Permit •
CITY OF TIGARD ELECTRICAL PERMIT -
RESTRICTED ENERGY
,u , DEVELOPMENT SERVICES PERMIT #: ELR2000
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/25/00
SITE ADDRESS: 11748 SW TALLWOOD DR PARCEL: 1S133CD 12600
SUBDIVISION: PEBBLECREEK ZONING: R -
BLOCK: LOT: 019 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:
WYATT, GENE D PROGRASS INC
11748 SW TALLWOOD DR 29895 SW KINSMAN RD
TIGARD, OR 97223 WILSONVILLE, OR 97070
Phone: Phone: 682 - 6076
Reg #: LIC 68445
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRMT DEB 5/24/00 $60.00 0002420 Elect'l Final
5PCT DEB 5/24/00 $4.80 0002420
•
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
require du follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -011 -0010 throe h OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 1987. '
Iss . -d by )16.---aA)(114) P ermittee Signature �1i i , �l , 4,I 1
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 oue leer) .,iii or ��,_>.s
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by: K -cik
13125 SW HALL BLVD RECEIVED Date Reed: - -rf.)O
TIGARD OR 97223 PRINT OR TYPE
V - 503 - 639 -4171 X304 Perrnit #: ft/2-96C0 —CO r' I
F - 503 -598 -1960 MAY 1 7 ZO OMPLETE OR ILLEGIBLE APPLICATIONS Cust.Calt'd:
WILL NOT BE ACCEPTED . •
Nar�®r @1lp�2Vtt i k�� . • TYPE OF WORK INVOLVED - RESIDENTIAL
• L Restricted Energy Fee ......... 560.001
C tali 6 . w Ci (Z.7/.717 (FOR ALL SYSTEMS)
JOB Street Address Ste*
ADDRESS //'7 i-i-g - . Ui Ta()u,►(bC( Check Type ofWcrkinvolved: •
City /State Zip Phone* ❑ Audio and Stereo Systems
N - -7- - - . _ . - - - ❑ Burglar Alarm
6 : fi e, - . _;14) cia.,1 =. . _ ❑
- Door e
- -- _ _ Garage Do Opener
OWNER _ tag a Address _.- .:
Address r K ' Ventilation ondrtion
ra e
❑ •- and
- City/Stara 1 Tip p , Pkane,# .Heating, o an Air ,Conditioning ing Sys tem
• Name Vacuum Systems'
LunagGitee Pm 66 rush lu- ri cis c) -pe. ' Other t a Sc &G ZAAA_ .r(1M())) 2 nfivll4
CONTRACTOR alin d re s •
X r e4 kj h •
n 12Q TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to issuance a CitxlState } Zio Phone* - • Fee for each system ... $80.00
copy of all licenses W t I is-671 0L17 L. 1 � OR 41070 rp ka - too: to . (SEE OAR 918-260 -260)
are required if Oregon Contr. Ord Lic. # ate ail
- expired in C.O.T. • l9 13 $ 3I � O6iJ . Check Type of Work Involved:
data base). Electrical Contr. LIC. # Exp. Date ❑
Audio and Stereo Systems
C.O.T. or Metro Llo # • Exp. Date . .
B oiler Controls
Owner's Name . . . •
❑ Clock Systems •
OWNER - . Mailing Address • . •
APPLICANT - • n Data Telecommunication Installation .
City /State Zip Phone ..r 1 Fire Alarm Installation
This permit is issued under OAE 918 -32C -370. This applicant agrees to ❑ HVAC •
make only restricted energy Installations (100 volt amps or less) under this .
permit and to do the following: ❑ •
Instrumentation
1. On y 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 Irrigation 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 ❑ 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; ❑
Protective Signaling
5. Assume resoonsibi:ity for calling for a final inspection when all of the •
�---I •
corrections are completed. l t O ther
Permits are non- transferab;e and non- refundable end expire if work is not
started within 130 days of issuance or :f 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 reciulred. Licenses are required for all other Ins:ailations
authorized to bind the app • nt. •
/ F _ FEES: ?b
C , - c ENTER FEES $
Signature • ro • Li E.?.
". SURCHARGE (.05 X TOTAL ABOVE) 5 __
Authority if other than Applicant TOTAL $
V// 4j y
IaostsVorrrslresele.dac 3/58 •
•
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
- Fore ((' ge) BUP
Date Requested ( .e/ V/ AM X PM BLD
Location I ( (,..7 Suite MEC
Contact Person { 1 LOA Ph CO gz---cao - 7k PLM
Contractor i Ph n j SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR Z P O/ (
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
Fire wall
Fire Sprinkler /,/'�li�t;��� --
Fire Alarm
Susp'd Ceiling
Roof d
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 P,AK FAIL
ELECTRIC
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
411; :i‘P 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 Date W /et /ell Inspector ^C , Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION' MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
Date Requested (072-49/00 AM Q PM r BLD
Location II L&70OeL. Di Suite MEC
Contact Person 4:0 teik Ph L gZ-6207 c PLM
Contractor Ph X SWR
BUILDING Tenant /Owner ELC UM-00
Retaining Wall ELR )) 9
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
= RIFC'Ati
Rough In
UG /Slab
Low Voltage
Fire Alarm
PASS PART 07 -
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] R inspection fee of $ - required before next inspection. Pay at Ci Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line Please call for reinspection RE: �, Ltre- " ov / l 7 [ nable to inspect - no access
ADA ' / O � j ,441.
Approach /Sidewalk
Other Date Inspector Ext
Final
PASS PART FAIL D NOT REMOVE this inspection record from the job site.