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Permit - 4';'. I II CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT PERMIT #: ELR2008 -00138 TIGARD DATE ISSUED: 6/5/2008 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S135DC - 02000 SITE ADDRESS: 11855 SW 91ST AVE 61 ZONING: R - 7 SUBDIVISION: GREENBURG OAKS APARTMENTS LOT: JURISDICTION: TIG PROJECT: GREENBURG OAKS APARTMENTS Project Description: Units 61 - 72: 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: VILLA LA PAZ LIMTED PARTNERSHIP NORTH SKY COMMUNICATIONS INC BY COMMUNITY PARTNERS FOR 11818 SE MILL PLAIN BLVD STE 4 AFFORDABLE HOUSING INC VANCOUVER, WA 98687 TIGARD, OR 97281 Phone: Contact #: PRI 360 - 254 - 6920 FAX 1- 866 -530 -4325 FEES Reg #: ELE 17- 154CLE LIC 14117 Description Date Amount [ELPRMT] ELR Permit 6/5/2008 $75.00 [TAX] 12% State Surchar 6/5/2008 $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 I _ , _ / , I A � , u _4 i Permittee Signature it___"___) \ \ \ \ \\ 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. r . 'JUN 04 2009 3:09 AM FR TO 5035981990 P.09 RECEIVED Electrical Permit ,rL lic ation r0.1 OFFLCJ (ISE ONLY x t City of Tigard JUN 03 21 i 1 ?a l `•r Q �0 "f" Pcnni( No-; , lI • 40 40/ 3; IN � - vi 13125 5 W Hail Blvd„ Tigard, O 9 7223 prier Vermin _ Phone 503.639,417E Fax: 50 3�� FTI GAR D ins ection Line: 503.639 4 17g� 0,. Ready /8y; BE Sec Page 2 for 'TI'GA1W y 3U IL P1b1;GC /Mct hnd; r!� SupplommrlallnformACiou Intorno.: www.tigin4.ar.00v DING DIVISION TYPE :oil WORK . PI Aw REV W © New eonstruCtion 1:.11 Add ition /alteration /replaoernent Plh tv c h oc k ;d1 lh it 014 (submit • Sets 01 Ifllfli Wltieltl5 checked Ix,toa) © Service nr rccdhr 400 amps or Moro Q ihawing over three stories. El Demolition C] Other: when; hre available [ark clam* Q Yinrittas and boatyards. t l ::CATEGORY Or `• CONSTRUCTION.. " eseeeas 10.000 amps a( I50 volts or Q Floating buildings. MS t5 ground. or cxcw:ds I 4.000 0 Cotnu -use agticuk [J 1- and 2•I'amily dwelling ❑ Coio nercial /industrial Q Accessory building coops for ail outer inslallatiuus. butl4ings. 17 Mulll- funnly .. ❑ Master bulkier © Other: q Fire pump. 0 Installation of 75 KV A w •` 0 CawrgcncY systcot. huger se1xttalnly d.a ivad system. . ' SITE ;INFORMATION AND LOCATION ❑ Addition et new Minor load or Q 'A ","F "')•Z" "1 -) � ""'". . "" ... ..,.�'.. 10(114P or MOM. occnpanhy. Job no.: Job site , ddi' SS: 11855 SW 91ST STREET ❑ $iz nr „,um residC0641 unit ;. ❑ f2ccrc'stional vehicle parkV. City/state/Z1P: TIGARD, OR 97223 0 NC lth'caro facilities, D Supply t'ctlnt5h Iilr•more than ❑ Haxardoxs locnlions- 5110 volts nominal. Or mom. Suite/bldg./apt. no. Project name: 00 amts 61 72 �' GREENBURG OAKS APTS ❑s rv;chotrhedcr ._ k'>I•:R 'SCHLrDULl; Cross street/directions to job site: I tcrtperwe I Qay. T pen- I Y'ut.d I ' ----- --- --- �--- - — New residential single- or multi - family dwelling unit. includes attached garage, Subdivision! Lot no,; I,000 sq. R. or less 145.15 4 — Ea. add'I 500 sq it. or portion 33.40 1 — Tax map /parcel n0.: ._� Limited energy, nesidentin 75.00 2 DtSCRIP'fION Or WORK (with ohnvc srl. IL) •'^ limited energy, multi- family 75.00 ? INSTALL FIBER OPTICS FOR VERIZON 1 adentiai wiiiiata,,e. 1. n.) J services or feeders installation, altercation, and/or relocation 200 amps or less ^ 50.30 2 . ' D PRoyntui'Y, OWNER • ' '. . ' • D TENANT _ 201 snips to 400 amps 106.85 2 40 t tulips 10 600 lmtps 160.60 2 Name: . 