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Permit 4 rrh -/ i /n: 6" /v/ -; ct LW? • CITY OF T I G A R D ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00158 T•I'dARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/10/2008 PARCEL: 2 S 115AA -01100 SITE ADDRESS: 10932 SW DURHAM RD 129 ZONING: R -25 SUBDIVISION: WILLOW BROOK FARM LOT: 027 JURISDICTION: TIG PROJECT: OAK TREE APARTMENTS Project Description: Units: 129 -136, 229 -236, 329 -336. 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 FEES Reg #: ELE 17- 154CLE 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 or 1.800.332.2344. Issued By: Permittee Signature: yhe:I/ • OWNER INSTALLATION ONLY �-2 l-�/ 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 2088 3:47 AM FR TO 5035981960 P.12 Electrical Permit Application 1,CEI VE • kt aF :ixct vs o iN City of 'Tigard 6 2008 �I/W , . , u,. _' l Permit inn.: i - 't 13125 SW �� Hall 131vd., Tigard, OR 97223 Plan Review Q : Phone: 503.639.417I Fax: 503.598.1960 koate/tl : Qdler Permit: T'GARD Inspection lino: 503.6394 QF�G a Rcatly /L'y; Aviv E4 Sec Poge2 IrrV Int4ntet: www.tigard- or. ^_ov C LI a. ii 11Q G SedrMethna Supplemental Srormnrion ,.. "'' ' OF WOthal; } i .. ,`PLAN REVIEW. : New construction III Addition/alteration/rep! acsincnt Please check all the apply (submit 3 sacs of plaits whims checked tklow); ❑ Service GI' feeder 40 amps Or more 0 Atli Wing over 'lute Stories © Demolition ❑ Other: whew the avaitahlc leutt cm-rent 17/marinas anti boatyards. . :t :, '''' '::; ''': :' .: • CATFCORY'• : CONS'A'RUCI'ION . .. E......' .. . c%eceds (0,000 amps at 150 volts or ©!limiting buildings, ices to ground, or exceeds 14,000 ❑ Conmmcreial -use africuAtnal 0 I- and 2-family dwelling ❑ Commerciallinduslrial ❑ Accessory building amps for all other installations, buildings. - Q Multi- family Master builder 0 Other: ''« !u',tsllslrvn ol 75 VA or . ❑ EInrccZpneY «YStant. larger :apal'ately theived system. ' ': ` ' i: . ''. JOB • SITE INFORMATION AND . LOCATION • �� '::.:. .. r": . QAdd new nx>1o.' load ol' © "A ", "F'• "1-2", "1-3" Job no.: Job site address: 10932 SW DURHAM RD 100HP ormom. ncct ❑Six or more residential units, ❑ Recreational vehicle parks. City!Slate /71F' TI GARD, OR, 97224 0 I - Wahh•c:i a racilitics. 0 Supply voltage for more than © Hatardo locations- ((10 soils lumina(. Suitclbl<Ig /apt. no.: i 129 -13 Project narne: OAK TREE 1 & 2 APTS ° serservice, or fcader 600;unps Or morn. i FEE 'SCHEDULE Cross sweet /directions to job site: 229 - 236 321 32(p ■[s M r„ml o New residential single- nr mufti- fhntity dwelling unit. Includes attached garage. _ Subdivision: Lot no.: 1.000 sq. ft. or less 145.15 4 Ea. ttdd'I 500 sq. h. or portion = 33,40 0 Tax tttap /pan cl no.; Limited energy, residential 75.00 111 DESCRIPTION OF WORK (with alewu st , R, • INSTALL FIBER OPTICS FOR VERIZON Limitedcnargy, multi-family 75.00 a .f �1 q 2 7/_ residential (with above sp. h.) L.A./V\-t, t lO\ l I per' A36, 39 3 3 Se rvices or feeders installation alteration, and/or relocation T t I mm � 200 maps or less 80.30 2 . ' ❑ PROP1' R'I'Y `OWNEII . 