Loading...
Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT 1 14 COMMUNITY DEVELOPMENT Permit #: ELR2009-00241 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/04/2009 Parcel: 1 S135DD03300 Jurisdiction: Tigard Site address: 11555 SW 88TH AVE 1 Subdivision: PARK PLACE GARDEN APARTMENTS Lot: 0 Project: Park Place Project Description: Install fiber optics for Verizon. Owner: FEES 1616 SHORELINE LLC & Description Date Amount LOMITA WEST LP, PO BOX 15516 Restricted Energy Permit 07/31/2009 $75.00 FREMONT, CA 94539 12% State Surcharge - Electrical 07/31/2009 $9.00 PHONE: Contractor: NORTH SKY COMMUNICATIONS INC 11818 SE MILL PLAIN BLVD, SUITE 410 VANCOUVER, WA 98687 PHONE: 360- 254 -6920 FAX: 1- 866 - 530 -4325 Type of Use: MF Class of Work: ALT Total Number of Systems: 1 Audio & Stereo: N Boiler Controls: N CCTV: N Clock Systems: N Data & Telecommunications: Y Fire Alarm: N HVAC: N Instrumentation: N Total $84.00 Intercom /Paging: N Landscape /Irrigation: N Required Items and Reports (Conditions) Landscape Lighting: N Medical: N Nurse Calls: N Protective Signal: N Security Alarm: N Other: N Other Desc: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the 180 days. ATTENTION: Oregon law requires you to follow the 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 a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: R \.7U 0 � Q Q _ Permittee Signature: � � 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' 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. RECEIVED 9 s ' JUL 2 9 20 CITY OF TIGARD Electrical Permit Application :_. .. . . _ .. ..r .•. BUILDlR . F USE ONLY CIty of Tigard !4I Pcooil No,: ' /' .0(.0 y 13125 SW Hall Watt, Tigard, OR 97223 ?Ion Review • .O f 10 1 i I .. Phone: 503639.4171 far; 503.598. f960 Orber recoil', TIGARD TIGARD inspection Line: 503.639.4175 Otto Reedyltty: ® Sao Page a for Internet: twvw,t(g,ast or.gcv Notified /Method; WO Suppicmenet Inforn,nlled . ' TYPE ntr WORK ":`.:P"• : - . . ': PLAN REVIEW `:: . . ❑ New count:Wien in Addition /alterntiQnIre1>tacemeti Newclieek: ant apply (Submit ;sets nfvims wlitctttsclmcked:)oluw): 0 Savlce or focder 40:Imp or none 0,01ld61y ovet xta'Ies, 0 Demolition 0 Other: mime ilia available tauti carom 0 Murtnas nod bnolyards. . CATEGORY OF C(NIS't'RUC'PIUN, ,- ,. t - exceeds 10000:uups:n 00trdtror f7 loos to ground. or oncosts I OM 0 Clnunmrnrd - uto ..arkahurat C1 I. and 2- latni.ly dwelling 12 COasnlerCiai /tndustriat 0 Accessory building amps for all otilcriuslantoimts. bn tt6it n. f Multi- family 0 Master builder Q Other 0 Pita plump. Q (ovaalintion o(15 KVA to . . `' •' :..- JO SITE INF,oRmATION AND LOCATION '1: ; : • ' '"'' On>erg"''). stoat laryorsoparatcipdurived . p torn. ... 0Atkfilinnof new umorinudof d "A" "Si" "0 ", "IJ ", Job no.: 1 Job site dress: 11555 SW 88TH AVE IWHP ormom. v,tpaaay, Q Six or mute resitbntiul oak, 0 8ecrcaiional vehicle park% City /State /ZiP: TIGARD, OR 97223 Q Hcalth•earc fortunes. 0 Bigamy vohutge for more dean 0 Hazarttcus totunont. 