Permit CITY OF T ICaAR ELECTRICAL PERMIT -
CTED ENERGY
RESTRI
JII DEVELOPMENT SERVICES PERMIT #: ELR2000 -00148
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/14/00
SITE ADDRESS: 11645 SW TALLWOOD DR PARCEL: 1S133CC -01900
SUBDIVISION: PEBBLECREEK ZONING: R -25
BLOCK: LOT: 013 JURISDICTION: TIG
Project Description: Install a 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: UTDOOR LANDSC LITE:
OTHER: IRRG CONT : X HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS:
Owner: Contractor:
, RENEE ROGRASS INC
1645 SW TALLWOOD DR 9895 SW KINSMAN RD
IGARD, OR 97223 ILSONVILLE, OR 97070
Phone: Phone: 682 -6076
Reg #: LIC 68445
FEES Required Inspections •
Type By Date Amount Receipt Low Voltage Inspection
PRMT GEO 6/14/00 $60.00 0002958 Elect'l Final
5PCT GEO 6/14/00 $4.80 0002958
Total $64.80
EXPIRED
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes n
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 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
BUP - Building Permit ELC - Electrical Permit
Inspection Description Date Passed By I Inspection Description Date Passed By
_ Footing /Setback Underground cover
Foundation walls Wall cover
Footing drain Ceiling cover
Waterproof bsmt walls Electrical rough -in
Slab Electrical service
Crawl drain Electrical final
Underfloor insulation
Post/beam structural
Shear walls /anchors ELR - Restricted Energy P j,
Roof nailing IS Inspection Description , c • ,e Passed By
Firewall • Low volta_e
Tilt -up panel ■ WIZZgigl:l.M
Masonry /Reinforcement 111111111.1KFML6 LV1
Framing
MFG - Structure set -up MEC - Mechanical Perm
Insulation
Drywall nailing � Inspection Description Date Passed By
Post/beam mechanical
Suspended ceiling Gas line
•
Engineered soils Mechanical rough -in
Welding Lab Final Fire damper
Concrete Lab Final _ Duct work
Bolting Lab Final Smoke detector
Fireproofing Lab Final Mechanical final
Structural observation
Final inspection
PLM - Plumbing Permit
Inspection Description Date Passed By
BUP - Fire Protection System Permit Plumbing underslab
Inspection Description Date Passed By Crawl drain
Sprinkler underfloor /slab Post/beam plumbing
Sprinkler rough -in Plumbing top -out
Sprinkler final RP /backflow preventer
Fire alarm final Rain drain
Storm drain
Water service
SIT - Site Permit Sanitary sewer
Inspection Description Date Passed By Culvert/catch basin
Footings Pump /fill septic tank
Foundation walls Plumbing final
Sprinkler supply lines
Sprinkler underfloor /slab
Catch basin /Manhole SWR - Sewer Permit
Engineered soils I Inspection Description Date Passed By
Engineering acceptance Sanitary sewer
Final inspection Final inspection
INSPECTION RECORD - BUP, PLM, SWR, ELC, ELR MEC, SIT PERMITS
t
CITY OF TIGARD ELECTRICAL PERMIT -
RESTRICTED ENERGY
, l DEVELOPMENT SERVICES PERMIT #: ELR2000 - 00148
"r.1I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 06/14/2000
SITE ADDRESS: 11645 SW TALLWOOD DR PARCEL: 1 S133CC 01900
SUBDIVISION: PEBBLECREEK ZONING: R -
BLOCK: LOT: 013 JURISDICTION: TIG
Project Description: Install a 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: IRRG CONT : X HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS:
Owner: Contractor:
0, RENEE PROGRASS INC
11645 SW TALLWOOD DR 29895 SW KINSMAN RD
TIGARD, OR 97223 WILSONVILLE, OR 97070
Phone: Phone: 682 - 6076
Reg #: LAC 68445
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRMT GEO 06/14/200C $60.00 0002958 Elect'l Final
5PCT GEO 06/14/200C $4.80 0002958
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 throu . OA 1 -0080 ou may obtain copies of these rules or direct questions to OUNC at (503)
246 -1987.
