Permit Er CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00259
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/10/2008
PARCEL: 1 S135CA -01400
SITE ADDRESS: 11410 SW GREENBURG RD 17 ZONING: R - 12
SUBDIVISION: GREENBURG TERRACE APARTMENTS LOT: 6 - JURISDICTION: TIG
PROJECT: GREENBURG TERRACE
Project Description: Units 14 -17. Install 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:
NORMAN &ANN WONG NORTH SKY COMMUNICATIONS INC
2433 NE 11TH 11818 SE MILL PLAIN BLVD
PORTLAND, OR 97212 SUITE 410
VANCOUVER, WA 98687
Phone: Contact #: PRI 360 - 254 -6920
FAX 1- 866 -530 -4325
Reg #: ELE 17- 154CLE
FEES LIC 14117
Description Date Amount
[ELPRMT] ELR Permit 9/10/2008 $75.00
[TAX] 12% State Surcha: 9/10/2008 $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 • 800.332.2344.
Issued B : $ L _I� Permittee Signat
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.
I .
,
t.
�
Ze Ne . . ..
ElectricalPermitApplicatioe ....„..,..,,,,,p-0,,,,4,„,,,,,,,,,„4„,,Ava.&;;;;00.wivirec-Apezi:
lospection Line.: 503.639.4175
0 New construction 111 Add it i on/al terat ioll/repitiCeMent Pi "''' th a (I a l'I' l y (Nul 2 , C 1 s Of 1 1101110 whleln ellccken helow)7
0 Set vice 00 lade! 400 amps or not et; a Bui[diagoVerkinVe MO
CATEGORY OF CONSTRUCTION ewi:eik toot) any:: ai ISO wits or U Floating Intildingii.
El 1- and 2-faintly cl wellin 3 0 Commercial/industrial 0 Accessory building ocop7o for MI °thee insboltetionoo. louildougs.
41 Multi-family 0 Master builder 0 Other: ! 0 Fite pomp. 0 lmaallotoion 0175 KVA coo
0 Emergency oqsieno. I:logo:um:pat:tidy non Oven system.
J013 SITE INFORMATION AND LOCATION . 0 maid). or or,v mom, losol or
lob no.: 1 Job Sit athiress: 11410 SW GREENBURG RD. ICUHP or more.
m/'*mma./aw. 14-1r Project * « me,: GF�EENBUF�(�TERRACE - g �� ^ � �� m m=p°==
--- ------
FEE SCHEDULE
C,wx street/directions m job site:
'^ MR= MR= ``'''' •
_
---' New residential single- ^, multi-family dwelling unit.
Includes ,x,,m(1mm«"
So^o/,i,mu: �»/ov�� _ux��_����_ wo5_
— ---- o" =u�/�m -
or 33.40 Tax ' --�
_ Limited mu:x residential n»u z
ncocmIPrxONop (with *)0(^qf.
umitedwwm/' multi-family
INSTALL FIBER OPTICS FOR VERIZON ,c,,,,,,„,;„, 75.00 .,
-- ----------
Services or feeders installation, alteration, and/o - mmm`ioil
um"ionitm 00.10 � .
______ O PROPERTY »vvwn�_____�[__�_ ____ TENANT m/,wp*400"."v" _ 10 2 /
�
Name: �m=vumum�x� |m)�wz � !
--- -------- /m/,."/"m/�m,."� 240.60 2
Address:
Oyer m, mno^ms or volts 454.65 z
CkvSum�x� 'temporary mr vices m feeders installation, alteration, and/or
— ----- m ��" ___ .. nw^c( ) puc( ) /xmxmow�^ uas /
[wn�l���uovu:lx/^iomm|miooy^"i^:mx�^n Is uv/ own �hah i,om m�mn�m�mmp^ --'- 100.30 - � '
intended for sale lease, rent, m exchange, xcevrdios/o0nS*47.w9.67o and 7O). 40i amps mxw «m11,; 133.75 :)
o °^*,i�omv��___ - ___________________oo�_________ ^'~~'`^~~ new, ^'~'^
[] APPLICANT ---- uumr^orvEu�N ' — - -----
each D"��^��*^� NORTH COMMUNICATIONS, INC. circuit ----
�mt*xoom� RYAN ROBERTS ~'~= =`^~='�� fee,
'------ -------E&4|-- PLAIN BLVD *"u _ -�- 2
------� Miscellaneous (service ^,m^v^ not ^,g nded)
( CitY/S/mmz!r: VANCOUVER, WA 98684 Each manufactured I »um �
-----�--' -- o"ax/"o ~"�"^ ^mm"��o~ I
|
| po���(505) �19'52h4 f»x�� )1 n=^. --- o 2
E mil' rnduor��I��lokyuornnn�corn ��'v "/'�g`//"""i'"u -�--�- ���u -�-
CONTRACTOR Rgil 01' wIiiie 110>101 hg 53.40
| y«dmumm� NORTH SKY COMMUNICATIONS INC u�a�na��*xm��
I »u«no: 11818 SE MILL PLAIN BLVD. 8TE �����L�� � ,��,'�*�"n���o/ 1 Page z 75. 00 2
-__________ _
o'YmmtC/z/r: VANCOUVER, WA 98684 - E��^«m«^»^�g�;�" over �
��w'u"/" any ^r the ' �
« `»
----' --- Per 62 50
Phone: 254'0920 mc( ) 1-800-530-4325 - -----------------
m°m/wom. per hunt v/"min) m.m
/� �a » —
CCB � �4 1 m m L 1/ 154 c. 173LEB "m �°'��m" n�o
- ^�� --�----''- ELECTRICAL PERMIT ------
x"p,v. m,c^/c/="iu,^^"�,m"inu: �� u��� _ ___ _ x"m.u/. 75��
Print name: JACK CAGLE mw rm..w,/ow ���v
c � 9'9'O� - --- �
Slone Surcharge osa ofvn.�,a= > S
Authorized signature: '
°^^'~'~ TOTAL. |
Pdmomv� Date: 9-9-08 '~"=~ ^ "^^'"u»
^ Number "/inspee'io"xImuct/ per permit.
blIllonolingW=sill.C.*ou'dApp.ilo: 0:1/2W5 4.111.4:05re//mo/rOluA5111
1 - -
CITY OF TIGARD. A.
BUILDING DIVISION PERMIT #: ELR2008-002::■9
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/1012008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 9/19/2008 TIME: 7:00AM PAGE: 24
SITE ADDRESS: 11410 SW GREENBURG RD 17 CLASS OF WORK:
SUBDIVISION: GREENBURI3 TERRACE APARTMENTS LOT #: 6-7 TYPE OF USE:
PROJECT NAME: GREENBURG TERRACE
DESCRIPTION: Units 14-17. Install fiber optics for Verizon.
OWNER: WONG, NORMAN & ANN • PHONE #:
CONTRACTOR: NORTH SKY COMMUNICATIONS INC PHONE #: 360-2646920
Inspection Request Scheduled For: Date: 9/1912008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 075672-02 503-209-7014
Corrections/Comments/Instructions:
•
•
A PASS pi PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
I I FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: 1\1%1514 Date: 9 4(1 Phone #: (503) 718- 1.51116