0' TENAN':I 201 amps to 400 amps 106.85 El Name; 401 amps to 600 ,tops - 160.60 _ -W- -- - 601 aatpx to 1,000 stops MI 240.60 Ellitill Address; L_ Over 1,000 imps or volts IIIII 454.65 — City/State/ZIP: Temporary services (n. feeders installation, alteration, and /or relocation - Phone: ( ) Fax: ( ) 200 amps or less 66 -85 MEM Owner installation: This installation is being made on property that I own which is not 201 am s a) 400 aln is _ 100 -30 - El intended for Sale, lease, rem, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 11111111111M_© ' ti3M Owner siguattr•e:...._...____. Date: _ A. Fee for branch circuits with ' ' 0 APPLICANT . . .CONTACT PERSON above survive or feeder Pee, 6 - 1111 . each branch circuit Business name; NORTH SKY COMMUNICATIONS, INC. B. Pee for branch circuits ...— Contact name: RYAN ROBERTS without service or teeter fcc' 46.85 first branch c;;cuit II Address: 11818 SE MILL PLAIN BLVD STE. 410 Each add' Ib, :inch circuit 111111=31 _ El Misfellan ouS (service or feeder not inelutle4 City /StaleiZIP: VANCOUVER, WA 98684 Each manufactured or modular 951,90 I "" tlwcliin ,scrvicc and/or feeder _ 11 Phone: (503) 519 -5264 Fax: : ( )1 -866- 905 -4907 Reconnect only ' — 66.85 E -mail: mdU r n h k l'1"I rTl.CQMI Pump orirtigationcircle 53.40 — .: • • • CON'I'RAGTOR .• •• • Sign or outline li: ung 53.40 Business name: NORTH SKY COMMUNICATIONS, INC. energy p alter limited- y anergy panel, alteration, or Address: 11818 SE MILL PLAIN BLVD. ST E 410 extension. Describe: 1 Page? $75.00 City /State/ZIP: VANCOUVER, WA 98684 Each additional ins .ection over Allowable in any of the above Par inspection _ 62.50 _. mm Phone: ( 60) 254-6920 0 Fax: ( ) 1-866-530-4325 Investigation per hour (I hr milt) _ - 62.50 -- CCB Lie.. 14117 Electrionl Lic.17 -154CL strprv. I„ is -; 173LEB locheih'ial plant per hour 11111111=1 ill ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: Subtotal: MN= Plan review (25% permit fee): Print name: JACK CAGLE Date: 6 -6 -08 State surcharge (1245 of permit fee): , 9.00 Authorized signature; �. 4 r / '184.00 This permit a enp■s :f a permit Is not ohlohied within 110 Print narne: ETHON A. DOLPH Bate: 6 -6 -0$ d ay s tttV It has bee accepted as cam t rich. Number or inspcclions allowed per permit. I:\1uitdiegOvm,i,au9UC- 1'crtnd .Do dos 0.51;415(, 450 du1911(1 I1n5/t ;Oww1313 • _ . CITY OF TIGARD • BUILDING DIVISION PERMIT #: ELR200a-00me 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/10/2008 Phone: (503) 639-4171 ... j i ltitillt Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 6/16/2008 TIME: 7:00AM PAGE: 45 SITE ADDRESS: 10932 SW DURHAM RD 129 CLASS OF WORK: SUBDIVISION: WILLOW BROOK FARM LOT #: 027 TYPE OF USE: PROJECT NAME: OAK TREE APARTMENTS DESCRIPTION: Units: 129-136, 229-236, 329-336. Installing fiber optics for Verizon. OWNER: ELTON, MICHAEL PHONE #: CONTRACTOR: NORTH SKY COMMUNICATIONS INC PHONE #: 360-254-6920 Inspection Request Scheduled For: Date: 6/16/2008 Pour Time: . Code # Inspection Description Confirm # Contact # Message 135 Low voltage 071390-10 971-563.4082 N Corrections/Comments/Instructions: r--5 ri<ASS 7 PARTIAL APPROVAL 111 CANCEL El NO ACCESS n FAIL 7 CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: / - _ 4.(4. Date: . / .0" ; Phone #: (503) 718-