Permit 11 I
CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2008 -00150
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/10/2008
PARCEL: 2S 115AA -00800
SITE ADDRESS: 10958 SW DURHAM RD 17 ZONING: R -25
SUBDIVISION: OAK TREE APARTMENTS LOT: 026 JURISDICTION: TIG
PROJECT: OAK TREE APARTMENTS
Project Description: Units: 17 -28. 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: Permittee Signature: ' Gs����yk/
OWNER INSTALLATION ONLY i
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 3:45 PM FR TO 503598 1 960 P . 0 4
Electrical Permit Application OCE- - - .:::,',''',../ :' ...•".'iz :: , . ,. .:Y.: - ..:2: - :', , . - :! . ....::•:::' . ...:....
, d)
11111' ." 13125 SW Hall Blvd., Tigtod, OR 972.23 \ V u " Plait Review ' ''
' • ' a ': , Phone: 503.6394171 Fax; 503.598,1960 ' . vete/By: Other Pugin,:
i 6 ARD, inspection Line; 503,639.4175 OVIIGk‘k
. • gatty/t3y; Jiick:
0 See Page 2 for
— Internet: wwward.or,gov CO _ ., xl‘ c edilvfeclual: . ' •uppl :n
emental lateration
Please check all that ;ipply (submit 2, scw 01 ow W/IICIIN QIICel:cd liclavt):
0 New construction Ell AdditiOnhliet'ation/replacemont
0 Service or leader 00 amps or wore 0 Building over three sturic.
0 00mOlition 0 Other: .vhare the avail:two Full CUITCIII. 0 Mitrintro tint! boatyituh,
' ':.. ::: r , • . :: '' .: . : .. :'. ' :: CATEGORV '' OF : CONSTRUCTION..•-:.: .:••••: :: : • '::.•. - : •:. .1:-•,!. ClIcWIN 10,000 amps at 150 volt!: or LI 1;10;tring buildings,
Iasi to pound. or tn<coe& 14,000 0 COIllmervial..e aviculimil
0 1- and 2-family dwelling El commorctovindustriol 0 Accessory building amps, for all other installations. boildiv.
113 Multi-family 0 Master builder 0 Other; 0 Pits pump. 0 installation of 7.5 KVA or
. • . MEtnergency system, larger t.cparaicly ildrivexl
• ':•.•:-:: • •': '.. JOB SITE INFORMATION AND • LOCATION •'' :. : : • • •";:,":'. '..: - .1 Yyntsnt .': .'• r`r
i __, Addition of new mcnor lonti of El "", "", "1 ", " I -.
100HP or more. occupancy.
Job no,: Job site address: 10958 SW DURHAM RD 0 six er more rcsitle Mita sin, El Reereational vehicle parkg.
City/State/ZIP: TIGARD, OR, 97224 0 care facili I les. tj Supply voltage for more than
0 Havanlaug locationg. 600 volts 1o0th01-
Suite/bldg./apt. no.: 417-28 1 P 93 . 1 " 1. Ilamc: OAK TREE 1 & 2 APTS 0 Service or feeder 600 amps Or 111(}1t.
».': FEESCIIEDIJL,E
.........,
Cross street/directions to job site: ' 'pavilion I qty. r Fer. I ..., i •
_ __................_ .... ......._
New residential single- or Multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no.; 1.000 sq, ft. or less _. 145.15 _ .... 4
Ea. ;WWI 500 sq. ft. or portion ,
• 33.40 1
Tux rnap/parce1 no.:
Limited energy, residential
• 75.00 2
DESCRIPTION OF WORK ' (with ehove sq, 11.)
ited cnorgy, multi-family
INSTALL FIBER OPTICS FOR VERIZON Lim residential (with ithove sq. fi.) 75.00 , .,
Services or feeders installation, alteration, and/or relocation_j
.. . _ 200 amps or less 1_ 2 I
.
': • : i . .. ' 0 PROPERTY 'OWNER , ' . • 1 : ..' •• - ' .•.0 TENANT ' ' .: '. • .''' 201 amps to 400 amps 106.85 -)
— .. ..., . .
