Permit CITY OF T I GA R D ELECTRICAL PERMIT -
RESTRICTED ENERGY
l'k'a'l�` DEVELOPMENT SERVICES PERMIT #: ELR2000 -00205
r�J Y
- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/8/00
SITE ADDRESS: 12493 SW QUAIL CREEK LN PARCEL: 2S103CB -08800
SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R -4.5
BLOCK: LOT: 037 JURISDICTION: TIG
Project Description: Installation of irrigation controller.
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 29895 SW KINSMAN RD
LAKE OSWEGO, OR 97035 WILSONVILLE, OR 97070
Phone: 387 -7538 Phone: 682 -6076
Reg #: LIC 6136
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRMT CTR 9/8/00 $75.00 2720000000
5PCT CTR 9/8/00 $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 to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -1987.
Issued by Permittee Sig tur _
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
0S. 30/00 1't1) ■Jy :Gr f%3 ass DUO [ OV Ul1l ur 11U.11u u --
CITY OF TIGARD Restricted Energy Electrical Applicatioa0 c d by: -
13125 SW HALL BLVD RRAC° Date Recd. ' 9��
TIGARD OR 97223 Incomplete or Illegible appilcati s Permit*: FM . I. • O 2.0S
V - 50a- 639 -4171 X304 will not be accepted fl viZZ CustCall'd:
F - 563-598 -1960 �P R RES IDENTIAL ONLY
Name of Development Project TYPE OF ORK p� V
Restri�? ° ergy Fee $75.00
• JOB Street Address
,, Ste # (FOR ALL SYSTEMS)
ADDRESS T a� c tiJ 13 C � Ll-rl� Chec Type of Work Involved:
, itta e Q . Pho e #
� 7 2 �' fo�� - (QUq ❑ Audio and Stereo Systems
Na )(f J17
Z) SS [�ut1 —�_eS ID Burglar Alarm
OWNER J �] F �iir Odre
7' �- / 0 Garage Door Opener'
C ��
� z7 cui � d od Zr Phi_ -7 s � n ❑ Heating, Ventilation and Air Conditioning System'
Name L ❑ Vacuum Systems'
P r o &ram t r1pc1C c e) X Other
CONTRACTOR ' [��i1 �1ge lar)Sinci/L. RIJ
(Prior to issuance a ,C r fate r Phone # TYPE OF WORK INVOLVED - COMMERCIAL ONLY
copy of all licenses Il of l e, & t 7 0 _ b,.-1.00(, . — are required if Oregon Coft_r. B rr Lic. # E p. ate X Fee for each system $75.00
8
expired in C.O.T. 9 CU� �3/POi a (SE OA R 818- 260 360}
database). Electrical Contr. Lc. # Exp. Date
Check Type of Work Involved:
C.O.T. or Metro Lic. # — Exp. Date ❑
Audio and Stereo Systems
Owner's Name ❑
Boiler Controls
OWNER - Mailing Address 1::] APPLICANT Clock Systems
City/State Zip Phone # ❑ Data Telecommunication Installation
This permit is issued under OAE 918 - 320 -37C. This applicant agrees to ❑ Fire Alarm Installation
make only restricted energy installations (100 volt amps or less) under this
permit and to do the following: ❑ 1'VAC •
1. Only use eectricel licensed persons to do installations where required.
Certain residential and other transactions are exempt from licensing. Cl, Instrumentation
These have asterisks`,'). All others need licensing;
C Intercom and Paging Systems
2. Call for Inspections when installation under this permit are ready for
Inspection at 503 - 8394175; ❑ Landscape Irrigation Control -
3. Purchase separate permits for all installations that are not ready for an - ❑ Medical •
inspection when the inspector is out to Inspect under this permit:
❑ Nurse Calls
4. Assume responsibility for assuring that all corrections required by the
inspector are done. and; ❑ Outdoor Landscape Lighting'
5 Assume responsibility for calling fora final inspection when all of the
corrections are completed. 0 Protective Signaling
Permits are non-transferable and non -refundable and expire if work is not n Other
staled within 180 days cf issuance or If work is suspended for 180 days.
_ Number of Systems
The person signing fcr this permit must be the applicant or a parson
authorized to bine the applicant. / • No licenses are required. Licenses are requirac for at other ;nstallat,ons
L /�'� Si,a071X2) 7/ 0/ / / c6 FEES:
Signature �7
` ((( l ENTER FEES $_ ` S CD
/
8'% SURCHARGE (.08 X TOTAL ABOVE) $ _ 1 - CO
TOTAL 5 �' r ' oz.)
Authority if other than Applicant
i.ldst3Vorrrslresele.dr 8190
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour I spection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested T / AM PM BLD
Location /2'J 95 5 c' 4L G (I Suite MEC
Contact Person Ph f3 7 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR U U — 00 1.0)
Footing Access:
Foundation FPS
Ftg Drain I Fr 9/1-74 0- SGN
Crawl Drain Inspection Notes:/ SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Fire wall
Fire Sprinkler 4 L
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL C (, — /-**7° 7- D-/
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- -RARE FAIL
ELEC RICAL
Service
Rough In
U - •
ow •It.•-
ire • larm
F.
ASS P T 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 re' spection RE: ] Unable to inspect - no access
ADA
Approach /Sidewalk /
Other Date J Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.