Permit ., CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
'` ° COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00157
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/10/2008
PARCEL: 2S 115AA -00800
SITE ADDRESS: 10986 SW DURHAM RD 77 ZONING: R -25
SUBDIVISION: OAK TREE APARTMENTS LOT: 026 JURISDICTION: TIG
PROJECT: OAK TREE APARTMENTS
Project Description: Units: 77 -94. 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:
BERNARD CARR AND NORTH SKY COMMUNICATIONS INC
ROBERT LABBY TRUSTEES ET AL 11818 SE MILL PLAIN BLVD STE 4
633 NW 19TH AVE VANCOUVER, WA 98687
PORTLAND, OR 97209
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: �
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 : 4 7 AM FR TO 5035981860 P . 1 1
1
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11
Eiectricai Permit Application itV,CE ,'. :,!:.-,-, . ... i:P',Iii•i'A 1 :.''
Tigard i wed
t IN1 () 6 2. 4ate ,: 6 ffAairli kt.ii No.: 7 .9 co t -,- op 19 7
.. 13125 SW Hall alvd., Tigard. OR 97223 .\u,,, .
Rhone: 503.639.4171 Fax: 503.598.1960 raill Other Ferinit: ,
1: i t i. A Aij kltipeCti011 Li114:: 503.639.4 i 75 11 ii .r.
. ■ Y ' ' torte Ei Sec Pogo. 2 for I
' . Internet: wwW.tigard DI fli onitia. - 7 --TO supplemeitint intorrnali011
tYPL OF WORK PLAN RI'VYEW
110
.■-
PICasC ChuUl< All Pm apply (Submit 2 ;GM: Or pii.o, wiiwriiii checked hcii..9:
0 New construction III Addition/alteration/replacement
Cl Service or feeder 400 amps or more El Elnikting over 1500 storio.
0 Demolition 0 Other: where ilic nvai tulle Wilt canon CI Marinas and boatyards.
.: '''';:..; ; ,..'‘•:::!' ..; •':',:
• .:':'• '• ::CATEGORY OF :CONSTRUCTION: .. :i.;•:•:.• :',.• ' ..:;.:.''] .,. e,,eieeiu tom :eep . iii ISO volts or 1:11;i0iiiin buildinp.
loss in ground, or oxricedr 14,000 Clcoiiimeieiakeic wientairai
0 1- and 2 dwelling fl Comi»ereial/industrial 0 Accessory building amps t all other Installations. buildings.
151 Multi-family 0 Master builder 0 Other: 1:1Fire pump, 0 Installation of 75 KVA or
• 0 Emergency system. larger separately
':'?:': ''..-':•%:.'•'..::•': •:. ''.108 SITE INFORMATION AND LOCATION : ...,;;':' ...';'.':; ',. ',': I :.,'... Er Addifinn of um nullnr Inud al ij - A", -' v.". "1.2", derived system. ''1•3".
Job no.: Job site address: 10986SW DURHAM RD 1001-1P or MUM.
Psis or num residential Mill% DOCUIPPICy.
0 Remationnl vehicle pos.
City/State/ZIP: TIGARD, OR 97224 0 Hcalth.carc incilines, I:1 Supply v011055 fur !um 51155
0 HAurc101■11QualitIrtt. 600 VOIE:i. AMPI11:11.
Suncibldgiapt- no.:4 77-94 Preieet name: OAK TREE 1 & 2 APTS n Service or feeder 600 :imps or more.
- - --
Cross a - eet/dircctions to job site; DorrIplkIn I ow. I Fur. I Total 1 , •,_
--- ` New residential single- or multi-fantity dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft, or less - 143 - .5" ---
Ea. adri'l 500 sq. ft. or portion 33.40 1
Tax map/parcel no.: --- ---
Limited energy, residential
• 75.00 2
• ' DESCRIPTION OF WORK ' (with :Owe sq. 0,) Li m 75.00 2 _ M _ , _ _ ,
mited energy, ulti-faily
_
INSTALL FIBER OPTICS FOR VERIZON residentials,
services r feeders installation, alteration, andfor relocation
200 amps or less j 80.30 I 2
....
