Permit ,. ORIGINAL ELECTRICAL PERMIT -
CITY TIGARD RESTRICTED ENERGY
A
- 13125 DEVELOPMENT H BMEN SO R9 ACES 639 -4171 DATE ISSUED: ED: 6% 00
SITE ADDRESS: 12540 SW QUAIL CREEK LN PARCEL: 2S104DA -00600
SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R -4.5
BLOCK: LOT: 043 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 PROGRASS LANDSCAPE SERVICES
4230 SW GALEWOOD SUITE #100 29895 SW KINSMAN RD
LAKE OSWEGO, OR 97035 WILSONVILLE, OR 97070
Phone: Phone: 682 -6076
Reg #: LIC 6136
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRMT DLH 6/13/00 $60.00 0002929
5PCT DLH 6/13/00 $4.80 0002929
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 by Permittee Signature ' 1 9,Le 7 i
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 CITY OF TIGARD gj 00-
CITY OF TIGARD RRE9'PW D ENERGY ELECTRICAL APPLICATION Rec'd by:_ A/4/(—
13125 SW HALL BLVD Date Rec'd: /./7/07.)
TIGARD OR 97223 JUN 0 7 2000 PRINT OR TYPE / Permit #: E`k �aoo -DO/ 3 P
V - 503 -639 -4171 X304
F - 503 -598 -1960 COMMUNITY itigtroptiiirE OR ILLEGIBLE APPLICATIONS Cust.Call'd:
WILL NOT BE ACCEPTED I
Name cf Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY/
y � Restricted Energy Fee...... ..- ..... _ .................... -. $60.00/
jcu. e..- 1-brik v (FOR ALL SYSTEMS) //
JOB Street Address Ste 4 ��
ADDRESS 1 a s t--I o S-1,t) C-1.. : Y'C� -k (Check Type of Work Involved:
City/State Zip Phones ❑ Audio and Stereo Systems
T )1a l o R 1 9/ a.a. 1' --
Na ❑ Burglar Alarm
Dart Oil crg SSvf1e.. 6FnrncS
•
OWNER ylpili A ddress El Garage Door Opener _
`tot. 0 oal e_W OGO Lam C_ 1 �
�it 4, • . Phone # • . - 0 .., Heating, Ventilation and Air Conditioning System*, ,. .,. _ ..
(.a-1 G O 97 03 `P "HO -G-iS, ❑ Vacuum Systems'
Name ,/
LarldSCRoe 11-o t 1 ...a.ri -- I�/f Other L ) rSCC¢-or2G L- titc » CBY174 -epnGt
CONTRACTOR ?4iNVre s , k n� A. IQ) TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to issuance a City/State 1a mg I Zio Phone 4 Fee for each system......- $80.00
copy of ail licenses U ti W) Uu11 Z.. .10R_ gin e) to 8d — (oo i to (SEE OAR 918 -260 -260)
are required if Oregon Cgntr. rd Lic. 4 ate all
expired in C.O.T. B9 on l9 I LP $ j��Obp 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 Corbels
Owner's Name
❑ Clock Systems
OWNER - Mailing Address
APPLICANT El Data Telecommunication Installation .
City/State I Zip Phone 4 ❑ 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 asterisks('). All others need licensing;
❑ Landscape Irrgatton Control'
2. Call for inspections when installation under this permit are ready for
Inspection at 603 - 639 -4176; . ❑ Medical •
3. Purchase separate permits for all installations that are not ready for an 1=1 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
6. Assume responsibbility 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 Bcenses are required. Licenses are muted for all other Installations
authorized to bind the app nt. •
eke FEES:
1 c ENTER FEES S
Signature k, • y
SURCHARGE (.05 X TOTAL ABOVE) $
Authority if other than Applicant TOTAL $ 10 i f
IndstsVorrr:svesele.doc 3198
- CITY OF TIGARD BUILDING INSPECTION DIVISION MST ),pDO ino-. l
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
'/ BUP
Date Requested Y- 1 AM PM BLD
Location / Z-) 'f 0 S `" Oct ( Suite MEC
Contact Person Ph 6? 7 G' PLM
Contractor Ph P (7 SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR .2ettra " / 3 $
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: �j / SGN
Slab l (7;/.174 0�. Q-67477`Oilt -I SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Fire wall
Fire Sprinkler � / / _ Z • ) — 0 613
1 �Q / 4 6 ( v�
Fire Alarm /t1 s - t ! Z 7
Susp'd Ceiling � l G�
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 U
Gas Line
Smoke Dampers
Final v (t
PASS PART FAIL
(ELECTRIC
Service •
Rough In
UG/ ab
ow voltage
Alarm
Fi
PART I
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: 411, [ ] Unable to inspect - no access
ADA
41104
Approach /Sidewalk f3 - O4-'0 Inspector Ext
Other Dat p �r 11L
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 4/7�/d0 AM K PM BLD
Location I - 2-S ,1 4 Suite MEC
Contact Person Te rVT Ph S 7q'"v72 - 2 PLM
Contractor Ph SWR
BUILDING Tenant/Owner L 2466 -CO (S
Retaining Wall EL 'OD 3
Footing
Foundation Access: �� p C PS
Ftg Drain SGN
Crawl Drain Inspection Notes: �r
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Fire wall
Fire Sprinkler k" -
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
t<t'�CT )
Servic
Rough In
UG /Slab
Voltage
ire Alarm
d PART FAIL
S E
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 Date C Imo% l Inspector Ext
Final
PASS PART FAIL D NOT REMOVE this inspection record from the job site.