Permit 4 A, CITY OF T I GA R D ELECTRICAL PERMIT -
RESTRICTED ENERGY
A t - '4911 I & DEVELOPMENT SERVICES PERMIT #: ELR1999 -00304
13125 SW Hall Blvd.. Tiqard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/13/1999
SITE ADDRESS: 12522 SW QUAIL CREEK LN PARCEL: 2S104DA -00800
SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R -4.5
BLOCK: LOT: 045 JURISDICTION: UR
Proiect Description: Landscape 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 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
PRM3 BON 12/13/199S, $60.00 99- 320371 Elect'I Service
5PC2 BON 12/13/1995 $4.80 99- 320371 Elect'I Final
Total $64.80
ORIGINAL
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 V` Permittee Signature BI/L I f zc 4'# .. -- "yaw(
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
. 06/08/99 TUE RIDEtE ®03 598 1960 CITY OF TIGARD nn....,, IZ00-1
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by: ?V.)
13125 SW HALL BC 0 9 1999 Date Rec'd: t2— i.O-'i9
TIGARD OR 97223 PRINT OR TYPE
V - 503 - 639 -41i. TY DEVELOPMENT Permit #: Gt,12 -Kit --e0
F - 503- 598-19 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:
M51 rof -oz_ci WILL NOT BE ACCEPTED
Name cf Development ProJect Lot L /S TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
Restricted Energy Fee........ _. $60.00
CL L - a -L1-en . . (FOR ALL SYSTEMS)
JOB St Address Ste*
ADDRESS I /a 5-- A-D. SW (��,Lc.Gt.(,C. Gl? P L� Check Type of Work Involved:
CityfState Zip Phones ❑ Audio and Stereo Systems
77q61-44 . oQ ,
Name El Burglar Alarm
OWNER Myl��ili Address ❑ Garage Door Opener
Y 0 -I,u 6a(c w000 Lar
�tty Zip 13461e-#694--) ❑ Heating, Ventilation and Air Conditioning System*
La� ate 0cu xr90 q7 O3 q
Name Vacuum Systems'
Lit cape Pm6 ros,g Lo riiLSCJape. V Other CCI- tSCO -A7G L'Ul.t<<./at1Q)1 eL.1371l}z) / /G
CONTRACTOR tli o,Alfire& ki A 1Z-0 •
TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to issuance a City/State . Zio Phone* Fee for each system $60.00
copy of all licenses W 11 WWI C. •I 01Z. 41070 _ ta -(oo i (o (SEE OAR 918- 260.260)
are required if Oregon Conti. I rd Lic. ate a.17
expired in C.O.T. • l9 l p # 31�dO6tJ Check Type of Work Involved:
data base). Electrical Contr. Llc. # Exp. Date
❑ Audio and Stereo Systems
C.O.T. or Metro Lic. # - Exp. Date
[1 Boiler Cortrcls
Owner's Name
' El Clock Systems
OWNER - ' Mating Address
APPLICANT ❑ Data Telecommunication Installation
City/State I Zip I Phone # El
Fire Alarm Installation
This permit is issued under OAE 918 - 326.370. This applicant agrees to 1�I
make only restricted energy Installations (100 volt amps or less) under this f t HVAC
permit and to do the following:
El
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;
❑ Landscape litigation Contra' •
2. Call for inspections when installation ender 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 Calls
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; 0 Protective Signaling
5. Assume resoonsiti ;ity for calling for a final inspection when all of the
corrections are completed. ❑ Other
Permits are ncn- transferab;e and non- refundable and expire 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 required for all other installations
authorized to bind the applicant.
A � . FEES: l�
-Signature _ �' �_ ENTER FEES S T"
,� L./ ire
\°` SURCHARGE (.05 X TOTAL ABOVE) $
_ /
Authority if other than Applicant • TOTAL $ t / �
i:tdsts To rr.sveseie.doc 3 /sa
01/05/2000 Activities for Case #: ELR1999 -00304
11:53:23 AM
• Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELRA003 Application received 12/10/1999 MAIL RECD No Hold BON 12/13/1999
ELRA010 Permit created 12/13/1999 BON DONE No Hold BON 12/13/1999
ELRA725 Low Voltage Inspection 12/13/1999 BON • No Hold BON 12/13/1999 .
ELRA730 Elect'I Service - 12/13/1999 12/13/1999 No Hold BON 12/13/1999 .
ELRA799 Elect'I Final 12/13/1999 12/13/1999 12/16/1999 GS PASS No Hold GES 12/16/1999
ELRA500 (F) Issue permit 12/13/1999 BON DONE No Hold BON 12/13/1999
• ELRA800 Case finaled 12/21/1999 JMT DONE No Hold JMT 12/21/1999
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