Permit t 7 T
17. CITY Y O F TIGARD GARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00170
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/8/2007
PARCEL: 1S133DB-07400
SITE ADDRESS: 13456 SW HAWKS BEARD ST BLDG A ZONING: R -25
SUBDIVISION: SUMMER CREEK APARTMENTS LOT: JURISDICTION: TIG
PROJECT: SUMMER CREEK APTS
Project Description: Install low voltage fiber optics for Verizon.
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:
SUMMER CREEK LLC NORTH SKY COMMUNICATIONS INC
121 SW MORRISON STE 1000 PO BOX 87550
PORTLAND, OR 97204 VANCOUVER, WA 98687
Phone: Contact #: PRI 503 209 - 7521
FAX 866 - 743 -3974
FEES Reg #: ELE 17- 154CLE
LIC 141171
Description Date Amount
[ELPRMT] ELR Permit 6/8/2007 $75.00
[TAX] 8% State Surcha 6/8/2007 $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.
C—_1 �6
Issued By: �� Permittee Signature:
�
�k bCat.
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.
06/07/2007 THU 10:11 FAX 360 254 5097 North Sky Communications 2002/020
„'' `' ° f ` i *7 W i# '2 _M
Electrical Permit Applicatil , FOR OFFICE USE ONLY
City of Tigard 7 ,.:_c ' I v E o • R eceived //- Q
Tigard Datc/B Y� c c' Permit No.: 2� _ + I_
131 SW Hal] Blvd., Tigard OR 9 3 nn( Plan Review 1
.. G ' Phone: 503.639.4171 Fax: 503 5986f1 7 2007 Other Permit:
Date/By:
TLCrARD Inspection Line: 503.639.4175 Date Ready /By; ]uric: El See Page 2 for
Internet: www.tigard CITY i S35' fU Notified/Method:
tt► lrwaf Y9ti 1tPt Supple mental Information
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£` x, T'., y , ct+l� - ' ;^'1'e -2r .,•f t '.� ., �Yre ).n�4 .i,:rin 1 r J-:t -� �, � Tsai. .�, .. 5.,. ,� �Q.N�;,.. �'n, t v ...:vsh�r.?..w. 't tS -'�Jl� � ".fie lA'�''°5�'.:�R' �fr'.�'"E�
t�!' $ w - ' . i ' it d o i ,,� `lift , t �. u +.. �,�, a `C i 1 a
F bL��' �?» �° �.,: a.: �; ,o-^�,�"�,��',.<,r „:„r�.l,�m.�,t ��' �..'; �Y�u. ��' t {° , i�' �.:•" �`; �_. r'..;• F (r;'' ��k.. �i. a. �: �, tll�' �7i£ �. �. ��. i:. �r��, cf{ tt�. a��, i��r��� .K�.��".�'�r�n�;�n�..�',;:;
❑ New construction . Addition /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: where the available fault current ❑Marinas and boatyards.
"tl � r � �x � �,7; d �_ t � t gym` i � � � � � r sx
it -Y s tt 6 f �� r t 7 0 C rd w U 'f ri 9 ftiI� r �r t '^ 1 Asa i exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
1. .. i +: ,3 ,. i ` iii .'.tt i;,.� � .,P . � �k »�? : S: .s.;r Phil. e '! k�'.,t g �•
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.
i11 Multi family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
,; ri '� t 1 � 1 i1 d es 4 D v � 4 :.. f t . • E K.w , , g ,, , 4 ❑ Emergency system larger separately derived system.
a
$ ` w s.nn � x d rb r� v a rd {)r"uu ! ❑ Addition of new motor load of ❑ " .. „ - 2 „ ,. - 3 „
Job no.:% amp t Job site address: e b / * ff�]' /�� 1``�� 10DHPormore. occupancy.
h A�iti�i ❑ Six or more residential units. ❑ Recreational vehicle parks.
City/State/ZIP: . I f I ' D Q '1/1 f� ❑ Health -care facilities. ❑ Supply voltage for more than
4 6/ ��n / / ❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: ►Y1
1 Project name: TN c„ i Q B' r � /' ❑ Service o [ � r ,, feeder 600 amps or mom.
jj��
, ,c`7,.,as{ECERk t!n M.V ^ it Fa `:!VV
Cross street/directions to job site: De�uipnon Qty. sec Total
New residential single- or multi - family dwelling unit.
