Loading...
Permit C ITY OF T I G e R® ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT PERMIT #: ELR2008 -00217 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: 26,27. 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 $84.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 246.6699 or 1 800.332.2344. Issued By: ! Permittee Signature: „ -7,1, n clef./ OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. JUL 14 2008 9:36 PM FR TO 5035981960 P.15 . •• . . , lec ]Permit Aripl 20 / ,,µ t1... ,I CI, US ONLY x } City of Tigard .0-1 4 �$ /fI/ d, t - + Perin No,. t _t •X:;, ,,.. /54- C-�X 7 ii p, 1 b 13135 SW Hull Blvd,. Tigard, OR 97223 G �1an Review OK Perotil: ' 0 Phonc: 503.639 4171 Fax; 503.598.1960 1PAt 1•,XGAICD Inspect Line: 503.639 C,1) w` 1S am' Dow R /Mci 3y: la Internet: www.tibanl -or goy �V �h NOI Mod /Method Sec Page a r V -� Supptemcntnllnform:ni . , TYPE OF WORK ,„ ' ... , • • ' •' „ • PLAN REVIEW ' ' 0 Newconstruction ail Addition/alteration/replacement Plc;laccltce ,1 (xuhnut apply 3 sus a mans w /Item olmand Isclow) 0 s°rvc or 'bear 40n ,unpt, or ma >rc ❑ Building over three stoney. Demolition L I Other: © ' ic where the waila /ge !'.toll current CI Ndiffinati and Innnynnis, '. :. M "" • CATEGORY OF CONSTRUCTION . ' • cxcesda tn.0U0 amps at 150 waif, 4 or © tlrxainr buildi W [] i -and 2- ('faulty dwelling [] CO3p /industrial ❑ Accessory budding amps le ground. or exo4otis 14,000 ❑Comnuacial.onag:icnhnr,d amps fur all n '� Multi-family � other Inxattlanon b,u(d,nfly, Y D Master builder Other: 0Pitt Pump, 0 1, 1St:dlati0n ui 75 Kv of • • • SUB SITE INFORMATION AND LOCATIO © Entor; ° "oy YSlem. Inrgcr xc1>arately rk lvcu ty cm . ."'""'•'"' - - -.... ,-- �...�......_ © Add ttmn of new mnlnr loud or �.. ,. .. © A . ,P•. ,.I 11, Job no.: Job site address: 14120 N.1 :a+c l3a 4120 SW DRIFTWOOD CT. ❑ !001 P Ortnnlc. K u, >ancy. City /State/ZIP; TIGARD, OR, 97223 Si x or mere re$xlel tinily. © RCPr VI 1 p,nio„ ❑ .1,_ hh00cs. 0 8 UrpIY 1y vQhagC for ntoro limn ❑ Nam dolls lorauona 500 von., nominal. Su ite /b1d8. /apt, no.: 26 -27 Project name: DRIFTWOOD TERRACE ❑ Selvicc or feeder 600 :unpe of more. Cross street /directions to job site: FEE SCHEDULE _. ... .., ,�� Drxenp11011 Qty. ray. r,tt • New residential single- or multi - family dwelling unit. _ Inrhules attached garage. Subdi vision I Lot no.: 1.000 tiq, ti. or less 14 145.15 4 Tax map /parcel no,; E.1. <t'I 500 Nei 0. O por tion 33,40 1 llESGRiPIION OF WQRI( l.nnitedcncrgy,residential r" _ (with above sal, R.) 75.00 2 INSTALL FIBER OPTICS FOR VERIZON I_ imitedenergy, multi- t'anny rt idcnual (with t1lwvc s i Al 75,00 2 Services or feeders installation, alteration, and/or relocation ❑ PROPERTY OWNER 200 amps or leis ❑ TI NANT _ .. 50.30 2 w_ �, 201 amps to 400 nmP'' 106.85 2 Name; m j 401 :traps to 600 antis 160.60 Adduces; 601 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, alteration, and /ar relOcation Phone; ( ) Fax: ( ) 200 amps or lcs 66.85 g Owner installation: This installation is being made on property that l own which i, not 20 1 ymps to 400 amps 1(X}.30 2 intended for sale, lease. rent, or exchange, according to ORS 447, 449, 670, and 701. 