Permit Y"
CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00363
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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: 13850 SW FANNO CREEK DR BLDG K -L ZONING: R -12
SUBDIVISION: FANNO CREEK VILLAGE APARTMENTS LOT: 003 JURISDICTION: TIG
PROJECT: FANNO CREEK APTS
Project Description: Units 1 -10 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
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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
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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: 11e�-.. — -�� 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.
0,J/13/ 2007 THU 10: 26 FAX 20 08/012
1 a yi (-t 1Xtei %. /-Y4 - 53 -4 72
Electrical Permit A . 8 licati illi4
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C C Vir - . FOR OFFICE USE ONLY
City of Tigard
.1 13125 SW Hall Blvd., Tigard, OR 97223 7
r ill
2 ' Phone: 503.639.4171 Fax: 503.598.1960 sEp ,..1........... .. Atee-tved our. ,, fr --- 00
1 o 2007 Date/By: i /
Platt Revie i
Date/By: Pcnnit NoriAd.4907
T 365
Other Permit:
TIGARD
Inspection Line: 503.639.4175 Date Ready/By: luris: 0 See Page 2 for
Internet: www.tigard-or.gov ('j f
/ ( )1-4" ' iC TA RT"e"'
'' supplemental Information
bi:4*.;1' ,....::::,!.tii.-i': V . I3IVIN
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D New construction jZLAdditio al -r. ion rep acemen Please check all that apply (submit 2 sets of plans whims 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.
• ''-.-:::.-.:,(--, ':-.'. • exceeds 10,000 amps at ISO volts or 01 bating buildings .
less to ground, or exceeds 14,000 0 Conunercial agricultural
0 1- and 2-family dwelling D Commercial/industrial 0 Accessory building amps for all other installations. buildings.
' Multi-family 1=1 Master builder 0 Other: 0 Fire pump. 0 Installation of 75 KVA or
larger separately derived system.
-....-, : .. ,: :: -. .: :::.,.. y ‘ j.91. 3 ...T.'...P.■....c 1 01:47 . . 11 .91 . ..1 , ..ANDOcATIO.N: .:: -,;:: .:. .. :'......:: •::::.'. 0 Addition of new motor load of 0 "A", "E", "1-2". "1-3",
100HP or more occupancy.
Job no.: Job site addressk 9 c 8, ,.;.„) . ,,„ , A v h c,,, d_ 0 y,
0 Six or more residential units. 0 Recreational vehicle parks.
City/State/ZIP: \ 1 KM 1 0 --. Q 1/1 7-'7 0 Health-care facilities. 0 Supply voltage for more than
0 Hazardous locations. 600 volts nominal.
.■_,
Suite/bldg./apt. no.Fik v: lit .-- Project name: ,.(ty‘r 0 0/,62 p ,
- ..) 0 Service or feeder 600 amps or more.
.: l.:,.';..;.;,: : - : • - •' - :' ,: .: , :. ; : - :',. - : : a . : . :: ' ‘
Cross street/directions to job site: eid03 j t A 6 c ...rip,. 1 Qn. t tree. I Totnt I .
New residential single- or multi-family dwelling unit.
Bi-ber- I' - L- UN ITS I -I 0 Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft, or less 145.15 4
Ea. add'l 500 sq. ft. or ponion 33.40 1
Tax map/parcel no.: Limited energy, residential
. 75.00 2
irgs0iii (with above sq. ft.)
r‘Ilq ( \9P/ (D511 ' i'; 1 \)(?/' /2,on
,.... / 1. .... .. ,, . i %k • i 1 / 3 ..) Limited energy, multi-family
residential (with above sq. ft.) . 75.00
, 2
1. Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
0:1•PFt.OPPM..PNYNE .::.:: .. :..:. . ,..:;,. :1 :. . .,::„ ....:, -... 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 I
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: ,... 1--. .. A. Fee for branch circuits with
0 '. ::.....'. ,•..‘• above service or feeder fee,
. . .
. . . .
