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Permit 11 II CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00188 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/8/2007 PARCEL: 1S133DB-07400 SITE ADDRESS: 13456 SW HAWK'S BEARD ST CLBHS ZONING: R -25 SUBDIVISION: SUMMER CREEK APARTMENTS LOT: JURISDICTION: TIG PROJECT: SUMMER CREEK APTS Project Description: Install low voltage fiber optics for Verizon. Office / Club house is next to pool. 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 FEES Reg #: ELE 17- 154CLE 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 $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344. ,�,,, Issued By: 41/4 Permittee Signature: A dn 1) pp OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 06/07/2007 THU 10:21 FAX 360 254 5097 North Sky Communications 2020/020 m t' I .Ub.u g( fro D. /0".2_ — vD' Electrical Permit Application FOR OFFICE USE ONLY City of Tigard -, 7 77` Received c 13125 S W Hall Blvd., Ti t-1 '• • \ • '. , Date./B : ■ J _ Penaa 14°- C / • Tigard, OR 97223 an Review G !I " �r 8� Tom .. D Phone: 503.639.4171 Far: 503.598.1960 : . 200 Date/By Other Permit: TIGARD Inspection Line: 503.639.4175 '- I' „ / Date Ready /By: 0 Internet www tigard -or g ntent [ v ,� No kfed/Method: a Information �� � ov S upple Page i I r rmati on 7E''.,3� �.ti,� 43 .,, R���tiz,.r, 3 c ,, '�..� l . t x � t �. - . iX � T "�^ :si .- r:::. r te x 4 `5--. '° rl . t �x ,,�$ 311 itr,c €1A it3 ti (Y y m , ' i �.., -'' 'r.$ i `a` - 6. , s �. k . `rs(. 1 ' t , l 4 -k k'=iti ,A . r.'":.. �? x;;:A I. .. ..,:d. -zct. r �� �5. -, r �i k;° �' '7 i . t4 a< � S �S'� r y � `fig. Y �t 3 S ,a a � i Y .. _ a d � 3 � a � �. u� c r. �.' J, � z:�3;�:`�;� „c�ai.&. . c�..._.....<a, aa, .� 7 s..� ss „ w ,; k.«f er i.�y Y�a�_�c,�,�v� u'; ���f�y 1i � ( �r>st� �.m7'zN..�i: .. _`�i�a ❑ New construction ,A.ddition/alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ DemOlit ❑ ❑ Service or feeder 400 amps or more ❑ Building over three stories. Ot}ler where the available fault current E ' 'I''' r x i ts °< 1 1,i; y n ` S 4 , x%" R+ ViR' r s V y7 r.* rg � K - ❑ Marinas and boatyards. y } � E 1 �€�a �J s9 �7 t7hkT: Hy 3 t f r exceeds ]0 ,000 am s at I50 volts or ❑ Fleatin buildin s � � -.'.A� '''s . :, " ,a,,;r �' less to groo id, or exceeds woo ❑ Comme -us gagdcultural ❑ 1 - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. 02, Multi family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ installation of 75 KVA or 5 x ❑Emergency system. l ac a rse aratel derived stem. ev i ;� . <� rt�. � "siU�f F3d�n��y�i °�l�t� °1��6� r 4�G�,t� 7 x(9Ct�� I'�t�•dr `�it"° � E l��rf —�° F sr M ?� i s� A M a iw g P Y sy . .�... �...:r� �. i,. r tL2�, �._ .._.?_ v^ - Sri.,.. �� ssuz .n �� �'litf��� ,r�.S� ❑ Addition of new motor load of ❑'•A• • ••l 2 •• •'I_3 Job no.:* & gap , " Job site address: `eb , d rj ` n *xor ormore. occupanc r� o'r�'�'a� ❑Six or more residential units. ❑Recreational vehicle parks. ( AR-J S ❑ Health-care facilities. ❑ Supply voltage for more than ❑ Hazardous locations 600 volts nominal Suite/bldg. /apt. no.: a Project name: V1A, ► (' A / z /J . ❑ Service or feeder 600 amps or more. `�v �i a ,,� g C ' ({ y } ".'� Description ;x ..hlx .l ,.11 ;7 , �", ? NP �Dg Zt �, �r'�'" � x, : Cross street/directions to job site: �. _ , �„ ;,,,.., �.• -r s. Mil Dscriptio Qty. gee, Total ('� ' + ' New residential single- or multi - family dwelling unit. ., / v W / ti a Includes attached garage. Subdivision: II Lot no.: 1,000 sq. ft. or less 145.15 4 Tax map /parcel no.: Ea. add'l 500 sq. ft. or portion 33.40 1 4 1} 4 ,� i r a � �rY5 v , Limited energy, residential n� . uptx'��s f� �' t s (° F4 . 