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Permit 7 CITY OF TIGARD o, i ... ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00164 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/10/2008 PARCEL: 2S115AA -00800 SITE ADDRESS: 10962 SW DURHAM RD 16 ZONING: R -25 SUBDIVISION: OAK TREE APARTMENTS LOT: 026 JURISDICTION: TIG PROJECT: OAK TREE APARTMENTS Project Description: Units: 13 -16. 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 $84.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344. Issued By: .`� ,,, ___ Permittee Signature: ,.�� OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. JUN 07 2008 3:45 AM FR TO 5035981960 P.05 p • ' ' - .. - Electrical per mit Applic hon I 1 U1iQ I. U b L` .CINLY ': i City of Tigard 1 Q 6 Z (1 � _1_1137"x'/1 i): %�I� Pcrntit isio " : � '/ .O - 2w '�C.C,it� ( 11 13125 SW Halt Blvd., Tigard. OR 97223 �U Plan Reviow . — * : Plume: 503.630.4171 Pax: 503.598.I960 aale,r3 0dbu Permit; Sy r p, 3'I "(iARO 0 Inspection Lino: 503.639.4175 l l v tic Ready /0y: G3 qee Page 2 for lnternet: www.tiaard- or.00v Ci �D t gibed /Mcthad: ill Supph:mcntnl Information ILD ;:: •,s...;...,. ;, . ,:; , . :, PLAN 1ltl:Y.IEW "': ❑ New construction 0 Addition/alteration/replacement P1044 check all Ib n apply (svI iiir 2 scu of pi n. Wile= checked below): I„! Service or reader 400 daps or more In flooding over (tire ttol•iet. ❑ De molirion 0 Other: where the;w:d hle fault vnrreiu ❑ Mvetr l$ :Ind tlnaiyortlt. ..::.1:; .,...: , .';.:1: .' execeds 10,000 amps at 150 volts or ❑ Flndting buildings. • I - and 2- fetal! dwelling ATT CATEGORY O� GONSTtiIICTiON. building 1 Y toss to ground, or exceeds 14,000 ❑ Coromcrci:d -use agricultural y ❑CommerciilE /indusi ❑ amps for all other imtsrllulions, buildings, , Q Multi- family 0 Master builder ❑ Other ❑ Fire mono, C1 mutilation or75 KVA or ( )0uurgoci y system. larger ads, slaty tlu ived system, . .. ' J OI3 • SITE • INFORMATION AND LOCATION ' , . : ': ' ❑ Addition of new motor load or ©"A" "F" ., I _�„ •. I _i Job no.: Job site address, 10962 SW DURHAM RD I(1DHP or mum. 44111Nltley. ❑ Six or aura msidcntial 'MIN. ❑ Recreational vehicle parks. City /State /ZIP: TIGARD, OR, 97224 © Health-care iaciliiics, ❑ Supply votrtgc for aforcthan ❑ Ha'al't10ct tocadont. riot) votrs 1»ntina1. Suite/bldg./apt. no.. it 13-1 tp Project mute: OAK TREE 1 812 AP'S O Ser - vr`re o � r feeder 640 amps or metre. CrUss sweet /dir:ctions to job site: ` . C GE SCHEDULE J IlexcdPllatl I Qlv, 1 Nee, 1 - rLtnl l • E Now residential single- or multi- P:amity dwelling unit. Include$ attached garage. Subdivision: TIt no.: 1.000 sq, R, or less 145.15 I I 4 Ea. tidal 500 sq. It. or portion 33.40 I 'I'nx map /parcel n0,, Limited energy, residential ' DE.SCTtu rtON OF WORK ' (with :!sere sq. rt.) 75.00 2 Limited energy, multi fmnily 75.00 2 INSTALL FIBER OPTICS FOR VERIZON residential (with above *1, h.) Services or feeders installation, ttltertation,. ild /or relocation 200 amps or less 80.30 3 ... ❑ PROPERTY- OWNER • • 1 . 