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Permit lv CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERM' ill i a COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00133 TIGARD DATE ISSUED: 6/5/2008 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S135DC -02000 SITE ADDRESS: 11905 SW 91ST AVE 1 ZONING: R -7 SUBDIVISION: GREENBURG OAKS APARTMENTS LOT: JURISDICTION: TIG PROJECT: GREENBURG OAKS APARTMENTS Project Description: Units 1 - 12: 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 503.246.669 • • .;0.332.2344. /. Issued B•Q ' / Lo _ dii Permittee Signatur , / ,,. , 'l {��((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. . JUN 04 2008 3:08 AM FR TO 5035991960 P.04 • DECEIVE Ap Iicati Electrical Permit voi +)1C : 175 (aNLY City ae'rigftrct S UN 0 3 20Qfl ,g _• Pct,mit.,,.: a. �tol , 13125 SW Bail Blvd. figura, OR 972. Plan Review * . Phone: 503 "639.4171 Fax: 503 - 598.1960 t5atcl[i ; Other Permit: T V fnspcotioo Line: 503.639,4175 CITY OFTIGARD Dale Readytly: IA Sec Pap for RD loterneI; wow- tiottrd- or,gov BUILDING DIVISION NulGcdlMct MI Supptemontat Information .7--------"--"-- , : TYPC'.Olr WORK ,: PLAN REVIEW. Please check sit tart apply (submit 2 sets 41 plans Alms ebeekcd below): 0 New construction lI Addition /alteration /replacement 0 Service or feeder 400 amps or more ❑ Building user tint° stm iCS. 0 Demoiition C] Other: where Mt available Nall current ❑ Marinas ;Ind huatyards. ' '., CrA Ch(�ORY OF :CONSTRUCTION °steeds [0,000 amps at iSO snits or ❑ Flouting bu3dingi. ' : • Icsau> ground. orexceeds 14,0(W ❑ Cumnmr°ial - usc agricnimtrai E 1 - And 2- family dwelling 0 Com merciallindustrinl 0 Accessory building mein for uil other installations. buildings. 0 Muiti-fennly 0 Master builder ❑ Other: (]Fire pomp. ©iastalktGun n r 7$ KVA or L s ❑ Eminency system. st t dewed aw soar:arty Sy ACM. n. , ..',/Oft :SITE 'INFORMATION AND LOCATION © Addition nr nets lntteir WO a douv - _^ 11905 SW 91ST STRE t00ttp or more meoNmy. Job no.; Job site address: ❑ R cumlliicnal vchielc t , ilts. []Six °r more res'- <lemial uni[n. I i City/State/ZIP: TIGARD, OR 97223 ❑ Hcalth•carr raeiiitics, ❑ Supply voltage for more than . - 7 _,-,_ 0 t1a4;Irdntts locatiuns. 4419 volts nuusinal. Suite/bldg. /Apt. no.: 1 -12 Project name: GREENBURG OAKS APTS ❑ srfvietnr' feeder 60O twtynormutt. ... . , ` : SCHEDULEt Cross street /directions to job site; ncxcrlptittn QV. NT. 'rutai • --- - - '"-""^'- New residential single- or multifamily dwelling unit. Includes attached gauge. t 1,000 sq. It. or less 145.15 4 Subdivision: Lot no -' -, _ - -- Ea. nein 500 sq. rt. or portion 33.40 1 Tax mstp /parcel no,. - Limited energy, residential 75.00 3 • DESCRIPTION OP WORK • (with iibiwe .q. n.) • - INSTALL FIBER OPTICS FOR VERIZON t.i»,itedeliefQ,y,tnuei family 75.00 2 residential `viii allow: so- 11.) Services or feeders installation, alteration, and /or relocation 1 200 amps or less 80.30 2 '0 PROPERTY OWNER 0' TENANT • 201 amps to 400 amps 106.85 2 Name: - 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 /Stsntt 71p: Temporary services or feeders installation, alteration, and /or relocation Phone: ( ) Fax' ( ) 200 amps or less lit2111111111111 I IIII Owner installation: This installation is beats; made on property that l own which is not V 201 amps to 400 alttl>t 100.30 2 intended for sale, lease. rent, or exchange, according to ORS 447, 449, 670. and 701. 