Permit CITY OF TIGARD
ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00151
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/10/2008
PARCEL: 2S115AA -00800
SITE ADDRESS: 10966 SW DURHAM RD 29 ZONING: R -25
SUBDIVISION: OAK TREE APARTMENTS LOT: 026 JURISDICTION: TIG
PROJECT: OAK TREE APARTMENTS
Project Description: Units: 29 -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:
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: r' 7/ C am , J'5( -�
!1 7 ,
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 5035981960 P.06
. .
Ele ctrica Per
o cEDI ', ..:„ ,.0,1
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. ,„... ... ......... ........ ..• ...........„..„•:. ,.:. ,•.••
City of Tigard
1.3125 SW Dail Blvd., Tigard. OR 97223
17
2 i
• Phone; 503.639.4171 Vas: $03.59.l060 k/ 6 t-
,, nu Eggir r . ,, ,,,„,yjcw eared ANIZIUM..2.-
Dateit3y: Odle( Permit
inspection Line: 503.639.4173 tp lk, Ready/By: Joig 0 Ste Page 2 Ibr
'TIGARD friterne.t www.tigard-or goy ITV a liG
. .,, : Supplemental Information
4,,,/i.. DI . .,. . • • ''•
......, ... . . " ,
OF WORK '',•.:.; • - ' : :.. im.:3 • 1 .: • .: j.:::': .:.: ' : • '. •• • , :! • • • : ',....• ::'::• • :%•PLAN REVIEW • ::.:,.' : '..' • r: •
me cheek all thin apply (submit 2 xeti of rillou writerm checked bclowh
C] New construction DI Additiontalterationir cement
0 Service Dr feeder dll-,0 amps or more 0 Building over three stories.
0 Demolition C] Other: . where the available fault current CI Mariful$ and boatyards.
_0 Floating buildings.
'CATEGORY (:)11 ':CONSTRUCTION : ••:::: .:. '! ':'' ' ...... . ,:. cresols 10,000 innP at I 50 volts or
ten; to around, or exceeds 14,000 U Coalmen:W...1w altritiantrat
0 1- and 2-family dwelling 0 Commercial/industrial D Moessory building mops for all other insinuations. boildtop.
13 Multi-family 0 Master builder D Other: 0 Fire pump. 0 1w:tall:dial of 75 KVA ov
- ,, . . . ,.• CI Eirewicy NyNtem. larger separately derived s el.
....- .: • .'.:.' ..'..::':'''.. '.'. '.. ' .J00 SITE INFORMATION AND L r-, OCATION :: :,..•-• '. "::: '. ',. '...:::: ..
1_, Addition ofw ne moio ti rlos of 0 "A". 'IV, - 1 - '' I -r yae ,
--- ...
Job no lob Site address: 10966 SW DURHAM RD 100HP or nun& EleetipaWy.
0 Six or ohm residential 1111illi, 0 Rom.' itnlal vehicle pall“.
._,.,
..
CitY/StaCearP: TIGARD, OR, 97224 U Hc:Liih. r.iiiik, 0 Supply voltage for more then
-- in Hazardous location*. 000 volts minimal.
Suite/bldg./apt. no.: 0 29 Project naffic OAK TREE 1 & 2 APTS 0 Service or Feeder 600 amps or 111Pre.
' '' ""."'"'"-' '..'..:,. , .. ' . • . ' ,' ' . - . - :FtE 'SCHEDULE . : • - • ' - •
Cross street/directions to job site: Dural 14111 ffilEMIIIKEIMMEIMMI
- New residential single- or multi dwelling unit.
- Includes attached garage.
Subdivision: Lot no.: 1,000 sq, 11. or less
-. . 145.15 4
-- -
E 500 sti..11. or portion 33.40 1
-•-.,,'...•-'•. , ..
Tax Map/parcel I10.: Limited thicigy, residential
,....„,..„ ---.... 75.00 2
•
' DESCRIPTION OF WORK • (with :Awe Ng. 11.)
' Limitcd energy, '
INSTALL FIBER OPTICS FOR VERIZON residential (wit multi-family h abovel,:q. n.) 75.00 2
ServiCes or feeders installation, alteration. and/or relocation --
200 ;Amps or tcss j 80.30 2
-
. .
.,. • 0 PROPERTY 1 , .'OWNER .• ': '' • : :.--... 'a TENANT • ' ' '.. ' '': '' 201 amps to 400 snips 106.85 2
- . - - . .
