Permit CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00354
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/18/2007
PARCEL: 2S102DD -00400
SITE ADDRESS: 13750 SW HALL BLVD ZONING: R -12
SUBDIVISION: FANNO CREEK VILLAGE APARTMENTS LOT: 003 JURISDICTION: TIG
PROJECT: FANNO CREEK APTS
Project Description: Duplex A & B Fiber optics.
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
FEES Reg #: ELE 17- 154CLE
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: • i t 1f Q Permiftee Signature: (. d D r�
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 10:27 FAX 2011/012
9 i I1 Q7L 17111- x t al l i._34,& 5,30 y :z
Electrical Permit Application, , FOR OFFICE USE ONLY
City Of Tigard U neReceiveil ' Permit No. t u - Date /By: / 7 7 6 J /+ 'D / "' er 3 a7#
t _ 1312 SW Hall Blvd., Tigard, OR 9722 Elli
Plan Review
Phone: 503.639.41 71 Fax: 503.598.1960 3 � Date /By: Other Permit:
TI GAF D Inspection Line: 503.639 SEP 3 2007 Date Ready /By: hrcis: EI See Page 2 for
Internet: www.tigard or.gov Notified/Method: Supplemental Information
� Tr
.. ',. . .. .... ... :TY P E:O F� , VVORK;:a..:` PLAN E.
El construction Additi � l�Ct+ 01 / e � ben
V ] r, Please check all that apply (subunit 2 sets of plans whims checked below):
�" r s U V j ) ❑ Service or feeder 400 amps or more ❑ Building over three stories.
El Demolition ❑ Other:
where the available fault current 0 Marinas and boatyards.
: CATEGORY' F '
0. ": .. ....:. •.:.;.: ,. exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
El I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
%Multi-family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ installation of 75 KVA or
.JOB`:SITiv ' -FORM' A ii ND'-L .. '•TI 0 Emergency system. larger separately derived system.
.: ,,..... .•..... ❑ Addition of new motor toad of O „ Z „ ,. 3 „
Job no.: Job site address: . , 100HP or more. occupancy.
( r0 IliMiii MUIPAL�MI1 . ❑ Six or more residential units. ❑ Recreational vehicle parks.
l /ZIP: ` ( Z '' i S 750 S•4 1- Health -care facilities. ❑Supply voltage for more than
101 1 )����1 n Q 1 z �✓ Hazardous locations. Health-care
volts nominal.
Su e/ Idg. /apt. no.j} f 4 laroject name: c n o o ' f f - * ' , ❑ Service or feeder 600 amps or more.
job site: n 1 /` 1 / { 1 `, ° s , : : : : ; .FEt:.SCHCf)i1. ;E , ; : :.',, . ' " : : ;; ;; :.
Cross street/directions to
'� 1 )kk Of K I\ \(�y4A C ` t h, - - i�. . Descri , . . - : 110tE®MEIM '
a - New residential single- or multi - family dwelling unit.
�o QC - includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'I 500 sq. ft. or portion 33.40 I
Tax map /parcel no.:
residential
.'. 75 00 2
- . ... DE JYORK:::.::' ,, ; :' r ";.,. :::.: ` ; ° ?;: t:;;,: '
Limited energy, rest
(w a sq. fl.)
Limited energy, multi-family
/j n /. ( �/7( , / VON /� il 75.00 2
,1 1/1 (,1 6/2 .• , C t/1>, 0ijU , Jf'\- �/ON ( / � residential (with above sq. fl.
Services or feeders installation, and /or relocation
,
200 amps or less 80.30 2
D;.
