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Permit C ITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT ° COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00172 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/26/2008 PARCEL: 1 S135CA -01800 SITE ADDRESS: 09700 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. 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: ROGER & BRENT JAUCH NORTH SKY COMMUNICATIONS INC 10648 SW 41ST AVENUE 11818 SE MILL PLAIN BLVD 10648 SW 41ST AVENUE SUITE 410 PORTLAND, OR 97219 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 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 � _ , = Permittee Signature: r 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. .LUN 26 2008 3:51 AM FR TO 5035981960 P.03 . - RECEIVED Electrical Permit Application JUN 2 5 2008 `,.., .: FOR OFFICE Oti C1>rl USE 'ONLY. City of Tigar $ i 1/ �'t'7a • ' t 13125 SW Hall Blvd., Tigtrd, OR 9722 CITY OF'I'IGARD Pw pater Penttiu / Phone, 503.639 -4171 Fax; 503.59>�t L DING DIVISIO "" °'� ' T 1 G ARD . Inspection fine: 503.639.4175 Date Rcady/0y; See Page 3 for • Internet! www.tigard•or,gov Notified/Method; ;;_MMI Supplemental Information .. .. . ... : .:','......:TYPE l:OR WORK :•::::'; . : ':`'• ::..:':!:•:::':••1',,...';'''... ;t::': ;. :.� ..... _.::..: :PLAN REVIEW :` : " :• :•.i• -. :.- . • . • Please died: all that apply (submit 2 acts of plaits wlitcans checked below) ❑ New construction a Addition /alteration /replacement CI Service or feeder 400 amps or more ❑ Building overtime stories. a Demolition ❑ Other: where the available faun emreru ❑ Marinas and botyards. • :CA : . . esecuds (0,000 amps ii 150 volts or CI Floating buildings. :,' '; : :: '' : ': 'PCGORY •OF : CONSTRUCTIO :: less to ground, or exceeds 14.000 0 Commercial-we agrieultnral ❑ I- and 2- family dwelling ❑ Commercialtindustriol ❑ Accessory building • amps for alt ether installations be +!dings. til M ulti - family ❑ Master builder 0 Other: ©Fie pump. ❑ ingtaltatiun of >5 KVA or ❑ Emergency swain. larrx scpatatcty dotivee system. ......;.!.:........'•.::::::•:..•....,-; '. OIl SI7'F: INFORMATION AND LOCATION ;.• 0 Addition of new nv,tor load of ❑ "A" •'h• '•1 -�" '•t -i" 9 700 SW NORTH DAKOTA S IIHI HPortuo. o cu pan i rt alveltklcpartr. Job no.: Job site address: ❑ gin or more ,n resiticntiat unit %. ❑ City/State LIF: TIGARD, OR, 97223 ❑ HoalItrexre faciliiie ❑ Supply voltage for more don ❑ Hazardous locations. G00 vvli,aminal. Suite/bldgJapt- no.: A - I Project name: THE BISMARCK APTS O Service or feeder 600umpsormule. '.rEE SCHEDULE Cross st(>xt/ciirections to job site: 'ntwerlpnan 1 Ow. 1 rev. L Twat I • New residential single• or multi - family dwelling unit. Includes attached garage. � Subdivision: Lot no.: 1,000 sd• fl. or les - 145.15 4 Ea, ar)d'1500 sq. tl. or portion 33.40 I Tax map /panel Ito.: Limited energy, uesideltlial 75.00 2 DESCRIPTION OF WORK • (with above sq. It.) _,_ t,il 75.00 2 INSTALL FIBER OPTICS FOR VERIZON residential (with above w• n.) Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 • • • © PROPRR'TY:OWNER I a .; - TENANT • 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 Name: 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 City /State/ZIP: Temporary services or feeders instaliation,aiteration, and/or relocation Phone: ( ) I Fax: ( ) 200 amps or less 66.85 _ I 201 ante! to 400 amps 100.30 2 Owner installation: This installation is being made on property that I own which is not t L intended for sate, leas*. rent, or exchange. according to ORS 447, 449, 670, and 701. 401 antes to 599 amps -. 133.75 2 [crunch circuits - new, alteration, or extension, r panel Owner signature: ____. - Date: --- A. Foe for branch circuits with . :. '....•-• above service or feeder fee, : © APPLICANT : •. : ' . o CONTACT PERSON ' 6,65 3 • each branch circuit Business name: NORTH SKY COMMUNICATIONS, INC. B. Fee for breach circuits without service or feeder fee, 85 2 Contact name: RYAN ROBERTS first branch circuit Address: 11818 SE MILL PLAIN BLVD STE. 410 E act,add , ' branch cireuit _ 6,65 Miscellaneous (Service or feeder not i City /State/ZIP: VANCOUVER, WA 98684 Each manufactured or modular 90.90 2 • dwelling, service and /or feeder Phone: (503) 519 -5264 I Fax:: ( )1 -866- 905 -4907 Reconnect only 66.85 2 E-mail: mduQrOnorthSKVCOmm.com Pump or irrigation circle 53.40 2 '.. -•' CONTRACTOR •'.. •. '' • ' ` . • '• Sign outline lighting 53.40 z • •. Signal cireuit(s) or limited - Business naIo 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 allowab in any of t he above Per inspection 67.50 Phone: ( 360) 254 -6920 I Fax: ( ) 1 -866- 530 -4325 Investigation per hoar (t hr min) • 62,50 CCB Lie.; 14117 I Electrical Lic.17 -1 54CL Suprv, L 1 Ce 173LEB ` Industrial plant per hour 79.76 . 'ELECTRICAL PERMIT FEES '` Suprv. Electrician signature, requited: Subtotal: $75.00 . — Print name: JACK CAGLE Date: 6- 25 -08 Plan review (2595 of permit fee): Star Plan re arge (12'5 of permit fee): $9,00 Authorized signature: / i2! TOTAL PEANUT ME! $84.00 �` 1 eo permit application eupiout it' n permit is not obtained within JIM Print name: ETHON A. DOLPH pale: 6 -25 -08 days after It ttaa been accepted A% ranptcte. • Number ur inspeetiusu allowed per permit. 1A 0nadinsrenulrnhrd:•permarrp.duc 0512}156 4.0.4615111I/o;vcoa.NVrra w CITY OF TIGARD . - ' V BUILDING DIVISION PERMIT #: ELR200B -00172 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/26/2008 Phone: (503) 639- 4171'll Inspection Requests (24 Hrs.): (503) 639 - 4175 ,.' INSPECTION WORKSHEET FOR DATE: 7/212008 TIME: 7:01AM PAGE: 34 SITE ADDRESS: 09700 SW NORTH DAKOTA ST A CLASS OF WORK: SUBDIVISION: BISMARCK COURT APARTMENTS LOT #: 008 TYPE OF USE: _ PROJECT NAME: BISMARCK COURT APARTMENTS 'C. Q / I DESCRIPTION: Units: A,13. Installing fiber optics for Veriznn. I OWNER: JAIJCH, ROGER & BRENT PHONE #: CONTRACTOR: NORTH SKY COMMUNICATIONS INC PHONE #: 360 - 254 -6920 Inspection Request Scheduled For: Date: 7/2/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 072124 -05 503 -209 7014 N Corrections /Comments/ Instructions: • I ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS Si AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: .4j4-NLLA2 Date: 7 `-' 274 Phone #: (503) 718-