0' TENANT , ' 201 amps to 400 am()s 106.85 2 401 amps to 600 amps Is 160.60 2 Name: P I ' . . 601 amps to 1,000 amps _ _ _ 24040 2 Address: over 1,000 amps or volts 454.65 2 City/State/ZIP'. Temporary Services or feeders installation, alteration, and /ot' -.-.. eIOc ttion Phone: ( 3 Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 romps la 400 Winos 100.30 2 intended fot• sate. lease, rent, or exchange. according to 0125 447, 449, 670, and 701. 401 ancps to 599 amps 133.75 2 I ;t'unch circuits - new,; lteratlon, or extension, filer panel (IwnGr si natttr•e: Data — A, Fee for branch circuits with ' ' : ❑ APPLICANT • ' O • CONTACT PERSON above service or feeder fec, G.GS 2 eac11 branch circuit i Business 'tame: NORTH SKY COM MUNICATIONS, INC. B. Feel r branchcircuits RYAN R ERTS u:i!llprrl s ervic e or tccd f ee, Contact nano: 11,11. bt:Inch circuit 44.85 2 Address: 11818 SE MILL PLAIN BLVD STE. 410 Gi1Ch ilddvbr. h l011 ticcuit 6.65 2 i Miscellaneous (service or feeder not in cluded) City/State/ZIP: VANCOUVER, WA 98684 Each manufactured or modular 90.90 ( 2 dwelling, service and /or feeder Phone: (503 ) 519 -5264 Fax:: ( )1 - 866 - 905 - 4907 Reconnect only ' 66,85 2 E ^alai!_ rndUQ nc $kl/r•+Qinnitcr- t i - -. Pump or irrigation ... 53:40 2 CON'TRAC I (lR Sign or outline lighting 53X10 2 Sisgnal cirecit(s) or Gtnimd- Busincss name: NORTH SKY COMMUNICATIONS, INC. enorgy panel. alteration. or Address: 11818 SE MILL PLAIN BLVD. STE 410 - extension. Describe: 1 rase 2 $75.00 2 City /State /ZIP: VANCOUVER, WA 98684 Each additional inspection over allowable in any or the above Per inspection 62.50 Phone: (360) 254 -6920 I Fax: ( ) 1-866- 530 -4325 invesrigalion per hour f i i r min) 62..50 CCB Lie.: 14117 Electrical Lic.17 -154CL S lie.: 173LEB Industrial plant per hour 73,75 '.... ELECTRICAL PERMIT FEES` .. ' • SEtpt - v. Eilec.riuia c Signature, required: Subtotal: ,Q,75.0(? P h . a re view ( 25 % H ermit fee): print name: JACK CAGLE Date: 6 -6 -08 state surch:u (12% permit fet.): $9,00 Aciih c'i'LCd signanoi -a: ` y 61.- ! TOTAL PERMIT rare: $84.00 Thiti permit application eapiren if a permit ie rut obtained a,ithiu 150 Print name; ETHON A, DOLPH Date: 6 -6 -0$ IIay.Egncl If hi4tlll'enae<tple,rt a. orn,,tete. v I!tattler or intpeelitlns ;Ilivwe4 mar permit. lanuilding l'ermits\F.I.tfl'rmd,ylpllnc 092 /06 aan.a6i Sr(1 uttrCOstnvliI3 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2008 -001 &4 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/10/2008 Phone: (503) 639 -4171 � �,m� u � iili ,� t � l Inspection Requests (24 Hrs.): (503) 639 -4175 . ' __.. INSPECTION WORKSHEET FOR DATE: 6/16/2008 TIME: 7:00AM PAGE: 62 SITE ADDRESS: 10962 SW DURHAM RD 16 CLASS OF WORK: SUBDIVISION: OAK TREE APARTMENTS LOT #: 026 TYPE OF USE: PROJECT NAME: OAK TREE APARTMENTS DESCRIPTION: Units: 13-16. 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 -03 971-563 -4082 N Corrections /Comments/ Instructions: 4. • ` ASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: V Date: j d 4t. Phone #: (503) 718 -