Permit CITY OF T I GA R D ELECTRICAL PERMIT -
RESTRICTED ENERGY
;� DEVELOPMENT SERVICES PERMIT #: ELR2000 -00236
Ai. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/16/00
SITE ADDRESS: 12276 SW QUAIL CREEK LN PARCEL: 2S103C6 -09900
SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R -4.5
BLOCK: LOT: 057 JURISDICTION: TIG
Project Description: Installation of 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 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 CTR 10/16/00 $75.00 2720000000 Elect'l Final
5PCT CTR 10/16/00 $6.00 2720000000
Total $81.00
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 -0 0 o • h OAR 952 - 001 -0080. You may obtain copies of these rules or direct question . to OUNC at (503)
246 -1987
Issued b ,/ ', ," Permittee Signature /L / % ,e_ _,, j
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
CITY OF TIGARD Restricted Energy Electrical Appltcatfon Date Recd: /o -/o -a °
13125 SW HALL BLVD �eRAa�r�- oa�3�o
Permit TIGARD OR 97223 Incomplete or illegible applications Pe Pe mit #: lid:
V - 503.639-4171 X30 will not be accepted
- 503 -598 -1 TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
Name of Development Project C � •
atkalt / v 1/ J Restricted Energy Fee $75.00 .
•
JOB Street Address
Ste # (FOR ALL SYSTEMS)
iaa� � a � Ca a111 � �Am e) Check Type of Work Involved:
a l ADDRESS �� 4
[�/LGC. phone # Auclo and Stereo Systems DM RECE,v�D
Na • 7e B urglar Nam Nam m t�n sS }e �fvm es El
Mailing Ad drrk G r 0 Garage Door Opener' OCT 1 6 2000
• OWNER i n Q ecvUOG
rE Phone # 0 Healing, Venti:ation and Air Conditioning System
Name El Vacuum Systems'
Other Lae CIS e iri'i 9�a`7O -
La-tiCIS 4 -- Pro - �S L ci..l�scanes Crn�7`�
CONT� e5 •� C.Cj �CCi7�1'1' TYPE OF WORK INVOLVED - COMMERCIAL ONL_
Z Phone #
(Prior to issuance a City /State � I E 64, Phone la�a . r7 $75.00
copy of al licenses i d� I Fee for each system
are
required ni O if Oregon t�pn rd Lid. # D� / (SEE OAR 918 - 260-26
expired in C..T..
database). Electrical Contr. Liz. # EJCp,.Date a of Work Involved:
ChedcTyp •
C.O.T. or Mete Lie. # Exp. Date 0 Audio and Stereo Systems
Owner's Name Boller Controls
OWNER - Mailing Address Clock Systems
City /State
APPLICANT Z i p Phone # Li Data Telecommunication Installation
Fire Alarm Installation
mak pe onl Is res t ssued ricted energy u nder O� a ll a ti (10Q volt amps less) under this
maknly t e HVAC _.
permit and to do the following:
1. Only use electrical licensed persons to do installations where required. Instrumentation Certain ese have as earlsks(� other Atl others need licensing; exempt from licensing. ❑ Systems
Intercom and Paging Sy
2. Call for inspections when installation under this permit are ready for
inspection at 603 -63 Landscape Irrigation Control
0 _ -4175:
3, purchase separate permits for all installations that are not ready for an
Medical
Inspection vrher. the Inspector is ovt to inspect under this permil; ❑ Plursa Calls
4. Assume responsibility for assuring that all corrections required by the Outdoor Landscape Lighting'
Inspector are done, and;
5. Assume responsibility for calling for a final inspection when all of the Signaling D
corrections are completed. ❑
Other
Permits are non- transferable anal r.on- rerundable end; xd it to If work is 180 days. Number of Systems
started within 130 days of issuance or it work is suspended —_
p? rte licenses are required. Licenses are required for at over ns'�!lat on_
The person o ;b for tppl must be the apt cant or a G2 son
authorized to bind the applicant. �
/�j FEES: $�S
9�Z�1 — " —' ENTER FEES
Signature VA SURCH.AF:GE (.08 X TOTAL ABOVE) S
(Lilt_
TOTAL s _
Authority if ether than Applicant
t:istsIc ns ..ese;e.d ceoc
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24;Hour Inspection Line: 639-4175 Business Line: 639 -4171
(� BUP
Date Requested /U — / d AM //PM BLD
Location / Z.2- 76 Si'-' / i u G r 7 (u , h Suite MEC
Contact Person Ph �7 3 V PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR -(1- 6
Footing
.W W �iC '��, { `''•., l� •11 1 ♦ w 'n• 1 1(7"' / ` lr •
Foundation � ° �;n�r+yt* ,i •• .111; S :'�j "i �' v y Y' FPS
. ' ; �
r t� A• r , Q 4 .. 4* - :.. s •' .. L13�'ti{:'?: l r•:%
Ftg Drain "tl,.� L.��>,.: •�-*•. .__ `T'� `�_':� . •`. 'l �.I�..�, 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
(EtECTRICAt>
Service
Rough In
UG /Slab
to Volfa§
'Fire
Final
si r H ART 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 D ate ! 0 - / e B fl I
Other Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
L
„CITY OF TIGARD BUILDING INSPECTION DIVISION MST 7014 as a / fi
24 -Hdt t Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested (0 / 7 AM . PM B ,
Location /11 Co 5 w 6)1/1 Cq `r CG 4 Suite EC
Contact Person Ph 2a, 4,1-3 y PLM
Contractor 0;4>e-fa t_ Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR 0 00 Z3
Footing Access:
Foundation FPS ,/
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SI
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof 13/1/Z/deG/9
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
LECTRICA
Service
Rough In
UG /Slab
Low Voltage
rm
6 - . ; S 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: t doo/i ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date 19/A) Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.