Permit CITY OF T I G A R D ELECTRICAL PERMIT -
RESTRICTED ENERGY
-- ; l DEVELOPMENT
r S O SERVICES 1 639 -4171 DATE ISSUED: 1 %05/1999
SITE ADDRESS: 12212 SW QUAIL CREEK LN PARCEL: 2S103C6 -10300
SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R -4.5
BLOCK: LOT: 061 JURISDICTION: UR
Project Description: Install landscape irrigation.
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
5000 SW MEADOWS LANE 29895 SW KINSMAN RD
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LAKE OSWEGO, OR 97035 WILSONVILLE, OR 97070
Phone: 274 -5223 P eo 682 - 60 ORIGINAL
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRM3 KJP 11/05/199£ $60.00 99- 319578 Elect'l Final
5PC2 KJP 11/05/199c $4.80 99- 319578
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 you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through AR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -1987.
Issued by Permittee Signature 7V/ G
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: ) U/4 DATE: /// S /J
LICENSE NO:
Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day
08/08/99 TUE 1 0 :RECENED5 98 1960 CITY OF TIGARD 0004
CITY CF TIGARD R TRICTED ENERGY ELECTRICAL APPLICATION Rec'd by:
13125 SW HALL BLVD Q 4.19 Date Recd:
TIGARD OR 97223 PRINT OR TYPE
V - 503 -639 -4171 MUNITy DEVELOPMENT Permit #: L R I g 91 - OU 2 G 4 /
F - 503 - 598 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:
WILL NOT BE ACCEPTED
Name cf Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
G-L..l -Oat. I4-r uw L-C)T ce / Restricted Energy Fee $60.00
(FOR ALL SYSTEMS)
JOB Street Address Ste #
ADDRESS II al a. sko G a-sz✓ t t e d icii1t, Check Type of Wcrk Involved:
City /State Zip Phone* ❑ Audio and Stereo Systems
Thl (AAA: of-- ,9 - 717,72,
N me ❑ Burglar Alarm
OWNER Mailin ddress •
❑ Garage Door Opener'
City /State Zip Phone # ❑ Heating, Ventilation and Air Conditioning System*
Name ❑ Vacuum Systems'
LAnos CP Prn (.V at s S Lind S cut 6 other ( ey 61.cceciae„ [/LA.4 9 a�7 cot, •
CONTRACTOR Mailing Aadress
x909 S Stu 1G.ns- na- ILD TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to Issuance a City /State LZio Phone # ed- e Fee for each system $80.00
copy of all licenses U) alisnolli . OR._ 19/07 0 IO >sa - " °74= e .1-1) (SEE OAR 918.260 -260)
are required if Oregon Con . Brd Lic. # Date
expired in C.O.T. - B�3 it d(bo ' Check Type of Work Involved:
data base). Electrical Contr. Llc. # . Exp. Date
❑ Audio and Stereo Systems
C.O.T. or Metro Llc. # Exp. Date •
n Boiler Controls
Owner's Name
❑ Clock Systems
OWNER - Mailing Address -
APPLICANT n Data Telecommunication Installation
City /State Zip Phone # ❑
r Flre Alarm Installation
This permit is issued under OAE 918- 32C -370. This applicant agrees to , �--
make only restricted energy Installations (100 volt amps or less) under this u HVAC
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 Irrigation Control'
2. Call for inspections when installation under tnis permit are ready for
inspection at 603- 639 -4175; ❑ Medical
3. Purchase separate permits for at 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 responsibility for calling for a final inspection when all of the
corrections are completed. ❑ Other
Permits are non - transferable and non - refundable and expire if work is not
started within 180 days of issuance or if work is suspended for 180 days. Number of Systems
The person signing for this permit must be the applicant or a person ' No Ucenses are required. Licenses are required for all other Iris ananons
authorized to bind the applicant. • - •
FEES:
• �`� ' ' - ----S:2--- ENTER FEES $ U JO
Signature 8 go
`6°(o SURCHARGE (.08 X TOTAL ABOVE) $
Authority if other than Applicant TOTAL $ et L/
i:;dslsworrrsresele.doc 3198
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12/09/1999 Activities for Case #: ELR1999 -00264
10:23:43 AM
Assigned Hold Updated
- Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELRA003 Application received 11/05/1999 KJP DONE No Hold KJP 11/05/1999
ELRA010 Permit created 11/05/1999 KJP DONE No Hold KJP 11/05/1999
ELRA725 Low Voltage Inspection 11/05/1999 KJP No Hold KJP 11/05/1999
ELRA799 Elect'I Final 11/05/1999 11/05/1999 11/08/1999 GS PASS No Hold VT 11/08/1999
ELRA500 (F) Issue permit 11/05/1999 KJP DONE No Hold KJP 11/05/1999
ELRA800 Case finaled 11/08/1999 GS PASS No Hold VT 11/08/1999
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