Permit ' � CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00355
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/18/2007
PARCEL: 2 S 102 D D -0 0400
SITE ADDRESS: 13810 SW FANNO CREEK DR BLDG A ZONING: R -12
SUBDIVISION: FANNO CREEK VILLAGE APARTMENTS LOT: 003 JURISDICTION: TIG
PROJECT: FANNO CREEK APTS.
Project Description: Units 1 -4 Fiber Optics.
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:
SOLARES HOMES L L C NORTH SKY COMMUNICATIONS INC
BY NORRIS BEGGS + SIMPSON PO BOX 87550
LOAN SVC DEPT VANCOUVER, WA 98687
PORTLAND, OR 97204
Phone: Contact #: PRI 360 - 254 -6920
FAX 360 - 254 -5097
Reg #: ELE 17- 154CLE
FEES LIC 141171
Description Date Amount
[ELPRMT] ELR Permit 9/18/2007 $75.00
[TAX] 8% State Surcha 9/18/2007 $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: 17.7 WjCefa
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 10:23 FAX 12002 /012
y:. �� + 3
Electrical Permit Appli OP ` . .
, - + t FOR OFFICE USE ONLY
1 . City f Tigard Received?
Y g Datc /t3y: /'/P? a Permit No.: �iL 44 ,m7 ,m7 - aVS
" 13125 SW Hall Blvd., Tigard, OR 9 p 1 3 2007 Plan Revi w ✓/
Phone: 503.639.4171 Fax: 503.598..1 60 Date /By: Other Permit:
TIGARD Inspection Line: 503.639.4 5 Date Ready /By: turfs:� / EI See Page 2 for
Internet: www.tigard - or.go T a v A 1 �+ A Notified /Method: 'J Supplemental information
: : i .. pi > : . . ... . . . .. ... :..::;., PL A ioi6,IEW � . ti
❑ 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.
CATEGORY OF' CONSTRUCTION : : ., :. :':' :1 :: . >`. .' ' : :: exceeds 10,000 amps at 150 volts or 0 Floating buildings.
less to groud, 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 of75 KVA or
` t ❑ Emergency system. larger' separately derived system.
: :'..:. : JO
. ;;:.: ..B_ SI T. C:: INI 'OR[��ATIN;AIVDLOC_aTtOh:: :. '_ load of 2
... :;.. .. O . . � . ::`t .. c w motor oa o I
❑ Ad dirionofn• ❑ "A" "F" "I- ', °
Job no.: Job site address: { (� ' ` / `'^ t/p 100HP or more. occupancy.
1 ? $ if `J 4� ■ I �l l Y I N u �C 1. C l� �� �, ❑ Six or more residential units. ❑ Recreational vehicle parks.
...-----•
City /State /Z1P: 7 ❑ Health -care facilities. ❑ Supply voltage for more than
G �'« � ()�'7 - CI J I ' --
❑ Hazardous locations. 600 volts nominal.
/ uite/bld /a . no. Project name: ` O Service or feeder 600 scups or more.
Cross street/direc t o site: LW/TS 1.1 S /
Description •..' I QIV. I I Total Total ( . ..
. 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'( 500 sq. ft. or portion 33.40 _ 1 '
Tax map /parcel no.: residential
75 0
Limited energy, rest
:r ";-: c:'.. :....,.. ":.., DESCRIPTION`OT:•W.O.RK :,.,' . :..... a:.i.: ? :'., 2
:. : •,::: -• >........ _ ... (with above sq. 11.)
/ Limited energy, multi- family
,1 /VII /, )- a�� /.
' \ 19 1 >, / D ,11 t � . = , `� :? ° 1 /2 C (with - 1 / V IC/:, �,. i i �•.?. 1�. ( •!fi 1, 1 i t residential with above s fl. ) 75.00 2
. - .1 ) Services or feeders installation alteration, and /or relocation
200 amps or less - 80.30 2
'•:::. c❑: I'.ROPGRTl':;OV1lN1Itl '; <: , ,. : ; ❑ ?'i;EVAN'i'.,';;:`:,`. °'. . 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:
:. _ Fee or branch c rcuits with
r t
; Ai'PLiCAi � I' '
.,: i. _ : > •. Z: 'CONTACT R SQ N ? ;: above service or feeder fee, 6.65 2
Ark I 1 _ 1
I each branch circuit
Business name: < ( L711 �Ark (1, / ; f ?:�:; �"� a .t. ^ ryry 1.
