Permit •
CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00176
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/812007
PARCEL: 1 S133DB -07400
SITE ADDRESS: 13456 SW HAWK'S BEARD ST BLDG G 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 $81.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By:
e S i g nature: 4 2p) ; L or)
Y 1,0( Permittee Si t
C g � t'A .7
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
06/07/2007 THU 10:14 FAX 360 254 5097 North Sky Communications Z008/020
i`fro 002 -5b
Electrical Permit Application°0 "?�1 p!-` D
��d , � FOR OFFICE USE ONLY
City of Tigard Received
j P er m it No.: L bib -
I 13125 SW Hal! Blvd., Ti OR 97223 J U N r 7 2 007 Dat : / j- (
: - Plan Review
Phone: 503.639.4171 Fax: 503.5981960 f, Date/By: Other Permit:
TIGARD Inspection Line 503 639 4175 C. , a 'l D Date Ready /By.
121 e a e Eo
Internet: wwwttgardorgov BUag„t�CYal Y�lle�sI®1�1 Nodfied/Mathod lsy 1 Suppl Co formation Fr n V P r 'h ' 0'a r ta ' # §7� � . , )..' . . 5 i'$t J,,.a Qr� p ,t ij ,`- .t$7-:'4 A 2� a. C
-... :. c -c` i f ,. # ti ` v� c,� h'�1, $ ' G l 4Gi Z w , - , y {a n. ` g� Y z .r 3 i
?..d4 v„a :w"..:..v:.i ,-Wri .� S 2 i t i m .s��. -i ttol + ., £:0` t 5 . 5 i ;7 f' , F' ' L t y ' .f "'� - 4 "' .^: �' ti t;
,..a�.., .z �. a , :_�•- ,, a�,.,..xL._.�,._�� ' 7 le � �`e� r 1�� E l' ��5 ���
❑ New construction Zr: • ddition/alteration/r lacement Please check all that apply ep pp y (submnt2 sets ofplaos w /items checked below):
0 Service or feeder 400 amps or more ❑ Building over three stories.
1:1 Demolition 0 Other:
t u ; t t a•• , 4 � a y ni III{ v N i a § �....T F 4 I where the available fault current ❑ Marinas and boatyards.
"a � ;rte y. �, 5 � r `icy ��^� � � � � .�.�r5�-�.,,a 0 R _ s1 SIN `J 1,10 rl r4 � � M � exceeds 10,000 amps at 150 volts or
~F t .,... � �. :"�...;�°,;• ❑Floating buildings.
❑ 1 - and 2 - family dwelling ❑ COtnmereial /Indu trial less to ground, or exceeds 14,000 O Commercial - use agricultural
❑ A ccessory building amps for all other installations. buildings.
O' Multi family ❑ Master builder ❑ Other: 0 Fire pump. ❑ installation of 75 KVA or
�$�, � , '�� _ �� � � erg+ ^",. e E r "� �,�:ax"' �• � � �� '� ^ter= � - a�-��: rner enc s stem.
'E N will l=ow il� p 5 � y P g Y Y argersparatelydcrive
�" "``�" " °�"` � "-�� °� �°'^` �-e '� -`+'- e�� ❑AEddition of new motor load of ❑ l
"A " " ", "] -2 ", 1 -3 ". dsyatem.
Job no.:* �i /al., / Job site address: 9) / • AA A ,l 1 ooHP o more ocupanc
❑ Six or m ore res idential units. ❑ vehicle parks,
City/State/ZIP: - i a/ j j ❑ Health-care facilities. ❑ Supply voltage for more than
JJC
❑ Hazardous locations 600 volts nominal.
Suite/bldg. /apt. no.: a Project name: Pro ,,, { P. ( �/
J C v4VVV ` 1 V 1 r CV �C. (/ CI Service or feeder 600 amps or more.
v �� .' y: r r,°� *?s :,,,� ?i,�` � � il Qty. .r S 4� ue. s' f � �;, `�a `r „'
Cross street/directions to job site: N ,, �,., „ 4:10 ,,, ... " .._
De9cription Qty. Fee. Total
AOW New residential single- or multi -family dwelling unit,
Includes attached garage.
