Permit ill CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00282
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/1/2008
PARCEL: 2S102AA - 03301
SITE ADDRESS: 12345 SW HALL BLVD 29 ZONING: CBD
SUBDIVISION: TIGARD TERRACE APARTMENTS LOT: JURISDICTION: TIG
PROJECT: TIGARD TERRACE APTS
Project Description: Units: 29 - 32. 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:
GREENVIEW INVESTMENTS, INC NORTH SKY COMMUNICATIONS INC
5229 SE HILL RD 11818 SE MILL PLAIN BLVD
PORTLAND, OR 97267 SUITE 410
VANCOUVER, WA 98687
Phone: Contact #: PRI 360 - 254 -6920
FAX 1- 866 -530 -4325
FEES Reg #: ELE 17- 154CLE
LIC 14117
Description Date Amount
[ELPRMT] ELR Permit 10/1/2008 $75.00
[TAX] 12% State Surch 10/1/2008 $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 :10.332.2344.
Issued By: Li _ 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.
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licati vc CEIVED
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tk H Figarcl ll 131 3 0 2008 OR 9
T Rc.ce.h,cd
4 ... 0 4 . pe.,,,,i,,N,,..
, 1140::0 wins.:
w -- 9 13125 SW avil„ igard. 7:5E p Plan Revie
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011),:i Poulin:
SI • . '' '.7; ::. Phol: 503.639.4171 rix: 503.598.1960 Da tc/0y:
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i- li iipectivo 1,iiie: S0.1.639. 5 CITY OF 9 A on n
paw Rondy/Ily: ha'i 21 See Paw: 2 for
TIG.MELP ,
Nolincd/Lrle_llit ... 7M - 11 Supplemental I plormation
www.(igifid-orgov 7 VA I I VF 1 turtnm
1,4,1 DIVISION
TypE Dit PLAN REVIEW
I'lgiise,clic,:k all Orli iipply (submit 2 set, avian, whienii checked below):
0 New constoiction 111i Add itiun/alterat ion/i eplacement
0 SCIYillt; Of CeetICI ailip;; or nue 0 bniining n, thie storie.
0 Demoikion El Other: where the aviitabie rattit Coi rinil 0 WI itl:N and by;Irtk.
.
- CATE(;ORY ot CONSTRU(3TION cseeeils t0,000 Ii11:3S iiI 150 rolls or Q Floating buildings
— leilsl in , ,arotiiiil. 01 1 0 ConiincroialuKe ngiicniturd
0 I - and 2-family dwelling 0 Commercial/industrial 0 Accessory building Taps au- ait ether ma:di:Mons Iiiiildiagi.
11 Multi-tlimily CI Master builder 0 Others i 0 the pump. 0 bon:anion 0175 KVA to
' 0 EineiT,eney ,ysioin. laQec sePataY delimi sYstem.
[01) SUE INFORMATION AND LOCATION . 0 licion of new mar». laiiil oi
--- -
Job no.. Job site address: 12345 SW HALL BLVD. 0 mole dent volts
100111'0r MORI. otClipanCy
0 R,,,,ti,,“,1 v d,10, p ,„ k
Sk or resiail .
City/State/ZIP: TIGARD, OR 97223 0 iieallh.citre raciiities. 0 supply vol, age. re. min, then
,....... ...._. 0 H:c,,,,I,!()IN h.:Minns 400 volts nintlwit!.
Sit ite/bidglapt. no.: 29-32 Project name: TIGARD TERRACE (=1St:16o: or forth:1 tots or io.nr,
-FEE SCHEDULE
Cross strect/dirCetions to job site: 13ocrtplion f Qty. I I _1 I . .._1
.--- -------- — New residential single. or multi-family dwelling Unit.
IIICIIICIeS at tACIICA garage.
