Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit
1 U CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00144 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/6/2008 PARCEL: 1S135CD SITE ADDRESS: 11909 SW 95TH AVE 7 ZONING: R-4.5 SUBDIVISION: DOVE COURT APARTMENTS LOT: 008 JURISDICTION: TIG PROJECT: DOVE COURT APARTMENTS Project Description: Units: 7 - 10. 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: HOUSING AUTHORITY OF NORTH SKY COMMUNICATIONS INC WASHINGTON COUNTY 11818 SE MILL PLAIN BLVD STE 4 111 NE LINCOLN ST #200 -L VANCOUVER, WA 98687 HILLSBORO, OR 97124 Phone: Contact #: PRI 360 - 254 -6920 FAX 1- 866 -530 -4325 Reg #: ELE 17- 154CLE FEES LIC 14117 Description Date Amount [ELPRMT] ELR Permit 6/6/2008 $75.00 [TAX] 12% State Surch 6/6/2008 $9.00 REQUIRED ITEMS AND REPORTS Total $84.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OU NC at 503.246.6699 or 1.800.332.2344. Issued By: _ ��/ Permittee Signature: . C /7,--7/5 OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. JUN 05 2008 11:51 PM FR TO 5035981960 P.05 R L.A.) ECE VE D El P i A . lic atio . Ji O R ()RICE u$F: ONLY . ... . JUN 0 5 200$ . City of Tigard I. ES .. i t., : —c.Z.) if " 13125 SW Hall Blvd., Tigard, Oft 97223 Plait Review ' - Phone; 503.639.4171 Fax: 503-598.1960'. Of TRAr L4-• 6" Dawn : railerPennil: Inspection Line: 503.639.4175 ,t 1 ti \ii I(, 5 ateReodylnr El See rage 2for TI CARD !manner; www.ligad- or.gov otiticdtMahad: tr SuppdemontalInformation •'TYPE OF WORK . - PLAN REVIEW ... 1 0 New construction DI Addition/alteration/replacement Pie. xc cheek all thin apply (submit 2 seta of plaits whlcott checked belay+)', 0 Cl Service or feeder 400 amps or more 0 Building ever three Storks, DelnOlition O Other: where the available fatdi current Q Man= and boatyardv. 'CATE6 ORY' Or CONSTRUCTION exceeds to.t00 Amps at 150 volts or ❑ Pleating buildings" • Iota ground. or exceeds 14,000 ❑ Clm mereial -use agrW:Iorat ❑ I- and 2•fnmily dwelling ❑ Commercial /industrial ❑ Accessory building amps for an outer inat5lhttions, buildings, 0 Multi - famil El Master builder ❑ Other: 0 'r Puifl . 0 tnstallution of 75 KVA 01' .JOB SITF, INFORMATION AND LOCATION . : CI Emergency xruem. larger separately derived system. . . 0 Addition cif OM MOM hand or ❑ -A" "E','1.7. I.3 login" or mom, neenpency. Job no.: Job site address: 11909 SW 95TH AVE Six or more residential units. 0 Rcur•:triannl vehicle parks. City/State/ZIP: TIGARD, OR, 97223 0 Health -cute Owililies, 0 Supply voltage for more than © Haaartlmts locations" 600 voles nominal. Suite /bldg. /apt. no.; 7_10 Project mate: DOVE COURT APTS ❑se vieoorReslerdnoamps .. FEE SCHEDULE Cross strut /directions to job site: upsets >flo t Otv. 1 Nrc, l 'fwW - ._ 1 •__ "'"" New residentlnl single - or multi family dwelling unit. Includes attached garage. - Subdivision: Lot no.: 1.000 sq. ft. or less 145.15 4 - - ---- Ea. 140'1 500 sq, II, or portion 33.40 1 - Tax map /ptrc Cl no.: !:arched energy, residential DESCRIPTION OF WORK (with abmrc sq. ft.) 75.00 2 • INSTALL FIBER OPTICS FOR VERIZON Limited residential ( , multi .family 7$00 2 . residential (with shove sq. 11.1 --' " — Services or feeders installation, alteration, and/or