Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit
l� 1 0 4 a CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT ° COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00176 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/26/2008 PARCEL: 1 S135CA -01800 SITE ADDRESS: 09718 SW NORTH DAKOTA ST A ZONING: R - 12 SUBDIVISION: BISMARCK COURT APARTMENTS LOT: 008 JURISDICTION: TIG PROJECT: BISMARCK COURT APARTMENTS Project Description: Units: A,B,C. Installing fiber optics for Verizon. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPEIIRRIGAT: 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: ROGER & BRENT JAUCH NORTH SKY COMMUNICATIONS INC 10648 SW 41ST AVENUE 11818 SE MILL PLAIN BLVD PORTLAND, OR 97219 SUITE 410 VANCOUVER, WA 98687 Phone: Contact #: PRI 360- 254 -6920 FAX 1- 866 -530 -4325 Reg #: ELE 17- 154CLE FEES LIC 14117 Description Date Amount [ELPRMT] ELR Permit 6/26/2008 $75.00 [TAX] 12% State Surch 6/26/2008 $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: 5,62 � J� 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. r ,� r *RV 26 2008 3:53 AM FR RECEIVED TO 5358919G� P.7 JUN 2 5 2008 Electrical Permit Application OFricir ilsi;:.ONLY CITY OFTIGARD , City of Tigard r 1LDING DIVISIO � � � (St `! I ' ]'Z( 9 13125 SW Hall Blvd.. Tiprd, OR 97.. ! iffaillIMIM Phone: 501639.4171 Fax: 503.598.1960 alley Porn il' TIC AHD Inspection Line: 503.639.4175 Date Ready /By: ® Sot Polo a for Internet: www.tigard- or.00v Notified/Method: PM Supplemental Information . ''TYPE ;OF .WORK `... ... .. . .. :S';';',.';:.. r • •••; PLAN REVIEW .':'..''..•.s..'..:. . :•, ..1 . • �I Addition/alteration/replacement lacement Please check all that apply (submit 2 sae or Plans w/iteats checked below): ❑ New construction ep ❑ Service or (=lox MID amps or brute ❑ buildlttg over thtca sturios, ❑ Demolition ❑ Other: here de available rault current ❑ wariica and boatyards. eeuds 000 atopt ut 1 50 unit, or Flouting bniWin i. :..CATEGORY -oF:CONSTRUCTION . :: is to ❑ g7. � � `,. �sto onothnd.orctscoeds lJ,000 ❑Cum=re6til- uuaorietWUnl ❑ I- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building imp% for au other bntalhnriwn, buildings, r2 Multi - family ❑ Master builder 0 Other: 0rhopump. Q Installation or75 . • ❑ Emergency system, lat7rr separately dalived systeni. : . ' JOB SITE:INFORMATION AND •LOCATION - 2.:'• •: •:..`.•'; D n vtor load 0) C3 'A", "E' -1.3" "1.3" IODHP or m tuv . occupancy. Job no.: J Job site address: 9718 SW NORTH DAKOTA ST D Sts or n10re resh tendal units_ ❑ Recreadumil vehicle packs. City /State/ZIP: TIGARD, OR 97223 ❑ Health -rare facili D Supply vult:ye for more than ❑ Harardaus locations. 600 calls nominal Suite/bldg. /apt. no.: A -C i Project name: THE BISMARCK APTS ❑ Service or feeder WO amps or more. . •FEE SCHEDULE Cross street /directions to job site: I cry. 1 Nn•. 1 Tom I • ' New residential single- or multifamily dwelling unit. Includes attached garage. Subdivision: Lot no.: 1.000 sq. It. or less 145.15 4 Ea. utId'I 500 sq. It. or portion 33,40 I Tax map /parcel no.: ',imiled energy. residential 75.00 2 DESCRIPTION OP WORK • (with ahwuc nk n.) , • INSTALL FIBER OPTICS FOR VERIZON unt i es d e n tiall (v nn n.) 75'00 3 Services or feeders installation. alteration, and/or relocatio 200 amps or less 80.30 2 • PROPERTY-OWNER •• ' l� TENANT . ' 201 amps to 400 turps 106.85 2 401 amps to 690 snips III 160.60 2 Name: 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 am or volts 454.65 2 Cit /State/ZIP: Temporary services or feeders installation, alteration, and/or Y - relocation Phone: ( ) [ Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 2 01 am to 400 amps 100.30 2 intended for sale. lease, rent. or exchange. according to ORS 447, 449, 670, and 701. 401 amps to 399 limps 133.75 2 Branch circuits - new, alteration, or extension, r panel Owner signature: Date: —..w A. Fee for branch cihtuits hsirir ' ' © APPLICANT : •:- • .: r - CONTACT PERSON above service or feeder lee. 6.65 2 • each brunch circuit BusinesSname: NORTH SKY COMMUNICATIONS, INC. B. Fee for branch circuits ivphour scrvicc Or feeder fee. 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 included) City /StaterZIP: VANCOUVER, WA 98684 Each manufaclued or modular 9090 2 dwelling. service 31x1/Or G)ecler Phone: (503) 519 -5264 I Fax: = ( )1- 866 - 905 -4907 Reconnect only 66.85 _ 2 E-mail: mduor(Q7northskvcomm.com Pump or irrigation circle 53.40 2 • • . • • CONTRACTOR Sign or outline lighting 53.40 2 Signal circuit(s) or limited - Business name: NORTH SKY COMMUNICATIONS, INC. energy panel, alteration. or Address: 11818 SE MILL PLAIN BLVD. STE 410 extension. Describe: 1 Pogo $75.00 2 City/State/ZIP: VANCOUVER, WA 98684 Each additional inspection over allowable in any of the above • Per inspection 62.50 Phone: ( 360) 254 -6920 ! Fax: ( ) 1- 866 - 530 -4325 tnvcsti per hour (t hr min) 62.50 CCB Lie.: 14117 i Electrical Lic.17 -154CL S OP{" r ie•: 1 73LE6 Industrial plant per hour 73.75 , • • ELECTRICAL PERMIT FEES .,.. Suprv. Electrician signature, required: - - Su btotal: $75 0�_. Plan review (25% of permit fee): Print name: JACK CAGLE Date: 6 -25 -08 Slate surcharge (12 5b of permit fee): $9,00 Authorized signature: �- j TOTAL P RMtT E I e: $84 Tub permit application expires ira permit is not ohtaioett within ISO Print name: ETHON • . DOLPH Date: 6 -25 -08 days atter II has boon aecuplM no complete. • Number of inspections allowed per per tS). IAnoihI1nt/pcnn5Aiil,C OetAAnp.doc 0923/06 4N04615T(1Isat/COidAVE0 ** TOTAL PAGE.07 ** CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2008.00176 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/26/2008 Phone: (503) 639 -4171 lt Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/212.008 TIME: 7:01AM PAGE: 38 SITE ADDRESS: 09718 SW NORTH DAKOTA ST A CLASS OF WORK: SUBDIVISION: BISMARCK COURT APARTMENTS LOT #: 008 TYPE OF USE: PROJECT NAME: BISMARCK COURT APARTMENTS DESCRIPTION: Units: A,B,C. Installing fiber optics for Verizon. OWNER: JAl1CH, ROGER & BRENT PHONE #: CONTRACTOR: NORTH SKY COMMUNICATIONS INC PHONE #: 360 - 6920 Inspection Request Scheduled For: Date: 7/2/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 07212401 503209 -7014 N Corrections /Comments /Instructions: . PASS 0 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ilfrill4 Date: 7 -2_--, Phone #: (503) 718-