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Permit 111 - a CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00145 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/6/2008 PARCEL: 1S135CD SITE ADDRESS: 11909 SW 95TH AVE 11 ZONING: R-4.5 SUBDIVISION: DOVE COURT APARTMENTS LOT: 008 JURISDICTION: TIG PROJECT: DOVE COURT APARTMENTS Project Description: Units: 11 -14. 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 FEES Reg #: ELE 17- 154CLE 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 OUNC at 503.246.6699 or 1.800.332.2344. �( Issued By: 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. _JUN 05 2008 11:51 PM FR TO 5035981960 P.06 . RECEIV E l ect rical P Adl pplicatio>n cm orN`icr. USE ONLY City of i arc) JUN 0 5 2C' Pn ttc, �- t1 ,-` .t 1312,5 SW Hail 131vd- ,'T'igard, OR 9722.3 ^a T Plato Review Outer I'crntiu 2 ` ' Phone: 503.639.4171 Fax; 503.508.1964 A I Y U gaieIny ins Lino: 503.639.4175 : - y , I ; ? s ditd RcadyIBy, 1 See t:igc 3 for TiGAKt] Notil tcd7Mcthnd: ' Supplementollnformat Internet: www.tigurd- OY: §Od TYP .OF WORK PLAN EtEViBW checked below): New construction 12 1) 1C1C 1ition /altCfAliOtllt'eplacotTlettl Pleosc cheek all tilts apply (whom 2 sets of plates writmms ❑ Service ar (ccdcr 4Un;imps or more i] Anikling over throe stolid*. Demolition ❑ Other where the available Wit cumin 0 Mtb';OaN and beatyartl4. .. - 5 iii Ia moot) omp %at 150 volt. or 0 Mooing buildit9 - . Li • CATEGORY OF CONSTRUCTION ton to ground. or er,recde 14,It°0 ❑ Commercial-use agricultural 1- and 2- family dwelling 0 Commercial/industrial W 0 Accessory building amp (orate oilier installation. building,. n Multi- family 0 Master builder ❑ Other: ❑ Pi,e pump. El Inxtdlation ul' 7s KVA or - . - =• El Emergency aystent. lams mepvalcty derived nystant, JOB SITE INFORMATION AND LOCATION ©Addlsinn of new motor toast or 11909 SW 95TH AVE tamp or more. occupancy- Job no -: Job site address: 0 Six or mars residential arils, ❑ tt Rc ntiunal vehicle p aka. City /State/ZIP: TIGARD, OR, 97223 0 He:in.eiu'e r,d1,6,s. 0 Supply vpllty^c for more than CI Hazardous locations. 600 volts nominal. Suite/bldg./apt. no.: 11 -14 [ Project name: DOVE COURT APTS 0 Service or feeder 600 amps or mom .. -.. '. FEE SCHEDULE Cross street /directions to job site: ' ❑excrtpttau },, Qty. T loon. L Total I " '°'--• New residential single - or multi - fatuity dwelling unit. Includes attached garage. Subdivision Lot no.: 1.000 sq. tl, or less 1 45.s5 - 4 - Ea. udld't 500 sq. ft. or portion 33.40 1 Tax map/parcel no.: '„milted energy, residential 75.00 • DESCRIPTION O(' WORK (with :Move sq. 4.) — . . Limited energy, multi - family 75.00 2 INSTALL FIBER OPTICS FOR VERIZON t'CSidcrttial (with above N(,, n.) � S e rvices or fecrlers installation, alteration, and /or relocation 200 amps or less 80.30 2 Q PROPERTY: OWNER I .. © TENANT • 201 amps to 400 amps 106.85 2 Name: ... 