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Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT °. . COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00135 TIGARD DATE ISSUED: 6/5/2008 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S135DC 02000 SITE ADDRESS: 11885 SW 91ST AVE 25 ZONING: R -7 SUBDIVISION: GREENBURG OAKS APARTMENTS LOT: JURISDICTION: TIG PROJECT: GREENBURG OAK APARTMENTS Project Description: Units 25 - 36: 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 f. • • OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.66. • or 1.800332.2 344. Issued By: l ox Permittee Signat , , , i i 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 04 2008 3:08 RM FR TO 5035981960 P.06 Electrical Permit AUplicatio WCEIVED oltc�>~. ><as� ;i o,44i , City of Tigard JUN 0 200 Daallved & flc 8 ... P -P nni(Nn.: tI 25 �'3 14 ,... `t 1312 SW Hall Blvd., Tigard, OR 972233 I Phone: 503,639.4 171 Pax: 503.595.1960 Qn y r Permit: [ntcnict; www.ltgmd or.gov BUILD ► NoliCedrlvtctbnd: Inspection Line: 503.639,41 75 CITY OF TIGARD Data %tattyllty: to • Z1 See 1M¢e 2 for 'TIGARD Supplemental Information . . i .. PLAN REVIEW'`•::... .. ... • . 0 New construction E A ddi[ion/alteratiOtlkeptaCetnent P1050 ebor all that imply (submit 2 sets or ptac\x wlitssns c•ecked Imluw): ❑ Service or teed, 400 amps or nitre, 0 Building over onto storlcs, ❑ Demolition III Other: waarc the available malt current (7 M rims' and boatyards. CATE(:ORY'O1 :CONSTRUCTION: > ' ' cxc cstts 1n.000 ;units at ix) volts or © Flowing bnitdings. loss to ground. or excccdx 14,000 ID Cunnncrcial -use ng+' El I - and 2- family dwelling ❑ commercial/industrial ❑ Accessory building amps for all other ins(alla(inns. buildings. Q Multi - family © Master builder El Other: I ❑Fire pump. ❑ 1.tstnllauoo of 75 KVA or ❑ Emergency system larger separately derived system. JOIi 'SITE INPOItMATiON AND LOCATION ❑ mr o r new mow load of ❑ "A" "E'', "l - •' 1 -5" 1001-IP or rooms, occupaocy- Job no.: Job site address: 11885 c1N Al ST CTP FT } neo vol Ic p OR, 97223 © Six or more residential units, ❑ 1 anics, City / State /ZIP: TIGARD, Or \, 17223 �^ ❑Noan d Ha 0 Supply vntuieo for more Man 0 g roux locations 606 volts nominal. Suite/bldg. /apt.no.: 25 -36 PrOjectname: GREENBURG OAKS APT ❑8crviccorfccdcrlCO s . .• FEE SCHED • Cross street /directions to job Site: nexcrl hoot H . Pea, - 6.'n • - New residential single - or tnniti- family dwelling unit. includes attached tarage• Subdivision: Lot no.: 1.000 ,q, ft. or loss 145.15 EN — Ea. add't 500 sq. Il. or portion MI 33,40 1 Tax Wrap /panel act.: Limited energy, residential 75,00 2 DESCRIPTION OF WORK • (with above sq. it.) INSTALL FIBER OPTICS FOR VERIZON Limited energy, multovemi. n 75.00 a residential (with above mi. .l Services or feeders installation, alteration. and/or relocation 200 amps or leis MI 80.30 _ 1E1 . 0 PROPER•I•Y•'OWNER •• ' '.. El TENANT • ` . • 201 mnps it) 400 amps II 106.85 IN Name: 401 amps to 600 amps 160.60 601 amps tc 1,000 stops 240.60 Address; Over 1,000 amps or volts gm 454.65 City/Stale/ZIP: Temporary services or feeders installation, alteration, and/or y relocation Phone: ( ) Fax: ( ) 200 amps or lest: 66, EMI. Owner installation: This installation is being made on property that I own which is not 201 amiss to 400 amps (00.30 2 intended for sale, lease, rent. or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Branch circuits - new, alteration, or extension, er tanel Owner signature: _ _."„.- Date: ,,,- -, A, Fee for branch circuits widr © APPLICANT • l'7' CONTACT• PERSON above service or fouler 1'eo, 6.65 11111 each branch circuit Business name: NORTH SKY COMMUNICATIONS, INC. B. Fee for branch circuits - wipumt service or feeder fee. Contact name: RYAN ROBERTS First branch circuit 46.85 Address: 11818 SE MILL PLAIN BLVD STE. 410 liaett:tdd branch circuit 6.65 Miscellaneous (service or feeder not included) City /State/ZIP: VANCOUVER, WA 98684 each manufactured or (nodular 90.90 IIII dwttllin service and /or feeder Phone: (503 ) 519 -5264 Fax: ( )1 866 - 905 - 4907 Reconnect only 111 6536..4850 II E-mail: ; a north an _ r • mm.co l Pump or irrigation circle • S . • • • • CONTRACTOR ' ' • •' • Sign or Wine lighting IIIII 53.40 ME0 S usiness name: NORTH SKY COMMUNICATIONS INC, energy Circnl alte limited- cnergypanel, alteration, or Address: 11818 SE MILL PLAIN BLVD, STE 410 extension. Describe: Page $75.00 2 City /State /ZIP: VANCOUVER WA 98684 Each additional inspection over allowable, in any of the above _ ' Per inspection 62.50 [shone - t 360) 254 -6920 Fax: ( ) 1-866-530-4325 invcstigatiotl er hour (i ltr min) 62.50 CCB Lie.: 14117 Electrical Lic. I 7 154CL Supra. I ic.: 173LE6 indtsuinl plait per hour MI 73,7> _ MI . ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: ' M. Subtotal: $75.00 Armino Print name: JACK CAGLE Date: 6 -3 -08 Platt review (25% of permit fee); State surcharge (12% of permit fee): $J,00 Authorized Signature :. / TOTAL PERMIT FI%.E; J84.00 . - fttis permit applicattttn;itilY7 if a permit is not obtained within 11n Print name: ETHON A. DQLPH Date: 6.3 -08 nays after It tuts Inca,teceptod as complete- " IJalnbcr of inspections :Mond per pernlh. t;\ SSoilssin4u 'cnn6Attt.C- ro.'s' 05 / 2 3 1 06 AJ0-0, 15'( I unsi;0s1/\VGB CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2000- 00135 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/5/2008 Phone: (503) 639 -4171 M itit Inspection Requests (24 Hrs.): (503) 639 -4175 :�! W INSPECTION WORKSHEET FOR DATE: 6/13/2008 TIME: 7 :01AM PAGE: 49 SITE ADDRESS: 11885 SW 91ST AVE 25 CLASS OF WORK: SUBDIVISION: GREENBURG OAKS APARTMENTS LOT #: TYPE OF USE: PROJECT NAME: GREENBURG OAK APARTMENTS DESCRIPTION: Units 25 - 36: 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: 6/13/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 071318 -04 503-209-70'14 Y Corrections/Comments/Instructions: CC — ADASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 4/P Date: 6/0 Phone #: (503) 718 - 074