Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
11
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00361
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/18/2007
PARCEL: 2 S 102 D D -00400
SITE ADDRESS: 13834 SW FANNO CREEK DR BLDG G -H ZONING: R -12
SUBDIVISION: FANNO CREEK VILLAGE APARTMENTS LOT: 003 JURISDICTION: TIG
PROJECT: FANNO CREEK APTS
Project Description: Units 1 -10 Fiber Optics install.
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:
SOLARES HOMES L L C NORTH SKY COMMUNICATIONS INC
BY NORRIS BEGGS + SIMPSON PO BOX 87550
LOAN SVC DEPT VANCOUVER, WA 98687
PORTLAND, OR 97204
•
Phone: Contact #: PRI 360- 254 -6920
FAX 360 - 254 -5097
Reg #: ELE 17- 154CLE
FEES LIC 141171
Description Date Amount
[ELPRMT] ELR Permit 9/18/2007 $75.00
[TAX] 8% State Surcha 9/18/2007 $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: 44... e4.4.4.. Permittee Signature: a19 J L CAjt v!e.
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 10:25 FAX 01006 / 012
a a
r i I VAbX 1.6 a y) rtb Mai /-34-i4? - 53 -1,1
,.,..
Electrical Permit A • • li.0 : Ile :1 - .. •-.,
R 1_,..-ccived‘q
r r FOR OFFICE USE ONLY
City of Tigard '`'i-----
# Cate/By: /15 -0 ",/ Pertnit No .agacto7nea: 3 347 /
1111 q 13125 SW Hall Blvd,, Tigard, OR 97223 Plan Review
I C . .
. Phone: 503.639.4171 Fax: 503.598.1x P i c 2 Oth Permit:
TIGARD 007 Date/By:
Inspection Line; 503.639A175 Date Ready/By: Julr 10 See Page 2 for
Internet: wwvv.tigard-orgov ci r-: . ., ... , Notified/Method: Supplemental information
- ' - 'PLfilAttilW'''"''' ' '''' ; ' :- ''''''''''' - ';'''''r
0 New construction f2./, MI "J ' :MR' i „ i a Itli * .• -, : ON Please check all that apply (submit 2 sets of plans w/items checked below):
0 Service or feeder 400 amps or more 0 Building over three stones.
Ill Demolition . . i.::6k
0 Other: where the available fault current 0 Marinas and boatyards.
6i;i0
:i
ii..::: :- exceeds 10,000 atnps at 150 volts or D Floating buildings.
•.. • . - - :,. . , .. .. ,„ : .,.„ -. . .. • ''%.7 .• , - .. T:' ." ...'"*"."7"'"" • . .. • .• , . ..
less to ground, or exceeds 14,000 0 Commercial-use agricultural
0 1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building amps for all other installations. buildings.
%Multi-family El Master builder El Other: 0 Fire pump. 0 Installation of 75 KVA or
. 0 Emergency system. 0 larger separately deriv system.
JOB . iee: 0 Additio„ of „ew motor load of SITE
Job no.: Job site addressi U?-j--1. S vs .), . fahl,, .11. 0 ff (AL 0 y , 100HP or more. occupancy.
0 Six or more residential units. 0 Recreational vehicle parks.
e
City/State/ZIP: . - \ • 1 Iva . 0 ((.1. Ci 1'1.2 ::t 0 Health-care facilities. 0 Supply voltage for more tha
Suite/bldg./apt. no.eicr3 Ca .k.-roject name: OA ‘t\y")0 00,1(.... fl#S •
of
0 Hazardous locations. 600 volts no
0 Service or feeder 600 amps or more. n
minal.
l',''; :' ' .. :,;:'! :. ,' I' 3 : 1*,:: .; : :AE :: : . ■Si.I10 3° . ' ‘-i.LE: . : ; , : :';'.5Z : . : .!: : j..P...::::: .. ;::.:: : : : :g . :T
Cross street/directions to job site: blij ft .0- 6 ( , Description 1 Q. I Fee. 1 Total I
*) New residential single- or multi-family dwelling Mill.
■■••••'.' ALb6- G -1-1- uki rrs i- 10 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
. ..,, , : : ':. : :1:::: . :'' .. ..•'•-1 : :.1, : ::' , '...1 : :::1 . :.....':'! . ::.:: . ::;10ESCRIFT'ION;43 . F : : . t . i.."01*: : : . .:., : :::'- - '::? :.:'::•:•';', • (with above sq. 0.)
