Permit CITYOFTIGARD ELECTRICAL PERMIT -
RESTRICTED ENERGY
, L�i �;� DEVELOPMENT SERVICES PERMIT #: ELR2000 -00235
�'�'�' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/16/00
SITE ADDRESS: 12287 SW QUAIL CREEK LN PARCEL: 2S103CB -07900
SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R-4.5
BLOCK: LOT: 028 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: DATAJTELE 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 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 Low Voltage Inspection
PRMT CTR 10/16/00 $75.00 2720000000 Elect'I 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 = • • : low rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -0' 1 -0010 throw h OAR 952 - 001 -0080. You may obtain copies of these rules or direct question to OUNC at (503)
246 -1' 87.
Issue. by , ��,! Permittee Signature _ ;d Atj
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
R • Date Recd: /Oao'
13125 SW HALL BLVD Dat e 8CR -ao 3 S..- TIGARD OR 97223 Incomplete or illegible applications - Cust.Call'd:
V - 503439 -4171 X304 will not be accepted
F-- 503-5913-196 •
03 598 - 1960 -rYpE OF WORK INVOLVED - RESIDENTIAL ONLY
Nr ne of fp � lopment Project
11 $75.00 .
�� 4l tor �� -
(FOR ALL SYSTEMS)
JOB Stvet Address Ste#
ADDRESS / D. r1 a w ' Ld. -il e, Check Type of Work Involved: E �E,�tLO
City/State c./ ❑ ate P'i - Phone # R
®� Auclo and Stereo Systems 1 �QO®
Na • e Burglar Alarm 011 j 1
Dan M t� n �S �'►�s � . eMEN�
Mailing'. ddr .)sp„ C7 l G Moor Opener M Q 1014 64
OWNER KJ a eCC1 (�.
i ty/ t o Zio Phone # Heating, Venti:aticn and Air Con3�a System'
� C�&tch'�o 9 o�
Name D Vacuum Systems` .
11t- dsco`pL Pi- 06rQ.bS Lwtct Ci oth er Lc�nctsc e //7—; aa`ion •
CONTRACTOR a ti ,A 1d es� /C ` � .Sna n, Cant-Y-0 J et-, Phone # 7 TYPE OF W INVOLVED - COMMERCIAL ONLY
(Prior to issuance a city :state WO . Qk /
„ i � o7d lo�a_0(o a rr7 575.00
copy of al licenses 1 i Fee for each system
are required if Oregon ( tj rd' Ic. # V3Pbi�o/ (SEE OAR 91 &260 -260)
expired in C.O.T. ((pp ' gyp.. Date a of Work Involved:
database). Check Type •
G.O.T. or hfebo LIC.p Date [] Audio and Stereo Systems
Owner's Name D Boller Controls
OWNER - Maiirn• Address
# Clock Systems
IVBWMDWOIIIIIIIEIIIII APPLICANT Phone
Data Telecommunication Installation
Fire Alarm Installation
This po is tssued under restricted energy O s al (100 volt
make o or le s) under this
nly , HVAC -
permit and to do the following: ci
1. Only use electrical licensed persons to do installations where required. t--I Instrumentation
These hve as erlsks(y other All o need I ce Ong exempt from licensing. t I Systems
Intercom and Paging Sy
2. Call for inspections when Instaliatton under this permit are ready for ids trrigalion Control'
inspection at 603 - 6391
3. P s cehcti n when the Inspector i sl c l Installations toin pect this permit;
an Medical
n Nurse Calls
4. A.sSucre responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting'
Inspector are done, and;
E. Assume responsibility fc.r calling for a final inspection when all of the Signaling
corrections are corn, feted. n
O ther
permits are non - transferable and non - refundable ana expire if work Is not Nun'.ber of Systems
started within 130 days of issuance or work is suspended for 180 days.
• N; licenses are required. Licenses are r °qu :red for at otter ns �!lat ar,s
The orized o l t: bid the app � Iry
/j�(� FEES: •�•-��
ao� - ` -- -- ENTER FEES /
07J
Signature ENTER
SURCHARGE (.08 X TOTAL ABOVE) 5
2 CS?
TOTAL s
Autnorty if ether than Applicant . •
!.^isisw rmss• es te.cRx; a cc
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested / 7i - AM PM BLD
Location /2 2.--r7 5 w QGf 41 f 014,dt 2� Suite MEC
Contact Person Ph 57)3 -l ib Z. 7' PLM
Contractor Ph P)( 2/ 7 SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR t- o" G —60 2.-3 5
Footing Access:
Foundation - vO�Z.3
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:
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
PAS RT FAIL
LECTRICAL)
Service
Rough In
UG /Slab
ow Voltag /Y'✓ •)
F ire Alarm
PASt — )ART 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
Approach /Sidewalk �/
Other Date / 2i (� Inspector E.
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.