Permit CITY O F T I G A R D ELECTRICAL PERMIT -
1 RESTRICTED ENERGY
���I� DEVE LOPMENT SERVICES PERMIT #: ELR2000 -00114
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/18/00
SITE ADDRESS: 12320 SW QUAIL CREEK LN PARCEL: 2S103C6 -09600
SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R -4.5
BLOCK: LOT: 054 JURISDICTION: TIG
Project Description: Installation of timer for 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 INC PROGRASS LANDSCAPE SERVICES
4230 SW GALEWOOD 29895 SW KINSMAN RD
LAKE OSWEGO, OR 97035 WILSONVILLE, OR 97070
Phone: Phone: 682 -6076
Reg #: LIC 6136
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRMT DEB 5/18/00 $60.00 0002273 Elect'l Final
5PCT DEB 5/18/00 $4.80 0002273 �I A
Total $64.80
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires - . ofpllow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 :11 -0010 thro •. h OAR 952 - 001 -0080. You may obtain copies of these rules or direct quest s to OUNC at (503)
244-1987.
Is ed by �� ' I .� Permittee Signature ,,J ,ge tf
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale. lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELECN: DATE:
LICENSE NO:
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
06/08/99 TUE 10:59 FAX 503 598 1960 CITY OF TIGARD /�,, �/ 1itj004
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by: f n4 /
13125 SW HALL BLVD Date Recd: f — /S� 09
TIGARD OR 97223 PRINT OR TYPE
V - 503 -639 -4171 X304 ` \ ( . 0 Permit #: R-2-f -09//f
F - 503 -59 &1960 INCOMPLETE OR ILLEGIBLE APPLICATIONS � Cust.Call'd:
WILL NOT BE ACCEPTED
Name cf Development Protect TYPE OF WORK INVOLVED - RESIDENTIAL
L_C.)T 5 Restricted Energy Fee........ .._... S60!
(t.Q, L .oio (FOR ALL SYSTEMS)
JOB Street Address
ADDRESS 1 0 13 D-C) St (ii & Cek- LGa.f 1 V Check Type of Work Involved: R OVED
fly/State Zip Phone* ❑ Audio and Stereo Systems
OR— q 1 aa1J' MAY 1. 5 2000
Na e ❑ Burglar Alarm
Vern Da ill err t SS' s eMG. lforn c
❑ Garage Door Opener
DEVELOPMENT
OWNER Mp rli Address COMMUNITY N 0 & Lie f UOGO Lan ❑ Heating Sys demon and Air Conditioning System*
• �rty "�/State LP Phone* _
La-la- D Cwc90 97 03 q 790• GLt.,
Name ❑ Vacuum Systems'
(anaS PrOG IZLS& Lo_nCL$ V Other 1 - 6 - , / elSCO-ive, Ly0a &15n /k
CONTRACTOR CONTRACTOR Ili 49 ` pg!rags k117 1 & -I) TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to Issuance a Citx/SStaate ��''IIUU Zio Phone # Fee for each system $80.00
copy of all licenses W 1I �r(S1) UL h .
1 C. • 02 41070 to —(on i o (SEE OAR 918- 260 -260)
are required if Oregon Contr. rd Lic. # Eip. pate all
expired in C.O.T. l9 I3l.p $I31 ` d000 Check Type of Work Involved:
data base). Electrical Contr. Lic. # Exp. Date
❑ Audio and Stereo Systems
C.O.T. or Metro Lie. it Exp. Date
❑ Boiler Corbels
Owner's Name
❑ Clock Systems
OWNER - Mailing Address
APPLICANT ❑ Data Telecommunication Installation .
City/State I Zip I Phone # ❑
Fire Alarm Installation
This permit is issued under OAE 918- 32C -370. This applicant agrees to n HVAC
make only restricted energy Installations (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.
Certain residential and other transactions are exempt from licensing. ❑ Intercom and Paging Systems
These have asterisks('). All others need licensing;
❑ Landscape Irrgation Control'
2. Call for inspections when installation under 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; ❑
Protective Signaling
5. Assume resoonsicr :ity for calling for a final inspection when all of the
corrections are completed. El Other
Permits are non- trensferab:e and non - refundable and expire if work is not
started within 180 days of issuance or 1 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 Irstallalions
authorized to bind the app' nt. •
. \ c._) . {) FEES:
ENTER FEES S
Signature o • y
E* SURCHARGE (.05 X TOTAL ABOVE) S
Authority if other than Applicant TOTAL $
Lo ysa
I ndstsTorm.slresele.doc 3/98
•
05/30/2000 Activities for Case #: ELR2000 -00114 .
8:20:09 AM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELRA003 Application received 05/15/2000 DEB MAIL No Hold DEB 05/18/2000
ELRA010 Permit created 05/18/2000 DEB DONE No Hold DEB 05/18/2000 Delay in creating due to
understaffing.
ELRA725 Low Voltage Inspection No Hold DEB 05/18/2000
ELRA799 Elect'I Final 05/22/2000 CD PASS No Hold AKJ 05/22/2000
ELRA500 (F) Issue permit 05/18/2000 ' DEB DONE No Hold DEB 05/18/2000
ELRA800 Case Finaled 05/22/2000 AKJ DONE No Hold AKJ 05/22/2000
•
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST 2cop- 000CQ C,+
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested S /L /O AM PM BLD
Location / 2 32O Q1tul (A_wk Suite MEC
Contact Person U 1 M Ph W9 � PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC ( e
Retaining Wall ELR 7/%50() 7
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
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
�
CTRIC�1.�
Sery
Rough In
UG /Slab
Low Voltage
Fire arm
ina
PART 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 Z fy'U Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.