Permit iiiiii
CITY OF TIGARD
ELECTRICAL RESTRICTED ENERGY PERMIT
COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00281
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/1/2008
PARCEL: 2S 102AA -03301
SITE ADDRESS: 12345 SW HALL BLVD 21 ZONING: CBD
SUBDIVISION: TIGARD TERRACE APARTMENTS LOT: JURISDICTION: TIC
PROJECT: TIGARD TERRACE APTS
Project Description: Units: 21 -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:
GREENVIEW INVESTMENTS, INC NORTH SKY COMMUNICATIONS INC
5229 SE HILL RD 11818 SE MILL PLAIN BLVD
PORTLAND, OR 97267 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 10/1/2008 $75.00
[TAX] 12% State Surch 10/1/2008 $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.
Mb
Issued By: Permittee Signature: 71<775cJ7✓
/NW
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.
.
. 1,,.
Electrical Permit AP P lica t
incEivED - :AgS.VWEOifVtfMEEMFigtRTZNgVegairitM
..0' c i ty of Tigard Received
13125 SW Hall 41s.d., 'Thtard, OR 97223
1 ' % nom 50
:: 3.639.4 17 I l 503.11988Ef
3 0 2008 ()meaty: 9/3d ; >d p fi __,e - - • i
4 '1
p„,::iteyies,• ,
0,,,,,o 0,1,0„„,,•,„ii
„Tio ,
,,, 1 I • .• pr,L41 • 011 I 501 6
. .
M. •. 1 1 . • 9 4175
A t nr , Th A - . . Dit U Rvady/by: Fi See Page 2 rot-
""': Internet: www.tigard-or, goy a • ' RD ._ suppk,,,enial information
- -
TvPF OVIEBM DiViSION PLAN REVIEW
nte0,0 eiie:-)i iia unit apply tmnit :), seic isipi.uv is:/iteur,;.:1aed
0 NeW ConislIltlill011 NI Addit101) it let mien/replacement
0 Service it, reingiii 400 amps Or 100C 0 Illildilig 1) INCA: MI.VIC:■,
Eil DelnOl iti On 0 Other: itinent nit; tivailinIc !heti Sot re 0 Nlauibv awl boatYards.
CATEGORY OF CONSTRUCTION eweeth in.00n snip, ai 15,0-volts et 0 Ulm( ifq: building,
leis to gtound, or e \ciiciN IO(11) 0 Clumn:jai-we itiicultural
0 1- ancl 2-Family dwelling 0 Con»nerciaiiindustrial El Accessory building (sill (Oa ins1,111iions. buildings.
E:j muiii_f8mil 0 Master builder 0 Oilinr: 0 line pump. ! 0 histallatiolt of 75 KVA of
,
— I 0 timeiclic;y syStern. 'MINI' SC pa 1 ale y :Jet 'veil system.
JOB srrE INFonmATIoN AND LOCATION 0 Addition 01'00w innea toiid or
Job no.. Job ( add(
1 • s i , L. •,, • Lss. 1 2345 SW HALL BLVD. )00141 or Illore,
0 Six ur mute resadineial Hails. becupbacy.
0 Ito:le:1(1,ml "Chid,: pa:,
City/Slille/ZiP: TIGARD, OR 97223 El ii,,,,,,h.e.t.thti.,. El Supply voltage ho :owe than
0 liaxibeimi; kattioni. 600 wits 'luminal.
So i to/bldg/apt. no.: 2 1-28 PlinJect inone: TIGARD TERRACE _P __ s'' , it."C 01 : ittllpN 01 Molt,
—
--- ...... FEE SCHEDULE
C ons stree.tklirectiont; to job silo; 1).c. nion , IV. EME111111
New residential single- or multi-Family dwelling unit.
Includes attached garage.
Subdivision: 1 Lot no.: 1.000 sq. R. or less 145. l 5
ac I 4
Ea. kill 500 sq. R. or portion 33.40
1
Tax map/parcel no.:
limited energy, tesidoatial
75.00 I '
DESCRIPTION OF WORK (with above :4,1.11.)
