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Permit O CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT ° COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00187 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/2/2008 PARCEL: 2S102CC - 01000 SITE ADDRESS: 13660 SW PACIFIC HWY 44 ZONING: C -G SUBDIVISION: FIR GROVE VILLAGE APARTMENTS LOT: JURISDICTION: TIG PROJECT: FIR GROVE APARTMENTS Project Description: Units: 40 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: KUBIN CARON NORTH SKY COMMUNICATIONS INC 520 SW 6TH AVE #400 11818 SE MILL PLAIN BLVD PORTLAND, OR 97204 SUITE 410 VANCOUVER, WA 98687 Phone: Contact #: PRI 360 - 254 -6920 FAX 1- 866 -530 -4325 FEES Reg #: ELE 17- 154CLE LIC 14117 Description Date Amount [ELPRMT] ELR Permit 7/2/2008 $75.00 [TAX] 12% State Surch 7/2/2008 $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 / �i 'ermi'eeSignature: 5 7/ ' e. g. ? 75 /,.‘1 i� 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. JUL 03 2008 12:09 AM FR TO 5035981960 P.06 . . Permit Application ED t oR oxr'AC:e us ..oiv�. ,. D Electrical Pe p� RECE City of Tigard Received �- Permit Nn = JUL 0 2 2008 Dan 10y: !mod �u t...._ Lid 8" a 13125 SW Hall Blvd., Tigard, OR 97223 Pen Rcvicw Omer Penitil: a Phone: 503.639.4171 Fax: 503 - 598,1960 Date/0 Inspection Line: 503.639.4175 Onto Rimdy /Oy: 1 _ See Page I for TIGARD p CITY OF TIGARD NotifudlMcdiod: " L: 9 Supplemental Information Internet: www.tigad- or.gov —–'.— PLAN ItEV1EW. '. .. . Did TYPtr. ;or.t •: . ; .P Please checit all tint apply (submit r: sere M' plans wfitems erccked below): 0 New construction G! Addition /alteration/replacement ❑ Service or feeder 400 amps or more ❑ 1loadin • over these xlorict. CI r Dc.moli6011 ❑ Other: mum rite available fault current r r- �-.1 Mathias and boatyards. CATEGORY OF CONSTRUCTION : , .. .. :...-:':••••••• exceeds 10,000 amp: ad 150 volts or Q Floating buildings. has to :round, or cxcceds 14,000 ❑ Commercial-use agricultural ❑ 1 - and 2- Family dwelling ❑ Commercial/industrial ❑ Accessory building am p. for all other iudtalhldons buildings. IU Multi - family ❑ Master builder ❑ Other: ❑ Fin pomp• ❑ Instatetion or 75 KVA or ❑ ellICWrrcy srsronl er; r separately derived system, JOB SITE INFORMA AND • LOCATION O addition ornew motor load or ❑ - A'. - •6' "I - - 1 1" �. — 1 3660 Pacific Highway 99 a00HPormere. occupancy. Job no.: Job site address: y ❑Sir or tame residential anus. ❑ Rhletuim ii vehicle italics. City /State/Z1P: TIGARD, OR, 97223 ❑Healtt.cua (acilities. ❑ Supply voltage for more than ❑ Narrrdous locations. 600 vitas nominal. Suite/bldg./apt. no.: 40 rProj FIR GROVE APTS. ❑Servrco feeder 600 amps or more. CE£ SCHEDULLI Cross street /directions to job site: netaspitnu I Ow. l Fee. I Total J • New residential single- or multi- family dwelling unit. Includes attached garage. _ Subdivision: ( Lot no.: 1,000 sq. R. or less 145.13 4 En. I41'1500 sq. ft. or portion 33,40 1 Tax Map /parcel no.: Limited energy, residential 75.00 DESCRIPTION OP WORK • (with above R. (t.) . — Limited energy, multifamily 75.00 2 INSTALL FIBER OPTICS FOR VERIZON residential (with Itbnvu s,. n.) Services or feeders installation, alteration. and/or relocation 200 amps or Icss 80.30 2 • "•0 PROPERTY :OWNER J :,'. 