Permit CITY OF TIGARD
ELECTRICAL RESTRICTED ENERGY PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: ELR2008 -00153
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/10/2008
PARCEL: 2S 115AA -00800
SITE ADDRESS: 10970 SW DURHAM RD 43 ZONING: R -25
SUBDIVISION: OAK TREE APARTMENTS LOT: 026 JURISDICTION: TIG
PROJECT: OAK TREE APARTMENTS
Project Description: Units: 37 -44. 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
Reg #: ELE 17- 154CLE
FEES 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 $84.00
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: / _ � Permittee Signature: /
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
JUN 07 2008 3:46 AM FR TO 5035981960 P.07
... , ,
Electrical Permit App licati on OCE ' :' ' ,';..:;:•.:.:.:,,,.:....: ,..,.... fo.. Y,:
• . •..•:••:,',. City of Tigard A ., a Vr Pcnoi■ No.; ;7 . : j 13-,
..14 . ', 4 13125 SW Hall Blvd., Tivrtli OR 97223 iUlq ki U L
• Phone: 503.639.4171 Rut; 503.598.1960 ' , , linirt. 1
Inspection 503.639,4175 raG i. - 442131 !uric F4 See Pitge 2 for
T IGARD , . ". CM °V ZI• ' ' Supplemental Information
. interact: wwwitgara-or.gov i NI k
•.. , . " . •, .. ..• . , ,
Flew cl‘cdc . (who* 2 xccx of pieux writeme checked !mime):
CI New eOnstittaion Ell Addition/alteratiOn/replaoement
0 Service or feeder 400 .ions or mote 0 Building over dime xtorle$.
0 D,,,mQii,i„,, 0 Other: where nic availahic fault current °Marinas nod boatyard:.
. _ . . . . .,
' , .•'.,'...::;...-.'•,'..., '' ..:,:.,,::, : ..'.... ::•:. 'CATEGORY ;OF . CONSTRUCTION „ .., • ;: • '. '.: .',.::.' :i. '..". ' exccAl$ 10,000 tunes la 150 volts or LI Flowing buildingi.
limb, grOutiti. or 444:4 14,0(10 0 Cniumercill•tilc agietilturill
El 1- and 24ninily Clw0Iling 0 Commercial/industrial El Accessory building amp l Ail other inetailatiutle. building.i.
CI Multi-family ID Master builder 0 Other: CI Elm pomp. ID lastallinioa of 75 KVA or
' ' ' 0 alersrency %weal. !Cover separately derivcil system.
• ' :. ....': .,' " '..' .. 1E0B 'SITE INFORMATION AND. LOCATION l..:,::: •.:•:, ,•••.''' .':
. . 1:Incon'ton or new motor load or 0 "A",
100HP or mom. occupancy.
Job no: Job .site address: 10970 SW DURHAM RD o Six or more rcstdcluial unioi. CI Km:motional vile orb..
City/State/ZIP; TIGARD, OR, 97224 0 Hcalth-ctn l'acilitic5. p Sopply voltage for more then
0 H.,,,o... k;.atiQn*. 6(10 volts nomival.
Suite/bldg./apt. no.: q 37-44 Pro ruunc: OAK TREE 1 & 2 APTS D scryicc or feeder 600 moot or room
---- .
Cross street/directions to job site: Dexcripteie I ow. 1 pee. I Teo _ 1 •
New residential single- or multi-family dwelling unit.
Includes attached garage.
Subdivision: 1 Lot no.: 1.000 sq. ft. or less 145,15 4
Ea. add'( 500 sq. It. or portion 33.40
. .• i
Tax map/parcel no,: 1.,1171ed energy, - residential 75.00 2
• DESCRIPTION OF WORK • (with above sq. A.)
— ,
energy, multi-Nrilly .
