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Permit • q CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT ''' ` ° COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00206 TIGARD! 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/14/2008 PARCEL: 2 S 102 B D -02 300 SITE ADDRESS: 10030 SW WALNUT ST 12 ZONING: R -12 SUBDIVISION: WILLOWS APARTMENTS LOT: 040 JURISDICTION: TIG PROJECT: WILLOWS APARTMENTS Project Description: Units:12,14,15. 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 FEES Reg #: ELE 17- 154CLE 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: ‘Ca46. ..,, Permittee Signature: �C rn // 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 51335981960 P.06 ONO Electrical Permit Application 14 ;.,,.. : :... . > � , �rii>;z,o��hi�;k use oiva : :. .::. City of Tigard s 13125 SW Bail Dtvd., Tigard, OR 9727.3 0 �' ' Q • ' - Phoao: 503.639.4171 Fax: 503.598,1960 C 1-061.) Ornve Rennie Tx CJ\1 D Inspection Zinc: 503.639.4175 BvIL" hone Ready /By: El Sec Ergs 2 for Internet' www. igard- or.gov Notified/Method: MI Supplemental tA1 iO tMatinn : TYPE :OF WORK ', „ PL.tN REVIE�M1( Q New construction ,�, Addition/alteration/replacement cheek all that apply (submit 2 sezi of inmo, w/itCmx checked hebw). d Service or tcC4Cl 4 00:unp; or roof: Q Building over three xio,ius. Demolition QQLITCI'; whor Ilse a vailable Nutt Cu, rein O Mllrlons',Otl bu:Nyardx. ' _ CATEGORY •OF:CON,STRUCTION • • . exceeds 10.01.10 :onus at 150 colts or ❑ Homing budd6tg • Ian u, ground. or exceeds I - 1,000 0 Coulmcrei:d - w[ :tgriculturtl El 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps I'm an other insdt:tioin. buadiotn, Multi- family ❑ Master builder Q Other: CI Fite pomp. 0 tnsutl tation or 75 Kv,t or . . ., , , 0 8u)efzency syvent larger xcpsratcly derived system. JOB scrE INFORMAT AND LOCATION Q Additirnl ornc,v lnnlrn' Insd or r• •• 1 0030 SW WALNUT ST- 1 (1014P Or molar, n[e,l ,ale . Job no -: Job site address: c y © $iA Or n1UI[ tl'Si(ICnti:l( Iltlll:i, ❑ Itccaualional vehicle oak, City/State/ZIP: TIGARD, OR, 97223 0 Ilc =tut -clrc lacilaic. 0 Supply voleigc foe more titan Ha.tart!otu locations. 51)0 volts nominal. Suite/bldgialx. Ito.: 12 -15 Project n ame: THE WILLOWS APTS. D Service nr rec4cr600 antpsormom. FEE'SCIIEDULE • • Cross steer /directions to job site; naxcrlp,lnn I o+r_ - _I so,•. 1 rural L• New residential single - or multi- family dwelling mil. Includes attached garage. Subdivision: Lot no.: 1.000 sq. 11. or less 145.1,5 - - 4 "_ Ea add'I 500 sq. R. or portion 33.40 I Tax Imp/parcel no.: Limited CnCrg -" - - y, residential 7S.00 DESCRIPTION or WORK (with above x l tt.) - INSTALL FIBER OPTICS FOR VERIZON Limited energy. multi-nullity t> sidcntial with oM>vUNI• R,) Services or feeders installation, alteration, and/or relocation •_ 200 ant's or tees 80.30 2 0 PROPERTY. OWNER • Q' TENANT • 201 am to 400 am 106. 2 Name: _ M - 401 amps to 600 amps 160.60 ME 2 -- 601 amps to 1,000 amps 240.60 I 2 Address' Over 1,00D amps or volts 454.65 1 2 City /State/71P: -. - Temporary servigr :tin :ration, feeders installation, : ration, and /pt relocation Phone: ( ) Fax: ( ) 200 amps or less - 66.85 EMU Owner installation: This installation is being made on property that 1 own which is not 201 :ops to 400 amps 100.3(1 IIII 2 intended for sale, lease, rent, or exchange, according 10 ORS 447. 