relocation 200 amps o r less 80.30 2 ❑ PROPERTY OWNER • .1 ^ 0 TENANT 201 amps to 400 oim 106.85 2 Name: 401 amps to 600 amps ,,, 160.60 3 — — — 601 amps to 1,000 amps 240.60 2 Address: _ - Over 1,000 amps or vons 454.65 2 Temporary services or feeders installation, alteration, and/or City/State/ZIP: r Phone: ( ) Fax: ( ) 200 amps or less 66.85 I Owner installation: This installation is being made on property that 1 own which is not 201 amp to 400 amp . ` 100 .30 2 intended for sale, lease, rent, or exchange, according to ORS 447.449, 670, and 701. 401 amps to 599 amps 133.75 Branch circuits - new. alteration, ur extension, per panel Owner signature: Date: - A. Fee for branch eireuits with 0 APPLICANT 1 17 . CONTACT PERSON above service or feeder fee, 6.65 2 each branch circuit Businessnanne: NORTH SKY COMMUNICATIONS, INC. B. Fee for brunchcirouils - witlroar service or feeder fee, 4G.85 2 Contact name: RYAN ROBERTS first branch circuit Address: 11818 SE MILL PLAIN BLVD STE. 410 E:tchadd'ibt�tnehcircuit 6.65 2 -- Miscellaneous (.service or feeder not included) City/Slate/ZIP: VANCOUVER, WA 98684 Each mina iclured or modular `---- 90,90 2 dwelling, scrviee nndlor feeder Phone: (503 ) 519 -5264 Fax: ( )1-866-905-4907 Reconnect only 66.85 2 E -mail: mdur�a narth o skycs�.mm,.rnm _ .. Pump or irrigation circle: 53,40 2 • • ' • CONTRACTOR • • Sign or outline li g h t i ng 53.40 2 N ORTH SKY COMMUNICATIONS, INC. en Bttsiness name: NORTH mere, altarali< >n, or AddMis: 11818 SE MILL PLAIN BLVD. STE 410 extension, Describe: 1 Page $75.00 2 City/State/ZIP: VANCOUVER, WA 98684 Each additional inspection over allowable in any of the above Pet inspeetion 62.50 Phone: ( 360) 254 -6920 Fax: ( ) 1- 866 -530 -4325 Investigation per hour (t hr min) 62.50 ' " CCl3 Lie.: 14117 Electrical Lic.17 154CL Suprv. Lie,: 173LE6 industrial plant per hour 73,75 — ELECTRICAL PERMIT FEES_ Suprv. Electrician signature, required: Subtotal: $75.OQ•,,,- Print name: JACK CAGLE Plan review (25% of permit fee): - 6-5-08 State surcharge 02% of permit fee): $9.00 Authorized signature: / -- TOTAL PERMIT PEE: $84.00 'this 1 nhplicnhlun aspires if a permit iB not *Wined within 150 Print name; ETHON A. DOLPH D7Le: 6 -5 -08 days after It lmx been accepted as c0111171er. • Numb O,' of i,apecdon: atluwed lxr permit. lAb.ildingtr'cnnir.utl.C•i't ni1.tnn.dac 050.11 44046l5ftl ial io.trwnn CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR200B -00144 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 616/0008 Phone: (503) 639 -4171AII:1 l I I �Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/13/2008 TIME: 7 :01AM PAGE: 38 SITE ADDRESS: 11909 SW 95TH AVE 7 CLASS OF WORK: SUBDIVISION: DOVE COURT APARTMENTS LOT #: 008 TYPE OF USE: PROJECT NAME: DOVE COURT APARTMENTS DESCRIPTION: Units: 7 -10. Installing fiber optics for Verizon. OWNER: HOUSING AUTHORITY OF, PHONE #: CONTRACTOR: NORTH SKY COMMUNICATIONS INC PHONE #: 360-2546920 Inspection Request Scheduled For: Date: 611312008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 071340 -03 503 - 572 -3632 N Corrections /Comments /Instructions: 0 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 4-1-C(Id Date: W/ g Phone #: (503) 718- , WIC'