Loading...
Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT 1111 q COMMUNITY DEVELOPMENT Permit #: ELR2009 -00217 TWARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/31/2009 Parcel: 25 115AA00100 Jurisdiction: Tigard Site address: 16142 SW 108TH AVE 100 Subdivision: DURHAM PARK APARTMENTS Lot: 36 Project: Brightwaters at Red Hawk Project Description: Install fiber optics for verizon. Owner: FEES DHP TERRACE LLC & Description Date Amount DHP ANNEX LLC, BY AKAWIE & LAPIETRA PC, Restricted Energy Permit 07/30/2009 $75.00 13 HERON DR 12% State Surcharge - Electrical 07/30/2009 $9.00 PHONE: Contractor: PHONE: FAX: Type of Use: MF Class of Work: ALT Total Number of Systems: 1 Audio & Stereo: N Boiler Controls: N CCTV: N Clock Systems: N Data & Telecommunications: y Fire Alarm: N HVAC: N Instrumentation: N Total $84.00 Intercom /Paging: N Landscape /Irrigation: N Required Items and Reports (Conditions) Landscape Lighting: N Medical: N Nurse Calls: N Protective Signal: N Security Alarm: N Other: N Other Desc: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the 180 days. ATTENTION: Oregon law requires you to follow the 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 a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. ' Issued By: WI II 11 �►� ♦ L. Permittee Signature: �'� X-�C . -- 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' 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. I .. RECEIVED Electrical Permit Anolication JUL 2 9 2009 ;s:' FoieOF ICEUSE av!..y ' :.. - :.,:; .':::: '::. _,.:::: I • t City of Tigard �= c� �� �r� C 1 ' 13125 SW MI Blvd., Tigard, OR 9CI.TY OF TIGARD Phwto: 503.639.4171 Fax: 50 Oilwc cnedt: 'TIGARD inspection Line: 303.639.4173 � Y IIVG DIVISIO ®Son Paac2 for intersect: www.dgtudasr.gov j Supplrmrmnl iorormMims • _ TYPE 01 `WORK •.. i:!'::'• .:r•' • 1 PLAN REVIEW';:; :'• .. . © New uonstntaion E+ Addition/alteration/replacement Plow chat all taxi apply (submit 2 ton M' plans wlitcus cluxt rd below): El Demolition ❑QthCl': ❑Service orfoodera011 amps ornova 0 Outkuog met tlacosto,tos. wituro din:la/W.81c aux ranool 0 Manua. owl Nultya(4ls, "+ °i .. , . <• CATFGORY OF :CONSTRUCTION, , ..7 '..,:'.:: .'..; ' • .;:.:'.:7:,1:7 moon 10,000 IS* why or 0 Noallog (atldings. kit to yrwtol. or moth (4.0(10 0 Cunmtercb(.irco ayrkmmral Q I • and 2- family dwelling 0 Commercial/Industrial ❑ Accessory buii(ling nips lurall other1astnlb00ns. Moldings, Q Multi- family [1 Muster bulkier ❑ Other: 0 r4re p.p. t;;) fascination o(7S KVA or `' `` JOB SITE INFORMATION AND LOCATION Oenterae,cysys tom. targer scpannolydorivedtysron], . ... , DAdditlmt anew rmuru land or [) A" Iv,. "I•t" "I d ", Job no.: Job site address: 16142 SW 108TH AVE llmpo...u. owi QSIo 'it note rctidcntial oak 0 Rcuvvaanal vcliktc parks. City / State/ZIP: TIGARD, 97223 ❑ heattheaoCOiIOies. 0 Supply o'Ilro for moretOMm """'" -"-"` 0 Nazacdnns Iwalh4in . 600 0114 nominal, Suite/bldg. /apt. no. 97 -104 Project name: BRIGHTWAT.ERS @ REDHAWK 0 amigo or !ceder 6MO mops Of more. .