Permit r CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00365
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/18/2007
PARCEL: 2 S 102 D D -00400
SITE ADDRESS: 13862 SW FANNO CREEK DR BLDG N 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
FEES Reg #: ELE 17- 154CLE
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: a .. y_. Y C h Permittee Signature:
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.
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Electrical Permit A I I licati 1 lyi 4 . ; , Z - . - !' • . FOR OFFICE USE ONLY
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• City of Tigard " ,,,, ,„_„, --IA
Date/By: /6/P7 Atilir 0 Permit No '9_-? 44,700--02 3
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.1, 13125 SW Hall Blvd., Tigard, OR 97223 sEp 1 2007 PIM Revie 7
; - ' Phone: 503.639.4171 Fax: 503.598.1960 ,3 Date/By: Other Permit:
TIGARD Inspection Line: 503.639.4175 cri u liuitf<L D Ready/By: turis: . al See Page 2 for
Internet: www.tigard-orgov dtified/Metliod; - 1 Supplemental Information
-::.:, :, :,:.:;::::,:: ,,: . . , ' . NO . :!,,', , 1:i ;•‘-. ;'
. . .
0 New construction ,.Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w/items checked below):
0 Service or feeder 400 amps or more 0 Building over three stories,
0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards.
: ,.;:.;::-:.::,::'::;::',:,:.:::,:: .:6,:ii :.,,.:":::,: • :. '. exceeds 10,000 amps at 150 volts or 0 Floating buildings .
less to ground, or exceeds 14,000 0 Commercial-use agricultural
0 1- and 2-family dwelling CI Commercial/industrial 0 Accessory building amps for all other installations. buildings.
V Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 75 KVA or
larger separately derived system.
. • ',- . •• ' • • , : ., j0B:-SITEANFORMATIOMAND=LOCATION : ' - ' ; , ', ' ,-- .,,.'
Job rte.: 100HP or more.
Job site address \ ck.i12.,.. S \k) . ( . -A timi\ 0 ext 0 V. . . .
, 0 six or more residential units. occupancy.
0 Recreational vehicle parks.
City/State/ZIP: •\ .10 0\2_ Q 17,2 :17 . 0 Health-care facilities. 0 Supply voltage for more than
I 0 Hazardous locations. 600 volts nominal.
..,
Suite/bldg./apt. no. \?-Ac a , t o project name: ciA ifk\f 0 CA(aL 4\5 , 0 Service or feeder 600 amps or more.
Cross sh to ob site: Description I Qty. L Fee. I Total j •
V B i,b6- N LCN i TS I .- q New residential single- or multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no,: 1,000 sq. 1ft or less 145.15 4
Ea. add'] 500 sq. ft. or portion 33.40 1
Tax map/parcel no.:
. Limited energy, residential
75.00 2
:..:: ! /: .: ,l': :: ',...:;;::::.:.:;::: (with above sq.11.)
\ )
\9:( >i ) l - 1 ..,
11 , - 1 b,t A ( ..„ 1 e./L 0() Limited energy, multi-family
i•esidentia1 (with above sg. fl.) 75.00 2
1 Services or feeders installationolteration, and/or relocation
200 amps or less 80.30 2
0 PROPERT\ OWNER 0 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
IDl .'.:z::..,:-•••:.':: above service or feeder fee
6.65 2
VI, t "r P #.-., ti, # , ; . i n A each branch circuit
Business name: No .. q , , ,, r-lo'v v''‘ it' I ' i ' -
t. . B. Fee for branch circuits
Contact name: M 6 he \ \ , e.Ain _ c .
'A- '\( withoui service or d fee, feeer
first branch circuit 46.85 2
4—, ,
Address: { 1 <6 1 ' t SI;:, Vvk il l V\ 0, 0 bl via • Each add'i branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/State/ZIP: Vt W A (3% \ C i; 1 Each manufactured or modular
90.90 • 2
dwelling, service and/or feeder
Phone: (&0)2,,,r2c.t_ . . ( a q 2 , ) k Fax: : Vet ) 57.1y- 1 1 2 ?2,5 . Reconnect only 66.85 2
E XY\\F q)a)S pfl OVOA9 (tjMfl , &O W'\ Pump or irrigation circle 53.40 2
i:•a it: :.:.:.•,,:. Sign or outline lighting 53A0 2
(1 Signal circuit(s) or limited-
Business name:
,) (VW\ -e. 15.-cc-, 0-6 V -e-- energy panel, alteration, or
extension. Describe: Page 2 /\ 2
Address: N 1 \'\t\\\ 7\ a It' 1 92\ extension.
.
City/State/ZIP: wr \ f\ 98(fi 1 Each additional inspection over allowable in any of the above
I " Per inspection 62.50
Phone: (77td) ) 2 ..--L.. 1 Fax: ( y,p0) 2,6 — 4.30q 1 Investigation per hour (t hr min) 62.50
CCB Lie.: \ 41 \ /1 1 Electrical Lic.: Suprv. Lic.: Industrial plant per hour -
: ...: . '•:::"•.fY: l 2: , ;-:: . :'*.ln'ttiOTRICACX.Pg117 : .1:tal::::4::;':::,
Suprv. Electrician signature, required: Subtotal:
Print name: Date: Plan review (25% of pennit fee):
State surcharge (8% of penult fee): [, 19j
Authorized sign &'re: '7: _ TOTAL PERMIT FEE: \ ..--"
,./ ' I I A' \ / ( 1 application expires if a permit is not obtained within 180
• Print name: c .f 1 . kf\ , y,..(,(A../1 C. 1 (..:Z7) Date: 9 1 ?:.,...., -. 7 This permit days after it has been accepted as complete.
C Number of inspections allowed per permit.
1: \ Building \ Permits NELC-PenoitApp.doc 05/23/06 440-46IST( I 1/05/COM/WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: EL R2007-00365
OQ365
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/18/2007
Phone: (503) 639 -4171 kur yg j�l
Inspection Requests (24 Hrs.): (503) 639 -4175 �
INSPECTION WORKSHEET FOR DATE: 10/9/2007 TIME: 7:00AM PAGE: 74
SITE ADDRESS: 13062 SW FANNO CREEK DR BLDG N CLASS OF WORK:
SUBDIVISION: FANNO CREEK VILLAGE APARTMENT LOT #: 003 TYPE OF USE:
PROJECT NAME: FANNO CREEK APTS •
DESCRIPTION: Units 1 -4 Fiber optics
OWNER: SOLARES HOMES L L C, PHONE #:
CONTRACTOR: NORTH SKY COMMUNICATIONS INC PHONE #: 36€3 - 254 -6920
Inspection Request Scheduled For: Date: 10190007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
109 Electrical final M7096-03 971- 563-6912 N
Corrections /Comments /Instructions:
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PASS n PARTIAL APPROVAL I CANCEL I I NO ACCESS
❑ FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: Y b v 66 Date: 1( 01 Phone #: (503) 718- VT
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