Permit e e .
tr,
1111 CITY. OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00162
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/1/2007
PARCEL: 2 S 112 B B -04000
SITE ADDRESS: 14500 SW HALL BLVD A ZONING: R -12
SUBDIVISION: EDGEWOOD MANOR APARTMENTS LOT: 005 JURISDICTION: TIG
PROJECT: EDGEWOOD MANOR
Project Description: Install low voltage fiber optic cable for Verizon. Work done at building A (appartment numbers
1 -20)
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:
WIEK FAMILY LTD PARTNERSHIP NORTH SKY COMMUNICATIONS INC
BY GUARDIAN MGMT CORP PO BOX 87550
4380 SW MACADAM #380 VANCOUVER, WA 98687
PORTLAND, OR 97201
Phone: Contact #: PRI 503- 209 -7521
FAX 866 - 743 -3974
Reg #: ELE 17- 154CLE
FEES LIC 141171
Description Date Amount
[ELPRMT] ELR Permit 6/1/2007 $75.00
[TAX] 8% State Surcha 6/1/2007 $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 • - tions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: II J. .% . // Permittee Signature: ,
OOO"'
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.
JUN-01-07 10:03AM FROM-North Sky Communication 3602545097 T-399 P.004/004 F-408
City of Tigard xeceivea l fi 5
Purri Et-g2t6i - 00162.
-, - - ° r SW Hall Blvd., Tigard. OR 97223 ,
s 2 : •, Phone: 503.639.4171 ' Fax: 503R.r 6 E )
ig Date/By: p
Plan Review
l
Date/By; Other Permit:
1.-
ick ,i' D inspection L 503.639.41'15 • , E '%,,„..ei i. 111-..1m..- Date Ready/By; - - Ed See Page 2 for
, -- - Internet: vvww.tigard-or. ii 9 I I i gov Notified/Method: 1 C5- Supplemental Information
i it
- ---7 '"•"---'''' ' - '''"'IA ''' . • ' ''• 4•••• r-v• - ot 'N ,, ly•-• ,,,- -.. ,, .. ,, ... ,,, ,,,::,-...4 ( -..,..„.. f ,,,•„, . • 7,..,,i .-,. -
1'.:'-';'r .6*.110't.r...al 4,';;: 4 .5. ji „;', , .... c .,I r l„,
Cf New construction jaAddition/a1=Ovnir4-11&ii6 Please check all that apply (subma / sets of plans w/items checked below);
0 Demolition 111 Other BUILDING' DIVISION 0 Service or feeder 400 amps or more EIBuilding Ov Cli ri
er me stoes,
where the available fault current 0 Marinas and boatyards.
i" ';''.11 i..eiNgittiOttti$Pisg'.z:Kfr:M41;FIR1-1:'r'., exceeds 10,000 :imps at 150 volts or 0 Floating building .
less to ground. or exceeds 14.000 0 Commercial-use agricultural
0 1- and 2-family dwelling El Commercial/industrial El Accessory building amps for all other installatirms. buildings.
Multi 1=1 Master builder p Other: CI Fire pump.
7 ...,r, i timkji,,:t„:,siitolpow,n,v,r_ 1 ,,,.. , „,..:••,...„,-w,-... ,,,,,,, - , = 4 4 ,,, - , .Arkit u ,= , :vg o t=„0, , c... 0 Emergency system.
?If 0 iiimonotioo of 75 KVA or
larger separately derived system.
,::,"xt.t IlAltii hl :/.1r1 ';'••• Q Additioo of new motor load of
100HP or more. occupancy.
Job no.: 1 Job site addre:.;s: 146- H 51
0 Six or more residential units. 0 Recreational vehicle parks.
City/State/ZIP: 77, • ,, • 1 9---7. 0 Healthcare Facilities, 0 Supply voltage for more than
0 Hazardous locations, 600 volts nominal.
Suite/bldg./apt. no.: .-- • ProjeL:t name: E c t i3v.iococ k, m aint)t - 0 Service or feeder 600 amps or more_
• • i . -,,,A•03..t•i:;.:;''?!,;':,;:1:•;,;:r,'i:',,:it P
tEi:S'OE.E/tItl
Cross street/directions to job site: il u i 1 3, r , n- ritatriprion I Qty. F Fm I Total I -
. New residential single- or multi-family dwelling unit_
Includes attached garage.
Subdivision: I Lot no,: _1,000 sq. ft. or less 145.15 4
Ea. add'l 500 sq, ft. or portion 33.40 I
Tax map/parcel no.:
Limited energy, residential
: . :: ,A11 1 ,11V i. 4 '.` ,.01 1 ,g l iT( :.7 k,kg,1.0..?§',OkAt 40:$:...#4/1*±WAirkl,::grA.:,:00;;V,-,`.$6,:ciiS; (with abOve ILI 75.00 2
( I I Limited energy , multi-family
V<ZAB ‘ OP.1 1 .14 1 LA V_Oli 1 / 2.0 1 1 b=3iilential (with above sq. ft) 75.00 2
Services or feeders installation, alteration, and/or relocation
200 amps or less _______ 2
;
'...'in pi::N■".;‘ -- ,,,icA14;%;,• , ::,l7 ; r,i, v ;r1,::c ,,„ .