. - ....: ". ®, PROPEl2T1,,. .0,.01:02.'.: . ::. ‘.::: . .:..:: ':' •O;:TEh2AN'M' -' .:': ; ' , • : '.; ; 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: Fee for branch circuits with
A.
s
i
•, CONTACTyPERSON.,i; , '' 6.65 2
:'.; " %;'i t :'
❑ APPLICA2\T. `. ;``_?:'.r� :::.,,, r , : : _ : :':<:'•. ,� aboveseiviceor
r ;, each branch circuit
Business name: \ (� }�V `'; ` u , , , t : r f u , {' ` t, - ; 1 t 1 , � - I l��L B. Fee for branch circuits
•
Contact name: /� n t �+ without service or feeder fee, 46.85 2
t�/ , o� 1 ^ f �� �-- Gist branch circuit
Address: , 1 (y 1 4'1; t y' i1' V\ � -( \ A 4 ( a ' Each add'1 branch circuit 6.65 2
t "` ( J Miscellaneous (service or feeder not included)
l
City /State/ZIP: VPe ( fir "�ifitr� tAJ 7 \: ° a4� �,✓ I Each manufactured or modular
• " dwelling, service and /or feeder 90.90 2
Phone: (60) i (t w • Fax: : (gb ) /5 32,5 . Reconnect only 66.85 2
E -mail: yin �11 Q0P \ [-' Ct7l/vf\ 41 , C W1 Pump or inigation circle 53.40 2
:.:...:... . ";::; •. , .,..... ,:.'G 5340 2
:.'..:..,:_...".,':..':: .. ;'..' ; >:.: ;
":' " '
r,� ONTRi�CT..: R;;`i. > ". " " >: >SE . : . ':.: . a . : c. -;;
Si of outline lightin
Business name: CAM\ 4 7 C W V'/ • e e e pa nui,(a) er• or ation, { or
C7 �l n .. 1 ` �(( �!!"�"""✓✓✓�� \i
d, ' ,,� nergy panel, alteration, or
Address: I I D /� �' \ \ \ Q1 ado 92\ extension. Describe: Page 2 1G 2
City /State/ZIP: anCo\n et( v0 { 9N 81 Each additional inspection over allowable in any of the above
v I ' ` Per inspection 62.50
Phone: (72l,a)) .-1 --t Fax: ( ,O) 2 `T — ,-- 1 Investigation per hour (1 hr thin) 62.50
CCB Lic.: \1\11 Electrical Lic,: Suprv. Lic.: Industrial plant per hour 73.75
':: ::;_ELGCTRICAL?:PERMIT TFEES-; : <i `
Suprv. Electrician signature, required:
Subtotal:
Platt review (25% of permit fee):
Print name: Date: State surcharge (8% of permit fee): (p 0
c� 1 /
Authorized signatut e: �__.e. — r TOTAL PERMIT FEE:
Tills permit application expires if a permit Is not obtained within 180
Print name: . f� ( 1 I i� \( \1 I (V ,( C. C Date: , D - j,_ -.7 days after it has been accepted as complete,
* Number of inspections allowed per permit.
l:\ Building \Pcrmins\ELC- Pc,mitApp.doc 05/23/06 440.4615T( I I /05 /COM /WEB
CITY OF TIGARD r ir-.
BUILDING DIVISION F PERMIT #: E Ra�007 0113
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/1812007
Phone: (503) 639 -4171
Agh ir p �i�l� 1
Inspection Requests (24 Hrs.): (503) 639 -4175 .�' ...Nit
INSPECTION WORKSHEET FOR DATE: 10/9/2007 TIME: 7 :00AM PAGE: 77
SITE ADDRESS: 13750 SW HALL BLVD CLASS OF WORK:
SUBDIVISION: FANNO CREEK VILLAGE APARTMENT LOT #: 003 TYPE OF USE:
PROJECT NAME: FANNO CREEK APTS
DESCRIPTION: Duplex A & B Fiber optics.
OWNER: SOLARES HOMES L L c, PHONE #:
CONTRACTOR: NORTH SKY COMMUNICATIONS INC PHONE #: 360-254-6920
Inspection Request Scheduled For: Date: 10/9/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 057096.05 971 -563 -8912 N
Corrections /Comments/ Instructions:
h \
( r ‘‘\ 1 N \
'._.\L \
u \
, PASS PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
I FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: C7 • 1 v U) Date: Vt 1 '6 - 1 Phone #: (503) 718 --7