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Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00348 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/14/2007 PARCEL: 2 S 112 C C - 01600 SITE ADDRESS: 08363 SW DURHAM RD ZONING: R -12 SUBDIVISION: DURHAM ESTATES APARTMENTS LOT: JURISDICTION: TIG PROJECT: DURHAM ESTATES APARTMENTS Project Description: Data telecommunications 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: KNEBEL, WERNER + INGE B NORTH SKY COMMUNICATIONS INC 7483 SW ASHFORD ST PO BOX 87550 TIGARD, OR 97224 VANCOUVER, WA 98687 Phone: Contact #: PRI 360 - 254 -6920 FAX 360 - 254 -5097 Reg #: ELE 17- 154CLE FEES LIC 141171 Description Date Amount [ELPRMT] ELR Permit 9/14/2007 $75 00 [TAX] 8% State Surcha 9/14/2007 $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: /'ate_ Permittee Signature: dJ AV G ie } — r/iU/ki 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. 09/13/2007 THU 10:03 FAX ll004 /005 'Electrical Permit Application i , s. - -- , t. F- , . • FOR OFFICE USE.ONLY - `� el r City of Tigard SAP 1 c7 20 1 � " al y / ��Q 1 7 i i , % yr e r i n i t No.... 7 _©O3 7 4> " 13125 SW Hall Blvd., Tigard, OR 97223 'flan Review Phone: 503.639.4171 Fax' 503.598.196 g (iF p OtherPermrt• TIGARD Inspection Line: 503.639.4175 (i1 1 II�j('i?a, � � y /By• lurrs• El See Page 2 for - Internet: www,tigard- or.gov • ' , •k,Lthod• Supplemental information T YPE' , O F .WO K - PLAN .REVIEW:. " - ❑ New construction Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below)' ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards . ' CATEGO ;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 ❑ Commercial /industrial ❑ Accessory building amps for all other installations, buildings. Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or /// JOB "$ITE' "INFORMATION AND "LOCAT.ION ❑ Emergency system, larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E ", "l - "1 - ", Job no.: Job site addre4 31,82 \ j b uy v \t `m 9A 100HP or more. occupancy. ❑Six or more residential units. ❑ Recreational vehicle parks. City /State /ZIP: I 0) 0 - l'Z'14- ❑ Health•care facilities ❑ Supply voltage for more than ) ❑ Hazardous locations. 600 volts nominal Suite /bid g' p Project /a t. no,: ect name: ;� U�I �/, WN �� C ❑ Service or feeder 600 amps or more Cross street /directions to ✓ t,/ b site: r� llescri ` lion " FEE SCHEDULE P I Qty. I Fee. I Total ' - _" Nov residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: Lot no,: 1,000 sq. ft. or less 145.15 4 Ea. add'I 500 sq. fl. or portion 33.40 I Tax map /parcel no.: Limited energy, residential ' DESCRIPTION Off' ORK 75.00 2 �. (whit abov sq, tt.) i n t , ^` 1- \ 1 1 Limited energy, multi - faintly / 4 ( t 1 ∎, _0J:' , (:. , " (2 ,✓ 1 1';; l a41/la) 1 11�7k l ,), i) ( q. 75.00 2 residential (with ft.) _ Services or feeders installation, alteration, and /o • relocation 2-S Th oiy/y4/Ari e 7 /c"l 200 amps or less 80,30 2 ` PROPERTY, OWNER - , . ❑ TENANT , - 201 amps to 400 amps 106.85 2 Name: le2� < /A/0e— �G,/✓E/3 EL 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: /D 6 F 4, S7 L 9.d 5/ , 49 A) .62 Over 1,000 amps or volts 454.65 2 City /State /ZIP: 77C ,C),.. / 9 7,2 .2.y 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 Owner signature: Date: Branch circuits — new, alteration, or extension, per panel A. Fee for branch circuits with ❑ APPLICANT „CONTACT PERSON above service or feeder fee, 6 65 2 r '\ ; \ ), 1 � each branch circuit Business name: �lt�t / -U (, /�!�,jl < <a7S'�'ttq( t," • t` . ` 1 ,� 1/l p T B Fee for branch circuits ‘V\ \ � ` (� j ,� 7 without service or feeder fee, Contact name: 6618' V \ �t'�../It () C n j` first bra citcutt 46.85 2 Address: ', t_ i 51/r l r lt Y �` q - i , Each add'I branch circuit 6.65 2 t ('� r Miscellaneous (service or feeder not included) City /State/ZIP: j^ r` ID j•. I N , (.S,/ C ✓/ Each manufactured or modular V , >l�i l 1( ( 90,90 2 Phone: t" t dwelling, service and /or feeder ( Q) j '- (�',�7� Fax:: M ) / L� _ - ` I Jy,S Reconnect only 66.85 2 E -mail: m � e11ovoA \- C tw\ / t , �/l W\ Pump orinigation circle 53.40 2 •CONTRAC Sign or outline lighting 53.40 2 Business name: CATI -e, CA-Co (-4JV -ei Si energy panulel, a lt er ration, or L r ergy pan, ae or Address: ' \ g 4 Gi \AO\ c}` 46,1/i ‘321 v extension. Describe. ' Page 2 le 2 City /State /ZIP: an o \A ` j i 9 �)� Each additional inspection over allowable in any of the above "l � h j Per inspection 62.50 Phone: (?2 as ) 2,,r'�t-I -•(f 1 Fax: ( r,„Q) 7_44 i. :5 0 ,/ 1 Investigation per hour (1 hr min) 62.50 CCB Lie,: \ (4I 0 1 Electrical Lic.: Suprv. Lie.: Industrial plant per hour 73.75 ... - , EL'ECTRICAL. . FEES...2": :, Suprv. Electrician signature, required: Subtotal: Plan review (25% of permit fee): Print name: Date: - - - State surcharge (8% of permit fee): tp Authorized signattni e ; y j `. = �- — TOTAL PERMIT FEE: n 1 I This permit application expires if a permit is ot obtained within 180 < -t p t N Print name: A yy t y., u t ,/1 c r c; -" Date: , 91 . -1? ): - 0:1 days after it has been accepted as complete. * Number of inspections allowed per permit. 1 \Buitdmg\Pemtits\ELC- PerieitApp doc 05/23/06 440- 4615T(I1 /0S /COM/WE13 —' ' .. CITY OF ��u m m ��n TIGARD . . ,_ BUILDING ��U��U��U��0� PERMIT DIVISION � ELR2007'00548 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: !-:V14K2007 Phone: (5O3)O3O'4171 �\ Inspection Requests (24Hmj:(SU3)638'4175 "8�-~��]| INSPECTION WORKSHEET FOR DATE: TIME: PAGE: � 10K2/2007 � ��D4AK4 � GO SITE ADDRESS: 033O3 S�DU�HA CLASS � DURHAM RD � SUBDIVISION: LOT TYPE � [�URHAkAESTATES APARTMENTS #: � PROJECT NAME: � DURHAM ESTATES APARTMENTS DESCRIPTION: � Data te|exomnomunitstiwnn. OWNER: � PHONE #� � N�iEBEL,VYERME0 +|NGE��, CONTRACTOR: NORTH SKY COMMUNICATIONS INC PHONE #: 360-.254-6920 Inspection Request Scheduled For: Date: 1002007 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 056751'09 503-9695989 N Corrections/Comments/Instructions: . N PASS ri PARTIAL APPROVAL 0 CANCEL | | NO ACCESS | I FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: C-' (/3 / -e Oate: o 1-101 Phone #: (503) 718- 24 ``