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Permit I q CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT I COMMUNITY DEVELOPMENT PERMIT #: ELR2008 -00137 TIGARD DATE ISSUED: 6/5/2008 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S135DC-02000 SITE ADDRESS: 11865 SW 91ST AVE 49 ZONING: R - 7 SUBDIVISION: GREENBURG OAKS APARTMENTS LOT: JURISDICTION: TIG PROJECT: GREENBURG OAKS APARTMENTS Project Description: Units 49 - 60: 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: VILLA LA PAZ LIMTED PARTNERSHIP NORTH SKY COMMUNICATIONS INC BY COMMUNITY PARTNERS FOR 11818 SE MILL PLAIN BLVD STE 4 AFFORDABLE HOUSING INC VANCOUVER, WA 98687 TIGARD, OR 97281 Phone: Contact #: PRI 360 - 254 -6920 FAX 1- 866 -530 -4325 FEES Reg #: ELE 17- 154CLE LIC 14117 Description Date Amount [ELPRMT] ELR Permit 6/5/2008 $75.00 [TAX] 12% State Surchai 6/5/2008 $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. • : • • or :801.3 . Issued n : i I L,/ 4 . , Permittee Signat 00, i-Js-- 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. J1.11 04 2008 3:09 AM FR TO 5035981960 P.08 S ErVED Electrical Permit A_pplica ; voit0Fl71clw 0Sr ONLX ' , ';•,'''1:..''''''''•'''''..' • City of Tigard Received i Permit No,; l O --(0/,? y JUN 0 3 2008 Dace /tl •: 08 II v 13125 5W Hall Blvd.. Tigard, OR 97723 C Phpttc: 503.639,417 Fax: SO p Inspection Line: 503.630.4175 ) V TIGARD I)aw Ready /By: in r' �^ El Sr e Page 2 for 7" R P I ntClYtat: BUILDING DIVISION Notified /Method: / O . Supplementaltnforma))on www.t igilrCl•pr.00v `.:::;,.: ". .. , , LAN REVIEW. `(':.. . . .. . ., .. :TYPE . WORK ",, :: : " .. P • - — PICillg cheek all tha apply t ablittt 2 son or plan. wt(tctn; checked below): ❑ New construction MI Additive /tittcratiAddition/alteration/replacement �t----1l 0 0 Service or feeder 400 amps or MON D t3ulkliq,; over three stories. LJ Demolition 0 Other: where the available Unit current ❑ Marinas ant( hnatyartls. :' •.' ;' • (.ATIi( ORY OF CONSTRUCTION • . . exceeds n),000 .,01i73 at 150 v is or D I liming b Idings. • . EC a, let ground. or cztccds 14.000 ❑ Cummcrcial-usc ngrinoline u ❑ I - and 2- family dwelling ❑ /industrial ❑ Accessory building amp ror all other intaduutons, buildings. 13 Multi- family ❑ Master builder 0 Other: 0 Fire pomp, 0Ertntallntionc 0 Emergency xysaanl. larger semune ly derived system. . ` '.101 S ITE INFORMATION AND • LOCATION ' `•.,.. Q Addition or now mom Inad or w.._.. _,.. 1 1$65 SW 91ST STREET 100RPor occupancy. . Job no Job site address: 0 Re cr eational vehicle ©Si or ntorc residential unit + - aiks, l City/State/ZIP: TIGARD, OR, 97223 UHrntth- c. r,(:ilitirg. 0 s voha (Ur MOM than 0 Hazaido ■is locations. 600 vii minal. Suite/bldg. /apt. no.; 49 -60 Project name: GREENBURG OAKS APTS 0Scrviecorfeeder Cross street /directions to job site: nei-er not — I Qty., ... tare 1 '1Lta1 — ...,,, ° New residential single- or mufti- €amity dwelling unit. Includes attached garage. 4 Subdivision: Lot no,; 1,0(}0 sets n. or less 14$,1,5 — - En. add - I 500 sq, 11. or portion MI 33.40 1 , Tax map /parcel no.: Limited energy, residential Ill _7 t 3 _ DESCRIPTION OP WORK ' with ab oost. INSTALL FIBER OPTICS FOR VERIZON IO res i d nttalj 75.00 2 tcsidcttli4l (with above nu. 0.1 Services or feeders installation. alteration, and/or relocatio _ 200 ;unps or less 80"30 2 ' 'El PRUPI. R'I'Y •• "' 0 TENANT • ` •• ' >. 