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Permit CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT ° COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00205 A. 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/14/2008 PARCEL: 2 S 102 B D - 300 SITE ADDRESS: 10030 SW WALNUT ST 7 ZONING: R -12 SUBDIVISION: WILLOWS APARTMENTS LOT: 040 JURISDICTION: TIG PROJECT: WILLOWS APARTMENTS Project Description: Units: 7 - 11. 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 17- 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: is �� - ; .` Permittee Signature: �P 7fi }et/ 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 9:217 PM FR TO 5035981960 P.05 Electrical Permit Application � ° .. . , ._... City ° `T(ixc.o�i +IG.E.i7S1✓Ui'VLY, ::•.,:': ; o f I C "e� A il h Y Permit n,.: rw� 13125 SW Hall Blvd,, Tigard, OR )7 223 K A O' 1 ? aw1t3 : rte ;, a Phonc: 503.639.4171 Fax: 50: `\`\` 1 Other Permiu TIt,ARI Inspection i„ inc; 503. 639.4175 ,V 'itt e • ndy /lly: Sous: ld See Page 2 for Internet; www,li ^and- or.�ov , �G � 0: .4%. /Method: �� A� supplemental lntnrmutien TYPE OF WORK ,.. t1G PLAN REVIEW , • New construction I:J! Addition /alterationflt ;C Please citcck all that apply (Sub 2; (a plans w /ttcu, pecked bek,w): 0 Suva:a or feeder 400 amp • or more 13 Ifvikhng over thole storks. Demolition ❑ O ,where the avai(alrlc litult current [] lAoriva', and hoacyartts. . 'CATEGORY OF • CONSTRUCTION _ . C'.(. cI 10,000 amps at l50 vn[IS or ❑ Plotting 1» »Boss. lest u1 ground, or etceMs 14.0(10 © Connnereial - u:c mriclRural [, I- and 2- I•arnily dwelling [] Commercial/industrial ❑ Accestiory building amps for all other iustallationy. buildings. 4 Multi - family 0 Master builder pump. 0Mit:in:mienol'75KV JOB • SITE INFORMATION AND • LOCATION 0 Emergency system. larger >cpartmiy tlmrived system. _....... _ - © Ar(tlitinn of arty motor 1 ,,„ 0 or "A .(,.• •• I .T' .• t.j" ST. 1(roHP or mere. ncenl ley, � Job site address: 10030 SW WALNUT ST � M N - ^ ' Job 00.: lD Six or more residential tal,, . ❑ I {ecre , chicle p :uk :. City/Statc/ZIP: TIGARD, OR 97223 ❑iIcalth.c :ur rat:Whcs, 0 Supply vuh ;tae 0,r more Mall ......,.- © Harm t; v location1. 1100 volts nominal. Suite /bldg. /apt. no.: 7 -11 Project name: THE WILLOWS APTS. ❑ Scrvicc or feeder 600 amps or MOM. - _ - ` FEE SCHEDULE • ' Cross street/directions to job site: _ -- ikmerl .ten, Wes® lin — New l' esidenlial single,- or mtdt[.f intily dwelling unit Includes attached garage. Subdivision: 1 cH no 1.000 sq, fl. or less 145.15 - -. _ 4 Ea..idd'I 500 sq. ft. Or portion 33,40 I fax ttlap /p;3rGCl n0.: limited energy, residential -- DESCRIPTION OF WORK (\vim above s3, R.) 75.00 2 INSTALL FIBER OPTICS FOR VERIZON Limited energy,tttulti- ImnUy, 7500 -'-" µ residential (with above sib n.) Services or feeders installation, alteration, and/or _ 200 amps or less 80.30 ' 2 0 PROPERTY OWNER .. Q TENANT 201 amps to 400 amps 106.85 2 Name, 401 amps to 600 amps - 160.60 2. "`""""" 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 installation, alteration, and /or _ relocation Phone: ( ) Pax: ( ) 200 amps or less W 66.85 1 Owner installation: This installation is being tnado on property that 1 own which is not 20! im�)s to-4W ''It'ps „�� 100.30 2 — intended fOr sate, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 133.75 2 Branch circuits - mew. alteration. or extension, er panel Owner signature:. •._........_ Date: — " " "' — A. Fee for branch eireuas PP © ALICANT p °COivTAC'T P1 RSbN above service or fader fee, C.fi$ 2 each branch circuit Business name: NORTH SKY COMMUNICATIONS, INC. B.Fcc for branch circuits R YAN ROBERTS tvithatil service or feeder fee, Contact name: - ..�..W firs brunch circuit 46,85 2 Address: 11818 SE MILL PLAIN BLVD STE. 410 Each add'I branch circuit 6.65 I - ' - Miscellaneous (service or feeder not included) Cay/State/ZI.P; VANCOUVER, WA 98684 Each munufaottLr or modular • is scrvie and /or feeder 90.90 2 c ∎k Phone; (503 ) 519 -5264 Fax; ; ( )1 - 866- 905 -4907 Reconnect �_ - Rccotwc only 66,85 ( 2 E -mail: f'I"iC IUQr(p7f I rthSI,xc0J711: Pump or irrigation circl 53.40 2 CONTRACTOR _ Signal Signorontlinc - 53.40 ( 2 Business name: NORTH SKY COMMUNICATIONS INC. encrry p al teration, p aloe iutitcd. rat itat, or Address: 11818 SE MILL c2 PLAIN BLVD- STE 410 extension. Describe: 1 Pa, 575.00 2 City /Sccate /Z!P: VANCOUVER, WA 98684 ' Each additional inspection over allowable in any of the above - Per imspec loo 62.50 Phone: ( 360) 254 -6920 Fax: ( ) 1 -866- 530 -4325 Investigation per Hour (I hr min) 02.50 CCB Lie.: 14117 EIecu'icai 1.X.17- 154CLE Suprv. tic,: 173LEB industrial pla per hour ; 73,7s -- -- •• • ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: Subtotal: R75.0O Print n JACK CAGLE f� tics Plan review (25 , of permit fee); 7-14-08 Slate surcharge (12% permit fee): $9 Aut[tc.) signature.: / TOTAL PERMCr me; $84.00 - P17"1 Ilalni Thin pcnait application cxld,yw if It permit it not Mammal within PRI ETH ON A. DOLpH _ Date: 7 -1408 ,lays after It tn,g peen accepted /M emo /net,. 1un,bor or impce, ions nIlow(1 per permit, I: Ulu; khin gtt'cnni;AF.t,C.Ilmitit,tpp.dnc a'i! ?.GOG 441.4513'131// licO iwi313 T TII \.1 GARD CITY OF ■ IGARD BUILDING DIVISION PERMIT #: f_LR2008 00205 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/140.008 Phone: (503) 639 -4171 �� , I nspection Requests (24 Hrs.): (503) 639 -4175 .._: I ;. INSPECTION WORKSHEET FOR DATE: 7/22/2008 TIME: 7:01AM PAGE: 58 SITE ADDRESS: 10030 SW WALNUT ST 7 CLASS OF WORK: SUBDIVISION: WILLOWS APARTMENTS LOT #: 040 TYPE OF USE: PROJECT NAME: WILLOWS APARTMENTS DESCRIPTION: Units: 7 - 11. Installing fiber optics for Verizon. 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 -03 503 - 209 -7014 N Corrections /Comments /Instructions: IA PASS 1 PARTIAL APPROVAL ❑ CANCEL NO ACCESS FAIL n CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED Inspector: C, N ()1Q Date: 7 1 '1 Phone #: (503) 718 - Iv tc)