Loading...
Permit -- : -a CITY OF TO G ® ® ELECTRICAL RESTRICTED ENERGY PERMIT ° `., COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00203 T,iA.RD, 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/14/2008 PARCEL: 2S102BD -02300 SITE ADDRESS: 10030 SW WALNUT ST 1 ZONING: R -12 SUBDIVISION: WILLOWS APARTMENTS LOT: 040 JURISDICTION: TIG PROJECT: WILLOWS APARTMENTS Project Description: Units: 1 -2. Installing 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: • RONALD WATSON NORTH SKY COMMUNICATIONS INC 4359 NW TAM O- SHANTER WAY 11818 SE MILL PLAIN BLVD PORTLAND, OR 97229 SUITE 410 VANCOUVER, WA 98687 Phone: Contact #: PRI 360 - 254 -6920 FAX 1- 866 -530 -4325 FEES Reg #: ELE 17- 154CLE LIC 14117 Description Date Amount [ELPRMT] ELR Permit 7/14/2008 $75.00 [TAX] 12% State Surch 7/14/2008 $9.00 REQUIRED ITEMS AND REPORTS Total $84.00 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: SQe c..,07 ;rt/ 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. JUL 14 2008 9:19 PM FR TO 5035981960 P.03 Electrical Permit Application 1. r0 zoFFICEll.isr o i., Tigard Received :7 II a City of 2 0 , 1 p Date))) : ` a V - ...,� `•:. EIMILIMF e!3 a 13125 SW hall Blvd,. Tigard, Oil 9 7223 A fi 0 Plan Review Phone: 503.639.4171 lax, 503 - 598.1960 1 K !. Dawo ; Otlecr Permit: TIGARD inspection Line: 503.639,4175 O. , '� • R lady /13y; Ark.: RI See fags 2 for Internet www.tigerd- or,Sov J „G ' t�l�t /Mahutl •:r-36. Supplemental Information OV ' .' - .. TYPE 01 :WORK ::'r -G� , PLAN REVIEW • 0 New construction 01 A(idition /alteration /r0kt{ Please check all that apply (submit, acts or plans w/itcros checked below): V`' © Service or feeder 400 ampz or nuns y flniitling over three stones. ❑ DCmOli1 0 Other: where the available trade enema a Mnrinov and boatyards, .... r .:, . CATEGORY OF CONSTRUCTION . . • •• '.., crrcPWs 10,000 antis at 150 volts Of 0 Il :rating buitdinp. togoa>grouno. 14.05o C - 1 Commercial-me :><ricuaetrat Q 1 - And 2- farnily dwelling Q Commercial /industrial [] Accessory building romps for all other install:aiom buildings. fa Multi - family ❑ Master builder p Other: El tit¢ pump. i] lnstalhaiun o(75) VA or JOB SITE INFORMATION AND • LOCATION © Emergency system. lamer sgneucly derived system. .._...,...,,..,M ..-.- .. [ motor of new ntnr toad nt [,� ,. A" •'f;" "I �" "L.l" Job no.: Job siic address: 100'30 SW WALNUT ST. ❑ 100HPormom. net:v )ley. S'ex or mom residential unite. 0 Rcenaxiomd vctucb pa City/State/ZIP: TIGARD, OR 97223 D Hcahh -care t'u;iIities. D Stipp!) vuhage (Or errors titan 0 Haearticus locations. 600 volts nominal. Suite:/bldg./apt. no.: 1 -2 I Project name: THE WiLLOWS APTS. 05ervic (coder GOO an>pxormare. FEE SCHEDULE" • . . Cross street /directions to job site: 1)acrtptlon 1 Qty. 1 Pa. L Taint 1 '° New residential single. or tlttliti- family dwelling unit. - T Includes attached garage. Subdivision: Lot no.: 1,000 sq lt. or toss 145.15 T- � 4 Ea. add'I 500 sq. rt. or portion 33.40 1 Tax map /parcel no.: Limited energy. residential _ DESCRIPTION OP WORK 7s,00 2 (with above em, it.) INSTALL FIBER OPTICS FOR VERIZON Limited ide v ial (wimulti-family o. 75.00 _ 2 residential (with above so. n.) -r. Services or feeders installation, alteration, and /or relocation 200 amps or less 80-30' 2 • . Q PROPERTY; OWNPR II : 0 TENANT 201 amps to400 amps 106,85 2 Name: gorvalcLcA2cLizsid 401 amps to 600 amps 160.60 2 601 amps w 1,000 turps 240.60 2 Address: / , Z eC 4 NA - (4y Over 1,000 amps or volts 454,65 2 City/State/ZIP: /SIace/ZIP: c1 — .