401 turps to 599 t 133.75 2 Brunch circuits - new, alteration, or extension, per panel Owner signature: Date: ^ _. A. Fee for branch circuits wait • . : 0 APPLICANT ' :: . . 0-CONTACT PERSON ' above acrviCe or feeder I'ce, 6.65 each branch circuit Business name: NORTH SKY COMMUNICATIONS, INC. B. Fee for branch circuits oirhnrrr service or feeder fee, 46.35 2 Contact name: RYAN ROBERTS _ _ first branch circuit 1 1818 S MILL PLAIN BLVD STE. 410 Ettchadd'! branch circuit 6.65 2 Address: 1lisecllaneous (service or feeder not htciuded y VANCOUVER, W A 98684 City/Stale/ZIP: /Stale/Z[P: , Each manufactured or modular 9090 2 ewellin Phone: (503) 519 -5264 I lax:: ( )1- 866 -905 -4907 R n se tv;cc 41x1(°1' leader s ect onl 66.85 2 Pump or irrigation circle 53,40 2 &mail: and • r , no .. ,w • m .CO - Sign or outline lighting 53,40 ? ' • CONTRACTOR II • . Signal circuits) or limited- Business name; NORTH SKY COMMUNICATIONS INC. energy panel, alteration, or Address: 11818 SE MILL PLAIN BLVD. STE 410 extension.Deserlbe: 1 Paget $75.00 2 City /State /ZIP: VANCOUVER, WA 98684 Each additiOThni'mut a tion over allowable in any of the above Per inspection 62.50 Phone: ( 360) 254 -6920 Fax: ( ) 1- 866-530 -4325 Investigation per hour (t hr min) 62.50 CCD Lie.: 14117 Electrical be-17-154a. Stlprv. Lie.: 173LEB Industrial plaint per hour 7335 . ELECTRICAL PERivilT FEES Snprv. Electrician signature, inquired: Subtotal; $75.00 : JACK CAGLE Date Plan review (25% of permit fee): Print name 6 - - Slate surcharge (12% of permit fee); $9.00 Authorized signature: sI TeyTAL PERMIT PIM: 4, s lT� $8 00 This permit application expires if u permit is not obtaitnal within ISO - Print name:: ETHON A. QOLPH Date: 6 -3 -08 clays ;ow it has been accepted as complete. + Number or inspections allowed per permit. i,u; gild•:nli'crnuutif'I.C- ItrmdAi+p.,tnc n.L3nn6 440 451515: is).VCOdi/wlin . . . . . CITY ��N�� nn o OF mw��nn�� BUILDING DIVISION � ~°~~"~~~~."~~= ~�"°"~°"~~"~ PERM|T#: ELN2008'00135 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/5/2008 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 5/13/2008 TIME: 7:01AW • PAGE: 52 SITE ADDRESS: 11905 SW 91ST AVE 1 CLASS OF WORK: SUBDIVISION: (9REENBURG(}AKS APARTMENTS LOT #: TYPE OF USE: PROJECT NAME: GREENBURG OAKS APARTMENTS DESCRIPTION: Units 1 - 12: Installing fiber optics for Verizon. OWNER: VIL..LA LA PAZ LIMTED PARTNERSHIP, PHONE #: CONTRACTOR: NORTH SKY COMMUNICATIONS INC PHONE #: 360-264-0920 Inspection Request Scheduled For: Date: 6/13V2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 071318'02 503-209-7014 N Corrections/Comments/Instructions: X. PARTIAL CANCEL I I NO ACCESS PASS U �� APPROVAL 7 CALL FOR INSPECTION ADDITIONAL FEES ASSESSED /.^ �� '��A Inspector: Date: U� Phone #: (503) 718'�� n' / ~