INSTALL FIBER OPTICS FOR VERIZON limited residential (witlt above 4_0.) 75.00 2
- Services or feeders installation, alteration, and/0r relocation
200 amps or less 80.30 2
0 PROPERTY. OWNER • ' ':. .-; :_
, .. . ‘. .. a TENANT •• : ., .. :' 201 amps 10 400 amps (06.85 2
__ .....
Name: 401 amps to 600 maps 160.60 2
601 amps to 1,000 amp:: 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City/State/ZIP! Tempora ry services or feeders installation, alteration, and/or
relocation
Phone: ( ) Fox: ( ) 200 amps or less 66.85 1
... .. -
t o 400 amps (00.30 2
Owner installation: This installation is being inadc on property that I own which is not 201 amps
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, alleratioi per panel
Owner signature:
Dale: ----------=----- A, Fee for branch circuits ivirh - -
,...: , '.' •, ' 0 APPLICANT • .,.. • :... • I : • • 12 - CONTACT PERSON • • • above service or feeder fee,
6.65 2 •
each bfatteh CleCtlit
Business name; NORTH SKY COMMUNICATIONS, INC. B, Fee for branch circuits - -
ividiaia service or feeder fee,
Contact name: RYAN ROBERTS • first branch circuit 46.85 2
—
... . .. _ . -
I
Address: 11818 SE MILL PLAIN BLVD STE. 410 Each addr1 branch circuit 0.65 , 2
lvtiscellaneouslservice or feeder not included) •
City/Slate/ZIP: VANCOUVER, WA 98684 Each manufactured or modular
90.90 2 •
dwelling, service
Phone: (503 ) 519-5264 Fax; : ( ) 1-866-905-4907 . and/or feeder Reconnect only 66,85 2 .
E.mail: mduor(6northskvcomm.com .._. . pomp or irrigation circle 53.40 2
..: • .• - • . ... • • • . . ' ' ." : • coNTRAc"roR . • • • • • •. . - . ' • :., .: . ' Sign or outline lighting 53,40 2 '
._.
— - -- ' Signal circuit(s) or iimitod.
Business name: NORTH SKY COMMUNICATIONS INC. energy panel, alteration, or
Address: 11818 SE MILL PLAIN BLVD. STE 410 extension. Describe: I Page 2 $75.00 2
City/Statc/7JP: VANCOUVER WA 98684 Each additional inspection over allowable in any of the above '
— Per inspection 62.50
Phow: ( 360) 254-6920 Fax: ( ) 1-866-530-4325 invemi per flour (1 Or min) 62.50
CCB Lie.: 14117 Electrical Lic.i 7-1 54C L a $
_upry. Lie.: 173LEB Industrial plant per hour 73.75 .
Sttorv. Electrician signature, — • - • '... •, ' • • ELECTRICAL PERMIT FEES ' ' .• -
required: .. 46 Subtotal: $75.00 ,
Mon review (25% or permit rue): print name: JACK CAGLE Date: 6_6_08
— State surcharge (12% of permit feel; $9.00
..
Authorized signature: ....e,..,....,4:: / ,.. . . . .. .../
TOTAL PERM It' PEE: $84.00
....
— Toll permit ni)plleation expire$ if A permit is not obtained within ISO
Print name: ETHON A. DOLPH Dmc; 6-6-08 days after il has neon accepted as compirtv.
. Number ul Mspeetions ii(hovel per permit.
kNISiiikiingTeimINWliCi.PetereApp.iiric
05/2.111)6 .140-40 151%(11/0,VCOMAY1.:13
- ` ~ ^ . `•
CITY OF
��oN n ��m TIGARD
BUILDING DIVISION ~°~,.~~~°."°~= ~~"°"~°"~~.~ PERK4|T ELR2008-00153
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/1012009
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 6/16/2008 TIME: 7:00Ah4 PAGE: 60
SITE ADDRESS: 10970 SW DURHAM RD 43 CLASS OF WORK:
SUBDIVISION: OAK TREE APARTMENTS LOT #: 026 TYPE OF USE:
PROJECT NAME: OAK TREE APARTMENTS
DESCRIPTION: Units: 37-44. Installing fiber optics for Verizon.
OWNER: CARR AND, BERNARD PHONE #:
CONTRACTOR: NORTH SKY COMMUNICATIONS INC PHONE #: 360-254'6920
Inspection Request Scheduled For: Date: 6/16/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 071390-05 971-563.4082 N
Corrections/Comments/Instructions:
•
~Prl<SS PARTIAL APPROVAL CANCEL NO ACCESS
| I FAIL I | CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
^�' �~ -
Inspector: �~�� ' �^��~� ^ Date: ��
~ Phone #: /603\ 718-