0 T ENANT 201 amps to 400 amps 106.85 2 Name: 401 amps to 600 amps 160.00 2 • 601 amps to 1,000 amps 240,60 , 2 Address: Over 1,000 amps or volts 454.65 2 City/Stale/ZIP: Temporary services or feeders instillation, alteration, and/or relocation Phone: ( ) Fax: ( ) 200 amps or leas 66.85 l Owner installation; This installation is being made on property that 1 own which is not 201 amps to 400 antes 100.30 2 intended for sale, least, rent, or exchange, acConling to ORS 447, 449, 670. and 701. 401 amps to 599 units 133.75 2 Eiraneh circuits - new. alteration, or extension, per paled Owner signature: ,.Date: -- A. F for branch Chetahs will, • © APPLICANT . :.•1 ' • 0 "CONTACT PERSON • above service or feeder fee, 6.65 2 such branch circuit Business name: NORTH SKY COMMUNICATIONS, INC. 8. Fee for branch Circuits ° whirr, service or feeler fee, 46 8S 2 Contact name: RYAN ROBERTS first branch Circuit Address: 11818 SE MILL PLAIN BLVD STE. 410 Each add'I branch circuit 6.65 _ 2 Miscellaneous (service or feeder not included) City /Stalc/ZIP: VANCOUVER, WA 98684 Each manufactured ormodutai• 90.90 2 dwelling, service and/or feeder Phone: (503) 519 -5264 Fax: : ( )1- 866- 905 -4907 Reconnect only 66.85 2 V E -mail: mduor(@northskycomm.COm Pump or irrigationcircic 53.40 2 • ' CONTRACTOR . ' . .. . - • ' ' • • ' Sign or oul li= li Mine 53.40 2 Signal circuit(s) or limited - Business name; NORTH SKY COMMUNICATIONS, INC. energy panel, atterdtion,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 any of the above Phone: ( Fax: ) 1-866-530-4325 Pox sn 3ti inspection 6250 360> 25 -6920 I ( 4325 - Invesligali hr min) 62.50 plan par hour 73.75 CCB Lie.: 14117 Etcextical Lic.1 -154CL S uprv. Lie.: 17 3LEB ,-. • • • ELECTRICAL PERMIT PEES .. Suprv. Electrician signature, required: Subtotal: $75 Og - — Print name: JACK CAGLE Date: Plan review (2590 or permit fee): 7-2-08 State surcharge (1290: of perm fee): $9.00 Authorized signature: �.- r , i TOTALPI3RMtT IY:IS: $ 84,00 / " - 'ntls permit application expires If a permit it not oMniued within 1130 Print name: ETHON A. DOLPH D a1e: 7-2-08 days after it has been accepted as complete. * Number of inspections allowed per permit. I: Vnu {lding0'ernms \CLC•P.rminpp.doc 05/33/06 44U•4615'1'(I1/05/COMM'r?Il CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2008 -00187 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/7J2008 Phone: (503) 639 -4171 / Inspection Requests (24 Hrs.): (503) 639 -4175 °_ INSPECTION WORKSHEET FOR DATE: 7/16/2008 TIME: 7:00AM PAGE: 48 SITE ADDRESS: 13660 SW PACIFIC HWY 44 CLASS OF WORK: SUBDIVISION: FIR GROVE VILLAGE APARTMENTS LOT #: TYPE OF USE: PROJECT NAME: FIR GROVE APARTMENTS DESCRIPTION: Units: 40-47. Installing fiber optics for Verizon. OWNER: KUBIN CARON, PHONE #: CONTRACTOR: NORTH SKY COMMUNICATIONS INC PHONE #: 360254-6920 Inspection Request Scheduled For: Date: 7/16/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 07269001 503-849-2025 Y Corrections /Comments /Instructions: `1 • yv • • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: `?—w NOG Date: •/ o • at Phone #: (503) 710144