Permit •
� CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
' COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00362
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: 13844 SW FANNO CREEK DR BLDG I -J 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: LANDSCAPEIIRRIGAT:
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:V � Permittee Signature: ff'h C ein
OWNER INSTALLATION ONLY �v�_�
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 10:26 FAX 0007/012
:/ 9 i'l4u5k/ N i - tb i -342 4.? - 5, :_4 0 - - Li :
Electrical Permit Application FOR OFFICE USE ONLY
kl•F' rr 1 3 . 0 Permit No.:
, " 13125 SW Hall Blvd., Tigar,FO•q 2 4 , 1*
7 L..., 1_,„fi
Other Permit:
z . ' ' ' Phone: 503.639.4171 Fax: 503. 1 174:: - ' ' , •
TIGARD
Inspection Line: 503.639.4175 Date Ready/By: ill' El See Page 2 for
Internet: www.tigard-or.gov SEP 1 3 2007 Notified/Method: Supplemental Information
ittol.. '..:: .--.:'.-, :., '.:: .: :: ;.7.z::; ,.,-:'.- :;'. ::.::. ::: :114
0 New construction jgAdditNiAlleritiAtc la8let , Please check all that apply (submit 2 sets of plans whims checked below):
0 Demolition 0 0 ;:-I
LDIN DTNIS ION 0 Service or feeder 400 amps or more 0 Building over three stories.
where the available fault current 0 Marinas and boatyards.
,-ri66 ,,. ,.-.,,::., :.:, :,:.,),::.:;:..,., exceeds 10,000 amps at 150 volts or 0 floating buildings .
less to ground, or exceeds 14,000 0 Commercial-use agricultural
El 1- and 2-family dwelling ED Commercial/industrial EJ Accessory building amps for all other installations, buildings.
Multi-family D Master builder 0 Other: 0 Fire pump. 0 Installation of 75 KVA or
larger separately derived system.
.4PP ANP''1 ':f' r: '-'' .-::!,:::: Add a: of new motor load of
1001-1P or more occupancy.
Job no.: Job site address LI 8, ft in in i N r , pp t V
, ..t t..t Iti IL; %. ./A. , .....V. - .• '‘ i Y . 0 Six or more residential units. 0 Recreational vehicle parks.
---",
City/State/ZIP: * \ . \r4 i i C.- Q 1 --'.-.) 0 Health-care facilities. 0 Supply voltage for more than
0 Hazardous locations. 600 volts nominal.
Suite/bldg./apt. no.FI if.1-4 Project name: 1 (6 mr)0 0,8)a pc , 0 Service or feeder 600 amps or more.
‘ttE;:stli l,x•E':'.:::: I' ':.::::.::::::,',•::::'.::,'‘,
Cross street/directions `tt job site: f.id -A it c 0 Description I Qty, I Fee. 1 Total I •
8 Lb G 3- .1 " tio c i - 1 0
(.
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'I 500 sq. ft. or portion 33.40 1
Tax map/parcel no.:
75.00 2
1?gerile.:00.Tg .:',.:.?;:'; ::.',; (with abo Limited energy, residential
sq ::.:., v. ft.)
Limited energy, multi-family
' 1C / l i n cj ■ rAIV-.. "Cl \9{ btt I „cry' ,e.4( 72.L- residential (with above sq. ft) 75.00 2
'
Services or feeders installation, alteration, and/or relocation
.. .. . 200 amps or less 80.30 2
:::..b::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: Date:
ra
A. Fee for branch circuits with
',':'• . :i: ...[:1;,01,
., t.
...i --," above service or feeder fee,
6.65 2
each branch circuit
Business name: NOVZ.V\ ( :!;\t,,,ri (,` ,t oy'Clv 6- B. Fee for branch circuits
without service or feeder fee,
Contact name: M h V\ ti \\Wextp
first branch circuit 46.85 2
...!`
Address: I i 6 1 ( 1:± . C ,1 3 ,/ 1 0/ (1 b 1 V 0- ' Each add'l branch circuit 6.65 _ 2
Miscellaneous (service or feeder not included)
City/State/ZIP: VOAtipj.A 1 0,1 . - 6 , c37/.., L ci, - 1 Each manufactured or modular
90.90 2
• dwelling, service and/or feeder .
Phone: ( :00)2...sel (A 2 v
0 1, ( Fax: : 01..1 ) r "In:- 4 2 ,5
0 e) 7 . Reconnect only 66.85 2
E A 1i)M5 eovil,\A--,At)(‘A\iy-1. ct3, W\ Pump or inigation circle 53.40 2
,: :Rg.;';';;;;':Y::M .,::',-,., ''.::',..:;%:;::‘,.;..;'.:,:';',',' Sign or outline lighting 53.40 2
0 Signal circuit(s) or limited-
Business name: ( ') CIAM -e, ()L.- 0 e.-' energy panel, alteration, or
' 1
Address: t \ S I % \m\ -\\ v \ikl.Ai 9 vo extension. Describe: I Page 2 '1 2
City/State/ZIP: \\ t\ncnk \ k ( vo A. 9 8 gi Each additional inspection over allowable in any of the above
' 1 Per inspection 62.50
Phone: (221a9 )2;4 -^V,1 7 Fax: ( Ty 2,,C; Li -' 1,01 1 Investigation per hour (1 br min) 62.50
CCB Lie.: \ 4\ \ 1 I Electrical Lie.: Suprv. Lie.: Industrial plant per hour 73.75
::'A::
Suprv. Electrician signature, required:
Subtotal:
Plan review (25% of permit fee):
Print name: Date:
State surcharge (8% of permit fee): tP (93
Authorized signa re.,..„ ...:3;...-...:' TOTAL PERMIT FEE: 1 ,--
This permit application expires if a permit is not obtained within 180
Print name: -1 ( N , If\n't VA,41/1C, ( PE) . Date: 9 ..., 17 . - -
1 .... 1 .. . , )..- ( :. . days after it has been accepted as complete.
* Number of inspections allowed per permit.
1: \Building \Permits \ELC-PermitApp.doc 05/23/06 440.4615T( I I /05/COM/WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2007-00362
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/18/2007
Phone: (503) 639 -4171 revio A ��
Inspection Requests (24 Hrs.): (503) 639 -4175 .'. J
INSPECTION WORKSHEET FOR DATE: 10/8/2007 TIME: 7:00AM PAGE: 88
SITE ADDRESS: 13844 SW FANNO CREEK DR BLDG I -J CLASS OF WORK:
SUBDIVISION: FANNO CREEK VILLAGE APARTMENT LOT #: 803 TYPE OF USE:
PROJECT NAME: FANNO CREEK APTS
DESCRIPTION: Units 1 -10 Fiber optics,
OWNER: SOLARES HOMES L L C, PHONE #:
CONTRACTOR: NORTH SKY COMMUNICATIONS INC PHONE #: 360.251 -6920
Inspection Request Scheduled For: Date: 10/8/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 EIectiical final 057093 -02 971- 563.6912 N
Corrections /Comments /Instructions:
.\
1---li .
PASS n PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
n FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: G" N QB Date: 10i 4 Z[01 Phone #: (503) 718- li'lit