-,:.;.....,.• ' :` ..: • ...FRE'SCI-IEDULE ":. . • • Cross street/direction$ to job site: nr rrrpeon 1 Orr. l I'm I Teal 1 • w New residential single- or nut111- funthy duelling u Iaciudua attached garage, Stain vision: I Lot no.: 1.000 sq. 0. or less 145.15 4 Tnx :imp/parcel no.: t o, rdd'I 500 sq. li. or portion 33.40 I Limited energy, residential 75.00 2 DESCRIPTION OF WORK - (whit Moot tg. 0.) INSTALL FIBER OPTICS FOR VERIZON Lilnittx( energy, muill- liuniiy 7500 2 residential (wattshawls). n.) , Services or feeders installation, alteration, need/or re ucutio 200c ops or less 80.30 2 - ' ' In PROPER'L'Y; OWNER .1 :, .: - .D' TENANT - ' 201 antes to 400 naps 106.85 2 Name: 401 amps to 600 amps 160.60 2 601 amiss to 1,000 amps _ 24040 2 Address: Over 1,000 maps or volts 4.54.65 ' 2 City / State/ZIP: Temporary services or feeders instotlatlun, alteration, and/o relocation Phone: ( ) Fax: ( ) 200 amps or less w 66.85 I Owner instultntlon: This installation is being made on properly i hal I own which is not 201 amps to 400 amps 100.30 2 intended (or Rate, lease, rent, or exc)uuege, according to ORS 447, 449, 670. and 701. 401 amps to 590 amps 133.75 2 Owner gignnhel'C; .Dale: Branch circuits - new, alteration or extension er anal .. , A. Foe for branch circuits with . 0 APPLICANT - '.:af ' ' ' • I] CONTACT PERSON above service or feeder No, 6.65 III 2 each brunch circuit Rosiness nanto: NORTH SKY COMMUNICATIONS, INC. B. Fee for branch chctoits COMM nmum ERIK SCHENCK witboar scrvicoorfccdcrfcc, 46.85 2 rind branch circuit Address: 11818 SE MILL PLAIN BLVD STE. 410 fiachndd'I branch circuit — 6.65 2 Miscellaneous (service or reader not included) City /SIatc /LIP■ VANCOUVER, WA 98684 Each manufactured ormodular 9090 2 Phone: (503 ) 969 - 7729 I Pam : (866 ) 452 - 4853 dwaotq , service and/or feeder Reconnect only 11111 66.85 MEM 2 Entail: mduor norjhskyQomm.com Pump or irrigation circle 33.40 2 CONTRACTOR ' ' Sign or outline lighting 53.40 2 Business name: NORTH SKY COMMUNICATIONS, INC, OHer$ypanel,al limited. Address: 11818 SE MILL PLAIN BLVD. STE 410 extension, Describe: 1 Page 2 $75.00 2 City /State/ZIP: VANCOUVER, WA 98684 Coachnt ditionatins .ectioo over allowable toa of the above • • Phone: ( 360) 254 -6920 I Fax: ( ) 1 -866- 530 -4325 I Gwcstlniigecoon 62.50 gntlon per hour (Ilarmin) 62.50 CCS LIB.: 14117 I Electrical [ . 10 .17-154CL • Supmv, LIc.: 173LEB 4edtustria) plant per hour 73,73 "" • • •` - • - •CL.E •' • " . CTRICAL PERMIT PEES • Suomi. Electrician signature. required: ,.aw Subtotal: $75.000 0 Prim Ronne: JACK CAGLE Date: 7/29/09 Plum raview(25%ofperntit ice): Ssate surcharge (12%of tee): $9 00 Authorized signature: ,_ r� , / TOTAL PERMIT PER; $84.00 Print anent: ETHAN A. DOLPH Date: 7/29/09 I'(,L por Ifa Donna Is not oktahtedmilhkt180 days niter II Lan Into netopkal at complete, • Numa,rr ur lnspeullwu tdlawe,l per penult. moawnnsu'e,:oa,uu c.•n<m;R,ipp,,su avauob 11 4610(0 lrovcoatnwin