Permit CITY OF TIGARD ELECTRICAL PERMIT -
RESTRICTED ENERGY
• I � DEVELOPMENT SERVICES PERMIT #: ELR2000 -00131
I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/5/00
SITE ADDRESS: 12284 SW QUAIL CREEK LN PARCEL: 2S103C6 -09800
SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R -4.5
BLOCK: LOT: 056 JURISDICTION: TIG
Proiect Description: Installation of timing device 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 INC PROGRASS LANDSCAPE SERVICES
4230 SW GALEWOOD 29895 SW KINSMAN RD
LAKE OSWEGO, OR 97035 WILSONVILLE, OR 97070
Phone: Phone: 682 -6076
Reg #: LAC 6136
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRMT DEB 6/5/00 $60.00 0002703 Elect'I Final
5PCT DEB 6/5/00 $4.80 0002703
Total $64.80
ORIG
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 • - • follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-4'1-0010 thr• • t h OAR 952-111-0080. You may obtain copies of these rules oct qu tions to OUNC at (503)
246- 987.
Issue. „ /I . ,�• ; 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
06/08i99 TUE 10:59 FAX 503 598 1960 CITY OF TIGARD el 00.1
CITY OE TIGARD ReardtireED ENERGY ELECTRICAL APPLICATION Rec'd by:
13125 SW HALL BLVD . Date Recd: -
TIGARD OR 97223 JUN 0 2 2000 PRINT OR TYPE
V - 503 - 639 -4171 X304 Pert c #: Ea... 2060-00151
F - 503-598-1960 COMMUNITY 0 IGERI N OT BE ACCEPTED
. WIL Cust.Call'd: '
Name cf Development Project TYPE OF WORK INVOLVED - RESIDENTIAL
Restricted Energy Fee........- ..... - ............ ...._.._. 580.00/
(,(,,LCL,L.Q� - 1/4.4-01v L-) r S' (FOR ALL SYSTEMS)
JOB Street Address Ste # ��
ADDRESS I - a-a-04 Srto (�.t,LCUt _ C e La-n� Check Type of Work Involved:
City/State Zip Phone: ❑ Audio and Stereo Systems
Tlei cut t 02 ( 4T) - -Li
Na . D Burglar •
V0 YY?e't Ss . /fames •
OWNER M p ' iii Add ass ❑ Garage Door Opener'
•
704 0 G� < L Heating, Ventilation and Air .Conditioning m' ioning Syste ,
Crty�/State zip • Phone* . ❑
Lam- G S�t x �g o 97 U3 `P 790- 64%, ❑ Vacuum Systems'
Name -
1 •
LandSULpc (ro t & LU-r -S CO- W other Cam? (LSCQ.pG �LA.,70- X10)') C 7l /It
CONTRACTOR q i e teregs . (. h M. ftp TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to Issuance a City/State } � IU Zio Phone # Fee for each system..._._ $80.00
copy of all licenses W t t frt511 UL17 L . .I 0k 41010 bra -( i 6 (SEE OAR 918 - 260.260) •
are required if Oregon Contr. rd Lic. # ate a l
expired in C.O.T. g Vr I3I,p $ 3 j��Obp 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 Cortrcis
Owner's Name
El Clock System
•
OWNER - Marling 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 ❑ 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;
0 Landscape Irr:gatlon Control'
2. Call for inspections when Installation under 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 Cello
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 res?onsioi:ity for calling for a final inspection when all of the
corrections are completed. ❑ Other
Permits are non- tranefereb a and non- refundable and exp're 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 reputed for all other Installations
authorized to bind the app • nt. •
„...___P FEES:
ENTER R FEES S
Signature r � [
". SURCHARGE •
(.05 X TOTAL ABOVE) S `
�a
Authority if other than Applicant TOTAL $
I: dstsvorrsvesele.doc 3B8
06/08/2000 Activities for Case #: ELR2000 -00131
3:41:35 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELRA003 Application received 06/02/2000 GEO MAIL No Hold DEB 06/05/2000
ELRA010 Permit created 06/05/2000 DEB DONE No Hold DEB 06/05/2000
ELRA725 Low Voltage Inspection No Hold DEB 06/05/2000
ELRA799 Elect'I Final 06/06/2000 CD DONE No Hold CD 06/06/2000
ELRA500 (F) Issue permit 06/05/2000 DEB DONE No Hold DEB 06/05/2000
ELRA800 Case Finaled 06/07/2000 AKJ • DONE No Hold AKJ 06/07/2000
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 - 4171
\/ BUP
Date Requested ye.p/o9 AM X PM BLD
Location I 2.2- -- L.o1A C L&L Suite MEC
Contact Person k IfV Ph - g � _/ PLM / 1X/A
Contractor Ph SWR
BUILDING Tenant/Owner ELC � yy�
Retaining Wall ELR OD I (
Footing Access:
Foundation FPS
Ftg Drain /MIti Q l cc /4x ri-r %Iii 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 (� j
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
ECTRI
ervice
Rough In
UG /Slab
Low Voltage
Fir- Alarm
4010 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 reinspection RE: ] Unable to inspect - no access
ADA
Date Inspector xt
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.