Permit ELECTRICAL PERMIT -
• Ai CITY OF TIGARD RESTRICTED ENERGY
-4 Vwi' DEVELOPMENT SERVICES PERMIT #: ELR2000 -00237
: 1,L 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/16/00
SITE ADDRESS: 12467 SW QUAIL CREEK LN PARCEL: 2S103C6 -08700
SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R -4.5
BLOCK: LOT: 036 JURISDICTION: TIG
Project Description: Installation of 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 GALEWOOD ST 29895 SW KINSMAN RD
SUITE 100 WILSONVILLE, OR 97070
LAKE OSWEGO, OR 97035
Phone: 387 -7538 Phone: 682 -6076
Reg #: LIC 6136
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRMT CTR 10/16/00 $75.00 2720000000 Elect'l Final
5PCT CTR 10/16/00 $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 • • low rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -001 • • 10 throu• OAR 952 - 001 -0080. You may obtain copies of these rules or direct question to OUNC at (503)
246 -198 i
Issued b i / .1� Permittee Signature _A44,1,, , 4 11 JZQ>
• 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
CITY OF TIGARD Restricted Energy Electrical Application 13125 SW HALL BLVD Date Recd: /aad
Permit - �� 3 7
TIGARD OR 97223 Incomplete or illegible applications - Permit all'd:
V - 503- 639 -4171 X304 will not be accepted
F - 503 -598 -1960 TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
Name Development Project
•
l�V -'`c' - �U ...._ .._.._... 575.00.
Restricted Energy Fee......_ ...............
JOB St:eetAddress _
Ste # (FOR ALL SYSTEMS)
ADDRESS L ?lI (0`7 QLauf. t'_f1 r) U Check Type of Work Involved: RECEIVED
City /State Phone #
- 7t&1 e 01Q 4973-3 0 Audio and Stereo Systems
e Burglar Alarm OCT l ®200®
����,t��r�qm 6/1--/C s� ��c� - - Garage Door opener COMMUNITY DEVELOPMENT •
OWNER Madvddress. �jQ (�vooc C d/
Cyr r Zio Phone # [J Heating, Venti:ation and Air Conditioning System'
G&u oa
Name 0 Vacuum Systems
La4- 1c1Saymc_ Pro&rec.SS L�l L 0hdS c e irri yaa`ro�'t
aili des ' Cem 1` z ' ` er
CONTRACTOR TYPE OF WORK INVOLVED - COMMERCIAL ONLY
q �� /C f .r�Sn X��
Phone #
(Prior to issuance a City State 1)1 a d4 -1074 te - (0OY/a aI,� $75.00
copy of al licenses I i> I Fee for each system •
are required if Oregon C�ont) rd' -ic• # , Oa / (SEE OAR 916-260-26 •
expired in C.O.T. p,_ •
database). Electrical Contr. Liz. f# Date Check Typ a ofWork Involved: •
G.O.T. or hteti a LIC. #p Date [] Audio end Stereo Systems
Owner's Narra 0 Boller Controls
OWNER - Mailing Address Clacc Systems
City /State
APPLICANT Zi Phone # D Data Telecommunication Installation
Fire Alarm Installation
This po is res t d en d un
y ' AE 918.320-370.
s (100 volt less) under
make only this
nly teeg HVAC
permit and to do the following:
1. Only use electrical licensed persons to do installations where require reel Instrumentation
Certain esa have as erisks(� other All transactions
need licensing; exempt from licensing. I ❑ 1
Intercom and Paging Systems
2. Call for inspections when Insta!iatlon under this permit are ready for ID Lamds Irrigation Control -
inspection at 503 - 6391
3. Purchase separate permits for all Installations that are not ready for an
Medical
lnspeetibr when the Ins=pector is out to inspect under this permit; ❑ Nurse Calls
4. Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting'
Irspector are done, and;
•
5. Assume responsibility for calling for a final inspection when all of the protective S gnaling
corrections are completed. ❑
Other
Permits are non-transferable are on refundable and expire
de ' d for 180 days.
of Sys:em s
started within 130 days of issuance or it work is susp
• No licenses are required. LlcenS?s are r:4u:fed for an otm2r ns :E!laters
The person oibind ter tp: l t it must be the sr' cant or a person
authorized to bind the app
FEES: � � �=
-0 ���� b LLi
— -� ENTE FEES Oz
Signature ENTER
SURCHARGE (.08 X TOTAL ABOVE) $
S
TOTAL
Authority if other than Applicant
r.iss,rcros...•s•tc.occ voc •
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
p BUP
Date Requested (0^ / 0 AM PM BLD
Location /0 ¥fir 7 S " Qu 4 e7 Suite MEC
Contact Person Ph 2e if ci,V y PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR ) - gat/ 2 5 7
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: � / �a
Slab /r7 �i/ ivy U SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm .
Susp'd Ceiling
Roof
Misc:
Final �r
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
AIL
ECEtTRICA
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
egiggP PART FAIL
SITE
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
Approach /Sidewalk /0 D ate
Other / - � C9 Inspector � Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.