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Permit Ph CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT PERMIT #: ELR2008 -00341 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/18/2008 PARCEL: 1 S 135CD -00900 SITE ADDRESS: 11465 SW 98TH AVE ZONING: R -12 SUBDIVISION: GLACIER LILY APARTMENTS LOT: JURISDICTION: TIG PROJECT: GLACIER LILLY APARTMENTS Project Description: Install fiber optics for Verizon. This is for units: 11465, 11467 & 11469. 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 FEES Reg #: ELE 17- 154CLE LIC 14117 Description Date Amount [ELPRMT] ELR Permit 12/18/200E $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: v 0:(11 _adh� Permittee Signature: ,.Q p Afio (,�ti 01(\ 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. , Electrical Permit Application �` FO O FFICE USE ONLY City f Tigard 't'CeM1�' g Y � / 0 %0 Datenly: I te, 0 b Permit No.: r ��/ t 13125 SW Hall blvd„ Tigard, OR ♦ 6 O a„ Review i ty E �L Phone: 503.639.4171 tax: 503.598.1960 C + rC te7tl : Other Permit A • J TIGARD Inspection Line: 503.639,4175 0 ,(,;P r adyrtiy: Jo ui:: la Sec Page 2 for Internet: www.tigard-of.gov O�� v� i •IMcthud: Supplemental Information `�� 0 \' .. TYPE OF WO PLAN REVIEW ❑NtwconsUueliun OIAddition /aiterallQlif �lrJ�t`1Cnt P lease check all than apply (submit 2setso1' ohms w /items checked below): rJ ❑ Service or 'better 4Q0 l m mow ❑ 13uittlin, over tit=LC stories. ❑ Demolition ❑ Other: where Me available fault current ❑ Marinas and boatyards. CATEGORY OE CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Homing buildings. Ic to rlauod. or exceeds 1 4,0(10 0 Coinmercialmsc agricultural ❑ I - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building mops for all otter inalallutios. buildings. Q Multi -famil y ❑ Master builder ❑ Other: ❑ Pitt pump. 0 Installation ul' 75 KVA of JOB SiTF, INFORMATION AND LOCATION new motor Emergency system. larger separately del sy.,te�». • ,—_ ❑ Addition of new load of "A" "($' "I I F3" Job ❑O.. Job site address: 1 98TH AV E. a or or mule. 0 occupancy. ❑ Six or note residential units. Recreodr,n:a vehicle parks, City /State /ZIP: TIGARD, OR 9722 ❑ Hestih -care facilities. ❑ Supply voltage for more dean © Hazardous locations. 600 volts nominal. Suite /bldg. /apt. no.: 11465,11467.11469 Project name: GLACIER LILY 0 Selvivo or feeder 600 jaws or muse. FEE SCHEDULE Cross street /directions to job site: aracdptlnll I ()Iv. J Fee. I 'Oil I • / 5 �r � New residential single- or multi- family dwelling unit. /) kirk 1 19 (p ! f 1 1 4 C 1 Includes attached garage, Subdivision: I Lot no.: 1,000 sq, ft. or less 145.1 4 Ea. add 500 sq. II. or portion 33.40 I Tax map /parcel no.: Limited energy, residential DESCRIPTION OP WORK 7 s. 00 2 (w in, abort sq. It.) INSTALL FIBER OPTICS FOR VERIZON Limited energy, multi -family 75.00 2 residential (with abom sq. 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 Name: 401 amps to 600 amps 160.60 2 601 amps to 1,000 iunps _ 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: ( ) Fax: ( ) 200.u11175 or less 66.85 I Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 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 2 Owner signature:_ Branch circuits - new, alteration, or extension, per panel Dart: ____.____„V� A. Fcc for branch circuits with 0 APPLICANT in CONTACT PERSON above service or feeder fee, 6.65 2 each branch circuit Business name: NORTH SKY COMMUNICATIONS, INC, B. Fee for branch circuits i wNuuu s ervice or realer I'cc, Contact name: RYAN ROBERTS 46.85 2 f ilet branch circuit Address: 11818 SE MILL PLAIN BLVD STE, 410 Each add'I branch circuit 6.65 Miscellaneous (service or feeder not included) City /Slate /ZIP: VANCOUVER, WA 98684 Each manufactured or nodular 90.90 I 2 dwailine, service and /or feeder Phone: (503 ) 519 -5264 Fax: : ( )1 866 - 905 -4907 Reconnect only 66.85 2 E -mail: md uor(et�.northskvcomm,com Pump or irrigation circle i 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 Business name: NORTH SKY COMMUNICATIONS, INC, energy circel,altertini(cd- r cocrgy panel, alteration, or Address: 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 Per inspection 62.50 Phone: ( 360) 254 -6920 Fax: ( ) 1 -866- 530 -4325 Investigation per hoar li hr mini - -W 62.50 eta Lie.: 14117 Electrical Lic.17- 154CLE Suprv, Lic.: 173LEB Industrial plant per hour 73,75 „1/ -- ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: �, �1r Subtot $75.00 _. Print name: JACK CAGLE Date: Plan review (25% of permit fee): 12 -16 -08 State surcharge (12% of permit fee): $9,00 Authorized signature: /') __ TOTAL PERMIT FEE: $84.00 This permit upplicalion expires if n permit is not obtained within 181) Printltatnc: ETHON A. DOLPH Date: 12 -16 -08 days after a bas been :too:pleaas " Number of inspections allowed inr permit. Ia nnilaingWrnnb ,vil,C- Permit app.,tcc 0jr23/e6 1411.4 61 f(11/05/COSItVIiI1 CITY OF TIGARD BUDINIG DIVISION PERMIT #: ELR200B -00341 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: /2110/2008 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 `^ �.'I-I INSPECTION WORKSHEET FOR DATE: 1/612000 TIME: 7:OOAM PAGE: 27 SITE ADDRESS: 11466 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: , 14fi - f"1:1e6:I ' OWNER: SHARON DEVELOPMENT CO, LLC, PHONE #: CONTRACTOR: NORTH SKY COMMUNICATIONS INC PHONE #: 3fi0-251 -6920 Inspection Request Scheduled For: Date: 1/6/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 079407 -02 503. 503 -4082 N Corrections /Comments/ Instructions: i � I . PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G Nw Ls Date: 1' 6" ` Phone #: (503) 718 - 7i9 ifil CITY OF TIGARD BUKDIAG DIVISION PERMIT #: FLR200B- 00341 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/18/2008 Phone: (503) 639 -4171 A . Inspection Requests (24 Hrs.): (503) 639 -4175 ' : 10 '- : INSPECTION WORKSHEET FOR DATE: /2/19/2008 TIME: 7:00AM PAGE: 14 SITE ADDRESS: 11466 SW 90TH AVE CLASS OF WORK: SUBDIVISION: GLACIER LILY APARTMENTS LOT #: TYPE OF USE: PROJECT NAME: GLACIER LILLY APARTMENTS DESCRIPTION: Install fibeo optics for Verizon.. This is for units: 11465, 11467 & 11469. OWNER: SHARON DEVELOPMENT CO, LLC, PHONE #: CONTRACTOR: NORTH SKY COMMUNICATIONS INC PHONE #: 360 -251-6920 Inspection Request Scheduled For: Date: 12/19/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 13.E Low voltage 079154 -02 503 -209- 7014 N Corrections /Comments /Instructions: • ill► ❑ PASS PARTIAL APPROVAL CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector, Date: 0 6 Phone #: (503) 718-