0 �'; a 1 � _'iV; i (with above sq. ft.) 75.00 2 Wi ♦ � Limited energy. mult fa 75.00 2 J residential (with above sq. ft,) Services or feeders installation, alteration, and /or relocation 200 amps or less ��� " '������ s � { ;� ��� �e s a� e s , a�' r r p 80.30 � 2 nl0:iu °r y. ;n•,, s , +;� _t i Pr E4, .':'�. ( t 4 t p r r g € 201 amps to 400 amps 106.85 2 Name: 401 amps to 600 amps 160.60 2 Address: 601 amps to 1,000 amps 240.60 2 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 1 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 O signature: Date: Branch circuits — new, alteration, or ex tension, per panel Owner t �s 1 z _ r �, A. Fee for branch circuits with r•�<l" t x i t ["5t R "fir i !A i i i �$t° t I ��'g' alr�.�, .r 'V 7� � ' ^"i; i - �a.. �� .'�t�€�si,�..,.e:,�.7'wa`.�.:. ,.' �a _0+7'�� 4s, 4,.h,' �.a.,:,.v�- a.'G, .b'r�`.h�w;BF nil£ ..�.., °4.0. � §ar�i f.�:i.�t t� ��'9�°� v,4i „'i"n`.ft� above service or feeder fee, N� /� each branch circuit Business name: 6,65 2 `✓ jij i i ' � �I I� _Ai � P+t�' f ` � � T r' • B. Fee for branch circuits Contact name: r without service or feeder fee, � AK�, first branch circuit 46.85 2 Address: . j 4 , j A ' l i / ,. Each add'l branch circuit 6.65 2 (�� �” Miscellaneous (service or feeder not included) City/State/ZIP: }t� a�.i i t )V I 6 1 Each manufactured or modular Phone: (6 ) f( '� , Fax: : (pl - , 1 - Reconnect 4. dwelling, service and/or feeder 66.85 2 i 2 � D�.P f on ly 66. /� n/� 66.85 ,I MME 101 Gb I 1 , Pump or irrigation circle 53.40 2 n :l , V ztix • 'l( © e v i ' + ` i t t ff £ r '"i l�' R4 i e+ or outlineli li ghting � ..,..3.,� ..r�. 3,a� i.�n4 � "r ., . �t,�;�....z ���,:,,::� c.7 Sl gn g g 53.40 2 Business name: OL% / +V)2 Signal ciicuit(s) or limited - energy panel, alteration, or Address: extension. Describe: I 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 hr min) 62.50 Electrical Lic.: Suprv. Lic.: Industrial plant per hour t� 73.75 y �i. f. I X 2 3,��-"Y., rrjitan ' ' rJaa,:.L a - t_�d °�Z i�'._ z: rRaRS ! Suprv. Electrician signature, required: s: Subtotal: Print name: Date: Plan review (25% of permit fee): State surcharge (8% of permit fee): 1, (2 Authorized sign- --_1 TOTAL PERMIT FEE: %1 Print name: ./(' l ` G Date: j / / All This permit application expires If a permit is not obtained within 180 days after it has been accepted as complete. * Number of inspections allowed per penult. t: 18ufdmg\Pamltslmc- PennitApp.doc 05/23/06 440- 4615T(OI /05 /COM/WEB laC. 42SCq CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2007 -00188 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/8/2007 Phone: (503) 639- 41714p�pij�l +� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/28/2007 TIME: 7 :01AM PAGE: 2 SITE ADDRESS: 13456 SW HAWKS BEARD ST CLBHS CLASS OF WORK: SUBDIVISION: SUMMER CREEK APARTMENTS LOT #: TYPE OF USE: PROJECT NAME: SUMMER CREEK APTS DESCRIPTION: Install low voltage fiber optics for Verizon. Office / Club house is next to pool. OWNER: SUMMER CREEK LLC, PHONE #: CONTRACTOR: NORTH SKY COMMUNICATIONS INC PHONE #: 503 -209 -7521 Inspection Request Scheduled For: Date: 6/28/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 051144 -03 503. -7466 N Corrections /Comments /Instructions: A PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS I I FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: ' Date: C' 1.1 Z ` 7 Phone #: (503) 718- 1J41Y4