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Permit
• c9 II CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT II ° ' . COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00156 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/10/2008 PARCEL: 2S115AA -00800 SITE ADDRESS: 10978 SW DURHAM RD 65 ZONING: R -25 SUBDIVISION: OAK TREE APARTMENTS LOT: 026 JURISDICTION: TIG PROJECT: OAK TREE APARTMENTS Project Description: Units: 65 -76. 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: _ � �i)e 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 3:47 AM FR TO 5035981960 P.10 it a Electrical Permit Application i_ i : .fo oE.FICG IUSE'ONLY r1 , :. ', City of Tigard , m*i� r 00;1 �d- �- tt 1 3 125 SW Ha Blvd., T igard. OR 97223 July O 6 t 0 i �• a Phone: 503,639.417 Fax: 503598.1960 ��p ; Oils PCrnuf; T1GAkl1J t0spection Line: 503 - 639.4175 1 ,r/ OV t i i r cady /13y; Juri3; . $I See Page 2 for Internee www.tigard- or.gov C 1 N 3 Di�t f t red /Method: E r r • Suptltcnrcntnl Intormntioa '. ;:.:.': TYPE' ';w7Ir.WOR ••; Q New construction 4:-11 Addition /alteration /replacement Pluasa check all haul apply (satinet 2 uuiu of plans W /itcmi checked below): 0 Solos or feeder 400 amps or nutre CI i3nitdins over three ,,cries. 0 Demolition Q Other: wive the available reult Current 0 &twin = ;mrl Gm:uyardi, CATEGORY OF CONSTRUCTION - . cacccda 10000 amps at 150 volts or 0 iltontlnpl huildinp. ID •- less to ground. Or excccas 14.000 0 Commetciat -u•5 agricultural ID ❑ I I. and 2- family dwelling COminerCial /industrial ❑ Accessory building amps f all ether installaiiens. !elding,. Q Multi - family El Master builder Q Other: 0 See ping. 13 loscdlationof75KVAaf Emergency system, larger scpaiatcly derived system. JOE :SITE IN AND LO CA T ION ': S • -- � -. © Add icion new nmror tom: of ❑ . (i , • "t.2 .. t. }'•, Job no.: Job site address: 10978 SW DURHAM RD 100HPor nee'rt " ©Six or mew resxlcntial units. ©Recoiatiannl vehicle parks. City /State/ZIP! T I GARD, OR, 97224 0 Hcalth•c;u0 facilities. 0 Supply voltage for more than • .,..._......-. 0 Haaanions lac lions. 000 volis amain,!. Suite /bldg. /apt, no.: t65-76 Project name: OAK TREE 1 & 2 APTS 0 Service or feeder 600 ;amps or mote. FEE. SCHEDULE Cross street /directions to job site: i) .cripmtar I Qty. 1 Nrr. I 'rut:d I, ' — New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1.000sq, tl. Oh' IeSS 145.15 4 - °- -- -� - Ea. add'I 500 sq. ft. or portion 33.40 t Tax map /parcel n0. Limited energy, residential • 75.00 2 DESCRIPTION OF WORK (with above sq. n.) Limited energy, multi- family 75.00 2 INSTALL FIBER OPTICS FQR VERIZON residentint (with ithOwe MI, n,) ,_,_ Services or feeders installation, alteration, and/or relocatio _- 200 amps or less; 80.30 2 ID PROPPER'!'X, OWNER .[l TENANT • .. . 201 amps 10400 soups 106.85 2 Name: 401 amps t 600 amp mm 160.60 2 1. 601 amps to 1,000 amps 740.60 2 Address: Over 1,000 amps or volts 454.63 2 City /State /ZIP: 'rermitorary services or feeders installation, alteration, and / O - -- - --. relocation rc _ _ Phone: hone: ( ) Fax: ( ) 200 amps or less -- 66.85 I Owner installation: This installation is being made on property that I own which is not 2.01 amps to 400 amps .. . _ 100.30 2 intended for sale, lease, rent, or exchange, accorrling to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133,75 2 Brunch circuits - new, alteration, or extension, eier panel Owner signature: __.__...___._.. A. Fee for brunch circuits With ❑ APPLICANT . :. ' "• it7 CONTACT PERSON ' • ' above sorvicc or fecdcr foe. 6.65 cacti branch circuit • Business name: NORTH SKY COMMUNICATIONS, INC. B, Fee for branch circuits without Service Or feeder fee, first branch circuit Contact mono: RYAN ROBERTS 46-85 2 Address: 11818 SE MILL PLAIN BLVD STE. 410 Each add'I branch circuit 6.65 - - ---- -• Miscellaneous (Service Or feed[r not included) City/Stale/ZIP: VANCOUVER WA 98684 Each manufactured or modular 90.90 ? p r � �y/� dwelling. service and /or feeder W Phone: (503 ) 519 -5264 Fax; ; ( )1-866-905-4907 Reconnect only 66.65 2 • E -t „ail: mduor(c nprth$kycomm.com Pump or irrigation circle. 53.40 2 • C( ?N'CRACTOR Sign or outline lighting 53.40 2 Signal circuits) or limited - Business name: NORTH SKY COMMUNICATIONS, INC. energy panel. alteration, or Address: 11818 SE MILL PLAIN BLVD. STE 410 extension. Describe! 1 Paget $75.00 2 City/State/ZIP: VANCOUVER WA 98684 Each additional inspection over allownhlc in any of the above • Per inspection 62.50 Phone: ( 360) 254 -6920 Fax: ( ) 1- 866 -530 -4325 InvoaltZati0n per ItOuc (I hr mitt) 62.5(1 CCB Lie.: 14117 Electrical Lic.17 -154CL Suprv. Lich: 1 73LEB tndMitrit t ph par hour 73,75 ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: E _ Subtotal! i $75_( - .._.. Plan review (254% of permit fee): Print name: JACK CAGLE Onto: 6 -6 -0$ - State surcharge (12% of pennit tee).' 9 Authorized signature: - / TOTALPISRIvlrr PLii: 484 ,00 .... _ .., .., ... -,. ..,:.,,.,. �.,.., .„�,,..�,....,.....,..,.,,...- .,...,.rte.. Print name: ©e1lC: ' f ills permit epptpCaticn espwcs if et permit is not ubtatireil within ill0 ETH O N A DOLPH 6 -6 -08 days after it has been accepted its complete. . tnsnlcr o r itlspc5liocn imowcd par permit. bu ka ili55 'dcr,ililnnil.C- rcrtndApp,UOc 05 /11106 .WIl 4615n I /05 /Ct7MlwEn . . CITY OF TIGARD BUILDING DIVISION A , PERMIT #: ELR2008-00156 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/10/2008 Phone: (503) 639-4171 Ja Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 6/1612008 TIME: 7: 00AIVI PAGE: 47 SITE ADDRESS: 10978 SW DURHAM RD 65 CLASS OF WORK: SUBDIVISION: -OAK TREE APARTMENTS LOT #: 026 TYPE OF USE: PROJECT NAME: OAK TREE APARTMENTS DESCRIPTION: Units: 65-76. Installing fiber optics for Verizon. OWNER: CARR AND, BERNARD 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 071390-08 971-663.4082 Corrections/Comments/Instructions: PASS 0 PARTIAL APPROVAL 0 CANCEL I I NO ACCESS fl FAIL El CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: i Date: 7 1 Phone #: (503) 718-