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Permit Iv ' 4 CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT I COMMUNITY DEVELOPMENT PERMIT #: ELR2008 -00163 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/10/2008 PARCEL: 2S 115AA -01100 SITE ADDRESS: 16055 SW 108TH AVE 100 CLUB HOUSE ZONING: R - 25 SUBDIVISION: WILLOW BROOK FARM LOT: 027 JURISDICTION: TIG PROJECT: OAK TREE APARTMENTS Project Description: Unit: 100. Installing fiber optics for Verizon. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPEIIRRIGAT: 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: MICHAEL ELTON NORTH SKY COMMUNICATIONS INC BY MDE INSTITUTIONAL 11818 SE MILL PLAIN BLVD STE 4 6950 SW HAMPTON ST STE 320 VANCOUVER, WA 98687 PORTLAND, OR 97223 Phone: Contact #: PRI 360 - 254 -6920 FAX 1- 866 -530 -4325 FEES Reg #: ELE 17- 154CLE LIC 14117 Description Date Amount [ELPRMT] ELR Permit 6/10/2008 $75.00 [TAX] 12% State Surch 6/10/2008 $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: %1�L/I� � „ — - 'ermittee Signature: oip 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. JUN 07 2008 3:48 AM FR TO 5035981960 P.17 s Electrical Permit Application 6 20% FOR OH'iCE-YTSE O NLYz ) ' of v i 14 City of Tigard G t 1 o f Poulin; nml No. at10 t i 6 4 13125 SW Ball Blvd,. Tigard, OR 97223 OFD 4, ' v1 rvir 2 ' , Phone. 503.639,4171 Fax; 503. 598.1960 C ^t r Other Pcn, inspection Line; 503,639.4175 Q t ` )\ t Oslo 12eady /13y: 21 See Page 2 for TIG�IR . Internet: vww,tigal'd.orgov VUII' Notified/Method: �,. Supplemental information TYPIw . nF WORK '' rG' PLAN REVIEW- ..._ .. : , . . , , New construction al Atidltioni "heralioil /repiaeewont Please crack all that apply (suh�nit 2 sets of pleas w /darts checked Mow): ❑ Scrviec or ,ceder 400 amps or more Q Building oval throe stories. Ej Demolition Q Other: where the available mutt current Q Marinas tend bout yards_ • .. .' CATEGORY ' OF 'CONSTRUCTION :.:::':• cxteedx 10 snips at ISO voh6 or Q Floating buildings. ''. 1 •ss to oinamd. or exceeds 1400 El Cotnmcrc iak• Ise agricultural Ea I- and 2- family dwelling 0 Commercial /industrial 0 ACCCStiery building amps for an other inxtallati003. housings. III Mtaiti- family ❑ Master builder 0 Other: ID Pit pomp. ❑ Insinuation of 75 KVA or 013mccgoocy system. larger separately derived system. • -. ' SITE INI',ORMATION AND LOCATION in At dkion of nets n,nit, hwd al' © "A ", "177, "I -2 • I -3° site 1 SW 108TH AVE lOO or mom. occupancy. Job no.: J0 n 17 [: :LddCCSS: Reareadonal v ,ukx- ❑ Six or mum rcsitleaia) uni ❑ 1 � ' City /State /ZIP: TIGARD, OR, 97224 ❑ Health-cam I;tciliiic ❑ Supply voltage for more Mal �- ❑ Har,,rdntlt loeatio u. 600 volts ,tominal- mm Suite/bidgJapi, no Project name: OAK TREE 1 & 2 APTS 17 at : or morn. St rv: ' . or feeder 600 t ut F E SCHEDULE '. : f Cross stt'ect /directions to job site: inlet 1 Qtr. i tyro. L 'thud I • • -- -° - ~- New residential single- Or tnolti- Otmtly dwelling unit. Includes attached garage. Subd'tvisiort: Lot F70,: 1,000 sq_ ft. or lass 143 4 ..,.. , Ea. !WTI 500 sq. 11. or portion 33,40 1 'lax map/parcel no.: Limited energy, residential 75.00 2 DESCRIPTION OF WORK • (with above sq, ft.) „• INSTALL FIBR OPTICS FOR VERIZON _ Limbed energy, multi-family 75.00 z rCSidCntla! (with alwvasU. it.) l k 00 Dc r � ` � � Services