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Permit .., 'la q CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT II .. . COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00162 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/10/2008 PARCEL: 2 S 115AA -01100 SITE ADDRESS: 16215 SW 108TH AVE 123 ZONING: R -25 SUBDIVISION: WILLOW BROOK FARM LOT: 027 JURISDICTION: TIG PROJECT: OAK TREE APARTMENTS Project Description: Units: 123 -128, 223 -228, 323 -328. 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: 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 Reg #: ELE 17- 154CLE FEES 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 00.332.2344. Issued By: K.----- Permittee Signature: — , / ^ ∎ 1 — 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.16 C'1 Electrical Permit Application toted lac i()SKU1Vx.Y f7 ; t I .. �, 11 ,1 0 6 _ - .,J, .. tt ' OiEy o� Tigard ,UI t Received G 0-. I Permit No,. + i 1 " ► 1312.5 SW Bait Blvd.. Tigard, OR 97223 CO r � ,t " �� d� il li C b l l } C w ; G , Other PCrutil; P hone: 503,639,4171 Fax: 503.598.1960 11 S O 4 ' • TI Gr \RCS Inspection Line: 503.639,4175 y}G , Into Rea /By: ffif Sec Page 2 for Internet: www.tigard- or.gov 1:0 311 ' 1't Nofi fied t m eti n n : supplementgl , 'TYPE OF WORK':,. ' - . ..: , ', .. 'PLA,N REVI :>„ '. ^'_ 2 shod; all t ¢ase hat :,(Ply (su ;tots of plans w /items checked below): ❑ New construction 01 Addition/alteration/replacement PI© Service or tbedcl' 400 antpt or Mote Building over ll stories, 0 Demolition 0 Other: where the wailable fault current ❑ Mnriaa %:md hoalynrds. CATEGORY OF'' CONSTRUCTION ... .i .. nr exceeds 10.000.In: at 150 wits or OF/08 buildings. toss to ground. or exceeds 14.000 Et Conunnrci:d -uto agricnttural 0 1- and 2- family dwelling ❑ Commercial /industrial Q Accessory building :n„ p, tor an oilier inshdlaiieeL buildings. Q Multi - family 4_.i Master builder © Other: Drive pump 0 lvrndlation o1'75 KVA e, 0 Entetgc,wy system. larger separately derived syatcm. . JOB SITE INFORMATION AND LOCATION • � load a • - - ,.... El Addi o new motor of ❑ "A ".''[V. . , Job no.: _ Job site address: 16215 SW 108TH AVE 100/1P Ore r e s. nccnpanuy, [� Six r or 11 mWrc residential %i(Iealial units. ❑ Recicational vehicle parts. City/State/ZIP; TIGARD, OR, 97224 ❑ Heniut.earc !litililits. C1 Supply vuuitgo Rar more than r1 Hazardous location(. 500 volts nominal. Suitc /bldgiapt. no.: 4123 -128 Project name: OAK TREE 1 & 2 APTS 0 Serviceor Feeder 600:LE . or more. ,', .PEE 'SCHEDULE ' ' Crass street /directions to job site; 223.226, 323-326 Acxcrl talon 1 Qty. 1 tee. I '.pt:,t I , New residential single- or multi- f>itnily dwelling unit. Includes attached gatnge. Subdivision: Lot no,: 1.000 sq. It. or fess 145.15 4 -- Ea. udd'I 500 sq. ft. or portion 33.40 I Tax map /parcel no.; Limited energy, rcaicfcntfnl — ._..•,.,._... DESCRIPTION OF WORK (with atwvc'stl. R.) 75.00 2 INSTALL FIBER OPTICS FOR VERIZON Limited reiden energy, multi- 7500 2 . residential (wilt ab so. It.) I a-3 / 1 r1 �3 r ,, `O 7 o . 4 522 �J 2 ' Services or feeders installation, alteration, and/or relocation l .. d p`a , � 200 amps or less 80.30 2 d FROPIiR'I'Y,'OINNCR ' ''0 TENANT' 201 amps to 400 tunps 106,85 Name: .M,..