Permit .,, .,._;:. CITY OF TIGARD
ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00129
TIGARD 13125 SW H Bl Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/11/2007
=F -" PARCEL: 1 S135DA -02402
SITE ADDRESS: 11155 SW HALL BLVD 49 -56 ZONING: R -12
SUBDIVISION: ST. JAMES APARTMENTS LOT: 010 JURISDICTION: TIG
PROJECT: ST. JAMES APTS
Project Description: Installation of fiber optic 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:
Owner: Contractor:
JOHNSON, LYNNE AND R BLAKE NORTH SKY COMMUNICATIONS INC
TRUSTEES PO BOX 87550
2445 -A MAKIKI HEIGHTS DR VANCOUVER, WA 98687
HONOLULU, HI 96822
Phone: Contact #: PRI 503- 209 -7521
FAX 866 - 743 -3974
•
FEES Reg #: ELE I7- 154CLE
LIC 141171
Description Date Amount
[ELPRMT] ELR Permit 5/11/2007 375.00
[TAX] 8% State Surcha 5/11/2007 $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 B� 6 �� / � � �/ Permittee Signature: (3 )—ppJic.I.d7cr 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.
MAY -11 -07 10:21AM FROM -North Sk Calmun jsat iion 3602545097 T-371 P.008/017 F-380
" e � ° FOR FI US1r CV ri . '�
Eleg P Applicatio �..� � OFCE
Y - � ,.,. .
City of Tigard n7 Receiv / ! I +o } Permit No.: 042 -71:;01,151
.4 13I25 SW Hall Blvd., Tigard, OR 97223 ['. I_ ! 7 f !J Pl ea R ev i ew
i 1 , Other Permit -� _ LOt �,?j
r� -' ' . . Phone: 503.639.4171 Fax: 503.598.1969 Date/By: ,,,, - L4 r Y 0r- 7I ;kRD Pat Read loth: 0 Scc Page 2for
oTIGARD I asp ccrion Line 503 a r r r . YB
d:
s ir".e Internet v/ww_tigard-or.gov BUILDING D I V i S I O N Notified/Method: Supplemental Information
•-, - rn + ,.i, ,,�,,,. �' .�I�.'�� ^T�'�J�rnn3,k,1rb" ,III'r' '� ;3'!I� , r �•,. �.�' }�" 'S!��i�+ :� {� "'.! �• � �1" ��r f�' 4Ni' ��f°+ �
�d�i��' ra } {IX' { {�� i i� } '+,�. ^
• d : +y,•,kV- �, . 1 �tq �Y. i, � il;'.r �'�+ . `1'� , •' 1 } A '75S, rig r r \ 71 i �1 ; W Fy'k. � �. 1r.11�`.U. i I . � • 4 4, . 1 ' Fi Al/ },. y 7' (�iwr t
r } l kiii Y.d..a' .. r 4!4'.'.::,11. kr 3% O s e, , hurt - .2',0.1:•1 rtJA',.14 'h .4 " 1-�•id uycb4 �f .�.i. __,,l�,td }.4 n N. . .e e , L._,•a�. ito:
Please check all that apply (submit a, sets of plans w /items checked beiow):
❑ Ncw construction Additiol r /alteration/replacemcnt 0 Service or !ceder 400 amp: or more ❑ Building over three stories.
❑ DemoIition ❑ Other: where the available fault current ❑ Marius and boatyard.^..
i R i1 �R , 'Sr ,� � 7Ar t � + a alt 1� 0 0,Ati ktO t3 �� i t � � wti •. i exceeds 10,000 amps at 150 volts or ❑ Ploatiog buildin .
lL? av 1 'r r i ; " 1 :ti • la ` � " '9 n'Q - 't' t +a' °t f less to ground, or exceeds 14.000 ❑ Commercial -use agricultural
❑ 1- and 2-family dwelling 0 Commercial/industrial ❑ Accessory building amps for all other instillations. buildings.
►^ Multi-family ❑ Master builder ❑ Othcr: {� Emergency system ❑Ia Instillation g separately of 75
e
n r► m • r° '' it Q t ft., ❑ Ad
' ' -t+-,- r5° ? a y' e 1 y. ''O q a 4 iJ larger a derived
r` Siagiiii.Mc;t1a 4k� �i��7 +' , , � ^• - t W � - Addition of now motor load of ❑
- 1 J Six or or mart.
Recre
Job no.: Job site address: Y ❑ 10 or more residential milts. ❑ Recreational vehicle parks.
