Loading...
Permit % Il .A CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT PERMIT #: ELR2008 -00139 TIGARD DATE ISSUED: 6/5/2008 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S135DC -02000 SITE ADDRESS: 11845 SW 91ST AVE 73 ZONING: R - SUBDIVISION: GREENBURG OAKS APARTMENTS LOT: JURISDICTION: TIG PROJECT: GREENBURG OAKS APARTMENTS Project Description: Units 73 - 84: 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 Surchai 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 . :00.332.2344. Issued B J, 1 AI �__ _ Permitt Signat �' i� //J/ 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. 1. ( SUN 04 2008 3:09 AM FR TO 5035981960 P.10 RECEIVED Electrical Permit Application Fort mit Icl 'vsr ONI Y City f Tigard JUN 0 3 ZOOli Received o g Permit No,; � e „8 - �Ot3 . A il Y �` oandri : 11 '` N 13125 S Hall Btvd„ Tigard, OR 97 t - ?limo. 503,09.4 17 I riot: 503.59 T I OF TIGARI) 1511 Odesr pcnnh; TI GARD Inspection Line: 503,639,4175 Dino Ready/ay: ME 65 Sec Page 2 for lawmen wWw.tigard•angav BUILDING DIVISION Notincd /Method; Supplemcntnt information '. :, TYPE '01r .WORK ' ;'.'' LAN REVIEW , P © New construction ✓ Addit!on /aUenttion /rftplac etnCnf - Muse citach all dial apply (suhntit E sets at' plaits tie/items cleccked bch,w): r�t El Service or (ceder 400 amps or more ❑ Building uvcr Mira stories. C] Demolition 0 ether: where the availahia Ertl[ current ID t,'t inetri and t oary:trds. .'CATEGORY 01> CONSTRUCTION . . cxccxlsIQWOanths :dISO 1�f +l{=ringbtdtdingi. tes, to ground, or exceeds 14.0110 ❑ Cootincreitit-iiite agricpharat 0 I- and 2- family dwelling ❑ Commercial/industrial 0 Accessory bull ditt amp l'ol' all Whet inwUellnlisos. buildings. 0 Mufti- family 0 Master builder ❑ Other: 0 rim pump. l7 instaliaoon Of 75 KVA or .. JOB SIT& INFORMATION AND LOCATION : CI $mcrgengy xyslem, larger sortmiely dcrive(1 spite.. _ '' •. ❑ Addition of new motor load of © "A "ii.". - 1=2", "1-3 1001^11 or nuns:, ncculxuecy. Job no.: �3ob site address: 11845 SW 91ST STREET r�yy o maf vehicle arks. p 4-�SI or more residential units. � Rect:oh } City /State/ZIP: TIGARD, OR 97223 ■ OHcoIi0.r.erel'nciliulet. 0 Supply voltage for mom than i. r rte aY.arc e11Y local 5110 volts eiottil nl. Suite/bldg./apt. n0.: 73 -84 Project ❑ ect name: GREENBURG OAKS APTS Sa ry o r f eeder butt CEfi SCIII:DULG o.: 73-84 Cross street /clireetions to job site: Dwcrll - . I Qtr- 1 ase._ t rsn:d i • - -... _- " -" "- New residential single. or multi- fancily dwelling ttu. Includes attached garage. Subdivision: Lot no.: 1.000 sq. ft- or less 145.I5 4 -.- '•'- E:1. 