• - • - 6.65 2
i 6 Aq ". J
' ( . , • .- - - /1
Business name: t\ sa t ("Yt. 4 i 1),,s% .,. ( 0 , k 1 1/1 l. each branch circuit
B. Fee for branch circuits
\\ without service or feeder fee,
Contact name: I e t . 1- , (\fext)c,.. thst branch circuit 46.85 2
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Address: a ' (AV \ V ‘
1 { < 6 1 ( i, F. W \ 11 i V\ .,1 i . Each add'l branch circuit 6.65 2
Miscellaneous (service or feeder not included)
I. 1 A
City/State/ZIP: evArD tr\I ..r.: ---),‘ ,,,e 1, r Each manufactured or modular
., , s-- ,-) 90.90 2
dwelling, service and/or feeder
Phone: (3borisL1-... (A 2 , 0 % Fax: : q( ) - LI 2 ) 7_5 . Reconnect only 66.85 2
E-mail: •Mi \ VOMC ef\o(MAY-\A Ct)Awn , ck. Ri\ n
. . Pump or irrigation circle 53.40 2
0t01■171 .:.: , ..'; ::.--:;.:,::::-:,.:,., :.::: Sign or outline lighting 53.40 2
0
(..) eilYA -e, b-s (k' )V Signal circuit(s) or limited-
Business name:
energy panel, alteration, or
Address:
„
extension. Desciibe: Page 2 i 2
\ SI e, \ ( \k \.\\ v , 0 , . 9A Vil
City/State/ZIP: ay\ ( \ far \( \JO A 9 R(, K1 Each additional inspection over allowable in any of the above
. / Per inspection 62.50
Phone: C'.) ) -v-. 7 , 0 • Fax: ( T.-4,0) ?AL( --- /9 / Investigation per hour (1 hr inin) 62.50
CCB Lie,: \ 1,....1. 1 \-'1 1 Electrical Lie.: Suprv. Lie.: Industrial plant per hour , 73.75
ELECTIIICAI.,:;:.:1PgRIVI.IT.4gES',:..::.
Suprv. Electrician signature, required: Subtotal:
Plan review (25% of permit fee):
Print name: Date:
State surcharge (8% of pennit fee): LO f9j
"--,-,---)
Authorized signa 7 t1Pe:.:: --- ,._ 7=== TOTAL PERMIT FEE: \
This permit application expires if a permit is not obtained within 180
Print name: -'crjv 1 N . V\IViYAA1/1(... c • -7-:(
,, .. C ...., r) Date: !":1. ?"i . days after It has been accepted as complete.
* Number of inspections allowed per permit.
1:313uildingTerrnits\ ELC-PermitApp.doc 05/23/06 440-4615T( I 1/05/COM/WEB
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CITY OF TIGARD ��w m m ��w m n�m��no�� 50~ 4
BUILDING DIVISION PERMIT ELR2007-00363
~~^""~~"~~"~ � [�LR2OUT'0O3G3
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: g/10y2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 v���' ^ ���
INSPECTION WORKSHEET FOR DATE: 10/9/2007 TIME: 7 PAGE: 76
SITE ADDRESS: 13850 SW FANNO CREEK DR BLDG K-L CLASS OF WORK:
SUBDIVISION: FANNO CREEK VILLAGE APARTMENT LOT #: 003 TYPE OF USE:
PROJECT NAME: FAWNO CREEK APTg
DESCRIPTION: Units 1-10 Fiber optics
OWNER: SOLARES HOMES L L C, PHONE #:
CONTRACTOR: NORTH SKY COMMUNICATIONS INC PHONE #: 360,754-6920
Inspection Request Scheduled For: Date: 10/9$2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Bmcbical final 057096'02 971'583-6912 N
Corrections/Comments/Instructions:
\..,,,,\,_ 4.., `
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��PASS �� PARTIAL �� �ANC�EL I I NO ACCESS
L�� / / / / / '
FAIL CALL FOR INSPECTION | | ADDFOONALFEESASSES8ED
Inspector: -^ • N Date: 01 II 09 Phone #: (503) 718- 1U41