Permit II I"
CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00155
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/10/2008
PARCEL: 25115M -00800
SITE ADDRESS: 10974 SW DURHAM RD 53 ZONING: R -25
SUBDIVISION: OAK TREE APARTMENTS LOT: 026 JURISDICTION: TIG
PROJECT: OAK TREE APARTMENTS
Project Description: Units: 53 -64. 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
Reg #: ELE 17- 154CLE
FEES 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: I % Permittee Signature: _ 7,/ e 2S
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 3:46 AM FR TO 5035981360 P.09
-,, -
; II! •
Electrical Permit Application ••• •••• ,•-'"•'-''• • • • • % officeiljSE.ONLY , S, 0 .:',',.' 'LP.: , •::-.i.ptiii?::;; , ;i:i %...:::,
..,: ' .:.....,.. ::......... , . :,.:.:..:... .......:,...s?ii'.:.. y..:;::::"dp:,ii..:::,.
- ' M
.''.:.'...' City of Tigard 4 6
,
. IPIrgiUnl
. k ••,: .1 1312 SW Hall Blvd.. Tigard. OR 97223
1
: - ° • , Phone: 503.63g.417! Fax: 503,598.1960 Other Permit:
f vcrri 1 ,i... ,.
. ic ,.. kk i n Inspection Line: 503.639.4175 cs nr. vt- l' aftvitorly, /13y; Jong 0 See Nee 2 for
Internet: www.tig D1 I 6
ard gov tfleflMelluall Supplemental Information
' '.•:' ''::: :::.'',.. 'i '''....‘, .•'.'' .•::‘ ..:. ' Y ''...'.: :TYPE OF .WORK :-','''. ' : • : ' ' : ..:'''';':".. ..::.;.:'.',..':': •'.'::.'..• ,: "....' • .'•PLAN REVIEW ‘:::' :••::•' '; ' •• • : ..:' .. ' .
111.111, D4)
` reiise thec.k an that apply (Omni 2 sets or pulos svAlem ch.:1...31.10w):
ID New construction 1:11 Addition/alteration/replacement
El servitie or CGOdCf 400 :WV. or COON 0 :him in over sites P.00fiCi.
Cl Demolition 0 Other: where the availably I:wit euncol a Mioinari Ind hroky(to15.
:s .'.:•:,.:•: : :. : .' ',..`..:':,.:'.■ :...:• • ' CATEGOlta ;OE :CONSTRUCTION : % - :•-% -, : E' . ' . •,' ' • :..• '..' : exceeds to,000 uilang at 1.10 vote, oe 0 Homing. buildings.
tess to ground. or mieeedi: 14,000 0 Cow mereiat
0 1 - and 2 dwelling 1=1 Commercial/industrial 0 Accessory building amps for ail other humiliations buildings.
F4 Mull-family LI Master builder 0 Other: 0 Pim pony. ID lostallation or 75 KVA or
., .. . . . ■ , 1:3 Eillc(gptly .yocin. miser separately derived syztern.
..::..... • •;:: • ' . : ' JOB SITE INFORMATION AND . LOCATION .. '• . •• , ,...' ...:.. 0 moni o f now Imo l o r
• - .----
Job no.: Sob site acidres: 10974 SW DURHAM RD I (10HP or more.
„ 0 SiS ar mum residential units. occupancy.
D Rem:Mortal vehicle parks.
City/State/ZIP: TIGARD, OR, 97224 0 Healih-care raeihties. U Supply voltap for ours lhOP
El Haf,O1'0011N locations. 600 solo luminal.
Suite/bldg./apt. no.: 0 53 Project name: OAK TREE 1 & 2 APTS Li S feeder 600 limpS or mom,
--
Cross street/directions tOjOb site: Dexerlpilu ' t Olv. r Fee. I_ ToIrd *
-- --",-,• - New residential single- or multi-family dwelling unit.
. Includes attached garaff..C.
-..
