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Permit ill I1 CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT PERMIT #: ELR2008 -00216 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/15/2008 PARCEL: 25111 BB -01301 SITE ADDRESS: 14120 SW DRIFTWOOD CT ZONING: R -12 SUBDIVISION: DRIFTWOOD TERRACE APARTMENTS LOT: 8 -9 JURISDICTION: TIG PROJECT: DRIFTWOOD TERRACE Project Description: Units: 24,25. 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: CAMILLE FISCHER NORTH SKY COMMUNICATIONS INC P O BOX 520 11818 SE MILL PLAIN BLVD DUNDEE, OR 97115 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 7/15/2008 $75.00 [TAX] 12% State Surch 7/15/2008 $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: „.1491c-'4. 2 / /AV 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 14 2098 9:36 PM FR TO 5035981960 P. 14 CSINTED Electrical Permit Application li 6 City Tigard 1 x�alz urrt OI ..,, ' * i City of igarU 111 1� 1 4 ig Received r .. .3fr• r r `afrt - t, 13125 SW 11::11 I3lvd• Tigard, OR )7223 J G . aite /II 7 • �/ I ��. L_, jj Mono: 503,639.4171 Fax. 503.598,IS1G0 � ht R @vlcty iARD InsprotiouLine: 503. 639.4175 C•L' Q \ av; aura Permit: Permit: - ��tt �� R ltu u3yl[iy; Ei See Ihlge 2 for - Internet: www,tigud -or gov S�tr NotiGCdtmet . wit Slrn„lmnentnt Information ' TYPE OF WORK • ' PLAN REVIEW © New Constrnetion a Addition /alteration /replacement ) tcaxc check an that apply Uubmic 2 sere or Mans wlucor, checked bclo,v)i U Demolition ❑ Other: Q Scrvccc or read. 400 amps or [two [j 6iii)<ftng over three smnex. where the available lauh omreex 0 titrrruAS and hoxty,trds. CATEGORY OF CONSTRUCTION croccds 1 0,000 amps of 150 volt., of Q r9oaung building [] I - and 2- family dwelling El COtm»t rCial /industrial Accessory building tars is ground. or exceed% 14, 000 ❑ Co to agrrculhu anv, to :dl other insunaiion.. buitetngr 17 Multi- family - [I Master builder 0Other: Qt'irs pump. 0 Sna.tU111iUn Of 75 KV A ,li • IUB SITE INFORMATION AND LOCATION ©8u,at�0cy system. Ise kr xcmr:ucty cidr;vc<i mien, ❑Adc rims motor 30:,, o) 0'•ft "f3", "1.2•' "1 - lob 00.: -- Lob site address: 14120 SW DRIFTWOOD CT, f cp. L, occupancy - - ❑ Six o or r more e residwniai unnr. I:: Recreational vehicle p.akr,. City /State /ZIP; TIGARD, OR, 97223 0ilea h•culc racihliex. 0 Supply wimp for n oro than El 14at ;irdoi4 iuc.rlicns. ■)0 vulis nnntiq,d. Suitc/bldgJapt. no.: 24 -25 Projeot name: DRIFTWOOD TERRACE 0 Sclviac 05 fep4Cr 600 aln cu ox Cross street /directions to job site: FrE SCHEDULE llexcrf tudi New residential single- or multi - family dwelling (mit. _ Includes attached garage. Subdivision: .. ? Lot no,: 1,000 sq. lt.orless Ell 145.1$ 4 Tax map/parcel el no.: en. ad <I'1 500 sq ft. or pen lion 33.4 M I DESCRIPTION OP WORK !joined energy, tcs Went i it (wall above sq 14.) 