201 amps to 400 amps -- 106.85 2 Napo 401 amiss to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 w 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 ;Imps pr less 66.8$ I Owner This installation is being mach on property that I own which is not 201 amps to 400 amps 100.3() 7. intended for sale, lease. tent, or exchange, according tv ORS 447, 449, 670, and 701. 401 ant to :i99 amps 133.75 2 Brandt circuits - new, alteration, or extension Elnr panel Owner signature: ._ _ _ Date: _, A, Fee for branch circuits with ' ': 0 APPLICANT GI 'CONTACC PERSON above service or feeder fee. 6.65 2 each branch circuit Business nerve: NORTH SKY COMMUNICATIONS, INC. t3. Pee for branch circidis -.. --^ Without service or feeder fee, 46,$5 2 Contact name: 1 8 RYAN ROBERTS rrst branch circuit W 11818 SE MILL PLAIN BLVD STE. 410 Each add'I branch circuit 1 6.65 2 - _ Miscellaneous (service or feeder not included) Cii /St.ate/ZI Each manufacture or modular 90 90 y VANCOUVER WA 98684 2 &veiling. service and /or feeder Phone: (503 ) 519 -5264 Fax :: ( _ )1 -866- 905 -4907 Reconnect only 66.85 2 &mail: md uor(an0rtIkycomm.CQM Pum or irrigation circle 53.4() 2 -- - Ct)N'I'I2ACTOR Sign or outline lighting 53.40 2 N ORTH SKY COMMUNICATIONS,INC. energy nel,a)ltertim;tcti- Business trance: argy panel, aaratinn, or Address; 11818 SE MILL PLAIN BLVD STE 410 extension, Describe: 1 Pa $75.00 2 City /State /ZIP: VANCOUVER, WA 98684 Each additional inspection over adlo in any of the above Per inspection 62.50 Phone: ( 360) 254 -6920 1 Fax: ( ) 1- 866 - 530 -4325 Inv estivilipn per hour (1 Iu min) 62,50 - - CC8 Lie.: 14117 Electrical Lic.17 - 1 54CL a sup". Lie.' 173LEB lndustrild plant per hour _ 73,75 — — ! ELECTRICAL PERMIT PEES required: Su rv, Electrician signature, +. subtotal:, J75,0Q — W Plan review (25 % of permit NO Print name: JACK CAGLE Dote; 6 -8_08 State surcharge (12% of permit fee): $9.00 Authorized signature / TOTAL PriltlYIl r bets: . $84.00 -� Ilk permit apps atiert expires if it permit is rtot ohl1itter! within ISO Print Warne; ETHON A. DOLPH Date 6 3-08 r days nncr it has been accepted tx cmMpaete. s e lutmber of inspccaionx :stowed per permit. r, v)v o ";ny,re,rosract.c- r `.„.,SAa,p.na- 0Sl2v06 441 - 461 s - rte Vs.vcoMfwc0 CITY OF TIGARD 1 BUILDING DIVISION PERMIT #: ELR200B- 00137 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: /5/2008 - Phone: (503) 639 -4171 , i Inspection Requests (24 Hrs.): (503) 639 -4175 .� .. '" INSPECTION WORKSHEET FOR DATE: 6/12/2008 TIME: 7:02AM PAGE: 42 SITE ADDRESS: 11865 SW 91ST AVE 49 CLASS OF WORK: SUBDIVISION: OREENI'3URG OAKS APARTMENTS LOT #: TYPE OF USE: PROJECT NAME: GREENBURG OAKS APARTMENTS DESCRIPTION: Units 49 - 60: installing fiber optics for Verizon. OWNER: VILLA LA PAZ LIMTED PARTNERSHIP, PHONE #: CONTRACTOR: NORTH SKY COMMUNICATIONS INC PHONE #: 360-254 -6920 Inspection Request Scheduled For: Date: 6/17J2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 071270-04 503 -20 -7014 N Corrections /Comments /Instructions: i PASS n PARTIAL APPROVAL ____ CANCEL n NO ACCESS FAIL i I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: Date: b// • Phone #: (503) 718 - Mc