or feeders installation, alteration, and/or relocation _ 200 amps or less 80,30 f 2 _ 60 PRO u RTY O WNER ` • ..0' • TENANT' ZO I amps to 400 amps 106.85 2 • Na1e: 401 amps to 600 amps 160.60 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 44.65 I 2 City/State/ZIP: P' Temporary services or feeders installation, alteration, and /or Cii Y , -. relocation Phone: ( ) Fax: ( ) ^ 200 amps or less 66.85 1 • Owner installation: This installation is being made on property that I own which is not 201 amps t0 400 amps I00 2 intended for sale, tease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps _ 133.75 2 Branch circuits - new, alteration, or exlensioivor panel Owner signahute: _Date: __ A. Fee for branch circuits will, 0 APPLICANT : fl CONTACT PERSON above service or feeder fee, 6.65 2 "—' each branch circuit ' Business name: NORTH SKY COMMUNICATIONS, INC. B. Fee for braneh circuits -- withour service or feeder fee, 46 85 2 Contact name: RYAN ROBERTS first branch circuit Ad 1 1818 SE MILL PLAIN BLVD STE, 410 Eacltadd'i branch eircait 6.65 2 Address: Miscellaneous (service or feeder not included) - City /Ststc/ZIP: VANCOUVER, WA 98684 Each manufactured or modular 90.90 ? dwelling, service and/or feeder Phone: (503) 519 -5264 Fax: ( )1-866-905-4907 - Ilse- onnect only 05.55 - 2 E•tna and r npf bSlt�/ QI�m -lore Pump or irrigation circ lc 53.40 2 C ONTRACTOR sign or outline lighting 53.40 2 Business name: NORTH SKY COMMUNICATIONS, INC. ener p a n e l , a) rt o or enor y panel, alteration, or Address: 11818 SE MILL PLAIN BLVD. STE 410 extension, Describe. 1 Page 2 $75.00 2 City /State/ZIP: VANCOUVER, WA 98684 Each additional inspection over allowa in any or the above - ' Per inspection 62.50 Phone: ( 360) 254 -6920 Pax: ( ) 1- 866 -530 -4325 investigation per hour (I hr nu) 62.50 _____ CCB Lic.: 14117 Electrical Lie.17 -154CL Suprv. Lic.: 173LEB Industrial plant per hour 73.75 ELECTRICAL PE 1*,ES Suprv. Electrician signature, required: L,.� Subtotal: $75.00 _ Print name: JACK EAGLE Date: Plan review (25`0 of permit fee): 6 -6 -08 State surchar (l2S6 of pcnritl fee): $9.00 Authorized signature: / TOTAL PERM u 'r P EE: $84.00 - Thii P erini[ application expires Ir perntit is not otolnincd within ISO Print name: ETHON A. D LPI"1 Date: 6 -6 -08 <lays after n has been accepted as complete. � �.._ -_.M.. . " Number of inspections atfuwee per permit, 1:,11aihlinctl'enni;Alil,I7 -Its toAtInnoc oir23 /e6 4»1O-451f1151 110s/COSVW @.Id :l:>r. TOTAL PAGE. 1 7 ** CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2008-001 3 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/10!2008 Phone: (503) 639 -4171 "milt u Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/16/2008 TIME: 7 :00AM PAGE: 44 SITE ADDRESS: '16055 SW 108TH AVE 100 CLUB HOUSE CLASS OF WORK: SUBDIVISION: WILLOW BROOK FARM LOT #: 027 TYPE OF USE: PROJECT NAME: OAK TREE APARTMENTS DESCRIPTION: Unit: 100. Installing fiber optics for Verizon. • OWNER: ELTON, MICHAEL PHONE #: CONTRACTOR: NORTH SKY COMMUNICATIONS INC PHONE #: 360-2546920 Inspection Request Scheduled For: Date: 6/1612008 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 071390 -11 971 - 663-4082 N Corrections /Comments /Instructions: r / PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: � Date: 1 /d .4'6 Phone #: (503) 718-