Permit • ,.
�, „ CITY OF T I GA R D ELECTRICAL RESTRICTED ENERGY PERMIT
il ..
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00360
T 1GARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/18/2007
PARCEL: 2S 102DD -00400
SITE ADDRESS: 13828 SW FANNO CREEK DR BLDG E -F 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- I54CLE
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: Permittee Signature: Irk 41:421,"
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 Ol005 / 012
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ir... . . oirr it( 1tb IA ' /-84 40 & - 5 - - I/
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Electrical Permit Applica iati' • - ,,, k 1, ' FOR OFFICE USE ONLY
City of Tigard Received 9.
Permit NoZzA .....003/00
111 CI 13125 SW Hall Blvd., Tigard, OR 91ISP 1 3 2007 D.03,, /sypi $ / Plan Revi
; • 2 : ' Phone: 503.639.4171 Fax-.413 Date/By: Oilier Permit:
TIGARD Inspection Line: 503.639.42a I X 01- I 3 t IA Q rs Date Ready/By: hnis: El See Page 2 for
Internet: • www.tigard ' I • ' i ...P Notified/Method: '1 Supplemental information
„mum . .. T _ T'tt:v , Ii . : .• 17 , .--„, . ,. , .
-::::::,,. . . IVpg: . ... B : ;.:-!.,::;: ,' ;:,,i .:
0 New construction OAddition/alteration/replacement Please cheek all that apply (submit 2 sets of plans w/items checked below):
0 Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition III Other: where the available fault current 0 Marinas and boatyards.
:;..: ;'.::::.:. exceeds 10000 amps at 150 volts or 0 Floating buildings .
less to ground. or exceeds 14,000 0 Commercial-use agricultural
III 1 - and 2-family dwelling 0 Commercial/industrial 0 Accessory building amps for all other installations, buildings.
Multi-family 0 Master builder 0 Other: in Fire pump. 0 Installation of 75 KVA or
4 .:: i: . :i . :: ,......... ::: p A
i tor load of a larger separately c1 system.
occupancy.
Job no.: Job site addressi 3s,-.2_ 8 Ea if , 0 e . 0 ti.
0 rix units. 0 Recreational vehicle parks.
...."•=
0 Supply voltage for more than
0 Health-care facilities.
City/State/ZIP: ' \ \ 0\10,(4 1 ) c( Q 17,2:-?:
0 Hazardous locations. 600 volts nominal.
Suite/bldg./apt. no. Iti- M' roject name: . v) Dial A , 0 Service or feeder 600 amps or more.
kt
Cross street/directions to job site: f-,) \,61C) I:- ki / -I 0 Description I Qty. I Fee. I Total 1 • .
New residential single or multi dwelling unit.
V lawns 1,/j) Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft, or less 145.15 4
Ea. addl 500 sq. ft. or portion 33.40 1
Tax map/parcel no.:
'75.00 2
•:..''.;:.:...:-•:‘':. ..1.:F140.C..1-0t10).N.:.0: Limited energy; residential
' (with above sq. a.)
'1 I\
1119) /c \9P,A/ b / "0 Vek I (2o r)
,,,• , - , • Limited 'energy, multi-fainily
residential (witit above sq. ft.) 75.00 2
Services or feeders installation, alteration, and/or relocation
200 amps or less , 80.30 2
.‘ 1:]: r..1.001 .. ,:',,:' ,...-:.'..:!','. D'f ' 201 amps to 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 to 599 amps 133.75 2
Branch circuits - new, alteration, or extension, per panel
Owner signature: Date: . A. Fee for branch circuits with _
;Y •:.' . .::''..,', 1iii..i'01.;1C. .::: . 1: ;..1':' il_( ■i: .::.: i ''-.: above service or feeder fee,
665
each branch circuit . 2
Business name: t\t, OA\ 9'VA (,,t'Afij t r a„),1 - 0{k . B. Fee for branch circuits
without service or feeder fee,
Contact name: OV‘e \ ,
Wes A-) c first branch circuit 46.85 - 2
,
Address: I (. 6 1 Y) t . S1 - > - . ‘VIA • 11 I V\ 01 OVA li ("N. '. Each addl branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/State/ZIP: \ vi /k ( l -1 d E N a v c e l i t l i i n na n
90.90 2
Phone: ( (A 7 , 0 ‘ f Fax: : qi 2 ) 5 i4 2,2_5 , Reconn only 66.85 2:
E-mail: ,XyVic\ICAS c ,)'() YA, t) \ , k . Pump or irrigation circle 53.40 2
. : . ' ,. : ', , -, 1 •, - .12,::::':;.: - .g : ::y:,: :: ';, , ,z,:;: . ; •':::•:. : Sign or outline lighting 53A0 2
Business
e
c CVM -( Ok.- - Signal circuit(s) or limited-
name: ) 06J-.,.
energy panel, alteration, or
Address: SI s \ t \ ' I f - Vdt extension. Describe: Page 2 /\ 2
City/State/ZIP: ay c v/ voi/\ 9 B(f) 81 Each additional inspection over allowable in any of the above
i Per inspection 62.50
Phone: (2-,M) )23 -109 j, ( ?". ) 2411 - 4-, ---1
Investigation per hour (l lir min) 62.50
CCB Lie.: V....VI \ -1 1 Electrical Lie.: Suprv. Lie.: Industrial plant per hour 73.75
.. . •:. ..;,..,.:. , ;: ,- :' ,. : •:- e , :; ,.. 'sEL.EC.T,RIQALIPERMIT:;:;F.EEs':.:::::=,..` ; 'MV:; : ::: :
Suprv. Electrician signature, required:
Subtotal:
Plan review (25% of permit fee):
Print name: Date:
_ . State surcharge (8% of pennit fee): 11 (9
..- >
Authorized signte::::::=•
TOTAL PERMIT FEE:
Print name: -</ N . WILY kA171 (' . , C . Date: 6 1,1 7 - - 11
- , ... -7 A..; - • This permit application expires if a permit is not obtained within 180
clays after it has been accepted il5 complete.
" Number of inspections allowed per permit.
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I:\ BuildingWermits\ELC-PermitApp.doc 05/23/06 440-4615T(11/05/COM/WEB
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CITY OF ��x m � ��m TIGARD _ ^ ''
BUILDING DIVISION PERMIT #: BR2007-00360
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 91180007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 L . T .a IL.
INSPECTION WORKSHEET FOR DATE: 10/02007 TIME: 7:00/VN PAGE: 86
•
SITE ADDRESS: 138J85WFMNN0 CREEK DR BLDG E-F
CLASS OF WORK:
SUBDIVISION: FANNO CREEK VILLAGE APARTMENT LOT UO3 TYPE OF USE:
PROJECT NAME: FANNO CREEK ApTS
DESCRIPTION: Units 1-10 Fiber Optics install.
OWNER: SgLARES HOMES LLQ. PHONE #:
CONTRACTOR: NORTH SKY COMMUNICATIONS INC PHONE #: 350-2E4892O
Inspection Request Scheduled For: Date: 10/8/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 067096-03 971'563-8912 N
Corrections/Comments/Instructions:
--1
n PASS ri PARTIAL APPROVAL 1 CANCEL I NO ACCESS
0 FAIL ri CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: C-- �\ c � ib) ~ � Date: Id 1 CI Phone #: (503) 718- *411
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