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Permit CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT PERMIT #: ELR2008 -00218 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. 28,29. 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 FEES Reg #: ELE 17- 154CLE 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 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 9:37 PM FR TO 5035981960 P. 16 1. O�� Electrical P8I' 71f A p OC.. v i ,,' ,... ....• ..:,. 4 . ,,: : :,. •: . . �. -.. t 0.1i 0 1�ICC QN)LY. ,....:1.....,...,..„,;1,..„...,n4..,4.,..:.-, �: i ' " � City or Tigard app i Received � �...� :� t y 17 ttell3 : 9 l3l25 SW 1-1;611 Olyd„ Tigard, OR 97223 Y �� I�� r'._ • 3 ` '' Pho ne. 503.639,4171 Fax: 503-598.1960 _ ► �' , Other Pcnnit, I Litte: 503.639,4 } 75 C3 " [ i GARD ` .. ijt . ely /1iy: rnternet: www•tlgaid oraov O 1N inrtcd(Mclhe4: Sae t rgc z rar �� Supplcmcnta! [ntormntion .. TXPFi OF WARS ' PC AA REVIEW `, . © New Construction 01 Addition /alteration /rcplaccmc(n Please e}tet i, all that apply (submit 2 sei.t of I>Ians wlitcros ehtckcd below It C] SONICC o. feeder 4U0 damps I r atu e ❑ Building over wrcc stories, 0 Demolition El Other: whew u,e:mihtine Lu4E1 curer j] Mtvinas and h iwy,ir is ' ' • CATEGORY 'OF 'CONSTRUCTION • exceeds lU.OVO,Imps ISO volt or © !-arms Commercial :use abuildings- less to groom!, [] 1- sect 3 dwelling m!, or exceeds 14. 000 L7 frlicuutlr.d Y g 0 Commercial/industrial ❑ Aceet,�;ory building amps far ail otbcl I Lllithnn;. q Multi-fa mil l installation _ y El Maur bui lder 0 Other; ❑ P�t.Immix ❑ installation of 75 /0.(A or JOB SITE INFORMATION AND LOCATION ❑ Emcrgcucy system. large( scpaa;ttcly dClivcJ system �,.....,. _- ._.._. _... —. © Addrttun or new rota load of ©,. .. ..I_�.. ..�. ;••, Job no„ Job site address; 14120 SW DRIFTWOOD CT. 1001-SP Vr mttlt. 1>Cen,tttney ©Ste Of more residential urnts. ❑ Recreational vc &<dc Iwukti. City/State/ZIP' TIGARD, OR, 97223 ❑ Hcalth•caru facilities. ❑ 51'14 vottagv for more dlan Hn Maus locations (06 volts nominal. Suite/bldg, /apt. no.: 28 -29 Project name' DRIFTWOOD TERRACE ❑ SC'viccvf feeder 600 AMPS (t, mine, Cross street /tlireetions to job site: PEE SCHEDULE KimMIEEstm -row MB New residential single- or multi - fancily dwelling unit. " _,. ., [etudes attached garage Subdavisiol ;: —Y Lot Ito.: T 1,000 sq. it. or Tess 145.15 4 Tax map no.: 61..tdd' f 500 sq, I'1, or portion 33,4(1 1 - IV()RK _...__..,. - I „imitcd energy, residential DESCRIPTION OP m ---- (wan above 4t. IL) 75,00 ,) INSTALL FIBER OPTICS FOR VERIZON Lim itedclt`I•gy , t» niti•r,t m5kien(iak (,with above srel) 75.00 ( 2 • Services or feeders installation alteration, and/or relocation — • 0 PROPERTY OWNER 200 amps or less 80,30 2 w El 201 maps to 400 amps 106 85 Name: 101 :naps 10 600 amps 160.60 Address; 601 amp. to 1,000 amps 240.60 Over f •000 amps or volts 454 -65 le City /State/Z!p: Temporary services or feeders installation, alteration, and /or Phone: ( ) 1 Fax: ( _ relocation 66,85 200 amps or Icss l Owner installation: This installation is being made on property that L own which is nOr ''Ot amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670. and 701. 