Permit 1.- Y 1 1
CITY OF T I GA R D ELECTRICAL RESTRICTED ENERGY PERMIT
° �0'' C OMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00130
TI D 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/11/2007
,ft.*' g PARCEL: 1S135DA-02402
SITE ADDRESS: 11155 SW HALL BLVD 57 - 64 ZONING: R - 12
SUBDIVISION: ST. JAMES APARTMENTS LOT: 010 JURISDICTION: TIG
PROJECT: ST. JAMES APTS
Project Description: Installation of fiber optic for Verizon.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: X NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS:
Owner: Contractor:
JOHNSON, LYNNE AND R BLAKE NORTH SKY COMMUNICATIONS INC
TRUSTEES PO BOX 87550
2445 -A MAKIKI HEIGHTS DR VANCOUVER, WA 98687
HONOLULU, HI 96822
Phone: Contact #: PRI 503- 209 -7521
FAX 866- 743 -3974
FEES Reg #: ELE 17- 154CLE
LIC 141171
Description Date Amount
[ELPRMT] ELR Permit 5/11/2007 $75.00
[TAX] 8% State Surcha 5/11/2007 $6.00 REQUIRED ITEMS AND REPORTS
Total $81.00
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 -0100. You may obtain copies of these
rules or direct •uestions to OUNC at 503.246.6699 or 1.800.332.2344. S Issued By� 6 , , i ' P ermittee Signature: /-Q,) I i / Q n
OWNER INSTALLATION ONLY r r
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 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
MAY- 11 -07. 10:21AM FROM -North Sommun oat i�on 3602545097 T-371 P.009/017 F-380
Electrical Permit APAhCati �"_ gym - u R -Ifiri :: 1° _ 5s :` _ . f :.. ! 1
Received I I I f �� Permit No.: C'.�.�Z�' ,- co G n
City of Tigard 7 01 Date/8y �/ _
O v 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
E • , . Date/By: Other Permit: 6 - 00123 _��gy Phone: 50 3.639.4171 Fax: 503.598960 . r f I r A E i Ll Datc Rea dy/13y Tur s; 0 See Page 2 for
AI Iasp ectiOaI . inc: 503.639.4175 1 T [nforcuadon
T; G R Internet: www.tigara or.gav BUILDING DIVISION No etlbd _ ' f l _Supplemental
. - ..q ^p \ ... - .. . TT ,�r�.n. . f 1. ! ,vr. <': N 0., vUS, iS i r3 , 1r � ^ ifTIrLN '{. 7 f""th,�1 1 ,�,' T ,,�,,. c - iCr'1° rlGn�� i Yi
T�' �( \.a " • : .� (r 1: 9 r t� '� �- •.'•i' � . . P f a �. Z swx 1.1::�r}
:. ".. 'h,! '^ 1 9 5 r lir 'f rr4ln v,, -,, i'A,�. * c d U e� . ca y i3 p r , r dl- ' , Mf f k 64 e6'"A.: a l a +%� •,1;1? n" 7., r yr ;_ • r �� I ,d ' i ,„ 6.,
'7 . ; ;;;1. t it,YI' i\.. Vii.2.. i ll :ei... a . ,,L R - .:--- :...'1 ' ': ` r " `" .. . 1 w;u'ut. - .. pleas r•'
please check a ll that a pply (s 2 se ts of plans w/items clacked below);
Now construction 0 Additio >>/alteration/replacemta�t
CI Service or feeder400 amps or more ❑ Building over three stories.
0
❑ Demolition Other where the available fault current 0 Marinas and boatyards.
r r , l o , ii i,z - '," JF , I n, 'r l..,,.„tri✓ r r r9ca r i gv i te,,, 2\41/At- r ,I! �' tr ''�'�' exceeds 10.000 amps at 150 volts or ❑Pleatingbuildings-
i� .'1 r'i:`! n ] i . r 0,a a, sea t �+`dy /y, a�i 4r, r l r l,..
):; i ve..r less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
. dwelling . u , . . Accessory building amps for all other installations. buildings.
1f� . . Other: CI Fire pump. ❑ Installation of 75 KVA or
' rem larger separately denied system
7�•IW ��, . mryal. 0 •t.iix . 7,7 114J'�. .f ❑E mergency g eparo
i d< r i r F L�+�µl 0 i r i . - i1i v o Addition of ❑ large seep ratel derive
G {+ila� itil�'d dill ltlil s..n 0. .^ _ •• 3�. atl� . ;' - Y f ar Yu ,.Y�.iril.� ❑ new motor tuna of
I ' ., I I 100HP or more, occupancy.
Job no.: Job site address' v 0 Six or more residential units. 0 Recreational vehicle paria.
City /Stnte/ZIP: ` � �'1 • ij Health -taro facilities. ❑ Supply valtage for more than
❑ tlar locations. 600 voItr nominal.
Suite/bldg. /apt. no.: Project name: `I !L I .i gu ` ` / r ❑ Service or feeder 600 amps or more
"a �'.' kA: 14t F _ Dry „ij 7�h. ;y. T�k �EA:
Cross street/directions to job site: Drsa'lp Om Fcc. Tatar -
t New residential single or multi - family dwelling unit.