401 1111 , t o 599 amps 133.75 2 Owner signature: Branch circuits - new, alteratoo, or extensla per p ancl -- - - __,,,. , e; ^ Dal_ A. Pee For branch Circuits with 0 APPLICAN El CONTACT PERSON above service or (ceder fee, $LlSU nat11 each branch circuit 6.65 2 _ NORTH SKY COMMUNICATIONS, INC. 8. Fee for branch eitettits - Contact name: RYAN ROBERTS wit/Iota sCI Vten or fcc<lcr fee, first. branch circuit 46.85 2 Address: 11818 SE MILL PLAIN BLVD STE. 410 - � Each a d d ' branch circuit J 6.65 1 CILylState/LIP: VANCOUVER, WA 98684 Miscellaneous (service or feeder not included) Each manufactured or modular Phone: ($03) 519 5264 Fax:: dwellin , service and/o! (ceder E 90.90 ? ( )1 866- 905 -4907 Reconnect only 85 2 GG. E -mail, ffldl3QTa( orpi$ om OM Tµ - . Pump or irrigation cucic 53.40 I 2 ' CONTRACTOR . Sign or outline lighting 53.40 2 _13us1ncss n ame: NORTH SKY COMMUNICATIONS INC, Signal coruit(x} or limited- Atid reis: 11818 SE MILL PLAIN BLVD, STE 410 D COMMUNICATIONS, panel,,tllel;rtiol,, or 1 TM extension. Describe P2pe 2 $75.00 2 City /state /ZIP: VANCOUVER, WA 98684 Each additional inc' ection over allowable in any of the above Phone: ( 360) 254- 6920 _ Pax: ( 53 -4325 Pet ini,pection 62.50 1 -866 Invcsug;uion per hour (1 hr mna) 62.50 CC13 Lie,: 14117 Electrical Lic.. ,... 17 - 154CL 1: Suprv. Lie: 173LE8 11,atlstlia, plant pe hour I= 7175 Suprv, Electrician SlbnnttiCl , required: ''� - ELECTRICAL PERMIT FEES Subtotal: $751,10 Print mime: JACK CAGLE Plait review(25%ofpermit fee): - -54 Date' 7 14 - OS Slate Swclaal C c! signature: " ` - S (12% f ee): $9.00 Authotizc e i J TOTAL PERMIT I'P;I : - Pttot name: _ 't 11 p LL ) X84.00 ETHQN A. DQLPh! !Date: 7_14 -0 8 1 tP licati o uc�pircgtfaPUrmil ;Snolobtai #witbit ^--- dn YA ,t 11 bat be ,a ecCptctt a cora rT4wldi V @imit.ltil.GNrind ° Monk., OI InspCCn per permit. t b ^ 11 0.51?4/p( . 45I3I I aa,5/comr wl'n CITY OF TIGARD , BUILDING DIVISION PERMIT #: ELR2008-00217 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/16/2008 Phone: (503) 639-4171 47011 04l# Inspection Requests (24 Hrs.): (503) 639-4175 ,..:44 - la, INSPECTION WORKSHEET FOR DATE: 7/22/2008 TIME: 7:01AM PAGE: 76 SITE ADDRESS: 14120 SW DRIFTWOOD IT CLASS OF WORK: SUBDIVISION: DRIFTWOOD TERRACE APARTMENTS LOT #: 8-9 TYPE OF USE: PROJECT NAME: DRIFTWOOD TERRACE DESCRIPTION: Units: 26,27. Installing fiber optics for Verizon. OWNER: FISCHER, CAMII.LE PHONE #: CONTRACTOR: NORTH SKY COMMUNICATIONS INC PHONE #: 360-2646920 Inspection Request Scheduled For: Date: 7/22/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 072967-05 603-049-2025 N Corrections/Comments/Instructions: FA PASS fl PARTIAL APPROVAL El CANCEL NO ACCESS FAIL I I CALL FOR INSPECTION 111 ADDITIONAL FEES ASSESSED Inspector: '‘' N6eL) Date: - 7. 1.1-: 01 Phone #: (503) 718- 1v-fLP0