Limited energy, intilmiinniiy
75.00 I
INSTALL FIBER OPTICS FOR VERIZON resadetil lid (wall above .sq. 11.) '
— Services or feeders installation, alteration, and/or relocation
2 I
200 amps or less 80.30
El PROPERTY OWNER ' El TEN A rs".lf 20 i timps 4,400 amps 106.85 -- — 2 1
•
Name: 401 amp; to 600 amps 160.60 2 j
601 amps to 1,000 amps 240.60 2
Add ross: Over ! ,000 amps or volts 4.54.65 2
Ott y/St ate/ZIP' Temporary services or feeders installation, alteration, and/or
— relocation
Phone: ( ) I Fax: ( ) 200 amps or less 66.85
t I
Owner installation: 'Fhis installation is being made on propt.uty that 1 own which is not 301 imps to 400 slam;
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 antes to 599 amps --T.— 2
I 33.75 00.30 1 2
I Branch circuits - new, altcratio 1. or extension, per panel
Owner signature: Date:
1 A. Fec for branch circuits with
I .
0 API'EICANT El CONTACT PERSON above sevviee or rCeder fix, 6.65
each branch circuit l 1 2
Business name: NORTH SKY COMMUNICATIONS, INC, B. Fee for 1./: ;welt eit cults
. _ .
1141 i1011( service OF CO:kr Ice, i
Contact name: RYAN ROBERTS j 40.83 1
____ 2
Address: 11818 SE MILL PLAIN BLVD STE. 410 0 30 :KIWI branch citettit I 6,65 2
___ Miscellaneous (service or feede • not included)
C VANCOUVER, WA 98684 Each manufactured or modular
90.90 1 2
— --- ({Wellincl, service. and/or ft:Cdel' i
—
PI10111:: (503 ) 519-5264 I Fax: : ( )1-866-905-4907 _
Recormect only 66.85 1 2
1------ — —_--- _ .___
1 E mduor(a.northskycomm.corn Pump or irrigation elide 5140! 2
7 -- ----
j CONTRACTOR Sign or outline. lighting 53 40 ; I l?
, _
Signal eireuit(s) or limited- i
1 Business name: NORTH SKY COMM NICATIONS, INC i
l•-• • energy panel, altos:alum or
1
I Addretis: 11818 SE MILL PLAIN BLVD. STE 410 extension. prisctibe: 1 Page 2 $75.00 1 2
1 -
City/State/ZIP: VANCOUVER, WA 98684 __Each additional inspection over allowable in any of the above
Per inspection 62 50
Phone i ( 360) 254-6920 r Fax: ( ) 1-866-530-4325 investigation per hotw 0 hr mho 62,50 -
CC8 Lie.: 14117 Electricall-ic-17-154CL Supry. Lie.: 173LEB indumda) plant per hour 73.75 I
Suprv. Electrician signature, require(1:
ELECTRICAL PERMIT FEES
....._ ___ _ _____Z Subtotal: 1_175 n
V.V...._.
Plan t civic,' (25% of pitobil lee)!
Print name: JACK CAGLE Dale: 9-30-08 _ State surolutige II 27o of permit fee): _59
Authorized signature: ____••••••.!_4.4, 0, TOTAL PERMIT Flit): $84.00
This permit iipplication ON111 ir a pciaiiit is not oblaimul viil/tin ISO
Prim 11
1 "' ETHON A. DOLPH Date: 9_30_08 days ACV ((hag Iwo, am:plod us' complete.
' Niinihor ul'inuciaitia, altusvcd per ircrmii.
1111,114 API 4,1,1 Wq 4.10. UOSICOMMIdi
'
CITY ����~�^ ��������
��mn w OF mm����um�� �_
BUILDING DIVISION ' PERMIT ~~~~^~~^^~~= ~="""~~^~~"~ � ELR2008-00281
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/1/2008
Phone: (503) 639'4171
Inspection Roquo�o(24H:o.):(503)G3Q'4175 Jitilt
INSPECTION WORKSHEET FOR DATE: � TIME: PAGE:
� 10K9/3008 � 7:01AM 12
SITE ADDRESS: � CLASS OF WORK:
�
12345
SUBDIVISION: N� LOT #: TYPE
T|GARDTERRA{�EAPARTh�ENTS � �
PROJECT NAME:
' T|SARQTERRACEAFT8
DESCRIPTION:
Units: 21'28. Installing fiber optics for Verizon.
OWNER: � PHONE #:
GREENVIEW PHONE #: CONTRACTOR: NORTH SKY COkAh4UN|CATONSINC
� 360-254-6920
Inspection Request Scheduled Fnr' Date: ' PourTime'
� ' 10/8/2008
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 07E482-03 503-208-7014 N
Corrections/Comments/Instructions:
/
(____:- .
~/
'
k PASS n PARTIAL APPROVAL 0 CANCEL [ NO ACCESS
' FAIL 0 CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
�
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Inspector:, 4
� Date: *'� // »' �' 0/ Phone #: (603} 718-
/ '
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