Permit CITY OF TIGARD
ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00149
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/10/2008
PARCEL: 2S115AA -00800
SITE ADDRESS: 10954 SW DURHAM RD 1 ZONING: R -25
SUBDIVISION: OAK TREE APARTMENTS LOT: 026 JURISDICTION: TIG
PROJECT: OAK TREE 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:
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 B 4 0. � ✓��`�
. ` Permittee Signature: 7: �� "75
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.
ki JUN 07 2009 9:45 AM FR TO 5035991960 P . 0 3
.,
Electrical Permit Application
1 7 ,i,: :.:' .,. Y" .'''''' ". .. " ' "''' ' ' .* ' ' ..' ''''' •:'::' '''; .'.'...';':.::''':••:', .*:.'"':',:..::....'':
1\1 'I ..:•• .,.....,..,::.•:•:.:‘,. ;,:„.. . i...:;:k*F0q , .::..
City of Tigard 1 :0211 Vallrfi AI Permit No.;
, q 13 I 25 SW Hall Blvd., Tig.ard, OR 07223
I , , 6 2 i itevicw
Other Pconii:
1/003y:
1 1 2 : .' Phone; 503,639.4171 Fax; 503.598.1960 .\- \\I
inspection Um:: 503,639,4 I 75 Juri. IZ See Pape 2 for
FIGARO
xl gs,i' "c!)
Intornet: www.tigard.-or.gov Tv a 1 _ • AAA . 1=p supowntm.1 i nformaiion
TYPE WORK .'. •. PLAN REVIEW .
0 Nev construction l • Please clice5; all that apply (submit 2 sets or pious wAternv checked below):
al Addition/alteration/rep cot
0 Service 05 feeder 4005555 Or more 0 Maid ins over ilitee sterim
CI Dornation 0 Other: . wheee ale:iv:nub! rata 0=w. 0 Murinas anti hoatyartiii.
exceed:: 10,000 airy,: ici ISO volts or CI Ilo-ainp twildiap.
'';::, • .•''•i..:•:: ., •• ,' , • • • : :: CATEGORY or CONSTRUCTION . , .". : ..:' . • .:' ''.'l :.:'....':'•••...•','
Icss to gl'OUNI, WM:mix lit000 El CoMillt rthl-tlio agriculituld
0 1
• and 2-family dwelling lj Commercial/industrial 0 Accessory building amp5 !kw all oilier iiisiallai loos. beildi tip,
F l Multi-family LI Master builder 0 Other: a ftire punt. 0 Invtaltation 01 75 KVA or
• , .. ' • LI Emergency queni. larger wpm-may derived system,
• :.,•:.' i .•::: ::::'••• .:• - •
JOB SITE INFORMATION AND. LOCATION :::.',.• .• .• • - ' , -.:.":•••• .'• 0 Addition urnew n,ntor load of 0 A", ''E", - 1.,r, - 1-3",
Job 00.: Job site addM SW DURHAM RD or mom.
LI Six or more rexidential intim occupancy.
0 Recreational vehicle padvx.
City/State/ZIP: TIGARD, OR, 97224 0 Health-me rAciiiiic,, 0 Supply voltage for more than
0 Har.ardous lucationr, (5410 volts nomioal.
Suite/bldg./apt. no.: 14 1-12 Project name: OAK TREE 1 & 2 APTS 0 Service or feeder GOO amps or intirc.
':. ‘:•. .'::' •: .. , :.'•' . ' " :FEE . SCHEDULE • .. •: • ' • - • •
Cross street/directions to job site: Deverlpttun , I Qty. j Fee. 'a row . 1 . _ • •
-----------,----
New residential single- or multi,randly rtwening nail.
__ Includes attached garage.
Subdivision: Lot no.: 1.000 sq. ft, or less 145.15 4
Ea. 41'1 500 sq. R. or portion MI 33.40 1111
Tax map/parrot no.: -- a-
i ,itoited energy, residential III
75.00
III
DESCRIPTION OF WORK .
(with shove s( .11.)
Limited energy, multi-famjiY Mil
INSTALL FIBER OPTICS FOR VERIZON 5.00 m
re!;1(IC11(141 Wilil above XVI. ti.)
Services or Neders installation, alteration. and/or relocation
200 amps or less II 80.30 111 2
. .
