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Permit C ITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00347 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/14/2007 PARCEL: 2S 112CC -01600 SITE ADDRESS: 08355 SW DURHAM RD ZONING: R -12 SUBDIVISION: DURHAM ESTATES APARTMENTS LOT: JURISDICTION: TIG PROJECT: DURHAM ESTATES APARTMENTS Project Description: Data telecommunications. 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: KNEBEL, WERNER + INGE B NORTH SKY COMMUNICATIONS INC 7483 SW ASHFORD ST PO BOX 87550 TIGARD, OR 97224 VANCOUVER, WA 98687 Phone: Contact #: PRI 360- 254 -6920 FAX 360- 254 -5097 FEES Reg #: ELE 17- 154CLE LIC 141171 Description Date Amount [ELPRMT] ELR Permit 9/14/2007 $75 00 [TAX] 8% State Surcha 9/14/2007 $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: c Permittee Signature: em / .9-/J /cej} -% /pN 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. 09/13/2007 THU 10:02 FAX 0003 /005 if e i 'i l u - r .> Yl I M. ; i' -Y4,& - 530 ---1-7' Electrical Permit Applicati = 3 D ' FOR OFFICE USEONLY . Cl of Tl and Received G g Date /By: 7/ / © � i! Permit No. � .2©09 �Q6 3 Z� 7 13125 SW Hall Blvd., Tigard, OR 97223 ( +[[D Q Plan Review or: Phone: 503.639.4171 Fax: 503.598.1960 _ 1 J 20�� Other Permit - ate /By: TIGARD Inspection Line: 503.639 4175 R Ready /By: Juns- El See Page 2 for Internet: www.tigard or.gov C i y (i F g I j(,jJ ' . ti tted/Method: Supplemental Information TY Q -... � 0 R l It J H ' . PLAN REVIEW ❑ New construction Additio a lterat i on /re lacement Please check all that apply (submit 2 sets of plans w /items checked below). ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. ' ' CATEGORY OFF CONSTRUCTION, exceeds 10,000 amps at 150 volts or ❑ 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. W Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND,,LOCATION ❑ Emergency system larger separately derived system ❑ Addition of new motor load of ❑ "A "F', "I -2 ", °1 -3 ", Job no.: Job site address \j'\„ r 100HP or more. occupancy ? 1� b��.\ 111A� ❑ Six or more residential units. ❑ Recreational vehicle parks City /State/ZIP: - Y(A 0 oil a4- ❑ Health-care facilities 0 Supply voltage for more than 1. ❑ Hazardous locations. 600 volts nominal Suite /bid /a t no.: h et name ❑ Service or feeder 600 amps or more. g' p Z.�2 1J �i `S`7/1� p 7 _ . FEE SCHEDULE' - Cross street/directions to Yob site: /--14 Description 1 Qty. 1 Fee. l Total i 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'l 500 sq. ft or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 - DESCRIPTION OF' WORK • 2', . (with above sq. fl.) �, . 1 \ �r Vii Limited energy, multi- family f (� „ - -' 1 ,. 'l 1• , cl \ O i / 7b / �. ! 1 ! f residential (with above sq. fl ) 75.00 2 � ..1 f Services or feeders installation, alteration, and /or relocation ,/9 TILL. `- /f?/t1WV � d f\/ 200 amps or less 80.30 2 PROPERTY OWNER • ❑ TENANT 201 amps to 400 amps 106.85 2 Name: amps to 600 amps 1 60.60 2 game: G{ ERA/52 f � -E- ./r/VEg e:2--- 601 amps to 1,000 amps 240 60 2 Address: /Q666 s- co Z ei /76172_/ 25 /x. Over 1,000 amps or volts 454.65 2 City /State /ZIP: 77)5 -2y.S 42 5' '70202 / ' Temporar y services or feeders installation, alteration, and /or relocation Phone: ( ) Fax: ( ) 200 amps of 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 - new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with ' ' ', ❑ .APPLICANT . , • = „CONTACT PERSON . • above service or feeder fee, 6.65 2 ft each branch circuit Business name: J- A O t,[ (• ' i! ; i �' /, "; t r� l4 r ;s i'( 1'_./ ;tl.• VIA f - -� .'.,. 1 1. b� l� 1 B. Fee for branchcitcuils / without service or feeder fee, Contact name: v Li ; \e��)C: 0 (� first branch circuit 46.85 2 Address: N { , t t / r` ;�' Each add'I branch circuit 6.65 2 t l i r Miscellaneous (service or feeder not included) Cit /State /Z1P: is c- Cy "1 Each manufactured or modular \ 11 dwelling, service and /or feeder 90 -90 2 Phone: ( gi p ) --(r1 Fax: : (g(� ) 5 - t - f ?�Z5 , Reconnect only 66.85 2 E -mail: ���� � C� � �p U (r'l A \ r'l �(uo '\ 01. W w■ Pump or irrigation dick 53.40 2 CONTRACT R Sign or outline lighting 53.40 2 0 � /� Signal circuit(s) or limited- Business name: O CA , ()LS, a 0''070 -e / energy panel, alteration, or 1 C7 �/ �1 ,% / extension. Describe, I Page 2 4 2 Address: 6 l 1� I U e, \,' \\ -\ ?, �,J x,0 Y A vd, City /State /Z1P: (AVV `NV.e Vs 1 9 8(, f� 81 Each additional Inspection over allowable in any of the above l t ' � Per inspection 62.50 Phone: (22(64 )2,..19-t --1 1...0 Fax: ( V 26 - 1 (} - 1 Investigation per hour (I hr min) 62.50 CCB Lie.: ILA, \\1 Electrical Lie.: Suprv. Lie.: Industrial plant per hour 73.75 ';. ••ELECTRICAL - PERMIT• FEES.. Suprv. Electrician signature, required: Subtotal: Plan review (25% of permit fee): Print name: Date: / aan e: ti:; State surcharge (8% of permit fee): (Q t7� - Authorized sign ~° �� - z.;r;, „ - =" � _ TOTAL PERMIT FEE: NV( This permit application expires if a permit is not obtained within 180 Print name: - 1 -- -CA/ i 1. 4��' l \ (A (fit C 1 c ;T:, Date: s-1:-1?).-:_01 days after it has been accepted as complete. kk * Number of inspections allowed per permit 113uitding\Pemtits \ELC- PetmsApp doe 05/23/06 440- 4615T(I I /OS /COM/WEB CITY OF TIGARD BUILDING DIVISION PERMIT #: FLP.2007-00347 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: tX.�'I41 007 Phone: (503) 639 -4171 /r 41hi�i Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10l2f2007 TIME: 7 :04AM PAGE: 51 SITE ADDRESS: 08355 SW DURHAM RD CLASS OF WORK: SUBDIVISION: DURHAM ESTATES APARTMENTS LOT #: TYPE OF USE: PROJECT NAME: DURHAM ESTATES APARTMENTS DESCRIPTION: Data telecommunications. OWNER: KNFBEL, WERNER + INGE B, PHONE #: CONTRACTOR: NORTH SKY COMMUNICATIONS INC PHONE #: 3 ;0- ;1f,,1- t:,920 Inspection Request Scheduled For: Date: 10/2,2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 13!,-; Low voltage 056751-02 503.969.5989 N Corrections /Comments/ Instructions: [ PASS PARTIAL APPROVAL n CANCEL 7 NO ACCESS n FAIL n CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED Inspector: "" 6Q146 Le Date: IOI 1 Phone #: (503) 718-