• • • , : f • . ' 0 PROPP.RTY.OWNER .." • ' . . ' . ' I ..:. • ' . .• '.0 • litr4ANT • •• , •• . .•:'•1 201 amps to 400 amps 106.85 2
Name: 401 amps to 600 sinps 160,60 i 2
- , 601 amps to 1,000 amps 240.60 L 2
Address; Over ; ,000 iirepl or volts 454.65 I 2
City/State/ZIP: Temporary services or feeders motion, alteration, and/or
relocation _
Phone: ( ) Fax: ( ) 200 amps or less 66$5 1
...w.
Owner installation: This installation is being made on property that I own 201 amps to 400 amps 100.30 which is not . 2
intended for sale, lease, rent. or exchange. according to ORS 447, 449, 670, and 701. 401 airio to 599 snips 133.75 2
Branch circuits - new, alteratio t, or tilension, per panel
Owner signature: Date: A. Fee for broach Circuits with
'. 1 : " ', : • ID APPLICANT • • ... :.".• :' ' ..:' ' . - GI PERSON • • • ' above service or feeder foe,
6.65 2
ouch brunch circuit
Business name: NORTH SKY COMMUNICATIONS, INC. B. Fee for branch circuits
wilhour scrvicc or feeder fec,
Contact name: RYAN ROBERTS first branch circuit 46.5 2-
-
Address: 11818 SE MILL PLAIN BLVD STE. 410 E add'l branch circuit 6,65 2
Miscellaneous (service or feeder not ir eluded)
City/State/ZIP: VANCOUVER, WA 98684 Esc!, manufactured or modular
90.90 2
dwelling, service and/or feeder
Phone: (503 ) 519-5264 Fax: : ( )1-866-905-4907 Reconncct only 66.85 2
E-mail: mduorenorthskvcomm.com Pomp or irrigation circle 53.40 2
CONTRACTOR • . • ' • • s' • . ." • t • . Sign or outline tighting 53.40 2
, -
Signal eircuit(s) or limited-
B us iness name: NORTH SKY COMMUNICATIONS INC. energy panel, ancration, or 1
Address: 11818 SE MILL PLAIN BLVD. STE 410 extension, Describe: Page 2. $75.00 2
City/State/ZIP: VANCOUVER, WA 98684 _ ESICh additional inspection 0 vei sillOWi Me in any of the above
Nit' inSneCtien 62,50
Phone: ( 360> 254-6920 Fax: ( > 1-866-530-4325 invcs,i per hour (I he min) 62.50
CCB Lie.; 14117 Eleetrieal Lie,:l 7-154CL Suprv. Lic.: 173LEB Indusirial plain per hour 73,75
• ' . "•• ' -
• " ELECTRICAL PERMIT FEES '''. .. • - '
Suprv. Electrician signature, required:
Subtotal: $75,00
•
Nan review (25% of permit fee):
Print name: JACK CAGLE Date: 6_6_08 •
------ 0( ""i'f±1t..._11921.-
Authoriaod signature: _........ TOTAL PERMIT FEE: $84.00
ThL, apptiotiou espiney if lt pomit is not obtained within 180
Print mune; ETHON A. DOLPH Dow 6-6-08 days due it han been accepted tu complete.
,
. Number .1' hispechicm Alowcd sir perntit.
p■rsopuirOPonlipApt,(7•P5mit App.(Inc 05F23/1)6 4-10-15151C I I /05ICOM/W1313
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: ELR2008-00167
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/10/2008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 aall"11 ji
INSPECTION WORKSHEET FOR DATE: 6/16/2008 TIME: 7:00AM PAGE: 46
SITE ADDRESS: 10986 SW DURHAM RD 77 CLASS OF WORK:
SUBDIVISION: OAK TREE APARTMENTS LOT #: 026 TYPE OF USE:
PROJECT NAME: OAK TREE APARTMENTS
DESCRIPTION: Units: 77-94. Installing fiber optics for Verizon.
OWNER: CARR AND, BERNARD PHONE #:
CONTRACTOR: NORTH SKY COMMUNICATIONS INC PHONE #: 360
Inspection Request Scheduled For: Date: 6/16/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 'Lou voltage 07139(1.09 971-563-4082
Corrections/Comments/Instructions:
ASS n PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
LI FAIL n CALL FOR INSPECTION 11 ADDITIONAL FEES ASSESSED
Inspector: 4VC..e■ Date: Phone #: (503) 718-