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Permit Ill . 4� CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00345 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/18/2008 PARCEL: 1 S 135CD -00900 SITE ADDRESS: 11485 SW 98TH AVE ZONING: R - SUBDIVISION: GLACIER LILY APARTMENTS LOT: JURISDICTION: TIG PROJECT: GLACIER LILLY APARTMENTS Project Description: Install fiber optics for Verizon. This is for units: 11485 & 11487. 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: SHARON DEVELOPMENT CO, LLC NORTH SKY COMMUNICATIONS INC 5795 SW CRANBERRY CT 11818 SE MILL PLAIN BLVD BEAVERTON, OR 97007 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 12/18/2001: $75.00 [TAX] 12% State Surch 12/18/200E $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: ('f CI (I Q Permittee Signature: F2),..00 "Ake/0 1 1, lit C v v� `�+ jJjJ\J � 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. r e Electrical Permit Application � V� i a z� a i >F OFFICE ONLY . City f Tigard ` Received Y �� /G Permi N- £ � C bale /fly: i� d .¢Y 1Z5AO8 0034! Er 03125 S W Hall Blvd.. Tigard, OR 61,0 Plan Review Phone: 503.639.4171 tax: 503.5 1960 e x . (' 1 • ,, we Other Permit: inspection Line: 503.639,4175 0 ad /8 rare TIGARD ' y y 6'3 SeaPage2for Internet: www.tigard- or.gov Al ��1t ' 1 cthud: Supplemental Information TYPE OF WORD''• R ©`�` PLAN REVIEW . ❑ New construction 01 Addition /alteratiO v OI►2d! Please check all that apply (submit 2 sets of photo w /items checked below): Q Service or feeder 400 amps or Moto ❑ Building over (thee stories. © Demolition ❑ Other: where the available fault cuttom Q Marinas and boatyards. CATEGORY OF CONSTRUCTION • - exceeds 10,000 amps in 150 volts or 0 Rooting buildings. loss to ground. urexceeds 14,000 0 Commercial-use agricultural El I - and 2- family dwelling 0 Commercial /industrial ❑ Accessory building amps for all ether installations. buildings. 17 Multi- family ❑ Master builder ❑ Other: ❑ P(re pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION Q Energency system. larger separately dorived system. 1] Addition of new nx,rsr had of Q "A", 'It" "1.2", "1.3" Job no.: 1 Job site address: 11511 SW 98TH AVE. 100HP or mote. occupancy. QSix or mote residential units. ❑ Recreational vehicle parks. City /State/ZIP: TIGARD, OR 97223 Q lta•,Ith -ctac facititics. ❑ Supply voltage for Wrote than Q Hazardous locations. 600 volts nominal. Suite /bldg. /apt. no.: 11485,11487 Project name: GLACIER LILY 0 Service or feeder 600 amps or Bete. FEE SCHEDULE ' . Cross street /directions to job site: noaedpaa„ I Ole. I Fco. I row I • � � 1 ii r7 New residential single- or ntniti- family dwelling unit. _ L! 1 �L a Includes attached garage. Su bdivision: Lot no.: 1.000 sq. rt. or less 145.15 4 Ea. :WWI 500 sq, ft. or portion 33.40 I Tax map /parcel no.: Limited energy, residential 75.00 2 DESCRIPTION OF WORK (with alum so. n.) Limited residential energy, multi (amity 7500 2 INSTALL FIBER OPTICS FOR VERIZON residential (with ahovc N. n.) - Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 ❑ PROPERTY OWNER ❑ TENANT ' 201 amps to 400 amps 106.85 2 Na me: 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 service* or feeders installation, alteration, and /or relocation Phone: ( ) Fax: ( ) 200 a tps or less 66.85 I Owner installation: This installation is being made on property that l own which is not 201 amps to 400 amps I00.30 2 _ intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 • Brunch circuits - new, alteration or extension panel Owner signature: Date: 4 A. Fee for branch circuits