41'I 500 sq. IL or portion MI 33.40 Q Tax tnaplptree1 no.: 1..itnilcd energy, residential DESCRIPTION OF W(IRl with shove s, . ft.) ■ 75A0 - Limited energy. multi- ftunily 75.00 3 INSTALL FIBER OPTICS FOR VERIZON fesideatial (with alwvcsel,il.) Services or feeders instillation, alteration, and/or relocation 200 amps or less 80.30 '0 PROPER'1'Y'OWNER ❑ TENANT' • 201 amps to 400 amps 106.85 RN 401 amps to 600 nml)s 160.60 Name: -- 601 amps to 1,000 amps 240.60 Address: Over 1,000 amps or volts 11111 454.65 MI Temporary scrvicea or feeders installation, alterations, and /or City/ State /ZIP: ,,, „ _ relocation Phone: ( ) Fax: ( ) 200 amps or less 1 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 aortas to 400 amps 100 -30 7. intended for sale, tease, rent, or exchange, ac ordinb to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Branch circuits new, alteration or extension, or girl Owner signAt ttr,: w __ .._ „ , ...._.._, Date: A, FCC for branch circuits with . ' . © APPLICANT • :A ' EVCONTACr PERSON ' above service or feeder fee, 6,65 Ell each branch circuit Businessname; NORTH SKY COMMUNICATIONS, INC. B. Fee for branch circuits without service or feeder fee, Contact name: RYAN ROBERTS rust brand, circuit 46.85 II . 1 1818 SE MILL PLAIN BLVD STE 410 Address: Each ttdd'1 branch circuit 6.65 Miscellaneous (service or feeder not included) . City /Staie/2rP: VANCOUVER, WA 98684 Each manufactured or!nodular 90.90 la li,velline. service aedlor feeder Phone: (503) 519 -5264 Fax:: ( ) 866 - 905 -4907 RGCOmlcct only 66.85 U E-mail: mdur(d.ngrth c.4m Pump or irrigation Circle 53,40 • 1 C ON'T'RACTOR ' ' Signerou tlinelig hti ng 53.10 � 2 -3,-1 Business name: NORTH SKY COMMUNICATIONS, energy Signal itCaids)nr ucrgy panel. alteration, ur Address: 11818 SE MILL PLAIN BLVD. STE 410 extension. Describe: 1 Paget $75.00 2 City /Stare/ZIP: VANCOUVER, WA 98684 :Each additional inspection over allowable in any of the above -- - - Per inspection ` 62.50 - iiiii Phone: ( 360 254 -6920 Fax: ( ) 1- 866 - 530 -4325 rnvestt pe r ho(ir 0 lir ilium) 62.50 , CCB Lie.: 14117 EICCN'ical Lic.17- 154CL: Suprv. Lie,: 173LEB lnduslrtai plant per hour 73,75 • Suprv. Electrician signature, required: <f...0 4 Subtotal: ', 11 _ Print taints: JACK CAGLE Oatc: Plan review (25% of permit tee): 5 -3 ' State surcharge (12% of pemmit fee); ', 9.00 Authorized 0ignawre: ' / TOTAL, PERMIT FEE: '.84.00 i This pert applicatitm ante S if a permit is not obtoincrt Within 180 Print name: ETHONA. DOLPH Date: 6 -3 -08 days rearIthas boon ,teeepteetavcomplete. ' - � - o Number or iaspecoons adlawcd per permit. Iatlnfldi {ytPormi{, \til,■P.rotaApp.doc 05/3//06 4011451.5'1'1, iq)S/COM/W130 :+:w TOTAL PAGE . 1 0- War CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2008 -00139 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/&2008 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/12/2008 TIME: 7:02AM PAGE: 45 SITE ADDRESS: 11845 SW 91ST AVE 73 CLASS OF WORK: SUBDIVISION: GREENBURG OAKS APARTMENTS LOT #: TYPE OF USE: PROJECT NAME: GREENBURG OAKS APARTMENTS DESCRIPTION: Units 73 - 84: Installing fiber optics for Verizon. OWNER: VILLA LA PAZ UMTED PARTNERSHIP, PHONE #: CONTRACTOR: NORTH SKY COMMUNICATIONS INC PHONE #: 360- 2E46920 Inspection Request Scheduled For: Date: 6/12/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 071270-01 503.2057014 N Corrections /Comments /Instructions: • PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ►'I Date: 0Z/a Phone #: (503) 718- A 7 O