Permit 11
CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2007 -00184
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/8/2007
PARCEL: 1 S 133DB -07400
SITE ADDRESS: 13456 SW HAWK'S BEARD ST BLDG Q 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: Permittee Signature: S :Q.R.. f-) 1 9 I (A
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 10:18 FAX 360 254 5097 North Sky Communications 2016/020
° Y I Lubv f 2 IS Z2 l 0 - 2 _ M'
Electrical Permit Application ;' { nn ---- t l � In
FOR OFFICE USE ONLY
City of Tigard , �� t_= ' ' "-- 1 "' 'Received j
Date/13y: 0 e--, i — Permit No.: CL
t es 13125 SW Hall Blvd., Tigard, OR 97223 JUN 3 F7 2 / Plan Review �ol
Phone: 503.639.4171 Fax: 503.598.1960 Date /By:
Other Permit:
TIGARD Inspection Line: 503 639 4175
Internet: www tJ and or ov r � Date Ready/By: lure H See Page 2 for
g $ Notified/Method
�� � `��,,, ‘7,,, t i') Supplemental Information
a . .� ttt L,.3g�n°"t � a.��"idkg ,.�t v� �;�,+ �cra'k*� .,3�"t '."°��� k;^'� is € �"'�.�.: .:p3 �• „ a ^�, � F r^-.r ,.., , ti i
R`" - rw�. �z �a x, t 7j d s . 3 �;� Gr S _,,��w vv �v r s F ; 'e 7 o €yTi ;'6 k v ` 'i.`;r?P „'u 5:; 5 . r .+ T7 :ax3 t imoi
...'e�^a,a� zsn....�..'t,�a_'�s�; . ,?k`��!;'�h;�.f°aS'�'�i�.:.SaRr . �c: :.``:;'1�:';��� . u. �s�„ � Yar� 22 ' �'� ��'� ;��''' e����
❑ New construction : Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Demolition ❑Oth ❑ Service or feeder400 amps or more ❑ Building over three stories.
j H - , _ � tiv I � Other: \h rti j where the available fault current ❑ Marinas and boatyards.
m t, �� r �' ° ;. !, b ,, ; ;( , ,0
w (gko i ., to t � X � fi�c, i s ti x' ` }B i s exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
El 1 - and 2 - family dwelling ❑ Commercial/industrial las ground, other 1 ns. ❑ Commercial -use agricultural
❑ Accessory building amps for all other installations. buildings,
.. Multi - family ❑ Master builder ❑ Other: ❑ um .
P P ❑ Installation of 75 KVA or
el� Y ,', 0 ; 1 00 A f f 8 } 4n ky t � i k { gi `° a= ❑ Fanergenc system. largeeparatel stem.
"'stem.
- 2 - Taman �1 ❑Addition ofnaw motor load of ❑ ' °A ", "rsg•' 'y_2• tir
l _ g '�
Job no.: Job site address: 9, t���!ri:rr7'I / �, ie or mom real oc enc
`�•�,�, , / ❑Six or more residential units. ❑ Recr cu eational vehicle parks.
City /State/ZIP: - A / 1( / . ' 111 II I I 1 I I I I I I I I I ❑ Bealth -care facitities, ❑ Supply voltage for more than
Project name: < </wvV i V „ ❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: a Pro
J v ❑ service or feeder 600 amps or tttore
L II r ' r e'.%: ,*'3 ' .i„3s.,' ' µ `2 't{. 0 i3 �i�'N ea. t` C ` t' ,ye
Cross street/directions to job site: �.t.t M .. 4 , ';. M ,,d„� ,,, , , , , ,_�„ , ,
_ Description Qty. Feo. Total '
New residential single- or multi - fancily dwelling unit.
. % Includes attached garage.
