Permit CITY OF TIGARD ELECTRICAL PERMIT -
RESTRICTED ENERGY
r ;� DEVELOPMENT SERVICES PERMIT #: ELR2000 -00160
'�' I - 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/3/00
SITE ADDRESS: 12587 SW QUAIL CREEK LN PARCEL: 2S104DA -00400
. SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R -4.5
BLOCK: LOT: 041 JURISDICTION: TIG
Project 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: LANDSCAPE : X HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS:
Owner: Contractor:
DON MORISSETTE HOMES PROGRASS LANDSCAPE SERVICES
4230 SW GALEWOOD ST 29895 SW KINSMAN RD
STE 100 WILSONVILLE, OR 97070
LAKE OSWEGO, OR 97035
Phone: 503 - 387 -7538 Phone: 682 -6076
Reg #: LIC 6136
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRMT DEB 7/3/00 $60.00 0003424
5PCT DEB 7/3/00 $4.80 0003424
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 6.e�, /� Permittee Signature
((// 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 10:59 FAX 503 598 1960 C11•k ur tLJtZUL
RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by:
Date Recd:
Permit #: ¥1L.ZQ9d - IM by
CustCall'd:
CITY OF TIGARD
13125 SW HALL BLVD
TIGARD OR 97223
V - 503- 639 -4171 X304
F - 503 -598 -1960 .
Name cf Development Project
Cakelie, LOT L f r
Street Address
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Name
vast 1Ja..ncLscape
ViVeteTuunsInak Ito
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Oregon Contr. ) L1G #
Electrical Contr. Lit. IF
C.O.T. or Metro Lk. #
Ste
L01-4 e,
Phone*
Phone #
tp 8d - CO
$1 ate
31 30aD
Exp. Date
Exp. Date
Owner's Name
Mating Address
City/State . I Zip
Phone *_
JOB
ADDRESS
OWNER
Lant/SCstee
CONTRACTOR
(Prior to Issuance a
copy of all licenses are required if
expired in C.O.T.
data base).
• ::OWNER - ._.,.
APPLICANT
This permit is issued under OAE 918- 32C -370. This applicant agrees to
make only restricted energy Installations (100 volt amps or less) under this - •
permit and to do the following: -
1. Only use electrical licensed persons to do Installations where required.
Certain residential and other transactions are exempt from ncensing.
These have asterlsks('). All others need licensing;
- 2. Call for inspections when installation under this permit are ready for
Inspection at 603 - 639-4176;
3. Purchase separate permits for all installations that are not ready for an
inspection when the inspector is out to inspect under this permit;
4. Assume responsibility for assuring that all corrections required by the
Inspector are done, and:
6. Assume responsibility for calling for a final inspection when all of the
corrections are completed.
Permits are ncn- tranaferab;e end non- refundable and expire if work is not
started within 180 days of issuance or if work is suspended for 180 days.
The person signing for this permit must be the appliicara or a person
authorised to bind the app l nt.
Signature c
•
•
Authority if other than Applicant
I .d sisvo rrs\resele.doc 3108
PRINT OR TYPE
INCOMPLETE OR ILLEGIBLE APPLICATIONS
WILL NOT BE ACCEPTED •
Check Type of Work Involved:
❑ Audio and Stereo Systems
• ❑ . BurgiarAarm
El . Garage Door Opener
.;• Heating, Ventilation end Air.Conddioning System',.- .
TYPE OF WORK INVOLVED - RESIDENTIA ONLY/
Restricted Energy Fee _ _........_.._. 880.00 /
(FOR ALL SYSTEMS) Fee.......
■
Vacuum Systems'
Other C (1SCfepc, tti4.4._70-17a)7 Lffr)J /G
TYPE OF WORK INVOLVED - COMMERCIAL ONLY
Fee for each system. ....._ »» .. _..»... ».
(SEE OAR 918-260 -260)
a 17 Check Type of Work Involved:
❑ Audio and Stereo Systems -
J] _ Boiler Cor.trcis
❑ - Cloak Systems
❑ . Data Telecomrrunication Installation
❑ Fire Alarm Installation
TOTAL
I-1VAC
Instrumentation
Intercom and Paging Systems
Landscape Irritation Control
Medical
Nurse Cells
Outdoor Landscape Lighting'
Protective Signaling
Number of Systems
FEES:
ENTER FEES
),�
°' SURCHARGE (.05 X TOTAL ABOVE)
Ptu X00 - oo31z,
$80.00
Other
No licenses are required. licenses are requted for all other lrtstallaucns
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
12 3 4 7Z, Date Requested 7- ( AM PM BLD
Location /,q 5 *IA/ A., Suite MEC
Contact Person it 74 Ph D9 yg39 PLM 20,00 — g'Oa 5'7
Contractor A-0-1/ $ ? Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR "ODl( p
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall /
Fire Sprinkler & 2 0 0/�
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
P/44
Post & Beam
Under Slab
Top Out
Water Service b frp
Sanitary Sewer
Rain Drains
` • S PART FAIL
CHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
C RI L
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
,PA - 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
Other Date ? -- f - o n Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.