.• G. Al rev, i Includes attached garage.
Subdivision: I L ot no.: 1,000 sq. ft. or less 145.15 4
Fa. add'] 500 sq. IL orportion 33.40 1
Tax map/parcel • limited energy, residential 75.00 2
:i- 1 t ,� `, ' rf } H i; ` F,�Ir�At sl' r ,. CIt 0 . :i. g , / t E r :.
�' f.��r!l,. �YG, [�Y }r'� +'�1ri:�rJl '.•.. L i1�a.P/:. ' � , rv�IFl . 1t.4 l•I , (with above � , ft.)
u.W ' , limited energy, multi- family 75.00 2 "IA J rt • � t tial (with above sq, ft.)
LA I • residential
Services or feeders installation, alteration„ and/or relocation
y� 200 amps or less 80.30 2
L'' + l
,1 C o ' ," n� , M " il f , W;r '. '
ve r E E ,, ` 4 �nK6. it i 201 tamps to 400 amps 106.85 2
U rL -1
401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps 240.60 2
Over 1,000 amps Or volts 454.65 , 2
Temporary services or feeder installation, alteration, and /or
relocation
200 amps or less 66.85 t 1
perry 201 amps to 400 amps 100.30 2 that I own which is not
401 amps to 599 amps 133.75 2
t
inrended for sale, lease, rent, or exchange, according to OILS 447, 449, 670, and Branch circuits - new, alter tiOt Or extension, per panel
Owner Date: A Fee for branch circuits with
( .,ti.v ° �r
'�W�' t7�7 J� r � �'v4 `x�` 1 ,�� e * l ��! �'i a o � y, o< `'a al �. a ai�f''����C'! K,, above service or feeder fee, 6.65 2
• �1�1�!l(IK; ,-,14 � y } l�: • 41.ci;�r J[. ::#:!.r. ,. �.1• :. ..., m ±4. 'CJ'• ti ...r1.►, ! - ,,.. L,.
each branch circuit
Business name: ti(hat ti B. Fee for branch circuits - -
witRour service: or feeder fee, 46.85 2
Contact name :__ ` r i �° first branch circuit _
so ` ;� Each add'] branch circuit 6.65 2
Address: l ' MYrisceilancons (service or feeder not Included)
L 4141i l • Each manufactured or modular
dwcllin , service and/or feeder 90 2
Phone: I • r + Reconnect only 66.85 2
f RRavO • A 6, ) CA') 1 ` 1 Pump or irrigation circle 53.40 2
i7,""�" ,�v �I j' F /� x,��av a 7 'i.4 i`' t .UW± .,rt.n r. Sign Ot Outline Iighting 53.40 2
.�lCr� /, 1 6Yx,t1 la l; ll• 47X/7 • r w a ' - u+ai.,G� h�- .,LiY37 ;•�'`:' .IcsmC. r�,r iairi `5 "
Siva) circuit(s) or limited-
El .. ll. r € S • energy panel, alteration, or
exteasiora. Describe: 1 Page2 '\ 2
Each additional inspection over allowable in any of the above
Per inspection 6250
Investigation per hour (1 hr Hain) 62.50
Industrial plant per hour 73.7
. 5
i?i+i L ��1',1 "0 , '.f.D' 1 M .' a ". 17 , s u. r r'
Suprv. Electrician signature, require& Subtotal:
plan review (25% of permit fee):
Print name: Date:
State surcharge (8% of permit fee): 1,9 DLj
Authorized a'1 �� ma TOTAL. PERMIT FEE: SU i
This permit application rspires if a permit Is not obtained within 180
Print name: , f . ' I 1 . , I 1 ( C a ► da after it l as been accepted as complete.
• Number of inspections allowed per permit
t :\13uitdia81Pam1ts\ELC-Permitnpp -doe 05/23/06 44Wt615T(II/Q5 /COMNJE
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2007 -00130
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/11/2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/16/2007 TIME: 7:00AM PAGE: 59
SITE ADDRESS: 11155 SW HALL BLVD 67 - CLASS OF WORK:
SUBDIVISION: ST. JAMES APARTMENTS LOT #: 010 TYPE OF USE:
PROJECT NAME: ST. JAMES APTS
DESCRIPTION: Installation of fiber optic for Verizon.
OWNER: JOHNSON, LYNNE AND R BLAKE, PHONE #:
CONTRACTOR: NORTH SKY COMMUNICATIONS INC PHONE #: 503 - 203 - 7521
Inspection Request Scheduled For: Date: 5/16/2007 Pour Time:
Code # Inspection Description Confirm '' Contact # Message
199 Electrical final 048363 -01 503 -M9 -5198 N
Corrections /Comments /Instructions:
PASS I I PARTIAL APPROVAL ❑ CANCEL NO ACCESS
FAIL 1 I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: � 14 CY?) Date: 41 6 01 Phone #: (503) 718-
.