Permit i-
ill �I CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00183
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/8/2007
PARCEL: 1 S133DB -07400
SITE ADDRESS: 13456 SW HAWK'S BEARD ST BLDG P ZONING: R -25
SUBDIVISION: SUMMER CREEK APARTMENTS LOT: JURISDICTION: TIG
PROJECT: SUMMER CREEK APTS
Project Description: Install low voltage fiber optics for Verizon.
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:
SUMMER CREEK LLC NORTH SKY COMMUNICATIONS INC
121 SW MORRISON STE 1000 PO BOX 87550
PORTLAND, OR 97204 VANCOUVER, WA 98687
Phone: Contact #: PRI 503 209 - 7521
FAX 866 - 743 -3974
Reg #: ELE 17- 154CLE
FEES LIC 141171
Description Date Amount
[ELPRMT] ELR Permit 6/8/2007 $75.00
[TAX] 8% State Surcha 6/8/2007 $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 J/ >t!I Permittee Signature: S_J2e... / / 07[7'61
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.
06/07/2007 THU 10:18 FAX 360 254 5097 North Sky Communications 20 15/020
V l ,u5x, Ell WO ra 10 "2 - v'D'
Electrical Permit Application FOR OFFICE USE ONLY
Cary of Tigard I P" 1 R eceived j / 7 p
' l ' _ ( ( ` u PermitNo eL1�ZOt�7 - cot
q 13125 SW Hall Blvd., Tigard, OR 9722 " * '' Plan Review
.,' Phone: 503.639.4171 Fax: 503.598.1960 JUN ;d 7 2007 Date/By: Other Perm
TIGARD Inspection Line: 503.639.4175 Date Ready/By:
Supplemental e n Info
Internet: wWw trgard -or gov �, r �� Notified/M Information
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❑ New construction • ddition/atteration /replacement Please check all that apply (submit? sets of plans w /items checked below):
❑ Service or feeder 400 amps or more El Building over three stories.
❑ Demolition Other
❑ where the available fault current ❑ Marinas and boatyards.
'a i M:Mq:- "V,R' as Wit; 4 1 fi NZ,. yi til ' ' ` a exceeds 10,000 amps at 150 volts 0
• �, �._� ,� .,�- iw � aa�� t �
�:rs�a�r .l.;
�sh ;�a� � r w .Au P ❑Floating buildings.
Less to ground or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
lig! Multi- family ❑ Master builder ❑ Other: ❑ }Ire pump. ❑ Installation of 75 KVA or
?ix �m .'> 4 'i :.>t t "i- F' " SSW a- aa
i ; d A � ' � � ;,u�.5 EJ. 2pi,9,1 t i { tl ' t el l ' om ; t a 3,- ❑ &mergen ofne em. Larger separately deriv , dsystem'
.- .Yass.WS c Y«I[£:<4 `" :.tv ✓ho::::^$2'',t zi ' t c ,..v . S'tkh 3 �';`� V?1 A
€. �«�ui .x•�, ❑ Addition of new motor load of ❑ "A ", "&", "1 - ", "1 -3 ",
Job no.:' Job site address: 9) / ' ,� r / A I 100HP or more occu eution
• ❑ Six or more residential units. ❑ Recreational vehicle parks.
'O IEEE= ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations 600 volts nominal
Suite/bldg. /apt. no.: ` Project name: ° A...tM , IM % ,e / V ❑ Service or feeder 600 amps or more.
