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Permit of p CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT 111 COMMUNITY DEVELOPMENT Permit #: ELR2009 -00230 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/31/2009 Parcel: 2S115AA00100 Jurisdiction: Tigard • Site address: 16186 SW 108TH AVE 201 Subdivision: DURHAM PARK APARTMENTS Lot: 36 Project: Brightwaters at Red Hawk Project Description: Install fiber optics for verizon. Owner: FEES DHP TERRACE LLC & Description Date Amount DHP ANNEX LLC, BY AKAWIE & LAPIETRA PC, Restricted Energy Permit 07/30/2009 $75.00 13 HERON DR 12% State Surcharge - Electrical 07/30/2009 $9.00 PHONE: Contractor: PHONE: FAX: 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: ' V� _� , Permittee Signature: Q Actp 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. 4 RECEIVE. JUL • 2 9 2009 Electrical Permit Application CITY OFTIGA' • ': i. omoita cE USE ON tar '.,;.:;,:'':'...'..:.,: `1 '. City of 'Tigard BUILDING DIVIS /4:u`II."' Perms No.: - �` • • ••j . '1 MI -i` '+ 5 bV H Dtvli„ Ti' rd, 97 Klan Rcvo +v - Po,w 1112wr S 503.0 39,4171 611x: 503 590 U, +1¢913 ; Od,urVomit: tnspoctiwl Llll5 $03.630 4175 Ualu Rnitl !n I Is: 0 Ste Page 2for TIGARD y y: 1ntOrnol: wlvwai2r11d- or.0nv Ns:Anol/Mcnwd: ' t`..... ) Rupptcnscnlal Ineorm:aka • • • •, ': • TYPE OF WORK `I': : ':' r . ... •,. • ': PLAN Rtivlaw ` sa .'.'; •. . 0 New cony- unction F;.1 Addition/alteration/replacement Plensc cheek uli that ktpply Submit 2 aelt M wlildns d,re5o4 selt; 0 DCtn01i{lon Other: C] Service o' rueder 400 un,ps us note I r b y 1100/1815 over thine xlo:ic\. _ _ _ o': c o ow A-muscle nsi1 tnrro,lt Marinas and b,RayN II. `. ^ v:: ' ;''• , .: ^`, `'• CATE(,ORY•OF:CONSTYRUCTION , _ . ... exceeds 10000 sip :II SO 41x' Cr 0 Plowing buildings. I- a nd 2-family dwelling y I0tt Ill ilium!. orextt'6•dx 14.000 0 CoIl s clxl•nsc agrkatatrat 0 y g 0 coinnicrclal/lnctustrint 0 Accessory building sips t'urall otterinsinlhniwu. buildings. iA Multi - family 0 Muuster builder ❑ Other: a Fi,c p,m a I. Ilatiull0(75 KVA or JOB SITF, INR?URAfATION AND LO(ATtON ': [�Pa +cr largo( scparatctyskdved ` [j A,Nlitinn arnav 3ttMM lmd or 1:1 "An .1:7.1.1....9 .3. lob no.: Job site address: 16186 SW 108TH AVE I"d"p°r "N1e "`e'I a Si.t 11808 resxknlild anus. 0 Remutimtal veliide park.. City /State/ZIP: TIGARD, OR 97223 0 Rouh¢ucfacilities. 0 Supply 'cfIi c for ntoredtam 0 Huzarduas Ioculian, 600 vaax nonlinul. Suite/bldg. /ON, no, 201 -208 J Project name: BRIGHTWATERS © REDHAWK 0 Service or fccdcr(co ulnps wasxn. ,:. - .,: • . FIRE'SC1OCsDULE ' ' • Cross street/directions to job site: ur+erq,una I Ow. I rr • I n4 a I • T ` Now rosirlonIlul simile- or midtl•fondly dwelling rioll. luchulus nitnelicd pine. =EMI _ Subdivision: Lilt no.: 1,000 1 5 . Or less ti . or