Loading...
Permit 4 CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT PERMIT #: ELR2008 -00136 TIGARD DATE ISSUED: 6/5/2008 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S135DC - 02000 SITE ADDRESS: 11875 SW 91ST AVE 37 ZONING: R - SUBDIVISION: GREENBURG OAKS APARTMENTS LOT: JURISDICTION: TIG PROJECT: GREENBURG OAKS APARTMENTS Project Description: Units 37 - 48: 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 $84.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 o .:"x.332.2344. • Issued By • ��� J Permittee Signatur OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Ili 1\1 04 2008 3:08 AM FR TO 503598 1 960 P . 07 RECEIVED Electrical Permit Application 1 OI OF esE ONLY : / m , : ., JUN 0 3 2[103 , City of Tigard R C 0 d (P� D$ / � �rn,u rho.. �i f� i 0: -60/ -A' +t 131 '25 SW Hall Blvd.. Tigard. OR Phone: 503,639.4171 Fax: 503- ) G FTIGARD Odrer Permit: inspection sine: 503.639,4175 BUILDING DIVISION Data RcadyIl3y: hnrtx al Sec Page 2 for TIGIIRI3 Internet: www.tigatd- or.gov Nutirrcd /mlc(Irv{i: �, $upplcmcnin1 TYPO pF.WORK , ` , `'` . ;' '; : 'PLAN REVIEW New construction Add €lion /alteration /rep €aeemcnt _ Picric ehec)r ati that apply (subnilt j Sete or plums wrtcmx �beeked be low): LI � --•I ❑ Service or feeder 400 amps of more 0 t3uildimg over three staring. El 1__ Demolition Other: where am available Null torrent ❑ Mtut :m purl bow yards. ', ... . . .. .: c bs id ❑ l Ivnb btlildgs. •. ____ p:L ORY OF : UN ........ . ...: ouCe is IU,000'tmPx:u I (.ONSTRUCTI ` .....,,..,. --."- !cg$ m ground, y r excreta 14 so 00 ❑ Come l -use in ngritUhttf:U [] 1 - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building gimp!: for all otlree inamlhaloo,. buildinss, 'A Multi- fatnil y © Master builder 0 Other: 0 trite pump. C 1s1all:taw of 75 KVA or ❑ Emergency sy$tem. larger separately derived sy . `'.,JOII • aITF INFORMATION AND. LOCATION , ❑ Addition of new motor lu:+d or ❑ °r,", 'tf"'a -2" den 1001 1 or more. occup my. Job no.: Job site address: 11875 SW 91ST STREET ❑Sit or n,uce leg tlential units. ❑ ttecrcmiunnl 'chide p City/State/ZIP: TIGARD, OR, 97223 C] Health-care iaeilaie 0 Supply volume for owe than - — __,....../._ ❑ H:naexiottg lvcatiouu 100 volts numir a) suitelbldg./apt.no. : -48 I P rojectnalne: G REENBURG OAKS ©servicooc feeder foo amps or n , oG. _ ". : ; .. ':.EZE SCHEDULE ' Cross street /directions to job site: Ocrrcrty t F 4ty- 1 per. I •R,r:l 1 - "-- ....... .. - New residential single- or multi - family dwelling unit. lncRules attached gauge. Subdivision: -_ - Y Lot no,: 1.000 sq. ft. or less 145,15 4 ,. Ea, ; Kiwi 500 Sri 11. or portion 33,40 ....1.... 