Subdi vision: Lot no,: I 1.000 sq. I. or less 1
1 145.15 _ 4
1 Ea, idit'1500 sq, h. ocpord on 1 33.10 1
Tax milli/parcel no.: i —
,
_________ . • : limited mutiny, I esidential 1 75.00 .
DPSCRIPTION OP WORK ) (wEth Above :(1. it.) _
-- -- .._
i,
INSTALL FIBER OPTICS FOR VER Lim ted energyimiltiMiniiiy
IZON 75.00
i 2
Services or feeders installation, alteration, and for relocation
200 amps or less 80.30 M 2
0 PROPERTY OWNER " .1 . 0 'fFNANT 201 amps to 400 amr.;
106.85 2 1
101 amps to 600 :tulips 160.60 2 1
Name: _
--- 601 amps to 1,000 amps 240.60 2
........ ,....._
Addrss:
Orel 1,000 illbpli Or volts 454.65 2
Cit y/Staical Pt Temporary services or feeders installation, alteration, and/or
relocation _ _ _____
Phone.: ( ) .1 Fax: ( ) 200 amps or less 66.85 I
Owner insttfflation: This installation is being made on property that I own which is not I MI "I"Pg to 400 "oii''' 100.30 2
i mended for sale, lease, rent, or exchange, accol ding to DES 447, 449, 670, and 701. I 401 amps to 599 turps 133.75 1
Branch Ciretti16 - new itibenti1011, or CX(CIISi011.117_er panel
°WIWI signature: Dale:
A. Fee for branch circuits cu//I
1
0 APPLICANT Ei CONTACT PERSON above service or feeder fee,
I 6.65 2
each branch circuit I i
Dust"" " lne: NORTH SKY COMMUNICATIONS, INC, 13. Fee Mr branch circuits ,
iiiiw see eee,
Contact name: RYAN ROBERTS II I' diti service feder f
M 1,%*olICIICirctlil i 40,85 2
,. ... —
Address: 11818 SE MILL PLAIN BLVD STE, 410 Each add'ihranch circu r 6.05 it 2
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Misceilaticous (service or feeder not included)
CitY/Statc/ZIP: VANCOUVER, WA 98684 Eel inanuMcittrett or modular
90.90 1 2
dwelling, service ingl/or feeder 1
i P1301304 (503 ) 519-5264 I Fax: : ( )1-866-905-4907 Reconnect only . .
, 66. 85 1 2
_ _...
;• 1
[: - - lmill mduornorthskycomm.com Pinup or irOgation circle _
53.40 2
CONTRACTOR Sign or outline lighting ! 53.40 i 2 1
Signal rircuit(s) oe limited-
[ name: NORTH SKY COMMUNICATIONS, INC. _ (man, pane!. alleadi ion. or
I Address: 11818 SE MILL PLAIN BLVD. STE 410 extension. 1)cseribc. 1 Pipe 2 $75.00 2
c VANCOUVER VVA 98684 Each additional inspeytion over allow; hie in any of the above
I -- Per illtipetilinll 62.50
mionc:(360) 254-6920 I Fa investi
x: ( ) 1-866-530-4325 .... ...
g ation per hour (t ht. min) 62.50
C.Cf3 Lie.: 14117 ElecIdcal Lc-17-154C L supiv. Lic : 173LEB induoliti plant per 110111' 73,75
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Suprv, Electriciilll signature, required: .L -- ELECTRICAL PERMIT FEES
Subtotal:
r $75.00
Print name: JACK GAG LE Date 9-30-08 Plan review (25% oli permit fee):
:
Slate surcharge (12% of permit feel: 9.00 I
Authorized signature: 0,_ Tomi, PlidIlvl I T FEE: 84 00
• _....i
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Thi, ,,,,,.„,;(:, if 11 ipert»il iA liOl 01■01(1,41 ,Illlitl ISO
Pt "" ETI-ION , DOLPI-i 1) III. 9-30-08 day am, it has low aecrpled its toliTIcte.
Ntlinbor of inSpeCliOM ■IfitstVCCI it peroul.
1 :\illll 1,1,, 0 1 ' ,, l'il , \I' ,, c - Nur.ilAilfl ice 05 / 2 •K 0 •blii-viifiTo uirin'ONirWilil
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2008•00282
13125 SW Hall Blvd., Tigard, OR 97223 ..
DATE ISSUED: 10/1/2008
Phone: (503) 639-4171 :NINO
Inspection Requests (24 Hrs.): (503) 639-4175 „Jo- n-
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
10/9/2008 - 7:01AM 11
SITE ADDRESS: CLASS OF WORK:
12345 SW HALL BLVD 29
SUBDIVISION: LOT #: TYPE OF USE:
TIGARD TERRACE APARTMENTS
PROJECT NAME: TIGARD TERRACE APTS
DESCRIPTION: Units: 29-32.. Installing Fiber Optics for Verizon.
OWNER: #:
GREENVIEW INVESTMENTS, INC,
CONTRACTOR: NORTH SKY COMMUNICATIONS INC PHONE #: 360-254-6920
Inspection Request Scheduled For: Date: 10/9/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 076482-04 503-209-7014 N
Corrections/Comments/Instructions:
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MIIP
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(P2 PASS El PARTIAL APPROVAL ri CANCEL El NO ACCESS
0 FAIL fl CALL FO INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: Irir Date: /104/ Phone #: (503) 718-
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