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Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT Permit #: ELR2009 -00214 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/31/2009 T t �° � Parcel: 2S115AA00100 Jurisdiction: Tigard Site address: 16136 SW 108TH AVE 73 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 wit 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 - 011 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: ` 1 �1 LAC �V V ' Permittee Signature: ���1 -X 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. • ./1 . ECEIVED Electrical Permit Application 2 9 2009 ..,:: C FtyR�O[)FICE USE 04Y: ' •!:: City of Tigard ' OF TIGARD R.,„,,,.., �[ � ��� `` _ k` 1 't 13125 SW Hall Olvtt., Tigard, O tea : 1. • tr' Photo: 503.639.4 Von: so DING DIVISIO i Plan Review ° Other rcnnh ri 'ATtl) inspection 503.639,4175 1 � See emenc2(or fntonut: www.d ant- or.gov Supplemental Pa t el tro+magou eq ,` ^ , . ' •TYPE OF ; :'•. • .. ., . . :r PLAN RRV.ifW.1•:;. : :,' • ' . ... . • (-,J New construction ` ` rAdditionthlleration /replacCtnenl - ° .1 krises 1 all t at, ytinyttuhntit +lwri%Wiremscheckedbeiow): 0 Sorvteo or feeder 40.9 amps or m+n: ❑ nuiwittp over tlavo stories. Q Demolition Q Other: Mont the boeilellle hull catroul CI Mani os and enntymds. ::-i i :`•;:: ` :' ':• CATLGORY •OF:cO NS`1'RuenUN. ... "; ,• . extents 10000 moms to 150 tolls or ❑ Rating 1.wiwingi. • lass c ground. or *met* loco ❑ Commorehd•uxo aariculatrat Q I - and 2- lamely dwelling 0 Cotnlnercial /industrial 0 Accessory building mops tor all *User installations. bindings, FA Multi - family Q Master builder 0 Other: 0 rho 'Rump. 0 Installation of 7S KVA or °' 7 UIi'STTE NFORMATION AND LOGlTION i ' OCn+ctgcucyxyatm larger sepa+:nety derived system, ...r.,. QAns,„- On M'neWnmtnrlaatnr 0 .w. lin, "1.2 "•'1.3.% Job no.: I Job site address: 16136 SW 108TH AVE 11411° ornwro. ouu /State21P: TIGAR OR ❑ Six ur allure residential unite, ❑ Rewvonlan valianhl vow parks. Cit Y 9 7223 CI Healh•earo atcatticv. Cl 5tmtply voltage ler mare Area C1 Ha :ard locutions. 600 volts nominal. Suite/bldg. /apt. no. 73 -80 I Project name: BRIGHTWATERS © REDHAWK d7Servieo feeder MMOiats or mom _ _•._ ; >: :.• . ' '. FFEE-SCHEDULE ' . • • Cross street /c(ircclions to jab site: nu i 01x.1 fo. I 'NMI I . New residential A nglo• or multidumlly dweilieg unit. Includes attached garage. Subdivision: j Lot no.: 1,000 so. R. or No 145.1$ 4 Tux map/parcel no.: 12:1. atkl'l 500 se. h. of portion _ 33.40 1 D�ScRWrtoN OP WORK • i.,imhed eucrgy, ,wsiticutial 7500 2 Wm swim sn• li.) • ited INSTALL FIBER OPTICS FOR VERIZON I It ravaia I f d y i1u >, ftttiIi .) 75.00 Services or feeders installation, alteration, amUnr t+el 200 amps or less 80.30 2 '•'0 PROPERTY- .' ` '_j : • '• ' aTENANT '` 201 amps to 400 amps 106.85 2 Name: 401 amps to 609 amps 160.60 : 2 601 amps to 1,000 Junes 240.60 2 Address; Over 1,000namisorvolts - 454.65 -_ 2 City/State/ZIP: Temporary services or feeders installation, altenrttom, and /or relocation Phone: ( ) I Fax: ( ) 200 amps or less 66.85 , t Owner Installation: This installation is being made on p roperty that i own which is not 201 amps to 400 mold 100.30 2 intended for sale. lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 mops to 599 amps • 133.75 2 Owner signature: D,uc' Brunch elrcuits -. new. alteration, or extension, r panel A. free for brooch count wan ''' :' "• ' • 0 APPLICANT ' . •• ' • • : al ' - ' - .°CONTACT PERSON above service or feeder flu, • each branch oheuit 6.65 2 Ruttiness name: NORTH SKY COMMUNICATIONS, INC. O, Pee lor branch circuits ' Contact nalne: mirltoto servi or fee der fee, ERIK SCHENCK lint branch circuit 46.85 2 Address: 11818 SE MILL PLAIN BLVD STE. 410 - Each :rdd'i brooch circuit 5 - L 2 6 .6 miscellaneous (service or reader not included) City/Slmc /ZIP: VANCOUVER, WA 98684 Each manufactured or modular I 9040 " 1 dwelling, service nndlor fodder Phone ( (503) 969 - 7729 I Fax; 866 ) 4 -485 Reconnect only -7- 66.85 2 G snai l: _.mduorenorthskycnmm. coo Poop or irrigation circle 53.40 2 • CONTRACTOR ." Stitt or outline lighting 53.40 2 Sigurd ctrcuit(s) to limited. Business nano: NORTH SKY COMMUNICATIONS, INC, energy panel, alteration. or 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 altownblo in an of the above Ycr inspection 62.50 - Phono ( 360> 254 -6920 Fax: ( ) 1- 866 -530 -4325 fovegdgtdlnn per hoe (I In mini 62.50 CC8 Lie.: 14117 I Electrical Lic•17 -154CL Suety. Lic.: 173LEB Industrial plant per hour 73,75 • •• •• - ELECTRICAL PERMIT FEltS ... ••.'. •• • Suprv. Electrician signnturo, rogitired; Subtotal: $75.00 Print nri'ntt: JACK CAGLE Date: 7/29/09 Phut review (259h at'perudi foe): State surcharge(12Se of permit fee): $9,00 Attttiariaed Slgnal0r0: /� TOTAL PERMIT fail.: $84.00 Print name ETHAN A. DOL P H I Date: 7/29/09 'l9+a iwvm uppll altum expires If a permit Is not obtained Mann 180 days nher It e m u been Accented as t•uplete, ° Humber ofbupectiuntnlluncdl'rperudi, I91a ,0otnrd'ermlu,wl.71''madpp.,tne waves No 46i Mt lawcostAvtill