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Permit E a CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT .0 , COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00204 _, iGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/14/2008 PARCEL: 2S 102 BD -02300 SITE ADDRESS: 10030 SW WALNUT ST 3 ZONING: R -12 SUBDIVISION: WILLOWS APARTMENTS LOT: 040 JURISDICTION: TIG PROJECT: WILLOWS APARTMENTS Project Description: Units: 3 -6. 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: RONALD WATSON NORTH SKY COMMUNICATIONS INC 4359 NW TAM O- SHANTER WAY 11818 SE MILL PLAIN BLVD PORTLAND, OR 97229 SUITE 410 VANCOUVER, WA 98687 Phone: Contact #: PRI 360 - 254 -6920 FAX 1- 866 -530 -4325 Reg #: ELE I7- 154CLE FEES LIC 14117 Description Date Amount [ELPRMT] ELR Permit 7/14/2008 $75.00 [TAX] 12% State Surch 7/14/2008 $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: [ / I /�/ CGr /1't/ 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 14 2008 9:20 PM FR TO 5035981960 P.04 Electrical Permit Application �� . FOR " ... : : a ,•c use; :o vr. : . ....sass. ... ,.r....: :.� :<, . :,' <..: :: : :.> s Er City oF '�"ig�trel 1 4 200 Received ` .,., . Date/11: / J 13125 Sw Hali t3tvd Tigarcl, OR 97223 �U� Phone: 503.639,417 f Fax: 503.598.1960 ► ri b ' Other P.rodc Inspection Lint:: 503.639.4175 1 C'' • Read /R lung 'TI GARD • • I O` 15 , Ready /By: H See Page 2 for • Internet: www.tigard•or,gov C, ODIN 'otined/Method: rI . Supplemental Information ..... TYPE 01' WO • '• PLAN REVIEW :, . 0 New construction DI Addiliort /aller'atiVlt /reI7laCetnrn( Picard cllcck, that apply (submit 2 sets orpm,. wrilcros Ind 1>clOw): [f semi.. of 1c::du. 40(3 amp e r more 0 0uildirlg over IIu c stories. 0 Demolition _ Other: whole the available hallt Camel 0 Marinas and boatyards. , :: CATEGORY OR :CONSTRUC•I•ION, , ' • .. execpla 10,000 amps at 150 cols or d Hominy; l)uildin - S (b (CS gonad. t)r eXceClls 14,000 ❑ Commercial - use agricallur:ll 0 I - and 2- family dwelling Q Commercial /industrial 0 Accessory building ; ,,,,p, f an other iozran'tion; 6011(141;S. 0 MuIli- fatally ❑ Master builder 0 Other: 0 Fit'c plloq). p I or KCVA or JOB SITE INFORMATION AND LOCATI D Emergency system. larya;r separately am lye(' Xy Stem. © Addition nt new gA)tOf load of I� "A "l .. I . O " .. I -).•. JO!) no.: lob site address: 10030 SW WALNUT ST. ' 100FIP or mare. ncoup:mey. ❑ Six or mom Toolen,ial oint, D Rcacutional vehicle panics. CitylState /ZIP: T I GARD, OR, 97223 © Noailh -care facilities. El Supply voltage for nwrc than ❑ NaRald keillionS. (410 volts nominal. Suite /bldg. /apt. no.: 3 -8 Projcct name: THE WILLOWS APTS. 0strvicoor feeder 400ampsormorre. • FEE SCHEDULE ' ' • Cross sttreetfclirections to job site: ne,clwtwn 1 .2.(!; 1 Fca. - l 'nom l • New residential single- or u3u(li family dwelling unit. Includes attached garage, Subdivision; Lot no.: 1.000 sq. 11, or loss 145.15 4 - "" Ea, add'I 500 sq. R. or portion 33,40 I fax atllplpafccl no .:...._. Limited energy, residential -- -` DESCRIPTION ION Or WORK 75.00 2 (with shove eq. ft.) t INSTALL FIBER OPTICS FOR VER IZON Limited energy, ntuiti•liun tt 75 00 2 t'CSidC[ltial twilit above. ¢t1. I3.) Services or feeders installation, alteration, and /or relocatio -,- 200 amps or less 80.30 2 0 PROPERTY. • OWNER • 'µ 4Yr � .. 