Subdivision: r Lot no.: 1,000 sq. ft. or less 145.15 4
Tax snap /parcel no.: Ea. add'! 500 sq. ft. or portion 33.40 1
tl e�„, - +r+x 1
r z r a " Limited energy, residential
,ai «,x_ -.:mac t� „�:b NS �, to �"-.�,s.�,, r' .., r , r .ea � �.. 1 .. i.m r (with above sq. 1t. 75.00 2
.A. 4 I / 11ri�1 j• ^ Limited energy, multi family
residential (with above sq. (1.) 75.00 2
Services or feeders installation, alteration, and /or relocation
.S['' {µ+ 7�, ! �''� s,�;- 200 amps or less 80.30 2
N , .. ' ` itai 1E R tt °@i i' lI d�%i 'rF.�'1 S,itti""7 4 • } r ![[ .��'$L➢.1..+ S y Fa � "t� ,{ `� lrlS T, +' , - -
,r t��� ,��,a,. -� a` '' ,.sx r_g��t; tti�t .� �,�,� t.� ��.�w tlk..s 7 "L NI :'. f + c�:� 3 �s 4 � ° a,u� i�`�5��1 201 amps to 400 amps 106.85 2
Name: 401 amps to 600 amps 160.60 2
Address:
601 amps to 1,000 amps _ 240.60 2
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 1 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: Branch circuits - new, alteration, or extension, . er panel
Date: A. Fee for branch circuits with
E M ' M a3 ti..l "i t I aY _ ` _ z P _ __ '5�,.,_.>,h i __e:.� a�:r:, �`..' . .',- ;I above service or feeder fee,
�' .. •`�,.. � �`�� r'�+ �Et,�,J3t ; 'fits• u� � ��'��` � '1�� ``
�( each branch circuit 6.65 2
Business name: `Y B. Fee for branch circuits
Contact name: f r without service or feeder fee,
�'. g7 {� first branch circuit 46.85 2
Address: 1 Di ,1\ ( /) _ ; a Each add'1 branch circuit 6.65 • 2
iF�+ E .ILLS Miscellaneous (service or feeder not Included)
City /State/ZIP: ' W i ( .. P I Each manufactured or modular
i 90.90 2
Phone: (60)) C • 1 ` Fax: : (pt . ' I r I) ' 2 Q,�J lid . Recon t service and/or feeder
DlG "T J �+ 1 `�' Reconnect only _ 66.85 2
,'I} Z t I ' O r 0 t,,7 _ ( Cb Pump or irrigation circle 53.40 2
1 `_ i +/,- -k'.+. FkiT ' :5$ �? a �y�, a '.`5..us'.� , y ,� e 9 } r " d sy � r , ' ``,,. •� „ ,a.�r� ti S1 11 or outline li ,du';,..� v..�" :,,,t_.���r+Ta „�..3.nv'6.,na:.� .•.:�a g g g 53.40 2
Business name: r , So 0 +` / /J Signal circuit(s) or limited -
V -v energy panel, alteration, or
Address: extension. Describe: ( Page 2 16 2
City / State/ZIP: Each additional inspection over allowable in any of the above
Phone: Per inspection 62.50
( ) Fax: ( ) Investigation per hour (1 hr min) 62.50
•
CCB Lie.: \ Electrical Lie.: Suprv. Lie.: Industrial plant per hour 73.75
Suprv. Electrician signature, required: Subtotal:
Print name: Date: Plan review (25% of permit fee):
Authorized si a~ = ` State surcharge (8% of permit fee):
", - TOTAL PERMIT FEE: ' $'
Print name: -1 1 , / � Dat e; / This permit application expires if a permit Is not obtained within 186
V / � / • days after it has been accepted as complete.
r:SSuYldinlpermits�F7.Gpermit Yr Number of inspections allowed per permit.
8 App.doc 05/23/06 440- 4615T(1I/05/COM/WEB
R ILC - 4 255 1-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2007-00176
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/8/2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 L L..
INSPECTION WORKSHEET FOR DATE: 6/21/2007 TIME: 7:03AM PAGE: 33
SITE ADDRESS: 13466 SW HAWK'S BEARD ST BLDG G 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 #: 503-209-7621
Inspection Request Scheduled For: Date: 6/21/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 060669-02 503-619.7466
Corrections/Comments/Instructions:
Fkser s/ p L. 5 04 5 N1
•
I I PASS I PARTIAL APPROVAL L CANCEL fl NO ACCESS
FAIL CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED
Inspector: Date: 6 .01 Phone #: (503) 718- 100
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2007 -00176
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/8/2007
Phone: (503) 639- 4171dNpu�ii���h
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/22/2007 TIME: 7:03AM PAGE: 28
•
SITE ADDRESS: 13456 SW HAWK'S BEARD ST BLDG G 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: 6/22/2007 Pour Time:
Code # Inspection Description ' onfirm # Contact # Message
'199 Electrical final 050774 -01 503-519-7466 N
Corrections /Comments/ Instructions:
A
v
, "PASS I I PARTIAL APPROVAL ❑ CANCEL NO ACCESS
• n CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED
Inspector.: �. Y" L Date: 6 * 2 2-' o9 Phone #: (503) 718- 2111