75,00 2 INSTALL FIBER OPTICS FOR VERIZON Limited n ally, n,ullo- f,tlnity 1 rcarde (Wail .rlx va i 1. It) 75.00 11111 2 Services Or feeders installation, alteration, and/or relocation _ } PROPERTY, OWNER 200 ;'taps or Icss -» 80.30 .,. ,,, m » � TENANT 241 amps to4tlQ 106,85 2 Name: 401 amps to 600 nulls 160,60 2 - Address: 60) amps to 1,000 amps 240.60 2 Over 1,000 amps or volts 454.65 2 City/State/ZIP: 'Temporary services or feeders installation, :thermion, and /or relocation Phone: ( ) Fax: ( ) 200 amps or kss 66.85 MI 1 Owner installation: This installation Is being made on propelty that 1 own which is not 201 un,ps la �tQO;u„ 1>s 10030 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 ;turps to 599 ;Imps 133.75 2 - Owner signature:._„ -, _. Brandt circ - new, alteration, or extension, per panel - _ Date; _ A, Fee for brunch circuits is-ris 0 APPLICANT ' ' I lit CONTACT PERSON .tbovc set•Sim or feeder fee, �'uslrteb> name: oath branch circuit 6.65 2 NORTH SKY COMMUNICATIONS, INC. BB.Fee branch circuits Contact Dame: RYAN ROBERTS rt'flhUirc service Or feeder fee, first branch circuit 46.85 2 Addref;,; 11818 SE MILL PL AIN BLVD STE_ 410 6.65 2 G aci, udd'1 branch circuit cily/slate/zrh: VANCOUVER, WA 98684 Migeellaneous (Service or feeder not included - Guth rtrtnufacttued or 'nodular Phone: (803 ) 519 -5264 f`ax:: ( dwe. , av , ce and /o, (ceder 90.90 2 )1- 866 -905 -4907 Reconnect only 66.85 2 E mail S Of7) mdUOral2pj _ i'll Pump or 1:ligation circle 53.40 h .I S__ CONTRACTOR 2 Sigl,oro 53,40 2 Business name: NORTH SKY COMMUNICATIONS INC, sign ted- Address 11$18 SE MILL PLAIN BLVD. STE 410 _. < "�rsy „ exicnion. Describe 1 p age 2 $75,00 2 City /State/ZIP: VANCOUVER WA 98684 Eactt additional inspection over allowable in any of the above - Pecins ection 42,50 Phone: (3 254-156653o4325 ° Invesvaion per hour 0 itr muu ' 6150 CCD Lin., 14117 Clectrical Lici 7 154CL supry Lk.: 173LEB industrial plant per i,ottr 1111 73.75 - - -.... Suprv. Electrician sig required; %, ELECTRICAL PERMIT FEES AEI Subtatnb __ . Print Rune: ,JACK CAGLE A W Date. Plan review (25% of permit feel: 7-14-08 _ I?a/r C Stale Surcitar of Authoci-r_cd signp1u,C: _ ( pcnnit feu); $9.OQ - " TOTAL PERM rim w Q y Print name: y eImil up ca 84.0 l'n p 18 !`THON - - DOLPH Daie 7-14-08 ' t t t'i 'cd if permit i4 MN obtniucd .rithln liSfl •• {toys afiler it ImS'Mtn acceplai As complets, L1n,,itchnx\3Mnuii . ll}I,C -IMmm App.dnc Oir ?3 /qC> a Vunib5r of in• dlowcd per permit, 440 31 I MS/COM /w rn . - CITY OF TIGARD 1 ' BUILDING DIVISION PERMIT #: ELR2008-00216 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/15/2000 Phone: (503) 639-4171 11101114140 Inspection Requests (24 Hrs.): (503) 639-4175 a1W 11. INSPECTION WORKSHEET FOR DATE: 7/22/2008 TIME: 7:01AM PAGE: 77 SITE ADDRESS: 14120 SW DRIFTWOOD CT CLASS OF WORK: SUBDIVISION: DRIFTWOOD TERRACE APARTMENTS LOT #: 8 - 9 TYPE OF USE: PROJECT NAME: DRIFTWOOD TERRACE DESCRIPTION: Units: 24,25. Installing fiber optics for Verizon. OWNER: FISCHER, CAMILLE PHONE #: CONTRACTOR: NORTH SKY COMMUNICATIONS INC PHONE #: 360-254-6920 Inspection Request Scheduled For: Date: 7/22/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 072967-04 603-849-2026 N Corrections/Comments! Instructions: • N A PASS El PARTIAL APPROVAL fl CANCEL n NO ACCESS 0 FAIL n CALL FOR INSPECTION I 1 ADDITIONAL FEES ASSESSED . . Inspector: )" V tie (-6 ,, Date: 11A% b Phone #: (503) 718- 2- _ ,