applicant TOTAL S toy S9
I:1d5ls \o, rrsVe5ele.doc 3188
03/27/2000 Activities for Case #: ELR2000 -00052
7:59:19 AM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELRA003 APPlication received 03/08/2000 GEO MAIL No Hold GEO 03/08/2000
ELRA010 Permit created 03/08/2000 GEO DONE No Hold GEO 03/08/2000
ELRA730 Elect! Service No Hold GEO 03/08/2000
ELRA799 Elect! Final 03/16/2000 CD FAIL No Hold AKJ 03/16/2000 irrigation control not wired
ELRA500 (F) Issue permit 03/08/2000 GEO DONE No Hold GEO 03/08/2000
ELRA799 Elect! Final 03/21/2000 CD PASS No Hold AKJ 03/21/2000
ELRA800 Case finaled 03/21/2000 AKJ DONE No Hold AKJ 03/21/2000
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
(Z11/(X) BUP
Date Requested AM PM BLD
Location -.°). 2 h g (kO1,t OuLK Suite MEC
Contact Person a (.p)/L Ph (072- C PLM
Contractor Pi/b5ass Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR ZOOD — 6 On S N
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 �ipie
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
E )
Service
Rough In
UG /Slab
Low Voltage •
Fire Alarm
!101•
PART FAIL
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 einspec • n RE: ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date 3 Inspector Ext
Final
PASS PART FAIL 0 N T REMOVE this inspection record from the job site.