401 anlp,s to 599 ;Imps IIIEENIIMIEll Owner signature: __ Date: Branch circuits - new, alteration, or extension, per panel - -' - -- A. Fee for branch circuits with '0 APPLICANT I ,W !y CONTACT PERSON above service or feeder Coo, Liusuu -SS name: each branch ci rcuit 6.65 e: NORTH SKY COMMUNICATIONS, INC. B. Fee Fee for branchchcttit5 - Contract Darns: RYAN ROBERTS without service or teeter fee, """-” last brunch circuit 46.85 2 Address: 11818 SE MILL PLAIN BLVD STE. 410 Each atid'I branch circuit 6.65 MN 2 Miscellaneous (service or feeder included aty/state,z[P; VANCOUVER, WA 98684 Each matnuf tcuncd Of modular Phone: (503 ) 519-5264 I Fax:: ( )1-866-905-4907 (Pa/oiling, service and /or feeder 60.90 Recntmcct only 66,E5 MI E testa: frtd k C Pump or , rrigation cirelc 53,40 CONTRACTOR Sign or outli lighting w 53,40 U Bustltss nam NORTH SKY COMMUNICATIONS INC. Signalcilcuil(s)orlimited- ettefgY PtlttCl, ,thelatien, or Address: 11818 SE MILL PLAIN BLVD. STE 410 exl4rlsion- Describe pa 2 $75.00 City/State/zIP: VANCOUVER WA 98684 Each additional inspection over allowable in any of the above Phone: ( 860) — Far inspection 254 -6920 Fax ( ) 1 -866- 530 ltts' 4325 ° M , . • 6 2,5o Cstigatioo per hour (I Or min) ) C >2 50 �11111 CCB Lic. 14117 Electrical Llc.. X 17 154CL Sn Lic : 173LES rnduanla) plant per hoto' 73,75 Snprv, Electrician signature, required: ELECTRICAL PERMIT FEES' - `'' Subtotal: $75,00 Print namtj: JACK CAGLE 1) ''' 7-14-08 review (25% of permit E'en) 7 -14'08 State surcharge (12% of n Authorized signtlturc : / -- Pc nit fee): $9 -00 TOTAL PERMIT FEE: 1 84 0 Print natnt ETHON_Q. ©OL.PH 7 / y Date: 4 SIt �lcrmIt vt>!>! 0uIuu Cxplt,3 ia' :I pecntlt if net Ubtalihett Nlthttl 180 7-14-08 08 <11•Ys nrlcr 1r 4■1N b n nceCptar As , omptctc. 11oo'lllr•Ot'em<wot5_(' l\und�tppnloc 101?3(00 '" ptUt116ci o'ina Ixr »I '4(1-45(51511 /Its /( : +t* TOTAL PAGE . 1 6 >L(< CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2008-00218 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/1512008 Phone: (503) 639-4171 7/ Inspection Requests (24 Hrs.): (503) 639-4175 f" INSPECTION WORKSHEET FOR DATE: 7/22/2008 TIME: 7:01AM PAGE: 75 SITE ADDRESS: '14120 SW DRIFTWOOD CT CLASS OF WORK: SUBDIVISION: DRIFTWOOD TERRACE APARTMENTS LOT #: 8-9 TYPE OF USE: PROJECT NAME: DRIF1WOOD TERRACE DESCRIPTION: Units: 28,29. 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 072957-06 503-849-2025 Corrections /Comments/ Instructions: Ul PASS I PARTIAL APPROVAL 7 CANCEL 7 NO ACCESS FAIL 0 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: N 091, us • Date: l j1. - t1 Phone #: (503) 718- Vith