Permit CITYOFTIGARD ELECTRICAL PERMIT
RESTRICTED ENERGY
ar" DEVELOPMENT SERVICES PERMIT #: ELR2000 -00011
I II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/10/00
SITE ADDRESS: 12519 SW QUAIL CREEK LN PARCEL: 2S104DA -00100
SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R -4.5
BLOCK: LOT: 038 O D % r JURISDICTION: UR
Project Description: Installation of landscape irrigation cont R ` V •
•~
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 RD 29895 SW KINSMAN RD
STE 151 WILSONVILLE, OR 97070
LAKE OSWEGO, OR 97035
Phone: Phone: 682 -6076
Reg #: LIC 6136
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRM3 DEB 1/10/00 $60.00 00- 321029 Elect'l Final
5PC2 DEB 1/10/00 $4.80 00- 321029 •
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 -0 010 ugh OAR 95 001 -0080. You may obtain copies of these rules or direct question to OUNC at (503)
246 987. \
Iss ed by k Permittee Signature ✓ Z, 1.-L.... .
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 503 598 1960 CITY OF TIGARD I j00.4
CITY,OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd (DIQZ_Mc____I-c-
13125 SW HALL BLVD Date Recd: / /0 -00
TIGARD OR 97223 PRINT OR TYPE
V - 503 - 639 -4171 X304 Permit #: E.! L1(vo c290//
F - 503 -598 -1960 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd:
WILL NOT BE ACCEPTED
Name of Development Project � T - 35g TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
� i,I Restricted Energy Fee.. ...... _ ..... - .. .......... ...._.._. $60.00
loo t-e, 0 U-0 (FOR ALL SYSTEMS) •
JOB Street AddresyW ( L.0.4. a Ste # Check Type of Work Involved: RECEIVED
ADDRESS (Id mac. Lune_
- CIIty9 L tat __ Phones ❑ Audio and Stereo Systems JAN 1 0 2000
Name ❑ Burglar Alarm
Vail Mor e S S k.. /forn a COMMUNITY DEVELOPMENT
OWNER il� Address ❑ Garage Door Opener'
oldD 60161_006D Lam ❑ Heating, Ventilation and Air Conditioning System*
rty /State Zip Pho to
C2, G�w[r�D 97 U3 4 79)..#60_, - ,� ❑ Vacuum Systems*
Name
Lan /AScRpe Pm G vast Lo-ncLS C-0- V Other t aSCC 1 - 4 -44_ ?O--17QY) otrY1 /l /l
CONTRACTOR �M?gi iAtdrag?_ Ui UM A (Li) TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to Issuance a Citx/ State ? Zio Phone # Fee for each system $80.00
W T U
copy of all licenses t I L11 L. . 02 410 10 tD $d -•(v0 6 6 (SEE OAR 918-260 -260)
are required if Oregon Cgntr. rd Lic. 4 Es). pate a. I
expired in C.O.T. • l9 15 LP $ 113� Check Type of Work Involved:
data base). Electrical Contr. Lic. # Exp. Date
❑ Audio and Stereo Systems
C.O.T. or Metro Lic. 4 Exp. Date •
❑ Boiler Cortrcls
Owner's Name
. ❑ Clock Systems
OWNER - • Mailing Address
APPLICANT ❑ Data Telecomrrunicetion Installation
City/State ' Zip 1 Phone # ❑ '
Fire Alarm Installation
•
This permit is issued under OAE 918 -320 -370. This applicant agrees to
make only restricted energy Installations (100 volt amps or less) under this ❑ 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 asterlsks('). All others need licensing;
❑ Landscape lrrgation Coetrci'
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; ❑
Protective Signaling
5. Assume resoonsibi:ity for calling for a final inspection when all of the
corrections are completed. ❑ Other
Permits are non- transferab;e and non- refundable and expire if work is not
started within 180 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 required. Licenses are required for all other I rstallatbns
authorized to bind the applicant. •
FEES: (.00
1 1 ENTER FEES $
Signature .
• S!'k SURCHARGE (.05 X TOTAL ABOVE) $ L �'
• c0 Authority if other than Applicant TOTAL $ • 10 1f
I:'.dstslforrrsresele.doo 3/98
02/09/2000 • Activities for Case #: ELR2000 -00011
8:12:33 AM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELRA003 Application received 01/10/2000 DEB DONE No Hold DEB 01/10/2000
ELRA010 Permit created 01/10/2000 DEB DONE No Hold DEB 01/10/2000
ELRA725 Low Voltage Inspection No Hold DEB 01/10/2000
ELRA799 Elect'I Final 01/10/2000 01/10/2000 01/25/2000 TLP PASS No Hold AKJ 01/25/2000
ELRA500 (F) Issue permit 01/10/2000 DEB DONE No Hold DEB 01/10/2000
ELRA800 Case finaled 01/25/2000 AKJ DONE No Hold AKJ 01/25/2000
•
•
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested t/25 00 AM PM BLD
Location ( 25 19 ` IA44 1 A t2z, Suite " MEC
Contact Person rJ L��, Ph (p D 2 (Pb7c / , L P_Z
Contractor Ph X Z (7 SWR
BUILDING Tenant/Owner ELC c D C r�
Retaining Wall ELR 2- I
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
RAF FAIL
4 PLUMBIN
Pos '
Under Slab
Top Out
Water Service
Sanitary Sewer
Rai 1 ' rains
a `: PART FAIL
HANICAL
Post & Beam
Rough In
Gas Line �1
Smoke Dampers
Final _
PASS PART FAIL
BigCTRICA't
Service
Rough In
UG /Slab
L.' ' -
F - larm
1 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
Other Dat e, Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.