Permit 511 CITY OF T I GA R D ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 - 00356
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/18/2007
PARCEL: 2S 102 D D -00400
SITE ADDRESS: 13816 SW FANNO CREEK DR BLDG B - ZONING: R -12
SUBDIVISION: lakIldnaREVEEK VILLAGE APARTMENTS LOT: 003 JURISDICTION: TIG
PROJECT: FANNO CREEK APTS
Project Description: Bldg. B Office and rec. room.
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: e,, Permittee Signature: • o_1r`
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 10:24 FA`f` tj003/012
40 . w 1' :' � s° ''' fa 11 lib MC' ■ / 5,0 .
, Electrical Permit Applica i FOR OFFICE USE ONLY
i
A 2007 ReceivedQ�
City of Tigard Date /By: / 1 iw 1 36 Permit No. • / P�dri ,.� a5.�
v 13125 S W Hall Blvd., ng Or 9V-244.4. 1 1� . � Plan Revi w
Phone: 503.639.4171 . Fa 303.5951950 Date /By: Other Permit:
TIGARD hupection Line: 5ft�? bit DIVISION Date Ready /By: lures I21 See Page 2 for
Internet: www.tigan. - oLgov Notified /Method: Supplemental Information
. .........:...
,
IL" N:`REY.
❑ New construction .Additi /alteration /replacement 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:
v sere the available fault current 0 Marinas and boatyards.
CAT.EGOR'YOF CONST UCT > . '' . ` : < .' '_.: ; 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.
%Multi-family ❑ Master builder ❑ Other: ❑Fire pump. ❑ Installation of75 KVA or
. ::. r , . .,: .
:,:.:....:...... , r . .. .. ... . lg separately derived system.
3 OB . SITE INFOIiAiATION;AND.'LOCATIOI) , . `; . .. . .
{9 Add on of new motor load of ❑ ar
"A " "E" "1-2" " I -3
Job no.: Job site address "651 I o 8 \ n IA -\ (x c. . Z `, V. Six armors residential units. ❑ Recreational vehicle parks.
/ City/State/ZIP: \ 1 0 : 1!0., Q 17,i ❑ Health -care facilities. ❑ Supply voltage for more than
Y 1 ❑ Hazardous locations. 600 volts nominal.
Suite /bldg. /apt. Elg, r - , Project name: 1 (6 , y c\ Geelk !t S El or feeder 600 amps or more.
Cross street/directions to job site: 1 `> ' n��.., t� � : : , ;: ;;' • `.... : .,� FEE; SC} IEOULEr;;;;;,;' °: " : <; �: > '
�cki(1. / ek' (. K-U7 i t , � • /` Description . Qtv. . Fec. 1 Total 1 •
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: ] Lot no.: 1,000 sq. ft. or less 145.15 4
Tax map /parcel no.:
Ea. add'( 500 sq. ft. or portion 33.40 1
Limited
. .......... : energy td
ential 75 00 2
c:. .. . :<.....DESCRIPTION. :.Oh?':1 WORK '.:,.. > '.:::: c . :;`:.' •. ' ':,`.;:;.::.;.; (with above q. )
l ) � j / � l \ 1 i �j Limited energy, multifamily
'‘����:.1/ ll �. .!` t/j �� 1l( tai'/ veil,/ ■ �� residential (with above sq. f.) 75.00 2
'1 Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 2
PROPERTY OWNER ?. ° ::: :' ` . :::: 'U TEN ; ::..: 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: ( ) I 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
,::::' . ' :
. ;:::' i:? ❑ APPC'ICANT `:; : F. I ?: " ` `.:<
�CON TACT'tPERSON'. : .::, above service or feeder fee, 6.65 2
); \ each branch circuit
Business name: t \(U - ti fi (i I "!\ (1,%i ? / r ('.I171(
c % 1 i, >. ,. ,f, • ,r V : I. B. Fee for branch circuits
r / /1 !/ without service or feeder fee,
Contact name:
tv! \ dI 1t ` ` � \�i7C' first branch circuit 46.85 2
Address: ` i ( 1 1 �.",,>.- %1 \ / A V !} Each add'I branch circuit 6.65 2
` f 1' !'?� � Miscellaneous (service or feeder not included)
V l
City /State/ZIP: �/�� <' r /WA/ r J lk C,-)5!..
\ (� r i , i Each manufactured or modular
am 5`� �„o' ` 90.90 2 •
) Fax:: ( ) t'{ ij2 Reconnect only and /or f eeder
Phone: (
3t�o 2r�- �- l �i � ..,o 8b 530'- y 66.85 2
E -mail: . m,. ILV e tr\ 0() / / 1)61 C W\ Pump or irrigation circle 53.40 2
:;:;:.;:: _ ,,........•:.:.•:P::: ;•:.:::CO....J ;{ :. t..<:: s: ::;:.'t,:.0' _ >r :': •: S:f < .:;; Sign or outline lighting 53A0 2
Business name: c CN��-� D C o ( '�p\ Signal circuit(s) or limited -
t . i� ' energy panel, alteration, or
Address: I \ g 1 g ..G, \(\/\\\\ q\ A..4 1 ‘2:2\z-,
extension. Describe: ` Page 2 � 2
City /State/ZIP :\ \ \�
(r(\Mk , `l0 Y\ 9, R, 0 t Each additional inspection over allowable in any of the above
/ ---( 1 I _ Per inspection 62.50
I.a l
Phone: ( ) 2)94 1,0 Fax: ( O) . L Li / -- 4361 —
Q 1 1 Investigation per hour (1 hr min) 62.50
CCB Lic.: \ 14' 1I I Electrical Lie.: Suprv. Lie.: Industrial plant per hour 73.75
4- r::.-•a :r ,. ELECTRICAL ?PERMI.P .0 ..: •` ' '-'`1':: ::
Suprv. Electrician signature, required: Subtotal:
Plan review (25% of pennit fee):
Print name: Date: State surcharge (8% of pennit fee): (p h)
Authorized sigma e : ,...._,/7-,,._,,,,..,-,-......w.---_:...-,,, : . .. TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: � l/ 1 N. ` N I ( .J )/1 C C5- i Date: .. .-\ 0-1 days after it has been accepted as complete.
tit • * Number of inspections allowed per permit.
I:\ BuildingWe rmits\ELC- PermitApp.doc 05/23/06 440- 4615T(II /05 /COM/WEB
CITY OF TIGARD .. A
BUILDING DIVISION
AI, PERMIT #: EiR2007400356
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/18/2007
Phone: (503) 639-4171 "apipti lilt'
Inspection Requests (24 Hrs.): (503) 639-4175 ....„..W - LI.
INSPECTION WORKSHEET FOR DATE: 10/8/2007 TIME: 7:00AM PAGE: 84
SITE ADDRESS: 13816 SW FANNO CREEK DR BLDG B - OFFC/REC CLASS OF WORK:
SUBDIVISION: FAWN° CREEK VILLAGE APARTMENT LOT #: 00 TYPE OF USE:
PROJECT NAME: FAWN° CREEK APTS
DESCRIPTION: Bldg. B Office and rec. room.
OWNER: SOLARES HOMES L L C, PHONE #:
CONTRACTOR: NORTH SKY COMMUNICATIONS INC PHONE #: 360-254-6920
Inspection Request Scheduled For: Date: 10/8/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 057096-04 971-563-6912 N
Corrections/Comments/Instructions:
•
gl P SS ri PARTIAL APPROVAL n CANCEL I I NO ACCESS
7 ....
n FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
,----)
Inspector: G ' Nte L_. Date: 1 2frfl Phone #: (503) 718- -2)4410