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or voliS 454.65 2 T Temporary services or feeders installation, alter: lion, and /or City/State/ZIP: relocation Phone: ( ) Fax: ( ) 200 amps or less m 66.85 I OW= installation; This installation is being made on property that 1 own which is not 20? amps to 400 amps , 100,30 ` 2 intended for sale, least, rent, Or exchange, according to ORS 447, 449, 670, and 701, 401_01)ps to 599 tops 133.75 2 Branch circuits - new alteration, or extension, er panel ' OWnQr signature: __ Date: A. Fee for' branch circuits with . [] APP °C[ >NTACI PERSON a bove service or feeder fee, 6.65 2 • each • branch circuit Business name: NORTH SKY COMMUNICATIONS, INC. B, Fee for branch circuits without service. or feeder fee, Contact name: RYAN ROBERTS lint branch circuit 46,85 2 Address 11818 SE MILL PLAIN BLVD STE. 410 Each add'I branch circuit 6.65 ] 2 Miscellaneous (service or feeder not included) -_ City/state/ZIP: VANCOUVER, WA 98684 Each manufactured or modular 90.90 9 dwellin . service and /of feeder Phone: (503) 519 -5264 Fax:: ( )1 866 - 4907 Reconnect only 66,65 I 2 B- in mdut7Onprth$L mm.colt) Q . Pump orirrigationCircle -.,, 53.40 2 • CONTRACTOR . . . Signnroutlinelighting 53.40 2 Signal circuit(s) or limited- Business name: NORTH SKY COMMUNICATIONS INC. enorsy panel, altertniott• Address: 11818 SE MiLL PLAIN BLVD. STE 410 extension, Describe: 1 Page2 $75.00 2 City /S VANCOUVER, WA 98684 Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: ( 360) 254 -6920 Fax: ( ) 1 -866 -530 -4325 Investigation per hoar 0 hr m;n) 62,50 COB Lic -: 14117 Electrical Lie. 7 -154CL stlprv. Lie.: 173LEB - Indaauitd pions par hour 73.75 • ' ELECTRICAL PERMIT FEES — Suprv. Electrician signature, required: Subtotal: $75.00 plan review (25% of permit fee): Print name; J ACK CAGLE Date: 6 -3,08 State surcharge (12% 0f permit fee): $9.00 Authorized tiignanirt ; TOTAL PERMIT FEN $84.00 This permit applicallon expires if a permit is not o within trio - Print name: ETHQN A DOLP H„ ••,•• Datci 6 -3 -08 days after 11 has been acceptal as complete. Number of inspections ulloweri per permit. IulluildiU0 \Pehnii.lkl.C.PerntitApp,dee 05/21106 44(1.1(51 YI'I 110.5/CUmAVGn f • . CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2008-00138 13125 SW Hall Blvd., Tigard, OR 97223 A DATE ISSUED: 6. Phone: (503) 639-4171 1411111\ Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 6/12/2008 TIME: 7:02AM PAGE: SITE ADDRESS: 11855 SW 91ST AVE 61 CLASS OF WORK: SUBDIVISION: GREENBURG OAKS APARTMENTS LOT #: TYPE OF USE: PROJECT NAME: GREENBURG OAKS APARTMENTS DESCRIPTION: Units 61 - 72: Installing fiber optics for Verizon. OWNER: VILLA LA PAZ LIMTED PARTNERSHIP, PHONE #: CONTRACTOR: NORTH SKY COMMUNICATIONS INC PHONE #: 360-254-6920 Inspection Request Scheduled For: Date: 6/12/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 071270-02 503-209-7014 Corrections/Comments/Instructions: \ IALIASS n PARTIAL APPROVAL El CANCEL 0 NO ACCESS FAIL [7 CALL FOR INSPECTION 111 ADDITIONAL FEES ASSESSED Inspector: Date: 24 e Phone #: (503) 718- eR 144)