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Cross street/directions to job site:
n , i � {
Description Qty. Fee. Total u
•
�� New residential single - or multi - family dwelling unit,
j �: Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Tax map /parcel no.: Ea. add'I 500 sq. ft. or portion 33.40 I
h, &r w , �, , cited energy, residential
am �h~ r .c l� l: * N o_ ,c t t `E , 'c' 0 �; sy Z ' (with above sq. t
f i t.) 75.00 2
t � �a:2
� � �s4 f `i r' ' � iv't
Limited sid ential (with above sq. ft.) energy, multifamily
75.00 2
— — 1 r residential
Services or feeders installation alteration, and/or relocation
r r "�'� s . q w 200 amps or less 80.30 2
i ss. 3 a ..4i a t v5 a.„ ,,: _.v$ a. a o:i FxW § .. :. .a,,..:tt?t±�£ 14_ A l :: l amps amps 106.85 2
u. , l iviR cai iii i ' r . F sue. ti� t �; r : , 0 �- .fin ' .. - tvi 201 am s to 400 am s
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 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
1 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
__ a c , �, A. Fee for branch circuits with
. Z x .� M ..a, " �'s .., a i'.; � rpM v fi ,,Ci a € 1 i rp � Ft'7 q as #
�x �� � a, � r atr'a...�,,.;�� �� a?..r..��f � � uw above service or feeder fee, 6.65 2
Business name: N each branch circuit
/l .A l 0' • ► * t T t ' B. Fee for branch circuits
Contact name: w ! � .. without service or feeder fee,
s '��'+r A , .., first blanch circuit 46.85 2
Address: 3 $ VA 1 it /� ,, W Each add'L branch circuit 6.65 2
v" ei�lil : Miscellaneous (service or feeder not included)
City/State/ZIP: ` . ik.A. , ' Y V 4 ` b 1 Each manufactured or modular
,� dwelling, service and /or feeder 90.90 2
Phone: (€6b) #2 g 1 .1,, \ Fax: : ( i el D - 9J1'i Reconnect only 66.85 2
t � ' I P t♦�j,,S / i 1 Cb t t t Pump or inigation circle 53.40 2
t'-''' p 'c 3 ' i� d`nag <t $ � F .M t 0E -{t' i D' x , � 1i � � ] ,t". sk i
t�.�;:..�.«,..�.ia;� � .:...�,.�:bs���t��� �:.'.�s.� .,....:il<:h!..�.x��)?� ����,t�,s,��.?�"�.. §�'.,� ;., Sign or outline lighting 53:40 2
t . u a ' /1 Signal circuit(s) or limited -
l� to i •V-e energy panel, alteration, or
Address: extension. Describe: t Page 2 1 2
City/State/ZIP: Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: ( ) Fax: ( ) Investigation per hour (1 hr min) 62.50
Electrical Lie.: Suprv. Lie.: Industrial plant per hour 73.75
Suprv. Electrician signature, required: _ r Y salt.
Subtotal:
Print name: Date: Plan review (25% of permit fee):
_� State surcharge (8% of permit fee): 19
Authorized signal'
n -----....■ TOTAL PERMIT FEE ^ 1
Print name: -'(' 1 ), , , (44:71C/ (� ,�i� - Date: / / / This permit li exe L a permit not te ithin 1$0
Vt v days after cation it h bee n accepted as comobpleteaind w
.
• Number of inspections allowed per permit.
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2007-00183
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 618/2007
Phone: (503) 639-4171 AlgoOmotiA
Inspection Requests (24 Hrs.): (503) 639-4175 A. - n
4..._.,........ ......
INSPECTION WORKSHEET FOR DATE: 6/21/2007 TIME: 7:03AM PAGE: 34
SITE ADDRESS: 13456 SW HAWKS BEARD ST BLDG P CLASS OF WORK:
SUBDIVISION: SUMMER CREEK APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: SUMMER CREEK APTS
DESCRIPTION: Inatall low voltage fiber optics for Verizon.
OWNER: SUMMER CREEK LLC, PHONE #:
CONTRACTOR: NORTH SKY COMMUNICATIONS INC PHONE #: 503
Inspection Request Scheduled For: Date: 6/21/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 050659-01 503-519-7466 N
Corrections/Comments/Instructions:
• '
/
PASS n PARTIAL APPROVAL 7 CANCEL I I NO ACCESS
I FAIL 7 CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
Inspector: " 0 L.- Date: 1 2•• 2-1 • 0) Phone #: (503) 718- 144
._. . .. , _ • , , . .