f it 1 1 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
above sq. ft.) 75.00 2
slat £1p gS J Limited energy, residential
A. `o �£ chit t tl h'(`ad kn u I 1 1' 1;,5 #�' tC 4 .� , ,a a ., Sr7 Y � , '�t , w' •
1. t s � 75.00 2
s °t 4 Ss l rr 11 .. with above s ft
' >�c.wr�,,T:`.�.�u 1 ,�d. ° �,k,.,` v��Y T&�+.� a �cr4 ar , waT<m„e�, a �?li ,. .u.�,.,t.,r�nt�. cr�5l,S $. �3,v,3,ts �s a^g ( q• )
. �j n r Li mited ener multi- family
All: # 1 If'l r f�t, ('s�'V L � y) residential (with Services or feeders installation, alteration, and /or relocation
Yj ,>� ( y 200 amps or less 80.30 2
tPl � , B Sc C' ,�} + F .rr 7 t A e� ii!�' s N d' ' k » A �? b 'i �? ti . =?is ':'
, .,�a. s" G � .. i Gi O� a4.,:c - i'rmflil, , �i,vfi : -i-.,, .d. 9 `,„;Ah xi' 14. �",•... . !: -Lt tlu 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 I 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
Owner signature: Date: Branch circuits - new, alteration, or extension, er panel
A. Fee for branch circuits with
l filf .A.. i a :� a ir' i €.{. c .lo l
l` : �� � � a ,, i ` i lAty ',liN.ht � � i 6.65 2
� r,niT,.674._. -4, far e. v z. . `,,. " : ;:thi . s . ..n :M :4%Ss :r 6 s 2 8P 61 F (, above service or feeder fee,
�+, �4!►� .,,,,ILA each branch circuit
Business name: tickt Y l , . ( t / " B. Fee for branch circuits -
Contact name: t ` �4 first rst service or feeder fee 46.85 2
f first branch circuit
Address: l 1 g i [a s fY t.l\ I W,t td l h 9,01' Each add't branch circuit 6.65 2
1 �-*� P Miscellaneous (service or feeder not included)
City /State/ZIP: \ Jip ,xV W .) (% 1 "7 Each manufactured or modular 90,90 2
1 ` dwelling, service and/or feeder
Phone: (+�� � °'��
) � - 1 Fax:: ( ,f:° , I b i Reconnect t only 66.85 2
E-mail: V ' At 4 p I 0 A • Cb rn Pump or irrigation circle 53.40 2
''-t�e.x ;' ( r5.'x�15�'rr u°'U a"q'rr a +�s l ,,. r ^r t s '
k_ .t' 5 H,'. .� x � 1.3 A S ,a . gHEAD � ? ,, i Sign or mtline lighting 53.40 2
Business name: S C. l r Lf. (LS 0 e . Signal circuit(s) e limited -
C V 2 energy panel, alteration, or
Address: extension. Describe: Page 2 /`G 2
City /State /ZIP: Each additional inspection over allowable In any of the above
( Per inspection 62.50
Phone: ( ) I Fax: ( ) Investigation per hour (1 hr min) 62.50
CCB Lie.: ‘i..4.101 I Electrical Lie.: i Suprv. Lie.: Industrial plant per hour 73.75
A i w t 3 x , � i01i ada f� 4t s .,, u ..
Suprv. Electrician signature, required: Subtotal:
Print name: Date: Plan review (25% of permit fee):
State surcharge (8% of permit fee): I, co
Authorized signal -- TOTAL PERMIT FEE: $'
.,,,,' - Date: � This permit application expires if a permit is not obtained within 180
Print name:
( ' v l/i V , days after it has been accepted as complete.
' Number of inspections allowed per permit.
]: lBui lding\Pcrmits\PI,C- PemitApp.doc 05/23/06 440- 4615r(1 l/a5/COM/WEB
pe 4 2550
' CITY OF TIGARD ,
BUILDING DIVISION PERMIT #: ELR2007-00170
AR 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/8/2007
Phone: (503) 639 -4171 itiliNi 14
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/28/2007 TIME: 7:01AM PAGE: 3
SITE ADDRESS: 13456 SW HAWK'S BEARD ST BLDG A CLASS OF WORK:
SUBDIVISION: SUMMER CREEK APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: SUMMER CREEK APTS
DESCRIPTION: Install low voltage fiber optics for Verizon.
OWNER: SUMMER CREEK LLC, PHONE #:
CONTRACTOR: NORTH SKY COMMUNICATIONS INC PHONE #: 503 -209 -7521
Inspection Request Scheduled For: Date: 6/28/2007 Pour Time:
Code # Inspection Description • Confirm # Contact # Message
199 Electrical final 051144 -02 503 - 519.7466 N
Corrections /Comments /Instructions:
PASS n PARTIAL APPROVAL CANCEL n NO ACCESS
FAIL I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: w Date: b' 23 ' 7 Phone #: (503) 718- 4'