,,,, ..,:. . ... ..■- - ,X7 77., ■..l....1,);7:17.4 , 'C.Y: . PO. a',o ,.. ,,..,....:, ...;k9 20 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 - now, alteration, or extension, per panel
Owner signature: Date
_____ .
A. Fee for branch circuits with
1 .42,.`.:'1;1; 4 .'-plip;',!.g ED rij athArg.414irrillg 401 os above service or feeder fee,
, ,...,...0,,lk.y-.. 6.65 2
each branch circuit
Business name: NUOLIA 9/ Ltyl (a.,,t1171/1 B. Fee for branch circuits
Contact name: ( / „fp ill without service or feeder fee,
46.85 2
• _, first branch circuit
•
Address: 1 Li 1 e, m 1 1 ‘ ) ,,a.. 1 'il'b 4 4. wi ql-c Each addl branch CiMilit 6.65 2
Miscellaneous (service or feeder not included)
City/State/ZIP: \kt,t,r W jk % Li I 1 Each manufactured or modular
90.90 2
dwelling service and/or feeder
66.85 2
Phone: (lb) 1/0 ' lei?, l Fax: : ( it, ,, .1 Lii I 4 , 7
Reconnect only ,
__.
E-mail: 1 IffiltM,, =NU. int 0 && j , C-b rn Pump or irrigation circle 53.40 2
f;::' vxotow., Sign or outline lighting 53.40 2
Business name: S.r..--ie-- O' -e- Signal circuit.(s) or limited-
energy panel, alteration, or
Address: extension. Describe: Page 2 .16 2
City/State/ZIP: Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: ( ) Fax: ( ) investigation per hour (1 lir min) 62.50
CCB Lie.: \ /..\,1 \ 1 E1:7 Lie.: Suprv. Lie.: Industrial plant per hour 73.75
'g'.'
'.., .1tiwyt.0*i.k,s,7,.7;Tr;Q
Suprv. Electrician signature, required:
Subtotal:
Print name: Date Plan review (25% of permit fee):
:
• - State surcharge (8% of permit fee): ta 6°
Authorized signature:
TOTAL PERMIT FEE:
....- ' in A 1/ r 7
Print name: •CA( i N. " , C ..F0- Date: 1 --1 -- 0-1 T permit AppliCatiOn expires if a permit i5 not obtained within 1812
days after It has been accepted as complete. * Number of inspections allowed per permit
IABuildinaRcrmitstELC-PermizApp.tlot osnyos 440 i51 I rosicomiwEn
_ .
CITY OF TIGARD •
BUILDING DIVISION • PERMIT #: ELR2007-00162
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/1/2007
Phone: (503) 639-4171 t
Inspection Requests (24 Hrs.): (503) 639-4175 • J J —
INSPECTION WORKSHEET FOR DATE: 6/5/2007 TIME: 7:01AM PAGE: 54
SITE ADDRESS: 14500 SW HALL BLVD A CLASS OF WORK:
SUBDIVISION: EDGEWOOD MANOR APARTMENTS LOT #: 005 TYPE OF USE:
PROJECT NAME: EDGEWOOD MANOR
DESCRIPTION: Install low voltage fiber optic cable for Verizon. Work done at building A (appartment numbers 1-20)
OWNER: W1EK FAMILY LTD PARTNERSHIP, PHONE #:
CONTRACTOR: NORTH SKY COMMUNICATIONS INC PHONE #: 503-209-7521
Inspection Request Scheduled For: Date: 6/5/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 049604-01 503-209-7521
Corrections/Comments/Instructions:
to iNIV=EI —11 a. E CA LK
m, 6z,c \ a 6)1 5 A AO
LL R I .
I I PASS I I PARTIAL APPROVAL I I CANCEL I I NO ACCESS
)g CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: ' t L Date: C V • 01 Phone #: (503) 718- 2•40
( r.
CITY OF TIGARD r -
.- BUILDING DIVISION PERMIT #: ELR2007- 00162
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/1/2007
Phone: (503) 639 -4171 4 .4001t
Inspection Requests (24 Hrs.): (503) 639 -4175 __
INSPECTION WORKSHEET FOR DATE: 6/6/2007 TIME: 7:01AM PAGE: 19
SITE ADDRESS: 14600 SW HALL BLVD A CLASS OF WORK:
SUBDIVISION: EDGEWOOD MANOR APARTMENTS LOT #: 005 TYPE OF USE:
PROJECT NAME: EDGEWOOD MANOR
DESCRIPTION: Install low voltage fiber optic cable for Verizon. Work done at building A (appartment numbers 1 -20)
OWNER: WEK FAMILY LTD PARTNERSHIP, PHONE #:
CONTRACTOR: NORTH SKY COMMUNICATIONS INC PHONE #: 503200 -7521
Inspection Request Scheduled For: Date: 6/6/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
190 Electrical final 049727 -01 503-5194466 Y
Corrections /Comments /Instructions:
\NA
•
V -ASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL H CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: v � Date: , f 0 61 Phone #: (503) 718 -T ' V