Permit CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00346
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/14/2007
PARCEL: 2S 112CC - 01600
SITE ADDRESS: 08335 SW DURHAM RD ZONING: R -
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
FEES Reg #: ELE 17- 154CLE
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: Permittee Signature: fiJ /97O,L/ 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 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 10:02 FAX 0002/005
e i I1 6 9 ( - I t 7 MD 1 . — E ( / , & - 5.() - - q , . - 2 ---
EIeCtric l P
o Ti a d PI' � „ t acceived FOR OFFICE ;U
City g Date /By: /�3 /O � �. Permit No.agatro 7 O 9
n 13125 SW Hall Blvd , Tigard, OR 97223 f v-�
Plan Rewew
• Phone: 503.639.4171 Fax- 503.59$01 13 2007 Date /By: Other Permit.
1 IGART�i Inspection Line: 503.639.4175 Date Ready /By: Suns' ® See Page 2 for
.- Internet: www,tigard -or.go R q/ O p , / Notifie d / Method • Supplemental Information
- PLAN. REVIEW .,
• 0 i . '14 i . - t P lease check all that apply plans construction 1 • O n n i pp y (submit 2 sets of Tans 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
• • CATEGORY OF •CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings
less to ground, or exceeds 14,000 0 Commercial -use agricultural
, 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
►�q Multi- family (11 Master builder CI Other: ❑ Fire pump, ❑ installation of 75 KVA or
/ , JOB SITE INFORMATION AND LOCATION El Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A" ") " "1 -2" "1 -3^
Job no.: Job Site addres1321 C 1 ` b \' \ 9-0\ 1 00HP or more. occupancy.
❑
cJ Ll \ 6 ❑ Six or more residential units Recreational vehicle parks
City /State /ZIP: ' ; \� c Q Q'' ' 7 0 Health-care facilities 0 Supply voltage for more than
In ! v ❑ Hazardous locations. 600 volts nominal
Suite /bldg. /apt. no.: t5 t t* i Project name: ►,� �V� �`�n '� \. - ❑ Service or feeder 600 amps or more.
\ • FEE SCHEDULE
Cross street /directions to ob site: Description I Qty. 1 Fee. I Taint ` .
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'l 500 sq ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential
DESCRIPTION OF WORK ; , (with above sq. f.) 75.00 2
/ / t �j Li energy, multi- family
11/19,14.1(.' ' \opi j1 ),1 ,,A1 -.s`' V 4 (2,,%'�
t ,) tesidential (with above sq. ft.) 75.00 2
Services or feeders installation, alteration, and /or relocation
, 1 7 "1- ElseW , r!/ r A/1 CAT O ■ 200 amps or less 80.30 2
PROPERTY OWNER ' - ❑ TENANT 201 amps to 400 amps 106.85 2
Name: IV O2N AN/66 ,,�i E-8 &•-� 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: /n 6,4 6 S'LC) 4 - ,5i',9 Lt B/J ,2. Over 1,000 amps of volts 454.65 2
'77
City /State /ZIP: 77‘,972-6 o2 97 .2.2. Temporar 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 blanch circuits with
` ' , ' In 'APPLICANT 1, . : - ,CONTACT, PERSON • above service or feeder fee, 6 65 2
r each branch circuit
Business name: ``Olk�il (•`1��t / /"•t tip.,:
i (v ° 1( Ji _ ,1 r n /J j l• 1 i Y B. Fee for branch circuits
� `:1t
t wit /rout service or feeder fee,
\ �{ t�1/� �7,f -'
Contact name: \'!/ f service 85 2 50 v 1 �tY lC�i vt�k� 7� D
r . \ r t >. l • $__ ' ,l l r q i1 Each add'l branch circuit 6.65 2
Address: I. .- -
• Miscellaneous (service or feeder not included)
City /State/Z1P: \ /y• ±,r'J,`, j/ \t, j A ��0� C (. 1 Each manufactured or modular
90.90 2
) t ^ �A u) Fax: : g (0( G, &.( dwelling, t only and /or feeder
Phone: (
�� ? ( ) ✓�J t J�-' Reconnect oil 66.85 2
E-mail ,\ {1SLCAI5 Ot/ /1,* l' (��/�TIrk ` \ Pump or irrigation circle 53.40 2
. • :,CONTRACTOR- t - Sign or outline lighting 53.40 2
Business name: n /1,e f- 5 /1 1� ∎DV Signal energy panel, , alteration, limited -
C c i 1 Y✓ panel, eration, or
Address: 6' S ` e, \ \1\ c, ( /I k)2\ vC/t extension. Describe: ' Page 2 16 2
City /State /ZIP: to Y \fr A 98 6 Each additional inspection over allowable in any of the above
r J Per inspection 62.50
Phone: ( ) )-91 -14 t .2,_ Fax: (Ve 2...C
1.5(11 1 Investigation per hour (1 Iv min) 62.50
CCB Lic.: \ 1-1 1 Electrical Lie.: Suprv. Lie.: Industrial plant per hour 73.75
`• ELECTRICAL. PERMIT: FEES. • .
Suprv. Electrician signature, required:
Subtotal:
Plan review (25% of permit fee):
Print name: Date: a)
— State surcharge (8% of pennit fee): LO
Authorized signa� e: . ^* m R` Z— - W -w TOTAL PERMIT FEE: 1 ,----
( n , � This permit application expires if a permit is not obtained within ISO
Print name: ��7v i f.\ ' l t, (�.�t i (: r / c Date: ., p1:-.) . ),-:0 -- 1
/r days after it has been accepted as completes
* Number of inspections allowed per permit.
t: lBuwtdmg \Perrmrs \LLC- PcrmitApp.dac 05/23/06 440- 4615T( I 1 /05 /COM/WEB
CITY OF TIGARD
BUILDING DIVISION A - PERMIT #: ELR2007-00346
DA TE 13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 911412007
Phone: (503) 639-4171 4440
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1012/2007 : TIME: 7 PAGE: 64
SITE ADDRESS: 08335 SW DURHAM RD CLASS OF WORK:
SUBDIVISION: DURHAM ESTATES APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: DURHAM ESTATES APARTMENTS
DESCRIPTION: Data telecommnications.
OWNER: KNEBEL, WERNER + INGE B, PHONE #:
CONTRACTOR: NORTH SKY COMMUNICATIONS INC PHONE #: 360-254-6920
Inspection Request Scheduled For: Date: 10/212007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 056751-01 503-969-5989 Y
Corrections /Comments / Instructions:
•
\ir •
[PASS PARTIAL APPROVAL 7 CANCEL I I NO ACCESS
I I FAIL I I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: C.7 Nse:1 k--- E" Date: I 0 • 1.--• 01 Phone #: (503) 718- 1
, . /. , , '