0' Tr:NAN'I' _ 201 modes to 400 amps 106,85 2 P(tltne; 401 imps to 600 amps 160.60 2 601 amps 1,000 amps 240.60 2 Address: _- _ _ Over 1,000 amps or volts 454.65 2 City/Stale/ZIP: Temporary services or feeders installation, alteration, and /or - .r relocation Phone: ( ) Fax; ( ) 200 amps or less M m 66.85 1 Owner installation: This installation is being trade on property that I own wh is not 201 amps to 400 amps __ 100 3O 2 intended for sale, lease, rem, or exchange, according to ORS 447. 449, 670, and 701. 401 amps to 599 amps 133.75 2 .•. Brandt circuits - new, alteratio n, or extension, er panel Owner signature: - _ __._.._. „ Date: A. Fee for stanch circuits roidr 0 APPLICANT 777 CON CAC'I PERSON above service or feeder fee. 6.65 2 each branch circuit Business name; NORTH SKY COMMUNICATIONS, INC. 3. Fee for branch circuits - R YAN ROBERTS u'nhntrr service or feeder tee, :mine: first branch Circuit 46,85 2 Address: 11818 SE MILL PLAIN BLVD STE. 410 Each ado branch circuit J 6.65 2 " "'"-"'^ ' Miscellaneous (service or fender not it City/State/ZIP; VANCOUVER, WA 98684 Bath mano fat:l(rcd Or mr)dui :tl' - dw Mina, service nod /or feeder 90.90 2 Phone: (503 ) 519 -5264 Eax:: ( ) 1 - 8 6 6 - 905 -4907 12 ecotmcct only `" -- - „_ 66,85 2 1 E-mail: mducarffi ,pl'th$kvcomm _porn - Pomp or irrigation circle -- I 53.40 1 2 . CONTRACTOR • • Sign or outline lighting 53.40 2 Si N O RTH SKY COMMUNICATIONS, INC > "alto "tittit s or limited- Business name: ener' • panel, alteration. of - � by Pa Addre.: 11818 SE MILL PLAIN BLVD. STE 410 extension. Describe: 1 pa 2 $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 _____ Investigation per hour (l hr min) 62,513 CCB Lic.: 14117 Electrical Lic- 1 -154CL Stlprv, Lic.: 173LEB Industrial plant per hour 73,75 „ ELECTRICAL PERMIT FEES ' Suprv. 131ectrician signature, r goired: Subtotal: . $75,OQ _. Print name; JACK EAGLE 1)31‘.: Plan review (25% of permit fee): -14-0$ State surcharge (12% of permit fee): $9.00 e Authoriml signature: / - _ TOTAL PERMIT Fel :: $84.00 -� Print name: ETHON p 1'1 . per upplicutim) expLtn if ti permit is not obrainer1 with,) in -- ..("�i DOLP H Date; 7-14 -08 drys nflG' II hail been :1CCgHCd as complete. • Number of inspeelimet allowed per permit, 1; \fl_(:•Porne1t.\pp.lbe 092N05 440 - 46151'(1 1 1051CO(.1AYP 3 • CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2000•00204 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/14/2(108 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 '. ` °'' . INSPECTION WORKSHEET FOR DATE: 7/22/2008 TIME: 7 :01AM PAGE: 60 SITE ADDRESS: 10030 SW WALNUT ST 3 CLASS OF WORK: SUBDIVISION: WILLOWS APARTMENTS ' LOT #: 040 TYPE OF USE: PROJECT NAME: WILLOWS APARTMENTS DESCRIPTION: Units: 3-6. Installing fiber optics for Verizan. OWNER: WATSON, RONALD PHONE #: CONTRACTOR: NORTH SKY COMMUNICATIONS INC PHONE #: 360- 254 -6920 Inspection Request Scheduled For: Date: 7/22/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 072986 -01 503-209-7014 ` r ' Corrections /Comments/ Instructions: N PASS ❑ PARTIAL APPROVAL _ CANCEL • NO ACCESS FAIL ❑ CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED Inspector: G- 0 be) Lg" Date: 1 ' lvi' 01 Phone #: (503) 718- LL 140