Permit _ ORIGINAL
CITY T I GA R D RESTRICTED ENERGY
5y J DEVELOPMENT SERVICES PERMIT #: ELR2000 -00140
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/14/00
SITE ADDRESS: 12404 SW QUAIL CREEK LN PARCEL: 2S103CB -09200
SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R-4.5
BLOCK: LOT: 050 JURISDICTION: TIG
Project Description: Installation of 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: IRRIGATION : X HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS:
Owner: Contractor:
DON MORISSETTE HOMES INC
4230 GALEWOOD ST #100
LAKE OSWEGO, OR 97035
Phone: Phone:
Reg #:
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRMT DLH ' 6/13/00 $60.00 0002930
5PCT DLH 6/13/00 $4.80 0002930
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 OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -1987.
Issued 7. >7 Permittee Signature /yam " -c 7
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
r 06/08/99 TUE 10:59 FAX 503 598 1960 11'11 ur 11v.ucu
•
CITY OF TIGARD R RICTED ENERGY ELECTRICAL APPLICATION Rec'd by: Nl6`i�
13125 SW HALL BLVD RECEIV Date Recd: /7 /o-r.
TIGARD OR 97223 PRINT OR TYPE YV
V - 503 -639 -4171 X304 ' (�n� Permt EL
#: 2..20 00 —00 /Y
F - 503 -598 -1960 JUN O 7 `OMPLETE OR ILLEGIBLE APPUCATIONS Cust.Call'd: —
�,t�' CV 0MGNT WILL NOT BE ACCEPTED - . i
Narrid . I ent I eat TYPE OF WORK INVOLVED - RESIDENTIAL
i4- 5 0 Restricted Energy Fee ...... ..- -.- ...... : .. • $60.00 /
a(,L( [4 {,L W 6 (FOR ALL SYSTEMS)
JOB Street Address _ Ste #
ADDRESS I . D. 1 -1 Dy C- 6 a—l—¢, cr Jc Lo du, Check Type of Wcrk Irwoted: .
•
- I I ' C�1_eL o &. I Zlp Phone: V ❑ Audio and Stereo Systems -
NamA • ❑ Burglar
VOY1 fro CS&Ile 6farncS' . . - •
• OWNER Vp iiiqg Address .❑ Garage Door Opener . . .
•
7o Slo 6alGto000 LQ riC"'
' u . Heating, Ventilation and AirConditionirg System' _ . • ,-
... ... ...
. 6cUJ b 19-7 03 �PI740- G'-t.S�
Name ❑ Vacuum Systems' -
[n
am
•
Larg SCApe RI)6IZLSg 1_11 '1e S cape. Other 1.411 aSCCa oc, lAit.4..S/o -tlar) Cen7'1 /c
CONTRACTOR q re ILIA ti Ito TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to Issuance a Citx/State 1. Bo : Phone # Fee for each system... -._..- ... $80.00
copy of all licenses W 1 1 k6f1 UL11 C. .I 02 4100 1.0 $d -(oo i 6 . (SEE OAR 918 -260 -260)
are required if Oregon ntr. tic. # p• a'17 Check Type of Work Involved: expired in C.O.T. tSl3 I
data base). Electrical Cony. Llc. # Exp. Date ❑
Audio and Stereo Systems
C.O.T. or Metro Lie. # Exp. Date ❑
Boiler Cortrcls
Owner's Name V ❑
Clock Systems •
OWNER
WNER - - Mating Address .. ❑ • . ... • - •
- APPLICANT Data Telecommunication Installation . .
. City/State rip . I Phone # • .,--, Fire Alarm Installation
This permit is Issued under OAE 91B-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: :. 0 Instrumentation - . • -
1. Only use electrical licensed persons to do Installations where required. V • ' •
Certain residential and other transactions are exempt from licensing. ❑ Intercom and Paging Systems .
These have asterisks('). All others need licensing;
❑ Landscape Irrgation Control' •
2. Call for inspections when Installation under this permit are ready for
Inspection at 603 - 6394176; • . ❑ 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; ❑
ProtectNe Signaling
5. Assume responsioi:ity for calling for a final inspection when all of the
corrections are completed. ❑ Other
Permits are ncn- tranaferab;e and non-refundable end exp`re 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 licenses are required. Licenses are required for all otter installations
authorized to bind the app' nt.
___ FEES:
, J ENTER FEES s
Signature r 8'k, - Li
•
C SURCHARGE (.05 X TOTAL ABOVE) 8
• la 1 / 9
Authority if other than Applicant TOTAL $
I :'fists \orrrsvesele.doc 3/98 .
•
•
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested AM PM BLD
Location / UU 1 qu 6 C/1-44" Suite MEC
Contact Person i Ph .24 (-1k 3; PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR o GUG — O u / c/ CJ
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam p��
Ext Sheath /Shear ( / /
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall /
Fire Sprinkler h
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
( ELECT�F !CA
Service
Rough In
UG /Slab
ow Volta
ire Alarm
Final .
PASS PART
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 rei spection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other Date _r 1 Inspector _ _ Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
• • ` 241iour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 741 AM PM BLD
Location 2 of 4 i Q& G i I 6‘ Suite MEC
Contact Person Ph o',Z 07' PLM
Contractor Ph e & ,.2/7 SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR 2v - Gv /5/
U
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: e�r C�- SIT
I
Slab f' / �j ,A� F',
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
ffite
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
(ELECTRICAL
Service
Rough In
UG /Slab
ow o
ire Al
Fin
AS 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: ► nable to inspect - no access
ADA
Approach /Sidewalk
Other Date 17--/27/6z--9 Inspector t
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.