Permit •
q CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00154
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/10/2008
PARCEL: 2S 115AA -00800
SITE ADDRESS: 10982 SW DURHAM RD 45 ZONING: R -25
SUBDIVISION: OAK TREE APARTMENTS LOT: 026 JURISDICTION: TIG
PROJECT: OAK TREE APARTMENTS
Project Description: Units: 45 -52. 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:
BERNARD CARR AND NORTH SKY COMMUNICATIONS INC
ROBERT LABBY TRUSTEES ET AL 11818 SE MILL PLAIN BLVD STE 4
633 NW 19TH AVE VANCOUVER, WA 98687
PORTLAND, OR 97209
Phone: Contact #: PRI 360 - 254 -6920
FAX 1- 866 -530 -4325
FEES Reg #: ELE 17- 154CLE
LIC 14117
Description Date Amount
[ELPRMT] ELR Permit 6/10/2008 $75.00
[TAX] 12% State Surch 6/10/2008 $9.00 REQUIRED ITEMS AND REPORTS
Total $84.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copies of these
rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: ,�� � r �� Permittee Signature: L� X
_. ''
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
. JUN 07 2008 3:46 AM FR T0 5835881 86 0 P.08
■■ L
I ii
inspeetion Lin: 503.639.4175 et" y) Dam Ready/By: .1. a sec pp 2 for
T1 GAB:D
mean dye,* illi Nu apply (!atholit 2 :cit or pians whom,: oicacd !wow):
ID New construction all Addition/alteration/replacement
0 Service or feeder 400 :imps or morc 0 Building over (lure stories.
.0 Demolition 0 Other: whnm thn available thult Curtent 014lann2ti :Inn holnyttobh
01- and 2-family dwelling 0 Commercial/industrial 0 Accessory building lunpforalwftriml:aluont. wife iiip .
Et Multi-family 0 Master builder 0 Other: 0 Pitt pump. 0 Installation of 7,$ KVA Or
100HP or intim occupancy.
Job no.: Job site address'. 10982 SW DURHAM RD .... 0 Six or more residential pints, 0 Reereationnl vehicle tiaks.
Suite/bldg./apt. no.: 0 45-52 Project name: OAK TREE 1 & 2 APTS• 0 suruke or feeder GOO amps or more,
Cress street/directions Eo job site: 1)p3:01 Ilan EWE --=. INZMIni
- New residential single- or multi.fumily dwelling unit.
Includes attnehed pine.
1,000 sq, 11. or less 1.111Egligi
subdivisio. . [lot no.:
Ea. itdd'I 500 sq. 11, or portion 11.11.130 1111
Tax tnap/parcel no,: Limited energy, residential 75,00
II
' DESCRIPTION OF WORK • (whh above .• .11)
Limited energy, multi-fsmily 1111 75,00 Nilo .
INSTALL FIBER OPTICS FOR VERIZON Midelltita With ;1150VC SY . it.)
Services or feeders installation alteration, and/or relocation
200 amps or less M 00,30 El
401 amps ce 600 amps IIII 160,60 II
Address: Over 1,000 timps or volts MI 454.65 Bill
Temporary services or fbeders installation, alteration, and/or
relocation
201 amps to 400 amps 1111 i00 111111111111
Owner installation: This installation is being inade on property that I dawn wilicth iS not '
intended IV sa1e, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 399 amps MI 133,75 =MEI
Branch circuits - new, alteration, or extension, er anel
Owner signature: Date: A, Fee far branch circuits with
. . • ‘ '..... . ' '0 APPLICANT : ' ',•:: ', " : ::: • .• .: • • 15I 'CONTACT PERSON • . , above service or feeder fee, 6_65 NM '
c ac 1) branch circuit
Business name: NORTH SKY COMMUNICATIONS, INC. B. Fee for branch circuits
without service or ruder i'm
Contact mane= RYAN ROBERTS lifst branch circuit 46.t5 11111
Address: 11818 SE MILL PLAIN BLVD STE. 410 iiiiiiii ,.,.. MI
- Miscellaneous (service or feeder not incluued _
Ci ty/State/ZIP: VANCOUVER, WA 98684 Euch inapaucttifed or modular al 90.90
dweltint., service and/or feeder
Phone: (503 ) 519-5264 Fax: : ( )1-866-905-4907 ROCOnnOCt Only Mil 66-85 MINIM
E tricikaara_north5Jwcomm.COm Pump or irrigation circle MN 53A0 IIEI
H . ' • Sign or outline lighting = 5140 Min
Signal eircuit(s) or limited-
B usiness name: NORTH SKY COMMUNICATIONS, INC. _ energy panel, alteration, or
Address: 11818 SE MILL PLAIN BLVD. STE 410 extension, Describe: Page 2 $75.00
CiLy/StateiZIP: VANCOUVER, WA 98684 Each odditional inspection over allowable in an of the above
Ce Lie. 14117 Electrical Lic.17-154CL oe surv . ,1- ie 173LEB Industrial plant per hour = 73,75 II
Soprv. Electrician signature, required: Subtotal: ., ip .
MIIIIIMEMEMEERMEMErati
Print name: JACK CAGLE Dale' 6-6-08 State surcharge (12% of permit foe)! ', • .00
This Permit aPPlicanett eXoces a• 11 ptroth ls not obtained within ItIO
Print name: ETHQN A,,DOLPH Date: 6-6-08 tta arter It hag been nceepted os toinplete,
' Number of inspeelions allowed per permit.
-. '' � ' ..
CITY OF ��m n m n�'m TIGARD
BUILDING DIVISION - PERMIT #: EUR2008'00154
| 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/1062008
Phone: (503) 639-4171
Inspection Roquea����Hmj:�Q3)6304�175 -� ^�
INSPECTION WORKSHEET FOR DATE: G / 16/2O08 TIME: 7:00AM PAGE: 49
SITE ADDRESS: 10982 SW DURHAM RQ46 CLASS OF WORK:
SUBDIVISION: OAK TREE APARTMENTS LOT #: 026 TYPE OF USE:
PROJECT NAME: OAK TREE APARTMENTS
DESCRIPTION: Units 45-62. Installing fiber optics for Verizon.
OWNER: CARR AND, BERNARD PHONE #:
CONTRACTOR: NORTh SKY COMMUNICATIONS INC PHONE #: 360-254-5920
Inspection Request Scheduled For: Date: 6/16V20013 Pour Time:
Code # Inspection Description Confirm # Contact # Message
136 Low voltage 071390'03 971-663-4082 N
Corrections/Comments/Instructions:
/
�/ 1
' C
Li D CANCEL 0 NO ACCESS
n FAIL H | CALLFOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: ���� �N� __._,„ ~. Datm: ~/ ' , /�^ 'hone #: (503) 718-