S Ili - f ` !:' i` 1, 4' ` >( `. " .: !r V.... 1 t B. Fee for branch circuits
without service or feeder fee,
Contact name: M OI \ --•' \\` `qe -C, f branch circui 46.85 2
Address: tx ) i & Each add'1 branch circuit 6.65 2
{ t 1 ; `( w '1t.11V1.IL - f 1`I a1. tt �
r ��pp \ Si' _ j Miscellaneous (service or feeder not included)
City /State/ZIP: tJ j ) ' ) Jf ° � 4 +t�d . � ..) h t) u r Each manufactured or modular 90.90 2
dwelling, service and /or feeder
Phone: ((_0(:))2,S (A 2,0 k
Fax: : (gbh ) 5 - Li y ) ? 1/4) , Reconnect only 66.85 2
E -mail: , )r.; ,A ft Y- (j ` , rn I n circle 53.40 2
Pump o ' r•tgat o c
. ' ` ..j: :.;, ,.. C ONTR A 'G f , R.- ,:,: - :;.;;:: ;:•:: :,':; : ` ,. Sign or outline lighting 53.40 2
(l Signal circuit(s) or limited -
Business name: DIM �V -e-. energy panel, alteration, or
Address: i'S1 B V `/\l \\ P /1 P -2 ,ve), extension. Describe: ' Page2 16 2
City /State/ZIP:� &�( (�t \( W V\ 9
0'1
I Each additional inspection over allowable in any of the above
V ( _ Per inspection 62.50
Phone: (7)16`) )7/..4,--(,,,q Z� Fax: ( 2 2,f - - -- 1 Investigation per hour (t hr rain) 62.50
CCB Lie.: 1(J.\\11 Electrical Lic.: Suprv. Lic.: Industrial plant perhour 73.75
r L, PERMIt' FCIrS:;t :A - ' :;:;
Suprv. Electrician signature, required: Subtotal:
Print name: Date: Plan review (25% of permit fee):
State surcharge (8% of permit fee): 10 nJ
Authorized signattt :e:. --_ : ;r„ =-- .: �_ -...•_ TOTAL PERMIT FEE: �1
1 n /� 1 y / 9 This permit application expires if a permit la not obtained within 180
Print name: ‹..i)71,., N ' l' Y ' l l.[.(, /r �:' 1 c1 Date: \_: ��
I a days after it has been accepted as complete.
* Number of inspections allowed per permit.
L: \tauitding \Permits \L'LC- PennitApp.doc 05/23/06 440- 4613T(II /OS /COM/WEt3
CITY OF TIGARD
.
BUILDING DIVISION PERMIT #: ELR2007- 00365
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/18/1007
Phone: (503) 639-4171 .111"411
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 10/9/2007 TIME: 7•00AM PAGE: 76
SITE ADDRESS: 13810 SW FANNO CREEK DR BLDG A CLASS OF WORK:
SUBDIVISION: FANNO CREEK VILLAGE APARTMENT LOT #: 003 TYPE OF USE:
PROJECT NAME: FANNO CREEK APTS.
DESCRIPTION: Units 1-4 Fibes Optics.
OWNER: SOLARES HOMES L L C, PHONE #:
CONTRACTOR: NORTH SKY COMMUNICATIONS INC PHONE #: 360-254-6920
Inspection Request Scheduled For: Date: 10/9/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 057096-01 971-563-6912
Corrections/Comments/Instructions:
r ,
N
(kEfi,
PASS I I PARTIAL APPROVAL CANCEL I I NO ACCESS
I FAIL I CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED
Inspector: (r oes Date: 1 01 Phone #: (503) 718- - A
Ce'