401 amps to 600 IIIIII7S 160.60
Name: . 2 _ -
.60 I :imp to 1,000 amps 240,60 2 ,
Address:
Over 1,000 amps or volts 454.65 2
City/State/ZIP: Temporary services or feeders installation, alteration, and/or
relocation . ..,
Phone: ( ) Pax: ( ) 200 amps or less 66.35 I
2
Owner installation; This installation is being made on property that 1 own whi 201 amps IQ 400 amps 100,30 ch it; not -
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amos 10 .199 amps 133.75 T
,
Owner signature: BrAu I
ch circuits - new, alteration, or extension, per panel
__ _ Date: _
A, Fee for branch circuit', With
'. •• ''•''... .. ': . . . : 0 APPLICANT : . s '.••• •• ra.CONTACT ' PERSON • • ; ;above service or feeder fee. • . .
[ 6.6$ 2
each btanch circuit
Business name: NORTH SKY COMMUNICATIONS, INC. B. Fee for branch circuits -,----,
' wititoor ServiCO Or feeder ee,
Contact name: RYAN ROBERTS • f
t branch circuit 46.35 2
Address: 11818 SE MILL PLAIN BLVD STE. 410 Each add'I bfanell Ciitnil 6,65 1
. ....., .. 2
Miscellaneous (service or feeder not includeq
.
CitY/Stalcaft VANCOUVER, WA 98684 Each manufactured or modular
2
, ce ..,
Phone: (5Q3) 519-5264 F dwelling servi and/or feeder
aX; ( )1-866-905-4907 Reconnect only 66.85 2
. . . ,
E mdkigrenorthskVCOMM•COM Pnrnp or irligalion circic 53.40 2
. . • : CONTRACTOR • • . • ' • • • ' • .' ' . ' '. ' Sign or outline lighting 53.40 - 2
. . .. - ..
Signal eircuic(R) or timitee.
Business name; NORTH SKY COMMUNICATIONS INC. , energy panel, alteration, or
Address: 11818 SE MILL PLAIN BLVD. STE 410 exten(ion. Describe: 1 Page 2 $75.00 2
City/State/ZIP: VANCOUVER, WA 98684 Each additional inspection over allowable in any of the above .
Pet. inspection 62.50
Plicno ( 360) 254-6920 Fax: ( ) 1-866-530-4325 Invest igittiOn per hour (I lIf min) • 62.50
, --- -
CCB Lie.: 14117 occivica) Lic suprv. Lic.: 173LEB Indistarial plant per hour 73,75
'--
,.:.' .•:....." . -... ELECTRICAL PERMIT FEES • '. ' ' •
Suprv. Electrician signature, required: Subtotal: $75, op
Print name: JACK CAGLE D 6-6-08 malt review (2S% or permit fee):
— state surcharge (1255, of permit fee): $9.00
Authorized teignature: g
TOTAL PERMIT FEE 84.00_,1
Tuts permit npolicatin o
epirai s 'I ll peratif iS not mauled within ISO
Print n ETHON A. DOLPH • pat 6-6-08 days after it (155 Iwo :wei)Ieil As compicie,
' Number of insoretionz allowed per ',until.
I nenilaing\Pconiumil,Ciroonn App arc 050:111/5 440-46131'o italf:OSAAVEll
'
C ITY OF ��nn n v�pm mu�m��n���
BUILDING DUVUSUON � PERM|T �R2OO�(01GO
| 131258VVHaUB�d, Tigard, ORQ7223 DATE ISSUED: 611012006 Phone:(5O3)G3Q�171
Inspection Requests (24 Hrs.): U503 639'4175 ~ J . ..tatl J�
INSPECTION WORKSHEET FOR DATE: 5/16/20O8 TIME: 7:00Ak8 PAGE: 65
SITE ADDRESS: 10958 SW DURHAM RD 17 CLASS OF WORK:
SUBDIVISION: OAK TREE APARTMENTS LOT #: 026 TYPE OF USE:
PROJECT NAME: OAK TREE APARTMENTS ,
DESCRIPTION: Units: 17'28. Installing fibr optics for Verizon
OWNER: CARR AND, BERNARD PHONE #:
CONTRACTOR: NORTH SKY COMMUNICATIONS INC PHONE #: 360-254.6020
Inspection Request Scheduled For: [}ate: 6/16y2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
136 Low voltage 071390-02 971'603-4082 N
Corrections/Comments/Instructions:
rc
.
.
PASS PARTIAL APPROVAL El CANCEL ri NO ACCESS
| I FAIL ri CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector Date: ', 1 . Phone #: (503) 718-
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