Permit ' CITY O F T I GA R D ELECTRICAL PERMIT -
RESTRICTED ENERGY
f DEVELOPMENT SERVICES PERMIT #: ELR2000 -00113
I � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/18/00
SITE ADDRESS: 12564 SW QUAIL CREEK LN PARCEL: 2S104DA -00500
SUBDIVISION: QUAIL HOLLOW - EAST ZONING: R -4.5
BLOCK: LOT: 042 JURISDICTION: TIG
Project Description: Installation of timer for irrigation control.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPEIIRRIGAT:
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 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 DEB 5/18/00 $60.00 002273 Elect'l Final
SPCT DEB 5/18/00 $4.80 002273
Total $64.80
ORIGINAL
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 0 thr gh OAR 952 - 001 -0080. You may obtain copies of these rules or direct question . to OUNC at (503)
246 -198. .
Issued / 4 j/ 4 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: 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 Ii 004 fJ
CITY OF TIGARD RESTRICTED ENERGY ELECTRICAL APPLICATION Rec'd by��^- a�3 /IVIa-c%
131.25 SW HALL BLVD Date Rec'd: ,- - i S-r7O
TIGARD OR 97223 PRINT OR TYPE �
V - 503 - 639 - 4171 X304 - �co Permit #: GSDI/j
F - 503- 598 -1960 INCOMPLETE OR ILLEGIBLE APPLICATION Cust.Cail'd:
WILL NOT BE ACCEPTED -
Name cf Development Protect TYPE OF WORK INVOLVED - RESIDENTIAL ONLY1
Lor ` Restricted Energy Fee .. -.._. S60.00
CL .Q- [-1 (FOR ALL SYSTEMS)
JOB Street Address - Ste # RECEIVED
ADDRESS itStatf SW ( 4/ i Cita< Lailk Check Type of Work lnvoNed:
G SState t �cc( OR- y Zip � Phone s El Audio and Stereo Systems MAY 1 5 2000
v (Q G may' _
Name ❑ Burglar
o Mr,- S S* 1c,. Eforn eS' COMMUNITY DEVELOPMENT
OWNER ' iiinq Address ❑ Garage Door Opener' •
Mp
7c{.70 ) Gil -f coot• t-cim c_ - ❑ Heating, Ventilation and Air Conditioning System'
• ItylS Zip • Phone # - -
CQ. OSrtU b 197 O3 q - 190- G'-t_i(p ❑ Vacuum Systems'
Name
UtrACCApc P ( , tZL Lclrtcl-Sc_ape, Other £ , 7 aSCCe.pe_. L'Ut,k_7OMC)1 63117 /C4
CONTRACTOR ygi►9 � nA R-0 TYPE OF WORK INVOLVED - COMMERCIAL ONLY
(Prior to Issuance a City/State ? Zio • Phone # Fee for each system $80.00
copy of all licenses 0) 1 I WI Uul) L. •102. tp (vo i (O (SEE OAR 918.260 -260)
are required if Oregon Cgntr. # 31 ato all
expired in C.O.T. - l�9 Check Type of Work Involved:
data base). Electrical Contr. LIC. # Exp. Date
❑ Audio and Stereo Systems
C.O.T. or Metro Licc. # Exp. Date
❑ Boiler Corarcls
Owner's Name
❑ Clock Systems
OWNER - Mating 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 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 Irrgation Control'
2. Call for inspections when installation under this permit are ready for
Inspection at 603 - 6394175; ❑ 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 ncn- lranaferab :e and non- refundable and expire if work is not
started within 190 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 Dowses are required. Ucenses are required for all other In 'S!allauons
authorized to bind the app' nt.
, -----k) FEES:
/
Signature " ENTER FEES s (�_/
• "'C SUR (.05 X TOTAL ABOVE) $ . `
• Authority if other than Applicant TOTAL $
6 y s-)
I.^ �dsiSlrorms'esele.doC 3/98
05/26/2000 Activities for Case #: ELR2000 -00113
1:24:25 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELRA003 Application received 05/15/2000 DEB MAIL No Hold DEB 05/18/2000
ELRA010 Permit created 05/18/2000 DEB DONE No Hold DEB 05/18/2000 Delay in creating due to •
understaffing.
ELRA725 Low Voltage Inspection No Hold DEB 05/18/2000 .
ELRA799 Elect'I Final 05/19/2000 CD PASS No Hold AKJ 05/21/2000
ELRA500 (F) Issue permit 05/18/2000 DEB DONE No Hold DEB 05/18/2000
ELRA800 Case Finaled 05/21/2000 AKJ DONE No Hold AKJ 05/21/2000
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST .
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
/ BUP
1
Date Requested ` l 02 AM x ` PM BLD
Location ) S l0 (� 1�t 41 Suite MEC
Contact Person 3 Ph 269 - y'3.7 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR — 6D I / 3
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: 6J9
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
PASS PART FAIL �Gfr
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 1 FAIL
tCTRIC
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
TLS' 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 g
Other Date S / ! or Inspector Ext
Final
PASS PART FAIL D NOT REMOVE this inspection record from the job site.