City/State/ZIP: ��
❑ Health -care facilities. 0 Supply voltage for more than
tD1'1i/g- ❑ Hsaatdous location. 600 volts nominal. e fi.
Suite./bldgJapt no.: Pro j etc name: � 0 Service or £coder 600 amps or more-
_ Tft *rw ,may
Cross street/directionS to job site: Description _ Qty. Re T,,tnt •
New residential single- or multi- family dwelling unit_
i 1 - 8 44-hn)vp _o Includes attached garage.
Subdivision: Lot no.: 1,000 sq. it. or less 145.15 4
_ Ea. add'I 500 sq. it or portion 33.40 1
Tax map /parcel no Limited energy, residential
rn ,- f ., n "�"� 7 ' r .1 • , , r., it� i i�f,' l , i ." y�; - vx.+.{L7 t ,c.. 75.00 2
r� r .ti!+r* t i . r . ��rd��F��G 1 ,� ,ps , ;,, +9 " o : ! ` s a a 1 'r�rs ^ .. : o . (with shove sq, t!)
_sik•sieL t! , •;:, 'r? d l.atL:• r' tr. :, , i r _ Lin»tcd energy, multi - family
Ai l �� ff trJ / . ' residential (with about sq. R) 75.00 2
�' Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
;; 17N't ® , ..�i • 't ° a f q i "t ,r 1Ft'7 �y 201 amps to 400 amps 106.85 2
Lt�fh���� .� ..iL r ...a �. J w 9,
- 401 amps to 600 amps 160.60 2
Name_
,. ,- 601 amps to 1.000 amps 240.60 2
Address; Over 1,000 amps or volts 454.65 _ 2
City/State/ZIP: ' J Temporary services or feeders installation, alteration, and /
relocation
Phony ( ) Fax: ( ) 200 amps or lass 66.85 _ t
Owner installation: This installation is thing 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 1 , 133.75 _ 2
Branch circuits . new alteratlo or extension . er anel
Owner signature: _Date: A. Fcc fortrench circuits with
f,rrr 1! � y rt... ^ �, ash ,y, ,ri , ,w� + r� "" KL r7x'�!r� i k. above service or feeder fee,
,; is y i q � f� 3 r r tj' ,.' * t, iy .i 3 - �^ A.Ii. 1 . t l ltS' . '% ;..:. • ' • ^ �' - 6.65
6,r , cif : ii tl v ? r� it ri + a�C./ii r� L �.q � y each branch circuit 2
Business name: [ �( ; y v `t' B. Fcc for branch circuits
p( without setvicc o feeder f
Contact name: r 46.85 2
�� t iV . i f ir st branch circuit •
♦ n Each add'I branch circuit I -6.65 2
Address: $ I . �'1 r' t �'�
Miscellaneous (service or £ceder not it cLttded)
City/State/ZIP; `�/� A/\(r Each manufactured or modular 90.90 2
( 61: %) U't IC ' . 4- dwelling, service and/or feeder
Phone: f/l.l sr1 �> v l Fax: ^ ` � b� Reconnect only 66.85 2
v Pump or irrigation circle 53.40 2 -
E-mail: V_ s t ��� O I3 I/ I • C b . g • P' . 1' ` 1 {4 ,�1�:Ji` a i j r� "'��1:i+T • t`. _ 6:'. .` e ; , , ,�•,'t ' i' l r 46 i 't i fl SO r Yt 1. Sign or outline lieJuiog _ 53_40 2 • L Signal circuit(s) or limited -
Business naive: eJI/Yl(l p S O� * w C� energy panel, alteration. or
extension. Describe: Page 2 " 2
Address:
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
CCB \1 Electrical Lie.: 1'- .154 cLe Su rv. Lic.: Industrial plant per hour 73.75
,;•rtir... 't' r .sib 4 S
Suprv. Electrician signature, required: Subtotal:
Print name: Datc: - Plan review (25% of permit fee):
State surcharge (8% of permit fee): 1p W -
.Authorize st TOTAL PERMIT FEE: ci
C O This permit application expires If a permit is not obtained within 180
Print name: ��/ l t � 1 CO Date: �' 10 days after It has been steepled as complete,
• Number of inspections allowed per permit.
imsulloknoPermitmELC3ermitnpp .doe 0523/06 410-46IST(I If05 /COM/WEB
CDTY IF TOG ,t'kw -�,
.r—_ OR=
LIIILDONIG DIVISION PERMIT #: 1:19.200$ 001),9
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: : /30/200).
