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Permit CITY OF TIGARD ELECTRICAL PERMIT - RESTRICTED ENERGY A � 4. DEVELOPMENT SERVICES PERMIT #: ELR2000 -00151 '` 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/19/00 SITE ADDRESS: 12540 SW QUAIL CREEK LN PARCEL: 2S104DA -00600 SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R -4.5 BLOCK: LOT: 043 JURISDICTION: TIG Project Description: Installation of vacuum system. 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: X FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: : HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: Owner: Contractor: DON MORISSETTE HOMES INC GARY'S VACUFLO INC 4230 SW GALEWOOD SUITE #100 9015 SE FLAVEL LAKE OSWEGO, OR 97035 PORTLAND, OR 97266 Phone: Phone: 775 -2042 Reg #: LIC 069047 ELE 26- 728CLE FEES Required Inspections Type By Date Amount Receipt Low Voltage Inspection PRMT DEB 6/19/00 $60.00 0003077 Elect'l Final _ . 5PCT DEB 6/19/00 $4.80 0003077 Total $64.80 c 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 y t• follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -00 -0010 thr• ugh OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -19 7. • Issued �4 ► �` 1 Permittee Signature Li , ! /! 11;1 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 Up/ 14/ UU may vu. qv A.A. - --• - -- -- - Gilt OF TIGARD RESTRICTED ENERGY ELECTRICAL APPUCATION Rec'd y: y ' Date Recd: O -/ V-00 13125 SW HALL BLVD PRINT OR TYPE TIGARD OR 97223 P Permit V - 503{39 X304 F - 503 -598 -1960 INCOMPLETE O ILLS ACCEPTED APPLICATIONS Cust.Call'd: P Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY Restricted Energy Fee...... 580.00 (FOR ALL SYSTEMS) ' JOB - Street Address Ste # Check ADDRESS Type of Work Involved; . 2 0 Si.: c�103 City /State ' ap Phone # ❑ Audio and Stereo Systems Name El Burglar Alarm 0 Garage Door Opener' OWNER • Mailing Address ❑ Heating. Ventilation and Air Conditioning System' GilylState I Zip `Phone # - ' I Vacuum Systems' Name . f �� u (6 oaf 4: ❑ Other CONTRACTOR M 9 Address V (L TY PE OF WORK INVOLVED - COMMERCIAL ONLY �� �� '�� � ` � ��` Fee (or each system ... 360.00 • (Prior to Issuance a y/S ta f ' / Phone # copy of all licenses ' 4 r;Skt tituNci. IL i but. 715 -.�is (SEE OAR 919 -260 -260) are required C.O.T. bbr(op Contr. Lie. # E� 5-/00 Check Type of Work Involved: expired In C.. tJ� x Date data base). Electrical Ccntr. Lit Exp. / S- 11:3 Audio and Stereo Systems C.O.T or Metro Lic. 0 Exp. Date z CZ Z 6 C� / S lab ❑ Boiler Controls Owners Name Y - ❑ Clock Systems OWNER - Mailing Address APPLICANT L El Data Telecommunication Installation _ City /State J Zip I ( Phone* ❑ Fire Alarm Installation This permit is Issued under OAE 915.320-370. This applicant agrees to E] HVAC • make only restricted enemy lnetallatlons (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. Intercom end Paging Systems Cgltain residential and other transactions are execeattrvm licensing. ❑ These have asterisks('). All others need licensing; El Landscape Irrigation Control' 2. Call for Inspections when Installation under this permit are ready for El Medical inspection at 1303 - 639411'6; 3. Purcheso separate permits for all Installations that are not ready for an ❑ Nurse Galls inspection when the inspector Is out to Inspect under this permit: E3 Outdoor Landscape Lighting` • 4. Assume responsibility for assuring that a corrections required by the inspector are done, and; ❑ Protective Signaling 5. Assume responsibility for calling for a final inspection when all of the ❑ Other corrections are completed. Permits are non-transferable and non - refundable and expire If work Is not N of Systems started within 180 days of issuance or If work Is suspended lot 1130 days. The person signing for this permit must be the applicant or a person • No licenses arc reyulred. Ucenses are re quired for a ll other InsifaUations authorized to bind the applicant 0 61CA4 E.ga: _ILLP--C—) - ENTER FEES S Signature 8% SURCHARGE COX TOTAL ABOVE) E C TOTAL L Authority if other than Applicant 6ndsta DO Q�� �g �fonr►s elddoc SIPS iz d 8 06'01s.1 WUSS:OZ 0002'SZ1N11tmw 9015 SE navel GARY'S VACUFLO Portland OR 97266 Phone (503) 772 -5425 Fax (503) 775 -5440 Fax Transmission To: D p - From: i.i(\ - Fax: - 14 (D Pages: 2 Phone: Date: Co / /WO O Re: CC: Please Pull Low Voltage Permit For The Fallowing Sob Site(s): 2 b • . 1. n . �- `` rir rk I me 9 - 7Z,2.:/ ....,,_._ yojA 2 /I'd 806'ON WdSS:OT 0002'SZ'Nfltmm CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested (P /?� /OO AM K PM BLD Location I 2.-S 0 v_&! j ovL1 1 Suite MEC Contact Person -reAr T Ph � ?�" CP71? PLM Contractor Ph SWR BUILDING Tenant/Owner Ze -CO ( I Retaining Wall EL '6D 3 Footing Access: Foundation Ac_ PS Ftg Drain SGN Crawl Drain Inspection Notes: •'"' Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Fire wall Fire Sprinkler .e1.4.1 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 T RIa r t s ) Servic Rough In UG /Slab • oltage ir- arm F' AS ART 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 Other Date C j .,% Inspector Ext Final PASS PART FAIL D NOT REMOVE this inspection record from the job site. • CITY OF TIGARD BUILDING INSPECTION DIVISION MST (7 1-ii — 60/Z -7 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested AM PM BLD Ai( Location /,?...5 (,( 5 w w A c( Suite MEC Contact Person cJl Ph ■ U / LI i3 4' PLM Contractor Ph SWR BUILDING Tenant/Owner Retaining Wall — Footing Access: Foundation ' S Ftg Drain SGN Crawl Drain Inspection Notes: / 1 Slab i/''r - (7, - 9i✓ ,J �v SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler ,/f ke Fire Alarm Susp'd Ceiling �/� Roof © �/4/� Misc: Final PASS PART FAIL •- - PLUMBING Post & Beam Under Slab Top Out C °1)-4-1 Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In • Gas Line Smoke Dampers Final PAS PART FAIL LECTRICAL� Rough In UG /Slab \ \I ‘ \ Low Voltage F larm Final SS ART FAIL SI 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 2 Inspector Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.