with ❑ APPLICANT I Q CONTACT PERSON above service or feeder fee. each branch circuit 6.65 2 Business name: NORTH SKY COMMUNICATIONS, INC. B. Fee for brunch circuits Contact name: first branch RYAN ROBERTS wwithout without service h ir circuit or feeder Ice, x}6.85 2 luln cir Address: 11818 SE MILL PLAIN BLVD STE. 410 Each add'l branch circuit 6.65 2 Miscellaneous (service or feeder not includedl City /State/ZIP: VANCOUVER, WA 98684 Each manufactured or modular dwelling, service and /or feeder 90.90 2 Phone: ( 519 -5264 Fax: : ( )1 866 - 905 - 4907 Reconnect only r 66.85 2 B - malt: mduorenorthskvcomm.com Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 Business name: NORTH SKY COMMUNICATIONS, INC. eergltpnel,(alerami. t energy panel, alteration. or Address: 11818 SE MILL PLAIN BLVD. STE 410 extension. Describe: 1 Page 2 $75.00 2 City /State/ZIP: VANCOUVER, WA 98684 Each additional inspection over allowable In any of Ilse above Pox. inspection 62.50 Phone: (360) 254 -6920 Fax: ( ) 1 -866- 530 -4325 investigation per hour (1 hr min) 62.50 CCB Lic.: 14117 Electrical Lic.1 -154CL Suprv. Lic.: 173LEB Industrial plant per hour 73.7$ ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: I Subtotal: $75.00 Print name: CAGLE Data Plan review (25% of permit fee): 12 -16 -08 State surcharge (12 %of permit fee): $9.00 Authorized signature: ' - TOTAL PERMIT IEG: $84.00 Print name: ETHON A. DOLPH ' I Date: 12-16-08 This permit application expires ifs permit is not obtained within ISO days after It has been accepted nu complete. a Numbu• ul' inspcclions allowed per permit. I: Uhuhling1krroitsl1U,C- IkvadApp.tks 05/2.0000 44(1.46151'(1 IItSCOMAV alt CITY QF TIGARD -,-_, BUILDING DIVISION AA& , PERMIT #: ELR2008-00346 D ATE 13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 12/18/2008 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 M' INSPECTION WORKSHEET FOR DATE: 116/2009 TIME: 7:00Aiv1 PAGE: 23 SITE ADDRESS: 11485 SW 98TH AVE CLASS OF WORK: SUBDIVISION: GLACIER LILY APARTMENTS LOT #: TYPE OF USE: PROJECT NAME: GLACIER LILLY APARTMENTS DESCRIPTION: Install fiber optics for Verizon. This is for units: ffir186ft li'li OWNER: SHARON DEVELOPMENT CO, LLC, PHONE #: ,CONTRACTOR: NORTH SKY COMMUNICATIONS INC PHONE #: 360-254-6920 Inspection Request Scheduled For: Date: 11612009 Pour Time: Code # Inspection Description Confirm # Contact # Message 13( Low voltage 079407-06 603-563-4082 N Corrections/Comments/Instructions: IR PASS 0 PARTIAL APPROVAL El CANCEL ri NO ACCESS D FAIL 0 CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: G d NU?) 1-e Date: 1 - 4) • 1 Phone #: (503) 718- 1,414. CITX---9,E3IGARD EibiLICInSid DIVISION PERMIT #: ELR2008-00345 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/18/2008 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 . --- INSPECTION WORKSHEET FOR DATE: 12/19/2008 TIME: 7 Am PAGE: 10 SITE ADDRESS: 11486 SW 90TH AVE CLASS OF WORK: SUBDIVISION: GLACIER LILY APARTMENTS LOT #: TYPE OF USE: PROJECT NAME: GI.ACIER LILLY APARTMENTS DESCRIPTION: Install fiber optics for Verizon. This is for units: 11485 & 11487 OWNER: SHARON DEVELOPMENT CO, LLC, PHONE #: CONTRACTOR: NORTH SKY COMMUNICATIONS INC PHONE #: 360-254-6920 • Inspection Request Scheduled For: Date: 12/19/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 36 Low voltage 079154-06 6O3209-701'1 Corrections/Comments/Instructions: .■■••• 1111Mi - ‘11111111111/ r V • El PASS 0 PARTIAL APPROVAL Et": 0 NO ACCESS E FAIL CALL FOR INSPECTION ADDIT • NAL EES ASSESSED op Pilo Inspector: , Date: _ – —'if _ " hone #: (503) 718-