�._ • .._.. _ J W _ .. _ . — 401 amps 1p 6O() amps 160.60 IIII Z Address: — - 601 amps to 1 amps 240.60 2 Over 1,000 amps or volts 454.65 2 City /Stalc/7IP: Temporary services 01' feeders installation, ultcration, and/or . relocation Phone: ( ) Fax: ( ) 200 amps or less -. 66.85 Owner instailatiun: This installation is being made on property that 1 own which is not 201 3ntl>S to 400 amps 100.30 2 intended for sate, lease, rent, or exchange. according to ORS 447, 449, 670, and 701. 401 ( to 599 amps 133.75 2 Branch circuits - new, altera or extension, per panel Owner signature: Date: _ A. Fee for branch circuits lull, . : ❑ APPLICANT []r ' CONTACT PERSON • above service or feeder l'eo, 6.65 2 • each brunch circuit Business name: NORTH SKY COMMUNICATIONS, INC. B. Poe for branch circuits R YAN ROBERTS tvilror,r service o1 feeder fee. 46.85 2 Contact name: lust brunch circuit f Addres 11818 SE MILL PLAIN BLVD STE. 410 F.ach odd'I branch circuit J 6.65 2 Miscellaneous (service or feeder not included City /Stale/ZIP: VANCOUVER, WA 98684 - Each menufactutcd or modular -.. dwelling. service and /or feeder Phone: (503) 519 -5264 I Fax: : ( )1 - 866 - 905 - 4907 d e l l i n g envy 66.85 I II E_mmil: mduor(c nt7rthsk - Pump or irrigation 53.40 III, • ' • CONTRACTOR • • - • Sign or outline lighting 53.40 2 Signal circuits) or limited. l3usir1eiis mime; NORTH SKY COMMUNICATIONS, _INC. I energy panel, :alai or Address: 11818 SE MILL PLAIN BLVD. STE 410 extension. fleseribc: 1 Paget $75.00± 2 1 City /State/ZIP: VANCOUVER L WA 98684 Each additional inspection ve or allowable in any of the above ----- per inspection 62.50 -- Phone: ( 360) 254 -6920 Fax: ( ) 1- 866 -530 -4325 In vestigation per hour (l Itr min) ".. 62.50 cos Lic.: 14117 Electrical Lie. 7- 154CL: S upr v . Lie.; 173LEB Industrial 9111(1 er hour 73,75 Suprv. Electrician signature, required. '� - .ELECTRICAL PERMIT FEES Submlal: J ACK CAGLE D ate: P review (25% of permit fee Print na ( P fee): : — — - � 8 — Siete surcharge (12 %- of permit fee): $9.00 Authorized signature' �� TOTAL PERMIT me: $89 '"..'m_ -._ This permit application expires if a permit is not obtained within 180 mint name: ETH ON A. DOLP Date: 6-6-08 days :Met haghCCn:leceptednscomplete, — - Number vl' In%peclivns atlowcd per permit. I: It ikfln soarotessiii,c.Pemia.\pp.doe 05 /2,•015 . IOn /EOM /WGI1 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2008 -00162 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/10/2008 Phone: (503) 639 -4171 .60 ,10j, Inspection Requests (24 Hrs.): (503) 639 -4175 s e__.. INSPECTION WORKSHEET FOR DATE: 6/16/2008 TIME: 7:00AM PAGE: 43 SITE ADDRESS: 16215 SW 108TH AVE 123 CLASS OF WORK: SUBDIVISION: WILLOW BROOK FARM LOT #: 027 TYPE OF USE: PROJECT NAME: OAK TREE APARTMENTS DESCRIPTION: Units: 123 -128, .223 -228, 323 -328. Installing fiber optics for Verizon. OWNER: ELTON, MICHAEL PHONE #: CONTRACTOR: NORTH SKY COMMUNICATIONS INC PHONE #: 360- 254 -692.0 Inspection Request Scheduled For: Date: 6/16/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 071390-12 971 -563 -4082 N Corrections /Comments /Instructions: 9 6C . PASS ❑ PARTIAL APPROVAL ❑ CANCEL I NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: LAC/ r Cam, i?le..-.e-- Date: . l9 `% Phone #: (503) 718-