� Temporary services or feeders installation alteration, :Ind /or y P ` l { ���- V �� / 4 � r elocation , : Phone: ( ) Fax: ( ) 200 amps or less 66.85 1 ^ Owner installation: This installation is being roads 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 3 133.75 2 Brandt circuits stew, aheratiutl, or extension, per panel l Owner signature: - _... ^,,, -- Date:..,... _ - -- A. Fce for branch circuits with i • : • .. • .0 APPLICANT :.1 ` • p 'CONTACT PERSON • above service or feeder lee, - each branch circuit 6.65 Business name: NORTH SKY COMMUNICATIONS, INC. B. Fee for branch circuits to without service or feeder fee, - COntaCt name: R YAN ROBERTS first branch circuit 46 -85 2 Address: 11818 SE MiLL PLAIN BLVD STE. 410 Each avcl'1 branch circuit 6.65J 2 • Miscellaneous (service or feeder not it chided) City/State/ZIP: VANCOUVER, WA 98684 Each manufactured or modular c 90,90 2 ( ) 1-866 905 4907 dwelling service and /o feeder Phone: (503) 519 -5264 -I Fax: : Reconnect only 66.85 I 2 ^ E- mail: mduoreflOrthSkVCS?mm, M . Pump orirtigttioncircIe 53.40 2 • CONTRACTOR . T Sign or outline lighting 53.40 2 Business carne: NORTH SKY COMMUNICATIONS INC. sign;,) cinruil(s) or limited- + energy panel, allcrauiun, ur Address: 11818 SE MILL PLAIN BLVD. STE 410 extension. Describe: 1 Paget $75.00 2 City /State/ZIP: VANCOUVER, WA 98684 Each additional inspection over allowable in any of the above w Pei inspection 1 62.50 Phone: ( 360) 254 -6920 Fax: ( ) 1-866-530-4325 _ Tnvestigalion per hour (t vs min) 62,50 CCB Lic.: 14117 Electrical Lic.17 -154CL Suprv, Lc,: 173LEB IndusttinI plant per hole 71,75 --- .. • ELECTRICACPERM[T FEES • Suprv. Electrician signature, required: Subtotal: $75 ,00 F Print name, JACK CAGLE Date Plan review (25% of permit fee): 7 "14 �$ Statc surch;u' ( l24'c of pet,nit fee): Authorized signature: _ _ TOTAL PERMIT 1713172 84.00 Print Warne: ETHON A. DOLPH Due: 7 14 -08 'lJiu :I pi „y:r O dnyf:,then I( 11:18 been :1CCepled az complete. ” Number or inspections :Mowed lace permit. imiiirdinr.V'erInb M14.1'conte Appeee ovninr, aa0- 401$9'( In>S/COY,AV60 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2.00t3 -00203 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/14/2001.1 Phone: (503) 639 -4171 " �• � i� Inspection Requests (24 Hrs.): (503) 639 -4175 • �'_'I I_ INSPECTION WORKSHEET FOR DATE: 7/2212008 TIME: 7:01AM PAGE: 59 SITE ADDRESS: 10030 SW WALNUT ST 1 CLASS OF WORK: SUBDIVISION: WLLOWS APARTMENTS LOT #: 0450 TYPE OF USE: PROJECT NAME: WILLOWS APARTMENTS DESCRIPTION: Units: 1 -2. Installing fiber Optics for Verizon. OWNER: WATSON, RONALD PHONE #: CONTRACTOR: NORTH SKY COMMUNICATIONS INC PHONE #: 360 -254 -6920 Inspection Request Scheduled For: Date: 7122/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 072986-02 503.209 -7114 N Corrections /Comments/ Instructions: \,\ \\ r \ IA 1 \ 7 ■ii \ NN PASS 1 1 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS 1 1 FAIL 1 1 CALL FOR INSPECTION [l ADDITIONAL FEES ASSESSED Inspector: � N 66 Date:1 'Ili CA Phone #: (503) 718- 1,41A)