Permit CITY OF TIGARD ELECTRICAL -
ENER
RESTRICTED ENERGY
l DEVELOPMENT SERVICES PERMIT #: ELR2000 -00068
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 03/29/2000
SITE ADDRESS: 12565 SW QUAIL CREEK LN PARCEL: 2S104DA -00300
SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R -4.5
BLOCK: LOT: 040 JURISDICTION: UR
Project Description: Landscape irrigation system
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
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 Elect'l Service
PRM3 BON 03/29/200C $60.00 0001013 Elect'I Final
5PC2 BON 03/29/200C $4.80 0001013
Total $64.80 ORtGNAL
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 j . Permittee Signature t eiti — 0.4.
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
06/06/99 TCE 10:59 FAX 503 598 1960 CITY OF TIGARD el OO4
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by: f
13.125 SW HALL BLVD REC Date Rec'd:-7.-/-1-0/0
TIGARD TIGARD OR 97223 PRINT OR TYPE D
V - 503- 639 -4171 X304 a! Permit #: LL.g.1C1 )- a 4
F - 503 598 - 1960 VOA c4 t� NC OR ILLEGIBLE APPLICATIONS Cust.Call'd:
IIALL NOT BE ACCEPTED
Name cf DevagiteigWiojet Lor yU TYPE OF WORK INVOLVED - RESIDENTIAL ONLY/
Restricted Energy Fee... ....._....._ ................... $60.0
Glu_CL.L.t?� L 1L O1A) (FOR ALL SYSTEMS) /
JOB Street Address Ste #
ADDRESS /a5Yo S S autu -¢- CCXX [,a,ck Type of Work Involved:
Cit /State Zip Phone* CJ Audio and Stereo Systems
T/Cf � a R- g733 3
Name ❑ BurglarAiarrn
7) o /Y?OY t S S e.4f'k. fi otrn c$
OWNER ��ttppili Address ❑ Garage Door Opener' •
Yd�0 S &at Looc,0 Lt2M ❑
Heating, Ventilation and Air Conditioning System*
t Ity/S a Zip Phone #
Q,�r'Q. 6 SrcuG9D 197 63 ql 710 G4s1 ❑ Vacuum Systems*
Name -
LanascltpC Pro G1'GLS& LoxtcLS j Other E- 4 aSCCe-a L14 yo - /C C //r✓
CONTRACTOR ?gi 4 dre kin g le-0 TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to Issuance a City/State ., I Zio Phone # Fee for each system $80.00
copy cf all licenses U)1 l &51) 0.11 e _ , OR 47070 1p Ia -( i to (SEE OAR 918 -260 -260) •
are required if Oregon Cgntr. # E . all
expired in C.O.T. l�9 gm fate Check Type of Work Involved:
data base). Electrical Cony. Lie. # Exp. Date ❑
Audio and Stereo Systems
C.O.T. or Metro Lie. # Exp. Date
ri Boiler Cortrcls
Owner's Name
❑ Clock Systems
OWNER - Mailing Address
APPLICANT ❑ Data Telecomrrunication Installation .
City /State I Zip I Phone # ❑
Fire 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 1 HVAC
permit and to do the following: ❑
Instrumentation
1. Only use electrical iicensed 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 Contrci•
2. Call for inspections when installation under this permit are ready for
Inspection at 503- 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*
tnsoector are done, and; ❑ Protective Signaling
5. Assume resoonsibi :ity for calling for a final inspection when all of the
corrections are completed. ❑ Other
Pernits are ncn- transferab :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 'equlred. licenses are required for all other Ir allacons
authorized to bind the app' nt. •
1 �\ , '''.--- P FEES: (,P0
c ENTER FEES S
Signature b " •
Y So
SURCHARGE (.05 X TOTAL ABOVE) $
Authority if other than Applicant . TOTAL $ � ysa
I: esislrorrr:svesele.doc 3/98
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06/08/2000 Activities for Case #: ELR2000 -00068
3:57:43 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELRA003 Application received 03/29/2000 BON DONE No Hold BON 03/29/2000
ELRA010 Permit created 03/29/2000 BON DONE No Hold BON 03/29/2000
ELRA730 Elect' Service No Hold BON 03/29/2000
ELRA799 Elect, Final 04 /04/2000 CD PASS No Hold AKJ 04/04/2000
ELRA500 (F) Issue permit 03/29/2000 BON DONE No Hold BON 03/29/2000
ELRA800 Case finaled 04/04/2000 AKJ DONE No Hold AKJ 04/04/2000
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