600 vant nominal. Suite /bldg, /apt. no, 1 - 16 Project mitts: PARK PLACE 17 Scrvnco in (eeder600 tent i or mars. PEE 'SCHEDULE . . • Cross street/directions to job situ: _ • -r _ n ot o rlpunn I Qiv. L I'rr, 1 '1',4,4 1 • _ '—""`" New residential single- or atu lti•fnmlty dsre111118 aunt, iocluttus attached garage. Subdivi ion: Lot no.: 1.000 se, II. or lees 145.15 Y « rl j 1 rl � O �' — 1 Litt AO SOU sq. !i. of pennon 3340 I TTax tnttp /parCCl n0_ I` DD Limited anorgy, resitianlin{ ' DESCRIPTION OF won (with rdwle >q. if.) 7500 INSTALL FIBER OPTICS FOR VERIZON Limited cuotgy,iuultl- iiunily 75,00 3 . __- residential (mini naxna op 03 Services or feeders inuGdlntlon alternflon, m,xt/or relocation 200 soaps or less 80.30 7. © PROPkR'l'Y:OWNER ; :,. :. , sa TENANT 201 :imps iu 400maps 106.85 2 Nam; 401 amps to 600 amps � 1 160.60 2 " "" "" ' 601 amps to 1,000 moms 240.60 2 AddCOSs: Over 1.000 gulps orvnlni 454.65 2 City /Stare /ZIP: 'rumporory services or feeders InsluliatIon, alter: a:td /or relocation Phone: ( ) Fax: ( ) 200 66.65 I Owner installation: This installation is being node on property that 1 own which is not ' 201 amps to 400 ulnas 100.30 2 intended for sale, lease, rent, or excitungc, according to Ot)S 447, 449, 670, and 701. 401 mops to 599 amps 133.75 2 Ownersignalura: Date;_ Brunch circuits- now. uitertt Iota, orex tension, per panel A.1'Fre for branch circutte milli ' I ' " ' © APPLICANT ' . ;,. ' 0 CONTACC PERSON ' above service or ihcdcr l'ao, 6.G5 2 • each brunch chouit Business name: NORTH SKY COMMUNICATIONS, INC. B. Fre for branch circuits Coronet noun: ERIK SCHENCK without xorviec feeder fee, 4685 2 Bost branch circuit Address: 11818 SE MILL PLAIN BLVD STE, 410 Each ;WWI branch circuit _ 6.65 s – - — tvusrellaneous lserviec or feeder not included) City /Siatc/Zif; VANCOUVER, WA 98684 Bunt manui:actured or modular 9090 dwelling, service and /or feeder 2 Phone: (503 3 969 -7729 I sax; : ( 866 ) 452 -4853 Rcconneet only _ j6 2 E ''''' ll: _ mduor ant21't}TsimoCT1[)iuOf11 Pump ori:riga:ioncircle 53.40 2 CON'l'RA(TOR Sign or outline lighting 53.40 2 Business mine: NORTH SKY COMMUNICATIONS, INC.- Sign rireuit(a) nrlimited- energy panel, alteration, or Address: 11818 SE MILL PLAIN BLVD. STE 410 extension. peseta*: 1 Page 2 $75.00 2 ~City /State/ZJP: VANCOUVER, WA 99684 Each additional Inspection ove allowable in any of the above Phone: ( 360) 254 -6920 Fax: ( ) 1- 866 - 530.4325 Pt rtnspar:tien 62.50 Invcsdigatitnll>crhour 6250 Cca Lie,: 14117 7 Eteetrica# Ltc,:17 -154CL Snprv. Lic -: 173LE8 industrial pi:uuixi. hour 73,75 sr PERMIT FEES " Suprv. Electrician signature, required; Subiout); $75.00 Print toms:; JACK CAGLE Date: 7/29/09 Phle review (2554, of permit fro): . State rch:trgc (12% of t>onnit fNO $9, 00 Authorii � cd signature; � m tt l TOTAL PEttlr n v err: $84.00 Print name:. ETHAN A. DOLPH I Date: 7 /29/09 'this porndt appllrntiun osnion If 1, rwrim a is not obinined wtmin 180 day.; after It h been !tempted or cutnpiety. Ionoilalocu'tr eapp,dno 03/2.V06 • Number Oflainecduns nitutvcd Ixr peon% 4411 . set Mt IIILSKtkVAVtin