Phone: (503) 639 -4171 strovoliA �.
Inspection Requests (24 Hrs.): (503) 639 4175
INSPECTION WORKSHEET FOR DATE: C.41112000 TIME: 1:O1AM PAGE: 26
SITE ADDRESS: 0730t3 SW t IJ JNLIKER PD 110 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: ACUITY
DESCRIPTION: Re t+tsrin existing fire dorm syr;tem
OWNER: ROBINSON DEVELOPMENT, PHONE #:
CONTRACTOR: AMEl I(AN S! c URITY ALARMS s PHONE #: 0 231 °0 X03
Inspection Request Scheduled For: Date: 6/4/20013 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 F 3eclrir_ I lire ;<i 070819.01 .. 60a 231 -0303 Y
Corrections /Comments /Instructions: \
' \
PASS n PARTIAL APPROVAL n CANCEL 1 NO ACCESS
AIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
a \Fb Lk Date: c (503) 718- I
Inspector: 6 �' "� ^ ®� Phone #: ) )
CITY OF TIGARD _ _
BUILDING DIVISION PERMIT #: ELR2008 -00123
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5130/2008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639 -4175 s
INSPECTION WORKSHEET FOR DATE: 6/412000 TIME: 7:01AM PAGE: 26
SITE ADDRESS: 0730t) SW HUNZIKER RD 110 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: ACUITY
DESCRIPTION: Rewiring existing fire alarm system.
OWNER: ROBINSON DEVELOPMENT, PHONE #:
CONTRACTOR: AMERICAN SECURITY ALARMS 6 N6 KA PHONE #: f�03 - 0303
Inspection Request Scheduled For: Date: 6/4/2008 Pour Time:
Code # Inspection Description ( Co.nfirm # Contact # Message
199 Electrical final 07083 -108 0' 503 -231 -0303 - Y
Corrections/Comments/Instructions:
)■,
i \
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ' SQL ' Date: 6" '1 ^ �� Phone #: (503) 718- .2-0
• CITY OF TIGARD _
BUILDING DIVISION PERMIT #: IELR200B.00i28
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/30/2000
Phone: (503) 639 -4171 rf�l
Inspection Requests (24 Hrs.): (503) 639 -4175 i�±i•
INSPECTION WORKSHEET FOR DATE: 6/7/2008 TIME: 7:02AM PAGE: 21
SITE ADDRESS: 07300 SW HUNZIKEP RD 1 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: ACUITY
DESCRIPTION: Re- wiring existing fire a)arm systern.
OWNER: ROBINSON DEVELOPMENT, PHONE #:
CONTRACTOR: AMERICAN SECURITY ALARMS PHONE #: 503-231 -0303
Inspection Request Scheduled For: Date:_ 6/2/2008 Pour Time:
Code # Inspection Description Confirm #- Contact # Message
135 Low voltage 070631 -01 503-231-0303 Y
Corrections /Comments /Instructions: / KEN
F pwoViNA Atiss0 (31
� v�t�i cJ a 042,..
iaL
•
PASS n PARTIAL APPROVAL ❑ CANCEL U NO ACCESS
7 FAIL 1 1 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: y" b 6 `""-� Date: ' ' 2-' Phone #: (503) 718- 2.44k
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2007 -001 r9
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/11/2007
Phone: (503) 639 - 4171 ° ''�. I' ",,ii�1i�
Inspection Requests (24 Hrs.): (503) 639 -4175 �'.'_..
INSPECTION WORKSHEET FOR DATE: 5/15/2007 TIME: 7:00AM PAGE: 78
SITE ADDRESS: 11155 SW HALL BLVD 49 CLASS OF WORK:
SUBDIVISION: ST. JAMES APARTMENTS LOT #: 010 TYPE OF USE:
PROJECT NAME: ST. JAMES APTS
DESCRIPTION: Installation of fiber optic for Verizon.
OWNER: JOHNSON, LYNNE AND R BLAKE, PHONE #:
CONTRACTOR: NORTH SKY COMMUNICATIONS INC PHONE #: 503-209-7521
Inspection Request Scheduled For: Date: 5/15/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
EIeLKrir al final 048273 -04 503849 -5198 N
Corrections /Comments/ Instructions:
►'l — _ - n PARTIAL APPROVAL CANCEL ❑ NO ACCESS ''A
• FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G '..4 W t V k. Date: Phone #: (503) 718-#1-414