' • • • ••• ' 0 PROPERTY'OvvINER ' '• . : . .1 ., 2 . , • ..: • D TENANT ' ' ': . ' • . 201 amps to 40 am s 106.85 7
---------, _ -.--
Name: E1
401. amps to 690 am n; M I al.G0 1.111111
601 amps to WOO amps 240.0 U
---
Addle:M Ovcr i,(100 amps or voits 454.65 7
Temporary services or teeders installation alteration andfor
City/State/ZIP:
relocation
Phone: ( ) Fox: ( ) 200 amps or less 66.85 Mlle
am s to ps
Owner installation: This installation is being made on property that I own which is not 201 00 am 100.50
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. altenttion, or extension, or anel
Owner signature: Date: A, Fee for branch circuits with
. : ' I .::: ' • .. 0 APPLICANT : ' .,-.,.. - .:• :• CONTACT PERsorm • ., . above service or feeder Cue,
• 6.65 2
each branch circuit
BusineSS name: NORTH SKY COMMUNICATIONS, - or INC. S, Pee for branch circuits
_
iriatOld service feeder fre,
Contact name: RYAN ROBERTS , first branch circuit 46.85 . 2
-
Address: 11818 SE MILL PLAIN BLVD STE. 410 Enth addl branch circuit 6.65 2
- Miscellaneous (service or feeder not included)
City/State/ZIP: VANCOUVER, WA 98684 Each manufactured or modular
90,90 2
dwelline, service and/or feeder
Phone: (503 ) 519-5264 Fax: : ( )1-866-905-4907 Reconnect only 66.85 2
E mduornorthskvcomm.com Pump or irrigation circle 53.40 2
CONTRACTOR ' • L' '' . . ' . . .' ;'• • ' • Sian or outline lighting 53.40 2
Signal clacuit(a) ol. limited-
Business name: NORTH SKY COMMUNICATIONS, INC. energy panel, alteralion, or
Address: 11818 SE MILL PLAIN BLVD. STE 410 extension. Describe: 1 Page 2 $75.00 2
City/State/ZIP: VANCOUVER, WA 98684 Each additional inspection over allowable in On of the above
inspeetion 62,50
Phone: ( 360) 254-6920 Fax: ( ) 1-866-530-4325
ruvestigatiOn per hour (I ;lc trilii) 02,50
Suprv. Lie.: 173LEB
CCB Lie.: 14117 J Electrical Lic.17-154CL Industrial plant per hour 73,75
Su prv. Electrician signature, requited:
•' ''' . . - - ELECTRICAL PERMIT PEES
' '' : •• • ' •
_ Subtotal: $75.00
..■
Plan review (25% 01 permit fee):
Print name: JACK CAGLE ' Date: 6-6-08 State surcharse (12.% of permit fee); $9.00
A..... 1,lori7..±
TOTAL PER miT FEE: , $84.00
Th.$pomit applicanun expires if 9 permit is not oblailltll within 180
Print name: ETHON A DOLPH Date: 6-6-08 driy.,gic, i, has limn accepted na complete.
- -
- " Aflutter ur inspections allowed per perm it.
tamatirope,mil,.‘r.i,e.rem..App.noe mir2.0AX 440-45151'111/03/COMAVP.O
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2008.00149
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/10/2008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639 - 4175
INSPECTION WORKSHEET FOR DATE: 6/16/2008 TIME: 7 :00AM PAGE: 54
SITE ADDRESS: 10954 SW DURHAM RD 1 CLASS OF WORK:
SUBDIVISION: OAK TREE APARTMENTS LOT #: 026 TYPE OF USE:
PROJECT NAME: OAK TREE APARTMENTS
DESCRIPTION: Units: 1 -12. InMtallin9 fiber optics for Verizon.
OWNER: CARR AND, BERNARD PHONE #:
CONTRACTOR: NORTH SKY COMMUNICATIONS INC PHONE #: 360-254-6920
Inspection Request Scheduled For: Date: 5/15/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 071390 -01 971-563.4082 Y
Corrections/Comments/Instructions:
PASS ❑ PARTIAL APPROVAL CANCEL n NO ACCESS
n ,FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: : -!.// Date: I��� Phone #: (503) 718 -