portion -��U ICI L'a. ntlri'I 500 portion Tax IlitlplparC(SI IIO.: Limited energy, residcplinl DE$(rorriON OF WORE(, ' (watt 310,50 ml. a.) 75.00 2 INSTALL FIBER OPTICS FOR VERIZON Limit «I energy, nluui- rantity 75.00 2 , m a l t : 4 n l d (Mu t oMwO el, n,) Services or fecders ins'lntintion ulteratInn, and/or relocation 200 amps or less IIIII 80.30 1111111111111111 •'' PROPF,RYI'Y•'UWNER : .. ' C3' TENANT 201 nuns 10400 amps MIN 106.83 11111111118 Name. 401 amps o 600 0101 s Mill 160,60 601 amps to 1,000 amps 240.60 El Address: Over 1,000 sops or volts 454.65 2 Cif y /SIi le/ZIP: Temporary services or feeders installation, atleratlon, and /or relocation Phone: ( ) Fax:( ) 2(p amps a' icss Il 66.85 Owner instuUntienr'This installation is being made on property that I owls which is not 201 amp Io 400 amps 100.30 �B I mended for sale, tense, rem, or exchange, according to ORS 447, 449, 670, and 701. 401 a 1s to 599 snips MN 133.75 _IM Ownersi signature: Date: (tranchclrcu its - new, alteration, or extension, er and A. Ercc for branch chetti s hish `.' ' 0 APPLICANT ' .,.. . :::1 • ' "In CONTACT PERSON ' above service or feeder too, 6.65 ■© . each branch circuit Rosiness name: NORTH SKY COMMUNICATIONS, INC, D. Fe etbr branch ettettitx without scrvicc or !ceder fee, ERIK SCHENCK W _ Contact name; first branch circuit 46.85 2 Adclresi: 11818 SE MILL PLAIN BLVD STE. 410 etch 0114'1 brilnchcirouit 6.65 2 Miscellaneous (service or feeder nut in igded) City /Stale /ZIP: VANCOUVER, WA 98684 Each Inuml(xcturedormodular 90,90 2 Pho,tc: (503 ) 969 -7729 I Fax:: (866 ) 452 -4853 dwelling service and /or (ceder Reconnli ect only Mil IIMEthill1111111� &,nai [UanOt"fhskyeom OJn Plop or irrigation circle 53,40 ' CONTRACTOR ' . . • . Sign nrou111110lighting 53 � lell Businoxsnamle: NORTH SKY COMMUNICATIONS, INC. Signal eircu no) arlimited- micro panel, ;Amnion, or Address: 11818 SE MILL PLAIN BLVD. STE 410 extension, Describe: Paget $75.00 2 City /Stnk/ZIP: VANCOUVER, WA 98684 Each gild ititmo ! Inv ,ection over allowable Inan of the above Phone: ( 380) 254 -6920 Per inspection 62.50 J Fax:( ) 1- 866 - 530 -4325 {uvestigntlon per boor 0Crmile 62.50 CCB Lie.: 14117 Electrical Lic.17 154CL Suety, Lie.: 173LEB ioints:Mil Mani txrhour 73.75 ELECTRICAL PERMIT BEGS '..: ••. / Sup1V. Electrician signature, required: wAlRllm1• .. Subwtal: $75 Print aline: JACK CAGLE Cate: 7/29/09 flan review (2540 of permit fee): State surcharge (1255 of permit fee): 9 00 Authorized signature: /..,..-Die TOTAL PERMIT 268; '.8 _ Prim nntllt;: ETHAN A, DOLPH �' Date: 7/29/09 This pormliuppncndurl expires lra corm is not o wned1,1151 ,160 d ott ays er It bas been nttvitiM AN eoloPlav• . Numb,rt urlaspecduns attune ter perusht. IaOt. Ilarn5WCnun0.1,C.Verme,tppatnc 0«21,00 45 0 1 40 . 1 {1I /01 tl