Permit r•
CITY OF TIGARD ELECTRICAL ENER -
RESTRICTED ENERGY
DEVELOPMENT SERVICES PERMIT #: ELR2000 -00074
„� JI 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 04/10/2000
SITE ADDRESS: 12506 SW QUAIL CREEK LN PARCEL: 2S104DA -00900
SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R -4.5
BLOCK: LOT: 046 JURISDICTION: UR
Project Description: Install residential landscape 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: IRRG CONT : X HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 0
Owner: Contractor:
DON MORISSETTE HOMES PROGRASS LANDSCAPE SERVICES
4230 GALEWOOD STREET 29895 SW KINSMAN RD
SUITE 100 WILSONVILLE, OR 97070
LAKE OSWEGO, OR 97035
Phone: 274 -5223 Phone: 682 -6076
Reg #: LIC 6136
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspection
PRM3 GEO 04/10/200C $60.00 0001291 Elect'l Final
5PC2 GEO 04/10/200C $4.80 0001291
Total $64.80
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0 6�1AL
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 0 Z _e Permittee Signature
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: •en7/ DATE: ii-/o-ca
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 X 00.1
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICIg R- 'd by:
13125 Sw HALL BLVD �.� e Rec'd:
TIGARD OR 97223 PRINT OR TYPE �'�
V 503 -639 -4171 X304 01 V : OGRA- 000 -0 0 07et
F 503- 598 -1960 INCOMPLETE OR ILLEGIBLE APPLICATIONS pE. ust.Call'd:
WILL NOT BE ACCEPTED Mu "
Name cf Development Project LOT Lf 40 TYPE OF WOR - RESIDENTIAL
Restricted Energy Fee....... _....._ ............ ........ $80.00. '
.e, 1Lt31.0 _ (FOR ALL SYSTEMS) ��
JOB Si'eet Ad dr s Ste ci.
ADDRESS Faso v tees Check Type of Work Involved:
ati d 0 4 �/ 5 a3 Phone ❑ Audio and Stereo Systems
Name 0 BurglarAiann
D n'1 r -i ei fforn es
OWNER ryta rli Ad dres El Garage Door Opener
Y1g0 S-u s Gcr.(eWQO6b cam _ ❑
+
Heating, Ventilation and Air Conditioning System*
• �tty /State Zip Phone* _ •
O 9tut9D 97 03 tP 7 G
90 - '1,,
Name - _ � V ❑Vacuum Systems' L an d SCApe Pro C7 t'O�S�3 �i�1Lt- S C1Jt�
e. Other Lam) 'LSCC Lit../1_4_70- 1IQ)') G »/ M-
CONTRACTOR Rr 're U UV) frinCiA K0 TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to Issuance a Citx/State i Zio Phone # Fee for each system......_ $80.00
copy of all lenses W t t &6f1 pun e_, • I 012 41070 tD ra - (oo i (O (SEE OAR 918.260 -260) •
are required if Oregon Contr. ¢rd Lic. # Ep. Date all
in C.O.T. • l0 3 (p KI3 I X060 Check Type of Work Involved:
data base). Electrical Contr. Llc. # Exp. Date ❑
Audio and Stereo Systems
C.O.T. or Metro Lic. # Exp. Date
0 Boiler Controls
Owner's Name
❑ Clock Systems
OWNER - Mating Address
APPLICANT ❑ Data Telecomrrunication Installation .
City/State I Zip Phone # ❑ Flre Alarm Installation
This permit is issued under OAE 918 -32C -370. This applicant agrees to ED HVAC
make only restricted energy Installations (100 volt amps or less) under this •
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 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; ❑
Protective Signaling
5. Assume resoonsfoi ;ity for calling for a final inspection when all of the ❑
corrections are completed. Other
Permits are ncn- transferab :e and non - refundable end 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 licenses are 'er:Irlred. Licenses are required for all other installations
authorized to bind the app' nt. •
1� �_ FEES:
Signature ENTER FEES $
[
NER /
SURCHARGE (.06 X TOTAL ABOVE) $ `
Authority if other than Applicant TOTAL S 10 Vsa
I idstsvo.rrsveseie.doc 3/98
04/21/2000 Ac tivities for Case #: ELR2000 -00074
8:02:49 AM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELRA003 Application received 04/07/2000 GEO MAIL No Hold GEO 04/10/2000
ELRA010 Permit created 04/10/2000 GEO DONE No Hold GEO 04/10/2000
ELRA725 Low Voltage Inspection • No Hold GEO 04/10/2000
ELRA799 Elect'I Final 04/13/2000 CD PASS No Hold AKJ 04/16/2000
ELRA500 (F) Issue permit 04/10/2000 GEO DONE No Hold GEO 04/10/2000
ELRA800 Case finaled No Hold AKJ 04/16/2000
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Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
yi BUP
Date Requested Vez AM X PM BLD
Location i Z'SO Lo 4 [4 a L l JL J.�c Suite MEC
Contact Person �,j 1 ft Ph 1p g Z 2 --( 74, PLM
Contractor ea. Ph k 24 7 SWR
BUILDING Tenant/Owner ✓✓ ELC
Retaining Wall ELR 2,0( "600?
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain '� Inspection Notes:
. Slab //"i^/ 670 SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Drywall
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
P ART FAIL
'ELECTR
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
T FAIL
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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: j ] Unable to inspect - no access
ADA n,�
a e p
Approach/Sidewalk Other Dt i 3 "b Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.