1 Tax map /parcel no.: Limited energy, )csitie01ia1 + DESCRIPTION OF WORK • (with above so, rt.) 75.00 INSTALL FIBER OPTICS FOR VERIZON side _ IZON tilmitedenelgy,malti r.,lnni ) 75.00 2 t�ttt ial with alwvc sc), it) r- .. -.... — `�'�"""' Services or feeders inst allation alteration, and/or r elveation 200 untps or lees 80.30 ' 0 PROPERTY• OWNER • ': ' 1 .: , . ' . a TENANT ' ' .. ', 201 amps to 400 amps 106.85 2 Name: 40 t amps to 600 :apps 160.60 2 - 601 ampx to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 C ity /Slane /71P: Temporary services or feeders installation, alteration, and /or relocation ... ____ _ Phone: ( ) FOX: ( ) 200 amps or less 66.85 1 Owner installation; This installation is being 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 Branch Circuits - new, alteration, or extension, per panel Owner Signature: . ___ m....._ Date: A. Fee for branch circuits with ' 0 APPLICANT . • • 1 EU CONTACT PERSON above service or feeder fee, 6.65 2 • each b,ninch circuit nosiness name: NORTH SKY COMMUNICATIONS, INC. B. Fee for branch circuils ' without service or feeder fee, 46.85 2 Contact name: RYAN ROBERTS first branch circuit Address: 11818 SE MILL PLAIN BLVD STE, 410 Each add'I branch circuit 6.65 _ 2 Miscellaneous (service or feeder not included) City/Slate/ZIP: VANCOUVER, WA 98684 Each manufactured or modular 9090 2 dwelling. service andior feeder Phone: (503 ) 519 -5264 Fax:: ( ) 1- 866- 905 -4907 Reconnect only - 66,85 2 E-mail: mdlJorfU northsky omm.QQfp Pump or irrigation ci lo 53.40 2 CUNI'RACTOR Sign or outline lighting a T 53.40 2 Signal circuit(s) or limited - Business name: NORTH SKY COMMUNICATIONS, INC. ollergy panel, alteration, vr Address: 11818 SE MILL PLAIN BLVD. STE 410 extension. Describe, 1 Paget $75.00 2 City /State/ZIP: VANCOUVER, WA 98684 Each additional inspection over allowable in an of the above • Per inspection El 62,50 Mil Phone: ( 360) 254 -6920 Fax: ( ) 1- 866 -530 -4325 Invesilgation per hour (t hr min) 52. 5(1 CCB lair.: 14117 ( Elea Electrical Lie. -154CL sllprv I i e.c 1 73LEB Industrial plant per hour 173.75 . ' 'ELECTRICAL PERMIT FEES Suprv. Electrician signature, requited: Subtotal: $75.40 -,, Prim name: JACK CAGLE Date: Plan review (259h of permit fcc): 6 -3 -0$ State surcharge (17% of permit fee): $$.00 Authorized s ignatu re; / TOTAL PERMIT FED: $84.00 )7atC: 'I his permit append; esp;re$ i r e permit is not ogl..inert within 180 - Print Rill7lt): ETHON A. DOLPH 6 »3 -08 tra „rtes it has been aeeeme+) 0h complelc. + Number or insoecuuue ;mowed per permit. l:+nuitding\Pert nt,C•t \tmk,s?,p,dbc 05003115 .140 IN)S /COM/wuiII CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2008-00136 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/5/2008 411k Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 6/12/2008 TIME: 7:02AM PAGE: 43 • SITE ADDRESS: 11875 SW 91ST AVE 37 CLASS OF WORK: SUBDIVISION: GREENBURG OAKS APARTMENTS LOT #: TYPE OF USE: PROJECT NAME: GREENBURG OAKS APARTMENTS DESCRIPTION: Units 37 - 48: Installing fiber optics for Vorizon. OWNER: VILLA LA PAZ LIMTED PARTNERSHIP, PHONE #: CONTRACTOR: NORTH SKY COMMUNICATIONS INC PHONE #: 360-254-6920 • Inspection Request Scheduled For: Date: 6/12/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 071270-03 503-209-7014 Corrections/Comments/Instructions: • , PASS 7 PARTIAL APPROVAL CANCEL 7 NO ACCESS I I FAIL H CALL FOR INSPECTION 111 ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718-2