Subdivision: Lot no.: 1.000 sq. ft. or less 145.15 4
Ea. addl 500 sq. tl. or portion 33.40 1
Tax inap/parcel no.: ---
Linrited energy, residential
75.00 7
DESCRIPTION OF WORK (with:move sq. n..) -
. Limited energy, multi
7500 ,
INSTALL FIBER OPTICS FOR VERIZON residential (with atinve.,No, n,)_
_
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
. _ . . .. .. - _
.: .: .. 0 PROPERTY;OWNER ' ': • •• • - ' • ' • ' .• la TENANT • • : • • '', 201 frumps to 400 amps 106.85 2
. ,
Name: 401 amps to 600 ampS 160.60 2
- 601 amps to I.,000 amps • 240.60 2
--- ---
Address: Over 1,000 amps or vous 4,54.65 2
City/State/ZIP: Temporary services Or feeders installation, ;iteration, and/or
relocation _
Phone: ( ) Fax: ( ) 200 amps or less 66.85 I
----__, .
Owner installation: This installation is being made on property that I. 201 amps to 400 amps [00.30 2 own which is not
intended for sale, lease. rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 snips 133.75 2
Owner sigmut tie: ,,Date: Branch circuits - new, alteration, or extension, per plum'
----= A_ Fee for branch circuits with
- '.. -'... • :
0 APPLICANT : ••'-:''''' ' • :..:. ' '' '''C : 7 - )••CONT/7(' PERSON . . 1 ' above service or feeder fee,
6.65 2
- each branch circuit
Business name: NORTH SKY COMMUNICATIONS, INC. B. Fee for branch chcuils
-.-
tvititunt service or feeder fee,
Contact name: RYAN ROBERTS last brunch circuit 46.85 2
-----
Address: 11818 SE MILL PLAIN BLVD STE. 410 v.iioh atkr I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/State/ZIP: VANCOUVER, WA 98684 Each manufactured or modular I
90.90 1
dwelling, service and/or feeder
Phone: (503 ) 519-5264 Fax: : ( )1-866-905-4907
. Reconacct only 66.85 2
- it aii: mduor(@northskvoomm.com Pump or irrigation citric 53.40 2
, • • CONTRACTOR . ' ' . ' ' • • • Sign or outline lighting . 53.40 2
- . .... . .
Signal circuit(s) Or limited
BM _ iness name! NORTH SKY COMMUNICATIONS, INC. energy panel, alteration. or
Address: - 11818 SE MILL PLAIN BLVD. STE 410 extension. Describe: 1 Page 2 $75.00 2
City/State/ZIP: VANCOUVER, WA 98684 Each additional itnestion over allowable in any of the above •
Pet inspection 62.50
Phone: (360) 254-6920 Pax: ( ) 1-866-530-4325 - vestii
r ._...... rn,,o _
50 62
Ingaton per hour (1 h . . ,
CCB Lie.: 14117 Electrical Lic.1 7 Suprv. Lie.: 173LEB Indumeial plant per hour 73.7$
‘ ' .• • "ELECTRICAL PERMIT FEES • ."
Suprv. Electrician signature, required:
Subtotal: $75
Print name: JACK CAGLE Date: 6-6-08 Plan review (25% of permit fec):
.,.... Stale surcharge (12% of permit fee): $9.00
Authorized Nisciatuve: .......,e_ Pr Ijve-- TorAL 1■4 t'r me: $84.00
Thls permit application expires if II permit is not ohlained within ItIO
Print mune: ETHON A. DOLPH Date, 6-6-08 days after 11 hits 'wen aceepted as cumpletv.
‘' Number of inspections illowctl per penult.
IMIuiltlin5Tcrinib.111C.rermilApploc 03)23105 4110.4615C(11/05/COMAV1311
CITY OF TIGARD
BUILDING DIVISION - PERMIT #: ELR2008- 001 ;5
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/10/2008
Phone: (503) 639 -4171 �4'�Wlmllii l �
Inspection Requests (24 Hrs.): (503) 639 -4175 J =�' I..
INSPECTION WORKSHEET FOR DATE: 6/16/2008 TIME: 7:00AM PAGE: 48
SITE ADDRESS: 10974 SW DURHAM RD 53 CLASS OF WORK:
SUBDIVISION: OAK TREE APARTMENTS LOT #: 026 TYPE OF USE:
PROJECT NAME: OAK TREE APARTMENTS
DESCRIPTION: Units: 63 -64. 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 071390-07 971 - 563 -4082 N
Corrections /Comments /Instructions: •
C
PASS ` PARTIAL APPROVAL n CANCEL I I NO ACCESS
FAIL Il CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: .AVL / ..., Date: 6' &- Phone #: (503) 718-