Name:
, 401 amps 10 600 amps 160.60 2
60 I amps to [ pm 01090 240.60 2
Address: . Over 1,000 amps or volts 454.65 2
CityCity/Stale/ZIP: .
,. -
Temporary services or feeders installation, alteration, and/or
. . , relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85 I
Owner inStallation: This installation is being made on property that I own which is not ' 201 mils to 400 amps 100.30 2
-
intended for sale, lease. rent. or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 ;imps I 33.75 2
Branch circuits- new, alteration. or extension. per panel
Owner signature: A. Fee for branch circuits with
• • '' ".• • ' 0 APPLICANT .•... :: •••] • ' : - CI - CONTACT PERSON . • ' above .service or feeder roc.
6.65 2 •
- each branch circuit
Business name: NORTH SKY COMMUNICATIONS, INC. • D. Fcc for branch circuits
wirhoirr service or feeder (6th 46.85 2
Contact name: RYAN ROBERTS first branch circuit
Address: 11818 SE MILL PLAIN BLVD STE. 410 Each add'I branch circuit [ 6.65 2 •
-- - Miscellaneous (service or feeder not iv eluded)
CilY/State/ZIP; VANCOUVER, WA 98684 Each 111n1104cturcd or modular
9090 2
-- divetlinr, scrviec andfor feeder
Phone: (503 ) 519-5264 Fax: : ( )1 Reconnect only 66.85 o
- - -
E mduorOnarthSkvCOMM.Som . Pump Or irrigation circle 1 t. 5340 2
-
' : • '
• • . CONTRACTOR ' '''' '• • • ••" .• •• • Sign er outline lighting 53.40 2
- -
Signal circuit(s) or limited-
80- iltem Dame:. NORTH SKY COMMUNICATIONS, INC, energy panel, alteration. or
Address: 11818 SE MILL PLAIN BLVD. STE 410 OlteitilOn. Describe: 1 Pagc 2 $75.00 2
- _ .. .
...
City/State/ZIP: VANCOUVER, WA 98684 Each additional inspection over allowable in any of the above
- 62.50
Per inspection
Phone: ( 360) 254-6920 Fax:( ) 1-866-530-4325 Invcsli Tw how (I hr min)
CC13 Lc ' 14117 Electrical LiC.17-154CL Sul" Lie.: 173LEB Tedustrnd plant per hour 73,75
' • • ...... • ' • ELECTRICAL' PERMIT FEES ' ‘. • -
&Try. Electrician signature, required: i' _
L. _
., Subtotal; $75,00
Pian review (25% o( permit (cc):
Print natne: JACK CAGLE Date: 6-6-08 Stoic surcharge (12% of portal fee): $9.00
Authorimed ,lisnaturet - 1 -
TOTAL PP,Rhei LT 1,111,..! $84.00
ilk, recoil uppli.6,,,,,Norc, ;f 0 pel is not obtaigir II witbio ISO
()Vint Mil-IC': ETHON A. DOLPH Dato 6-6-08 days after It Ito,v Wen accepted as complelv.
.--.----------- ---,,
. Numbb• (3 r impect ieth Arewea per permit.
lanintoingstienuinst:I.C-ferinenua.dec 051230 sit0-46)0MiliO3/e0M/w61)
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: ELR200B -00 151
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 61/012008
Phone: (503) 639 -4171 " 1it'T
Inspection Requests (24 Hrs.): (503) 639 -4175 �..' _
INSPECTION WORKSHEET FOR DATE: 611612008 TIME: 7:00AM PAGE: 51
SITE ADDRESS: 10966 SW DURHAM RD 29 CLASS OF WORK:
SUBDIVISION: OAK TREE APARTMENTS LOT #: 026 TYPE OF USE:
PROJECT NAME: OAK TREE APARTMENTS
DESCRIPTION: Units: 29-36. Installing fiber optics for Verizon.
OWNER: CARR AND, BERNARD PHONE #:
CONTRACTOR: NORTH SKY COMMUNICATIONS INC PHONE #: 360 -264 -6920
Inspection Request Scheduled For: Date: 6/16/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 07139(3 -04 971 -563 -4082 N
Corrections /Comments /Instructions:
S
r l---ATh(----:— _-- ) ---
/DA S ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ■ . ..-. ; -- Date: /moo gri #: (503) 718-