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Permit Irr CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00266 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/3/2007 PARCEL: 2S 110AC -01200 SITE ADDRESS: 11396 SW BULL MOUNTAIN RD 7-A*** ZONING: R -25 SUBDIVISION: BULL MOUNTAIN HGTS. APARTMENTS LOT: JURISDICTION: TIG PROJECT: BULL MOUNTAIN HEIGHTS Project Description: Install low voltage fiber optics for Verizon. Units 128 - 133, 228 - 233 & 328 - 333. 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: 1 Owner: Contractor: ANDREWS MANAGEMENT LIMITED NORTH SKY COMMUNICATIONS INC 11336 SW BULL MOUNTAIN RD #103 PO BOX 87550 TIGARD, OR 97224 VANCOUVER, WA 98687 Phone: Contact #: PRI 360 - 254 -6920 FAX 866 -530 -4325 FEES Reg #: ELE 17- 154CLE LIC 141171 Description Date Amount [ELPRMT] ELR Permit 7/3/2007 $75.00 [TAX] 8% State Surcha 7/3/2007 $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 questions to OUNC at 503.246.6699 or 1.800.332.2344. Issued By: F Permittee Signature: ei /Off 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 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. • 07/02/2007 MON 18:41 FAX 2008/011 if . H t Gc5 L tO 21( tf.7 MC/ / ?tD " 2 ' — Jv Electrical Permit Application FOR OFFICE USE ONLY 1 M ill City of Tigard Received t Rpm= Permit No.: EL 1_ —C32.6.47 13125 SW Hall Blvd., Tigar OR 9722 S " F �f f Platt Re view Phone: 503.639.4171 Fax: 503.598.1 Q ' I N t Other Permit: TIGARD Inspection Line: 503.639.4175 Date Ready /By: 1u, jg:� lid See Page 2 for • Internet: www.tigard or.gov JUL 0 2 7lli / Notified /Method: ) � Supplemental Information • .. • . TYPE OF WORK ^ ?_ r4,--. mare P LAN REVIEW ❑ New construction Addition /alterati 11.. U v. w+ en 't, �,,�: �. '6' , Please check all that apply (submit 2 sets of plans w /items checked below): �l.dLt,.ytE'ttI. � L 1W3ON ❑Service or feeder 400 amps or more 0 Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. ' CATEGORY OF CONSTRUCTION • • . • exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ 1- and 2- family dwelling U Commercial/industrial ❑ Accessory building amps for all other installations. buildings. %Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ l nrergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ". "C ". "1 -2 ", "1 -3 / � �, ` (� , ( 1001IP or more. occupancy. � u' r �At t 1"1� Job no.: Job site address: i ( :� �` An., \ �] parks. ❑ Six or more residential units. ❑ Recreational vehicle arks. �'n� (� �7 i ❑Hea -care facilities. ❑ Supply voltage for more than City /Slate /ZIP: 100 1 t Ii y/ ❑ Hazardous locations. 600 volts nominal. Suite /1)ld /a t. n0.: r "' Pro'ect name: ' < ❑ Service or feeder 600 amps or more. g p 1 12 i� s J Lt�' `�i1�1'��itl� ` ���� FEE SCHEDULE Cross street /directions to job site: 22 -2 Description i Qee. I Fee. I Total I R 1 New residential single- or multi - family dwelling unit. i1 11 - j j ,',.:7 Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Ea. add'I 500 sq. ft. or portion 33.40 I Tax map /parcel no.: Limited energy, residential DESCRIPTION OF WORK (with above sq. ft.) 75.00 2 C.); / . , l —).11 (..1,-, ; . ; �v Limited energy, multi - family 75.00 2 �:� (!.: � . .- �1 :,' j lr / 1... ) i { ,. y' ; . !` } 1 �� ) residential (with above sq. ft.) Services or feeders installation, alteration, and /or relocation 200 amps or less 80.30 2 ❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 Name: 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 City /State /ZIP: Temporary services or feeders installation, alteration, and /or relocation Phone: ( ) Fax: ( ) 200 amps or less _ 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Branch circuits — new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with ' ❑ 'APPLICANT .p..1CONTACT PERSON above service or feeder fee, 6.65 2 Business name: li`' l • n ■ .6'.1 ,s 1 ,., / , r, 4. -I - \') ,� each branch circuit 1} r t /; r. ' �l .i,' `' (_ I l � ,,� � ': '�..', 1: V.' (.. ( B. Fee for branch circuits without set or feeder fee, Contact name: ' \ 0 5 first branch circuit 46.85 2 C'' r , r , tj 5 ',%,?' ; Each add'I branch circuit 6.65 2 Address: ! ( .G T , I', 'ate t t t { i (i t l j t t. , .l 1 : ; — J r . \ r , . Miscellaneous (service or feeder not included) City /State /ZIP: \ i; !', t " ) �,.. t j - (,/ ( 7 ` ,j `'�: , 1 f ) ' I Each manufactured or modular 90.90 2 j i dwelling, service and /or feeder Phone: (3V0) .2_,9 - W) Fax: : ? 2., t'2_�- . t Th. Reconnect only 66.85 2 ^ Pump or ini anion circle 53.40 2 E - mail: y-,� -� C �y ,� S _ .. .., _. .. 1 p g ,'� `v� J `� C ©m'� � l Sign outline li htin 53.40 2 _ TRAC'hl K' .' . i_ .` g g S Business name: Signal circuil(s) or limited - �I�l��kV\ ¶ t 1. C (�n� � � 1(f��.�,� > � energy panel, alteration, or Address: extension. Describe: Page 2 /\ (--1 2 City /State/ZIP: Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: ( ) Fax: ( ) Investigation per hour (1 hr min) 62.50 CCB Lie.: \ -` \" t Electrical Lie.: Suprv. Lie.: Industrial plant per hour 73.75 • •ELECTRICAL PERMIT FEES ... .,, Suprv. Electrician signature, required: Subtotal: Print name: Date: Plan review (25% of permit fee): State surcharge (8% of permit fee): i f j ( >_. .._._.., V , w Authorized signa&k:2. _ "~_j' - TOTAL PERMIT FEE %\ y t . r This permit application expires it a permit is not obtained within 180 Print name: ' ' ° t 11 V \P 1 t \ / tA t C . r1' i - . � Date: 'I-- •`Z -0 - days after it has been accepted as complete. " Number of inspections allowed per permit. 1: \aui [ding \Ptrmits \ELC- PrnnitApp.doc 05/25/06 440- 4613T(t l /05 /COM'WEB CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2007 -00266 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/3/2007 Phone: (503) 639 -4171 /v�ditu�ii�J,\ Inspection Requests (24 Hrs.): (503) 639 -4175 L. INSPECTION WORKSHEET FOR DATE: 7/18/2007 TIME: 7:01AM PAGE: 67 SITE ADDRESS: 1139£ SW BULL MOUNTAIN RD 7 -A --- CLASS OF WORK: SUBDIVISION: BULL MOUNTAIN HOTS. APARTMENTS LOT #: TYPE OF USE: PROJECT NAME: BULL MOUNTAIN HEIGHTS DESCRIPTION: Install low voltage fiber optics for Verizon. Units 128-133, 228 -233 & 328.333. OWNER: ANDREWS MANAGEMENT LIMITED, PHONE #: CONTRACTOR: NORTH SKY COMMUNICATIONS INC PHONE #: 3G0 2Ei46920 Inspection Request Scheduled For: Date: 7/16/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 052205-01 503 - 849.5198 N Corrections /Comments/ Instructions: /'ASS I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: /4Q.1 Date: ' G (._. Phone #: (503) 718 -