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Permit 4 CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT ° COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00189 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/2/2008 PARCEL: 2S 102CC -01000 SITE ADDRESS: 13660 SW PACIFIC HWY 62 ZONING: C - SUBDIVISION: FIR GROVE VILLAGE APARTMENTS LOT: JURISDICTION: TIG PROJECT: FIR GROVE APARTMENTS Project Description: Units: 60 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: KUBIN CARON NORTH SKY COMMUNICATIONS INC 520 SW 6TH AVE #400 11818 SE MILL PLAIN BLVD PORTLAND, OR 97204 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 7/2/2008 $75.00 [TAX] 12% State Surch 7/2/2008 $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 question to OUNC at 503.246.6699 or 1.800.332.2344. Issued B /� / 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. JUL 03 2008 12:09 AM FR TO 5035981960 P.08 Electrical Permit AAplication , _ . . l c>Jusi o�yLY .. . E CEI VED naee,vcd Ar Per N° 8' 0 Tigard Datc/R . ;, r IN' . q City o� Tigard SW Hall Blvd., Tigard. OR 972 Oilier Pernik: . Phone: 503.639.4171 Fax: 503.598.1960 ® Sa Inc 3 for Inspection Line: 503.639.4175 U L 0 2 2008 Oaw RCndy "i • 1CAtlt] No lificd/M Ctlwd: Supplementallnforminion . invs www.tigarc!- or.vov _ .. . . . . .. TyPE.aF W " : •... :.... : : .., PLAN REV]EW. :;.•' : : : '.'. • ❑ New construction Q' Addition /al sI� V[S]ON Please check all that apply (submit 7 sets of plans w /item cl,ed:111 halos.): 0 Sorvk;e or rook"' 400 worn or omfo ❑ Building over t stories. ❑ Oemolifi0» ❑ Other where Ih0 available fault current 0 Marinas and hnlcyaNs, - 000 amps ,a 150 vans of 0lloudng buildin l -ua l at : ccccat ..: ,' , CATEGORY `06 :CONSTRUCTION • :' ' ' .: : '`� less IC ground. or exeuafa tJ,000 ❑ Commercial-use 'c aerie thu r ❑ I- and 2- family dwelling ❑ Commercialrrttdustriat ❑ Accessory building imps for all other insistlaiimu. bui . of 75 KVA yr ❑ flan twmp, d Multi ❑ Master builder ❑olltcr. 0 Emergency system. Urorseparately cterivedsystem. T . . .. ..T .JOB SITE :INFORMATION AND LOCA'T'ION ': • - :::':' •• ❑ Addition ar new ,r,Ttor Wed Tr 0 •A "f" "t._ ••I• . 100HP or more. occupancy. Job no.: Job site address: 13660 Pacific Highway 99 0 Six or more /*nomad caul. 0 Reef :atlonal vehicle perks. d Henlllvcare raeilitiex 0 Supply wha for more uc�n cuy/staterzlP: TIGARD, OR, 97223 0HazuJmcsha: miens. 600 veils nominal. P M :1W name: SCroicx or fader G00 amps or more. Suite/bldg./apt. no.: 60-64 i FIR GROVE APTS. m ore. ULF Cross street/directions to job silo: hxneriroen EOM iiirrfaii IIIIIMMIi. New residential single- or tnulti•fantiiy dwelling unit. Includes attached garage. — Lot no.: 1.000 54. tt, or leas 145.15 4 Subdivision: Lot add'I 500 sq. ft. er portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 DESCRIPTION OF WORK ' (with above sq. Al Limited energy, multiamily 75.00 INSTALL FIBER OPTICS FOR VERIZON residential with:Moves .11,) Services or feeders installation, alteration. and/or relocation 200 amps or less IIIII 80.30 0 .❑ TENANT 201 amps to 400 amps 106.85 2 ©PROpER'CY OWNER ','' _, 401 amps to 600 am s 160.60 2 . Name: r 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 Temporary services or feeders installation, alteration, and /or City/State/ZIP: relocation Phone: ( ) "Fax: ( ) 200 amps or less 66.85 I 201 am l0 400 umps 100.30 2 T Owner installation: This installation is being made on property t I own which is tot 2 0 1 :nn to 399 amps 133.75 2 intended for sate, least, rent, or exehnnge, according to ORS 447, 449, 670. and 701. 4truttch Ci rcuits - new, alteration, or extension, 'r panel Owner signature: __ Date: _.. A. Fee for branch circuits with ❑ APPLICANT I - ' above service or (ceder fee, 2 • • LI - CONTACT PERSON s • each service circuit 6 -65 Business name: NORTH SKY COMMUNICATIONS, INC. B. Fee for branch ci,CUits without SCrviee or feeder fee, . 46.K5 �� Contact name: RYAN ROBERTS first branch circuit Addres: .11818 SE MILL PLAIN BLVD STE. 410 Each add'l branch circuit 6.65 2 Miscellaneous (service or feeder not included) City /State/LIP: VANCOUVER, WA 98684 Each manufactured or modular 9090 2 dwelling, service and /or feeler • Phone: (503) 519 -5264 I Fax:: ( )1 - 866 - 905 - 490 7 Reconnect only 66.85 2 E -mail: mduor(northskyC P ump a' irrigation circle 53.40 Omm oom 2 2 . ' • ' • CONTRACTOR • Sign or outline lighting 53.40 Signal eircuit(s) or limited - Busirtess name: NORTH SKY COMMUNICATIONS,-INC. _ energy panel, allerdliun, 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 inspection over allowa in any of the above per inspection 62.50 Phone: ( 360) 254 -692 0 Fax: ( ) 1- 866- 53_ -4325 - hhvcstigatton per hour (t et Whin) _ 62,50 173LEB CCB Lie,: 14117 Electrical Lic.17 Su p r1/, Lic.: Industrial plaint per hour 73,75 ... ELECTRICAL PERMIT IMES Suprv. Electrician signature, required: Subtotal: $75.00 Plan review (25% of permit fee): Print name: JACK CAGLE D (nc: 7 -2 -08 State surcharge (12% of permit feu): $9.00 . Authorised Signature: - ' / TOTAL PER hirr rEE: $84.00 �! ' This permit opptkativo expires If a permit is not W,tainoi within ISO Prim name: ETHON A. DOLPH D ale: 7 -2 -08 days dice It bas been accepted es complete. • Nunwm' of inapeeli0nx allowed per permit. I tiWlktingltennosLLtAtliimuAPp .nr 03,25/06 44I4614r(i Ir031C01•Wrtn ** TOTAL PAGE.08 ** CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2008 -09189 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/2/200B • Phone: (503) 639 -4171 AM\ Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/16/2006 TIME: 7:00AM PAGE: 46 SITE ADDRESS: 13660 SW PACIFIC HWY 62 CLASS OF WORK: SUBDIVISION: FIR GROVE VILLAGE APARTMENTS LOT #: TYPE OF USE: PROJECT NAME: FIR GROVE APARTMENTS DESCRIPTION: Units: 60-64. Installing fiber optics for Verizon. OWNER: KUBIN CARON, PHONE #: CONTRACTOR: NORTH SKY COMMUNICATIONS INC PHONE #: 360 - 254 -6920 Inspection Request Scheduled For: Date: 7/16/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 072690 -03 603- 849-2026 N Corrections /Comments/ Instructions: \ • 11 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED . Inspector: v 008 Date: 1 'I ly U Phone #: (503) 718- 46