Permit CITY OF TIGARD ELECTRICAL PERMIT -
ENERGY
RESTRICTED ENERGY
lin, DEVELOPMENT SERVICES PERMIT #: ELR2000 -00182
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/8/00
SITE ADDRESS: 12197 SW QUAIL CREEK LN PARCEL: 2S103C6 -11200
SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R-4.5
BLOCK: LOT: 070 JURISDICTION: TIG
Project Description: Installation of landscape irrigation controller
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::ONTROLLER : X HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS:
Owner: Contractor:
DON MORISSETTE HOMES PROGRASS LANDSCAPE SERVICES
4230 SW GALEWOOD 29895 SW KINSMAN RD
LAKE OSWEGO, OR 97035 WILSONVILLE, OR 97070
Phone: 503 - 387 -7538 Phone: 682 -6076
Reg #: LIC 6136
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRMT DLH 8/8/00 $60.00 0004317
5PCT DLH 8/8/00 $4.80 0004317
Total $64.80
This Permit is issued subject to the regulations contained in the Tigard Muniapal 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. DA/ ftf'/JG i e'4 --7D
Issued by 4 / Permittee Signature r-ffi Eb
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
06/05799 TUE 10:59 FAX 503 598 19611 CITY OF TIGARD X001
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by: Ma-CO
13125 SW HALL BLVD I, , Date Rec'd:
TIGARD OR 97223 PRINT OR TYPE ! 1 E�L a� 00/67D-.. V - 503 - 639 -4171 X304 /\ Permit #:
F - 503- 598 -1960 INCOMPLETE OR ILLEGIBLE APPLICATIONS / Cust.Call'd:
WILL NOT BE ACCEPTED
Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
r7 Restricted Energy Fee..... ..._. .... _ ................ -.. -. S60.00
C u cam -e.� [- �-o-Lt LTlL`- LUT L 0 (FOR ALL SYSTEMS)
S i•eet Address Ste -
JOB Check Type of Work Involved: IVE
ADDRESS I /a iq�1 ���'L RECE
' CitylState Phone * 0 Audio and Stereo Systems
T1 1 cvt 6 R.. q7 z 3_ - ptUG 0 2 2 000
Nanie ❑ Burglar Alarm
r, all /}'1 D')' 1 s S r Ae.,. 4arri eS ❑ MMUNITv
OWNER OEVELOPM •
Garage Door Opener'
iii Address
GU t!� UOGO Lam ❑ Heating, Ventilation and Air Conditioning System*
City /State Zip Phone #
(_[Lla- Gcure%) _9 63 ct ?9U to4.5-fo ❑ Vacuum Systems'
Name
LundgL4yre Pro YCtS& Lo- rt ct- S cap e. W Other LCI- 4 'LScce p � L-4L4_k_?C /7 Y) C:t 11Z / /e,
CONTRACTOR ? i F+ ress k ti- & nci TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to Issuance a City/State . I V Zio Fee for each system......-..... .............. - ............ -... $60.00
copy of all licenses W I I W) t)LII L. OR e11010 $a -{ to (SEE OAR 918-260.260) •
are required if Oregon Centr.. Brd Lic. # Date
expired in C.O.T. Ur 13 Lp MI I I a0to Check Type of Work Involved:
data hase). Electrical Contr. Lic. # Exp. Date rT1
t....' C Audio and Stereo Systems
C.O.T. or Metro Lic. # Exp. Date .J ❑
Boiler Cortrcls
Owner's Name ❑
Clock Systems
OWNER - Mailing Address
APPLICANT n Data Telecommunication Installation .
City/State Zip Phone # ❑ Flre Alarm Installation •
This permit is issued under OAE 918 -32C -370. This applicant agrees to I I HVAC
make only restricted energy Installations (100 volt amps or less) under this
permit and to do the following: ❑ Instru nentatlon
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 Irrgation Controi'
2. Call for inspections when installation t.nder this permit are ready for
inspection at 503 - 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 resoonsioCity for calling for a final inspection when all of the
corrections are completed. ❑ • Other
Permits are ncn- transferab:e and non- refundable and exp re if work is not
started with;n 190 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 -equired. Licenses are required for ail otter Ir>SallafOns
authorized to bind the app' nt.
C"--- ,....._<==:, FEES:
----
1 c ENTER FEES $
Signature r y i3
"`� SURCHARGE (.05 X TOTAL ABOVE) $
Authority if other than Applicant TOTAL $ _ 110 V
l:Idstslrotmsvesele.do : 3/98 /
I J/ . if).°
. - CITY OF TIGARD BUILDING INSPECTION DIVISION ® ;0°0 - GO/3r
24- Hour.inspection Line: 639 -4175 Business Line: 639 -4171
BU'
Q
Date Requested v --9 AM PM : D
Location (RI q 7 S&L. Qua I G.r.Q4 Suite MEC
Contact Person .J1 —+-- - Ph ,P--G 9 — 143 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall E L ELI .3V -- Cd /2-
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 (9 6 /' c' /� ‘ 7,- Susp'd Ceiling /° G, "../i.,:<_,
Roof u,. A/6/ fJ % /I
Misc:
Final
PASS PART FAIL
PLUMBING go,/,‘ ,9_,-,AD e-k--e-irtr e„
Post & Beam
Under Slab 6 e-5 (�1j g/e 77 /f
To p Out �j / /
Water Service 7q 47i /d
Sanitary Sewer
Rain Drains f ,
Final •
PASS PART FAIL /, J /!� i9'- G , 6 —
MECHANICAL ■ / /
Post & Beam �` ��� ,J("K4.'S
Rough In
Gas Line
Smoke Dampers
Final
PASS P RT_ FAIL EL 2 2, - p O / o Z- / 4 0/e <3Pr,,,d -
LECTRIC
....
s
Rough In v (1 . °). 0)- (5
UG/Slab
w
o of
w olta W
i arm
OP
S AR 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 ry
Other Date jJ Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.