449, 670, and 701. 401 amps to 599 amps 133.75 2 ti t Branch circuit Owned' signature: _ s - new, aleraon, or extension, er panel 5 Date: p. P' A. Fee for branch ch tit with � mm © APPLICANT 17 •CONTACT PERSON above service or feeder fix:, 6.65 7 each branch circuit BuyinCsN name: NORTH SKY COMMUNICATIONS, INC. 13. Fee for branch circuits Contactnarnc: RYAN ROBERTS without service or feeder ree. 46.85 2 ..,_ first branch circuit Address: 11818 SE MILL PLAIN BLVD STE. 410 Each ;WWI branch circuit 6.65 2 • Miscellaneous (.service or feeder not included) City / Stale/ZIP: VAN WA 98684 _ . TEat:h inamoCtcttl _� red or modular 90.90 III Phone: (503) 519 -5264 Fax:: Reconnect service and /or feeder ( )1 - 866 905 -4907 RcconnCCr only 66.ss E -mail. m duQr( C.I� northskYQQ„n,I1.cOm _�_. Pump of itrigativn Circle 53,40 �® • ... . CONTRACTOR • . • • Sign or0urlinc lighting 53A0 - ? Rusincss name: NORTH SKY COMMUNICATIONS INC. e ibnalcit ne i , alter limited- COMMUNICATIONS, energy Panel, alteration. of Address: 11818 SE MILL PLAIN BLVD. STE 410 extension. Describe: 1 Page $75.00 2 City/State/ZIP: VANCOUVER, WA 98684 Each additional ins. ction over allowable in any or the above Phone' Per inspection 62.50 ( 360) 254 -6920 _ Pax: ( ) 1- 866 -530 -4325 _ - 111.1111111 - InvcNt igation per bolo' (l hr loin) 62,80 111.111111111 CCB Lie.: 14117 eicctrical Lic_17 -154CL Supra. Lie,: 173LEB Industrial plant per hour II. 73 ME- • ELECTRICAL. PERMIT PEES ' • Suprv, Electrician signature, required: Subtotal: $75 .051_ Prim tu JACK CAGLE 17ate: Plan review (25%ofp rmitfee): 7 -14 0$ State surcharge (1250 of permit feu): _ • Authorized signitturet $9.00 . -_2./P t TOTAL PERMIT PEE: $84.00 Print name ETHON A. DOLPH ��� °°�"" Dat e: 7 -14 -08 1'h■a p er m it upplicat{on c'p�.ve I1' a permit IN not oldnincd Within 1 50 days alley It l +aN beer, accepted es wlplctt ' NdmBCr of ins{tcction, allowed Imr penult. II∎II4dlryt1'crmil AIil.C- Icrn;aAPp.dne 0.5R1/06 Jtll OC15'l i ,US /CONAVI %n ** TOTAL PAGE.06 +:* CITY OF TIGARD BUILDING DIVISION p' PERMIT #: ELR2008 -00206 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 711t.i200 Phone: (503) 639 -4171 t� Inspection Requests (24 Hrs.): (503) 639 -4175 . ' P1L INSPECTION WORKSHEET FOR DATE: 7/22/2008 TIME: 7:01AM PAGE: 67 SITE ADDRESS: 10030 SW WALNUT ST 12 CLASS OF WORK: SUBDIVISION: WILLOWS APARTMENTS LOT #: 040 TYPE OF USE: PROJECT NAME: WILLOWS APARTMENTS DESCRIPTION: Units: 12,14,15. Installing fiber optics for Verizon. OWNER: WATSON, RONALD PHONE #: CONTRACTOR: NORTH SKY COMMUNICATIONS INC PHONE #: 360 - 254 -6920 Inspection Request Scheduled For: Date: 7/27J2000 Pour Time: Code # Inspection Description Confirm # Contact # Message 189 Electrical final 072986.04 50a-209-7014 N Corrections /Comments/ Instructions: 15A PASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G" ' U) Date: `1 '2.1-' Oi Phone #: (503) 718- `47