Issued by 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. ELECN: /U/ DATE: DATE: e" "
LICENSE NO:
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
06/08799 TCE 10:59 FAX 503 598 1960 CL'1•Y ur 1i .-Lice
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by:
1?25'8W HALL BLVD Date Rec'd:
TIGARD OR 97223 PRINT OR TYPE Permt #: E�lea�a --(96// V - 503-639-4171 X304
F - 503- 598 -1960 INCOMPLETE OR ILLEGIBLE APPLICATIONS ' Cust.Call'd:
WILL NOT BE ACCEPTED
•
Name cf Development Prot TYPE OF WORK INVOLVED - RESIDENTIAL
Restricted Energy Fee....... .- ....................._... �S 6Q
(FOR ALL SYSTEMS) Rw�
JOB S Address I,1 Ste # Check Type of Wcrk Involved: ADDRESS ! d1 (O S a ' I ��1'I h�� Audio and Stereo s terns 3 .15 2-°* - Cry /State Zip 0 Aud o Y
T i G{cAAPA D � 1 D-D 3 pEVEIOP
N ^ 0 Burglar Alarm CO(�(tlilltil�
R cy e.t c El Garage Door Opener
OWNER !���e S • G �( coax( l�R- _ .. c :itylStata
•
Zip Pi # ❑ Heating, Ventilation and Air Conditioning System*
11 CIOACL. OR- 9 7a'D3,_ (1 -3 (- 1) Vacuum Systems'
'N2..
LtergiSCAe PM LG- nd-S c_a-pe.- V other C erscct,vc, /At-_ ?O rn1 eynfiv //it
CONTRACTOR +tiling , 2V *IIU 4p red�s•�, t1 7 ti TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to issuance a Citx /State i Zio Phone # Fee for each system......_ . .... ............................... 560.00
copy cf all licenses W 11 &i 1 )ULl e- . i 0K. G1010 61(a -( 1p (SEE OAR 918- 260 -250)
are required if Oregon Contr., 3t ic. # rp • I Q t e a17 Check Type of Work Involved:
expired in C.O.T. • l�� LS�3 I
data base). Electrical Contr. Lic. # Exp. Date Audio and Stereo Systems
C.O.T. or Metro Lic. # Exp. Date •
Boiler Cortrels
Owner's Name E Clock Systems
OWNER - Mailing Address
APPLICANT Data Telecommunication Installation/
City /State (Zip I Phone # ri F ire Alarm Installation
This permit is issued under OAE 918 -32C -370. This applicant agrees to n H VAC
make only restricted energy Installations (100 volt amps or less) under this
permit and to do tine following: 0 Instrumentation
1. Only use electrical licensed persons to do Installations where required.
Certain residential and other transactions are exempt from licensing. 0 Intercom and Paging Systems
These have asterisks('). All others need licensing; Landscape Irrigation Control*
2. Call for inspections when installation under this permit are ready for
Inspection at 603- 639 -4175; n M edical
3. Purchase separate permits for all installations that are not ready for an 0 N urse 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 Slgnaing
5. Assume resoonsici:ity for calling for a final inspection when all of the r 1 O ther
corrections are completed. 1 1
Permits are ncn- transferab;e and non - refundable and expire if work is not Number of Systems
started within 190 days of issuance or :f work is suspended for 180 days.
The person signing for this permit must be the applicant or a person
No licenses are 'equlred. Licenses are required for all other Irsaiia5Ons
authorized to bind the app' nt. •
FEES: / n ,
` ENTER FEES $ (O P •
Signature c g`lo • t i -F -
NYYO SURCHARGE (.05 X TOTAL ABOVE) $ _ �a
TOTAL $
Authority if other than Applicant
I:'.dststrorrr.s\res el e.do: 3/98
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
Date Requested (0(22-/a) AM PM BLD
Location 1 r< Co 45 ficcx.0 l.t )00 - Suite MEC
Contact Person (( OJA-, Ph (Dg 2--(490 PLM
Contractor Ph X 2,1 7 SWR
BUILDING Tenant/Owner ELC /' p
Retaining Wall ELR 2000 ' O/ `7 0
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
<ELEURICA13.
Service
Rough In
UG /Slab
Low Voltage
Fire okarm
PASS PART FAIL
SITE �'
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Rein ection fee of $ required before next inspection. Pay at Ci Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ease call for reinspection RE: C (.. K 0 0/ 4 1 [ nable to inspect - no access
ADA
Approach /Sidewalk Date / Inspector
Other
Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.