Subdivision: , Lot no.: 1,000 sq. ft. or less 145.15 4
Tax map /parcel no.: Fa. add'I 500 sq. ft. or portion 33.40 I
Limited energy, residential
�a,�sa '�"T��a.. �. 51. ^z h W� sa. ur—:� K 1 *l� a r Y' �rN � d r �t+
,,. �ia ' i { �, s i t< , fl e 1 0 1 8 I t ' i ! l ir• t,r �3 (with above eq. ft.) 75.00 2
' � �1 s � �,� � �l ��u����
s�z,�,.����.r �.- _,.:�,i;k�� r"=za�,"r�.a��i�ls ,,.a.''�,n.Le��. �`�. -ev: 3n_ .�Wais�...�. r._..,....,�.,_. t,a�:t;�,,.,.
I �j Limited energy, multi- family
7► O i _Age residential (with above sq, ft.) 75.00 2
Services or feeders installation and /or relocation
k � a. is . r r K 200 amps of less 2
t ail ' a� l ,i `.atx',��� i '.k ' € �«'* a i ' + �t i . -;J3 � ? � 1 . tr 20I 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: y Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( ) pax: ( ) 200 amps or less 1 66.85 I
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
' ,�,eX� p A. Fee for branch circuits with
e = � ;,.,.;,.::?ti::' b,l C 'U 9 � i 'W!2; T u": r ` s "" „s 'rtiy its us.. 7- ..I , xgi.; '� 4 n'5, ;
r� ial� x .._..: 9 4 a�? a , =.3” r, ..� r': r `� ti ` V Vl; r�' t; ..; `t♦ y h . r a x ab service or feeder fee, 6.65 2
eac ove branch ciit
�� ; B. Fee for Minch rcu circuits
Contact name: i ,> without service or feeder fee,
� '' ; t . 4 first branch circuit 46.85 2
Address: 1 4 t ig wk ', t i Each add'l branch circuit 6.65 2
c t'" � 1 1`tlir Miscellaneous (service or feeder not included)
%
City /State/ZIP: ' W 1 • .• 6 Lel Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Phone: � � g. '
� • " Reconnect only 66.85 2
la 0 AL i rib Pump or irrigation circle 53.40 2
`�' t '6' "' t P.� V< ¢ ,3� s ^K' ."` r -'r as�vu �.mt w^ ,�', �'. �`r3! 4h } t€x"'�' n ti -r� P n'? � kR-
St t : 2� r v i d k? t� tai.i . r g:Ra , ;(a '� 4r1ik"ngl Sign or outline lighting 53.40 2
Business name: ' ' , • V-C- Signal circuit(s) or limited -
energy panel, alteration, or
Address: extension. Describe. t Page 2 1e 2
City /State/ZIP: Each additional inspection over allowable in any of the above
Phone: ( ) Fax: ( ) Per inspection 62.50
Investigation per hour (1 hr min) 62.50
CCB Lic.: 1t� Electrical Lie.: Suprv. Lic,: Industrial plant per hour 73.75
Suprv. Electrician signature, required: "T''`''
Subtotal:
Print name: Date: Plan review (25% of permit fee):
411lNllr State surcharge (8% of permit fee): La
Authorized sign--' .� — - ---_� TOTAL PERMIT Fhb: • %
V l rFf 0 . Date: This permit application expires If a permit is not obtained within 180
an days after it has been accepted as complete.
I:1Bai1d a8�+uaiits�Gl Gpam;tApp.doc 05f23 106 " Number of inspections allowed per permit.
440- 4615T(I t /05 /COM/NBB
C., 25(405
•
CITY OF TIGARD
--- BUILDING DIVISION PERMIT #: ELR2007-00184
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 61812007
Phone: (503) 639 -4171 d "�l��iG'�
Inspection Requests (24 Hrs.): (503) 639 -4175 x
INSPECTION WORKSHEET FOR DATE: 7/212007 TIME: 7:02AM PAGE:
SITE ADDRESS: 13456 SW HAWK'S BEARD ST BLDG 0 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:.. 7/2/2007 Pour Time:
Code # Inspection Description ( Confirm # Contact # Message
199 Electrical final 051302 -02 ` 503 - 519.7466 N
Corrections /Comments/ Instructions:
•
f, .
#> PASS n PARTIAL APPROVAL n CANCEL n NO ACCESS
FAIL ❑ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: Cr-r ( Lf Date: n V fl Phone #: (503) 718- 2