401 mops 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 /7f P: 'Temporary services or feeders installation, alteration, and/or relocation I Phone: ( ) Fax: ( ) 200 amps oi' less 66.85 1 Owner installation: This installation is being made on property that E on which is not 201 amps to 400 en 10(1.30 - 2 intended for sale, leaser rem. or exchange, according to ORS 447, 449, 670, and 701, 401 tamps to 399 amps 133.75 — 2 Branch circuits - new, alteratio, or extension, per pallet Owner tiiLTmalute: ,-_ .- -_— �Da[e: _- —••- A. Fcc for branch circuits with - 0 APPLICANT ` 1 CONTACT PERSON above service or ''ceder l'ee. 6.65 2 ,-- ca°h branch circuit Business name: NORTH SKY COMMUNICATIONS, INC B. Fee for branch circuits `� without service or feeder Ice. Contact name: 46.0 2 RYAN ROBERTS _ first branch circuit Address: 11818 SE MILL PLAIN BLVD STE. 410 Each add'1 branch eitruit Misce 6.G5 2 Miscellaneous (service or [ceder not included) City /State/ZIP: VANCOUVER, WA 98684 Each manufactured or modular I 90,90 2 dwelling, service and/or fccdcr Phone: (503) 519 -5264 Fax:: ( )1- 866 - 905 - 4907 lteconnectonly 66.85 ' 2 E - mail: mduorCe oortb$kycomm,cQJ11_, Pump or irrigation circle 53.40 2 CONTRACTOR • • Sign or outline lighting 53.40 2 Signal circuit(s) or limited - Businessname: NORTH SKY COMMUNICATIONS INC. , ancrgy panel, alteration, or Address: 11818 SE MILL PLAIN BLVD. STE 410 _ extension. Describe: 1 Paget $75.00 2 City/Statc/7_IP: VANCOUVER, WA 98684 Each additional inspection tion over allowable in any of the above Phon ( Fax: ( ) 1- 866 - 530 -4325 PCT inspection 62 -50 3 60 254 -6920 wlavesti per horn' (I hr min) 62.50 CCB Eric.: 14117 I Electrical Lic,17- 154CL: Suprv. Lie.: 1 73LE8 lnd p lant per hour 73.75 ELECTRICAL PERMIT PEES ' Suprv. Electrician signature, required: Subtotal: $75.00 Print name: JACK CAGLE Date: plan review (25% of perm foe): 6_5_08 State surcharge (12% of permit fee): $9.00 Authorized signature; . .1 u TOTAL PERMIT ITC: $84.00 Print name; ETH ON A, OLPH Date: 6 -5 -08 11,+4 Wittig appucfti r It tr been if s ()croon dcn neeeptnt as eo cot obtained within silo Q•_. _.. 1140 after I has bn,plctr. * i`UUt11UCl' or inapatioos allow I. perm P,vti„eisingr'crmit \Ii1,C•P,..ru,ltApp,dne 05'23ro6 540.4G1ffill li(iifCOM WCmS . CITY OF ��U�������� ��nm u n��n vn�m��nm�� BUILDING DIVISION ~�~°""~~~,,~~� ~�,°"~,"~,"~ PERMIT #: ELR2008.00146 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/812000 Phone: (503) 639-4171 Inspection Requests (24Hmj:(5U3)63Q'4175 i .1.11- ^-1... INSPECTION WORKSHEET FOR DATE: 8113/2008 TIME: 7:01Ah4 PAGE: 37 SITE ADDRESS: 11909 SWg5TM AVE 11 CLASS OF WORK: SUBDIVISION: DOVE COURT APARTMENTS LOT #: OOB TYPE OF USE: PROJECT NAME: DOVE COURT APARTMENTS DESCRIPTION: Units: 11-14. Installing fiber optics for Vorizon. OWNER: HOUSING AUTHORflY OF, PHONE #: CONTRACTOR: NORTH SKY COMMUNICATIONS INC PHONE #: 350-254-6920 Inspection Request Scheduled For: Date: 6/13/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 071340'04 603-672'3632 N Corrections/Comments/Instructions: r k ASS �� PART\ALAPPR[�6AL �� ��AMCEL NO ACCE8S | �� / ' I I I FAIL ri CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED ��~�,�1>� |nInspector: �' �� �, Date: =' Kw/ ( �y�/L^ Phone #: (503) 718- ^' 7r �^'`^ ` � . � . ~ - '. `