\ ., Limited energy, multi-fain/1y
\9ti-)t/ b)bt ..icrsi Piti ■ Q_Dr) residential (with above sq. ft.) _ 75.00 2
1 ' " . ) '' Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
Q --..-t*PPPPY-::OWNERI•:.:-..,:•:. ' .:' I . :. ,.::::..,:;;,:j . ';' . .i . - 'El :' ':::::i,:•:::,..;':: 201 amps 10 400 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 10 599 amps 133.75 2
Branch circuits - new, alteration, or extension, er panel
Owner signature: Date:
A. Fee for branch circuits with
[:::
:' ANT .' : : .: A ,....-:I. - ::. 1 :--:. 2. ::; . :'::'-::71i1 7 :jOlTitke" . 17.?PERSON:-:::' :v.: .. above service or feeder fee
V ,
6
I ), each branch circuit .65 2
Business name: Nu '7' t : / t,:);! ; tyy\ I 1):7., , ..i. 1 0 ,r1 V7,1 l• B. Fee for branch circuits
without set or feeder •
Contact name: hill ..--/ \I WeNcyc fee, .„
first branch circuit 46.85 2
. `-' ' ., • • t t
Address: 1 ( ( t I l (, S11 Wk . Y6I
11 IV\ (),,' (411 ' Each add'l branch circuit 6.65 _ 2
Miscellaneous (service or feeder not included)
City/State/ZIP: VcArni„A W (,')5?., 1,- ci, 1 Each manufactured or modular
90.90 2
• dwelling, service and/or feeder
Phone: ((90)2.f q,_ ( ; Fax: : (c4( ) Sw: Li .2...
• Reconnect only 66.85
2
E-mail: . \1,„,i,,,n o \ len , Ai\ Pump or irrigation circle ,_. 53.40 2
(
,: ';:q•:: ji: Sign or outline lighting 53A0 2
Business name: Cl
(_) CAMA-e, f)-- Or•Y'--)V-e-- Signal circuit(s) or limited
energy panel, alteration, or
t
Address: 1 \ SI Y, e, V\I\\\\ ?\ f ti2 \ \re.), extension. Describe: Page 2 le 2
City/State/ZIPN (Ay\ Cfik \( \k .0 9 p., 81 Each additional inspection over allowable in any of the above
I Per inspection 62.50
Phone: 0 );2,, 2 Fax: ( ?y ) 2:„Gt_t -- 4: 5 6 / 1
Investigation per hour (I hr min) 62.50
CCB Lie.: \i....\1 \ --1 1 Electrical Lie.: Suprv. Lie.: Industrial plant per hour 73.75
k - 0:."E(..Tit.i1CW:ktiziNi17::,'F.tES::,.,'.:',-::::::;:;•-,-:
Suprv. Electrician signature, required:
Subtotal:
Print name: Date: Plan review (25% of permit fee):
State surcharge (8% of permit fee): tD t9j
Authorized re:,,,..,,..._ , - , - - .1..--..,...:-z - --.-.-.......z . -2-----....z - -------- TOTAL PERMIT FEE: 1 ----- .
application expires if a permit Is not obtained within 180
Print name: -1.{?A;( N . \(YVI C CT) . Date: . ( 1.-- \ 'I .- This permit On days after it has been accepted as complete.
.,. . .. • ). . .
* Number of inspections allowed per permit.
1:1BuildingTermits \ELC-PermitApp.doc 05/23/06 440-4615TO 1/05/COM(WEB
CITY OF TIGARD ,
BUILDING DIVISION - PERMIT #: ELR2007- 00361
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ,W1 WON
Phone: (503) 639 -4171 /� �pu��, f�
Inspection Requests (24 Hrs.): (503) 639 -4175 0 4J =:_.:'
INSPECTION WORKSHEET FOR DATE: 101812007 TIME: 7:00AM PAGE: 89
SITE ADDRESS: 131.334 SW FANNO CREEK DR BLDG G -H CLASS OF WORK:
SUBDIVISION: FANNO CREEK VILLAGE APARTMENT LOT #: 003 TYPE OF USE:
PROJECT NAME: FANNO CREEK APTS
DESCRIPTION: Units 1 -10 Fiber Optics install.
OWNER: SOLARES HOMES L L C, PHONE #:
CONTRACTOR: NORTH SKY COMMUNICATIONS INC PHONE #: 360-2% 6920
Inspection Request Scheduled For: Date: 1002007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 057093 -01 971 -563 -6912 N
Corrections /Comments/ Instructions:
) __..)A)
I PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL n CALL FOR INSPECTION - ADDITIONAL FEES ASSESSED
Inspector: N� Date: 1Q 1 40 `y 01 Phone #: (503) 718- 1-