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Permit IN q CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT PERMIT #: ELR2008 -00213 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: 15 -17. 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. Ink Issued By /` _ - ` -lam Permittee Signature: /�% /�15, , 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 9:35 PM FR TO 5835981960 P.11 Electrical Permit, Applicatio t ; " u ). ., ' +CE(7aC1NLX . r City Of Tigard f P' unit r�o "; 1 13125 SW I- 111113 id• Tigard. OR 97223 y 1 A ' �' f ".' r1 I • Phone' 503 (;39.4 171 Fax: 503.59819 1 11` 4 v. "' OI Pcrmil: _ • [nspcction Line: 503.639.4175 1:3°1154'P' JU A��i ®SccE £or Internet: www.tignrd -orgoy GN u1► i _ 'tt'' Supplental In(ArmnlioR TYPE,,C)E WOR'' % � 1 PLAN Rl VI LV ❑ New construction ill Addition /altefati • el acomeni Picric c!t cl: all 111.19 imply (whim 2 sets Of plans whtem cave! ed below): Dentolitipn ©U[her: (3 Scrvico or (=let 400 amps Or more (j ffttllding Over Lh,ed:.torms. whers Ore nvuilablc lath cu,reet CI Murm,k not! boaty.,rds ' • CATEGORY OF CONSTRUCTION exceeik 10,000 ' of 150 volts of Q I Itming I,uilJinps, tOS+, t9 ground. Or exceeds 14.000 ❑ Comntetcial -use agriculii '.,t El I - and 2- family dwelling 0 Commercial/industrial ❑ Aceeshory building :taps for ,tll other u,SUdln 6uildiag;. a Multi - family 0 Master builder ❑ Other: ❑ fire pump. 0 lnsiatiotion or75 KVA of 'JOE SITE INFORMATION AND LOCATION Li cn system, larger sepacnoly derived system• .......,.«,......,.. ,..., © Addttmu of new motor (011(101 Job no. Job site address: 14120 SW DRIFTWOOD f00HPormore occupancy OOD CT. _ © $Id of 1110M YC4itICO1ldl units. ❑ Rccrcationnl vchic{o p;,rk <. City/Stale/ZIP: TI GARD, OR 97223 ❑ Hettlh•ca c facii'tics, ❑ supply voltage for MOM thee El Havardoo, locations 600 voir nOtton.,t. 5uitt/bldg, /,1f,t.no.' 15 -17 Proj DRIFTWOOD TERRACE ❑ ServracOr feeder600 ump001more, ,.._ u' I TS SCHEDULE iis ti Cro(ICet /directions to job site: ccrrlplRar - Qty. I Fee, J 'I'utnl I • New residential single- Or multi- fancily dwelling unit. Insides nttnched garage. Subdivision: Lot no : 1.000 5ry, R, or less 145.15 4 Tax ma / z I „ Ea. add'I 500 hq. ft or portion 33, 1 p p ro c o.: 1,i nmhed energy, lcstdeotial - " DESCE1P'l'ION OF WORK (with :Lime , a1 n) 75.00 2 INSTALL FIBER OPTICS FOR VERIZON T_ Lilnuedcnargy, (with lri•fl 75.00 • � __ Lc.SidcRllal Ewiclt ulwvc 3s1. It.) Services or feeders Installation, alterat and/or relocation © PRbPRR'I Y•'UYVNI I2 200 amps or Icxx _ 80.30 2 Q P . OPE I :.... 0 TENANT 201 amps to 400 amps 106.851 2 Name: 40! amps to 600 tulips 160.60 2 --- 601 coups to 1,000 amps 240,60 2 Address: Over 1,000 amps or volts — 454 -65 12 — City /Stat(i/ Temporary Strvites tw feeders installation, alteration, anti /or - , „,.W... . relocation Phone: ( ) F 200 amps or less 66 85 ' l - W” ax: ( ) 201 amps to 400 amps i 100.30 2 Owner installation: This installation is being made on property that I own which is not intended for sate, lease, rent, or exchange, according to ORS 447, 449, 670, and 701, 401 amps to 599 amps T 133.75 I -- 2 Owner signature: _,... Branth circuits - new, aItoratlon, or extension, per panel _ „W „_ bate: _... „,,. A Fee for branch circuits with 0 APPLICANT ' . ' ' Fl CONTACT PF,'RSON above service or (ceder foe, each branch circuit 6.65 2 131181 etsnante: NORTH SKY COMMUNICATIONS, INC, _ a, Fee for branch circuits _ Contact ,dune; RYAN ROBERTS .Ld,a,rr service or feeder fee - _ first branch circuit 46.915 2 Address: 11818 SE MILL PLAIN BLVD STE. 410 Eachadd'l branch cueuit 1 6.65 2 Miscellaneous (service or feeder not included) City /State/ZIP: VANCOUVER, WA 98684 F.ACit ln:tnutitctutcd o!' modular dwellulu. service fond /ar feeder 90.90 3 Phone: (603) 519 -5264 Fax:: ( )1-866- 905 -4907 Reconnect only 66.85 2 ii-mail: mdU r p►th.skycomm p Pump or irrigation ctrt lc 53.404 2 CONTRACTOR Sign or outline l (gating 5140 2 �ItlslneJi name: Signal circuit(s) or limited- NORTH SKY COMMUNICATIONS, INC, energy panel. f11sejauoR, of Address: 11818 SE MILL PLAIN BLVD. STE 410 extension, Describe' 1 Page 2. $75.00 2 City/StaterZIP: VANCOUVER, WA 98684 17act1 additional inspection over allowable in any of the above Phone: (360) 254 -6920 Fax' ( ) 1- 866'530 -4325 I PtL inspection igation p er hour (i Itr min) - 62,50 Investigation 62,50 CCe (,ic' 14117 L'Icctl'ical Lic.17 -154CL Suprv, LiC . 173LEB rndusu'tal plant per honr 7:3,75 -. Suprv, Electrician tiign.ttutc, required: ELECTRICAL PE 1M(T FEES --- -- Subtotal' $75.0 Print name: JACK CAGLE Date; Plan review (25% of permit fee): 7 -1 ... State surch,u ge ((2% _ - Authorized signature. pcnnit fee): mm $9A0 d_, _/ TOTAL, PERMIT r(i13: $84.00 Print "111-1C::: ETHON A DOLPH Date' 7 -14 -08 1hi5perndt rpplicttioncvploa f nocrnlitil not u4laincd within 1110 _.. - _ —' da nn I t in1N been eMceptal AA COMpiCta. L , r , g 13 'tr7niial!iLC- Llro,i„ rant fiUj,v(IG ° t5Utn5,' or irlspechons allowed l %r permit. SPP .t- I-cS 1,5'1(1 I Idi/COiIA4ui CITY �� *mn m OF mm��mwuoo�� . ' BUILDING DIVISION PERMIT #: ELR2008-00213 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7y15/2008 Phone: (503) 639-4171 helve A\ Inspection Requests (24 Hrs.): (503) 639-4175 - *�� INSPECTION WORKSHEET FOR DATE: 7y23/2008 TIME: 7:02AM PAGE: 47 SITE ADDRESS: 1412D8VVDR|FMOOD CT CLASS OF WORK: SUBDIVISION: DRIFTWOOD TERRACE APARTMENTS LOT #: 8'9 TYPE OF USE: PROJECT NAME: DRIFTWOOD TERRACE DESCRIPTION: Units: 15-17. Installing fiber optics for Verizon. OWNER: F|SCHER.CANI|LLE PHONE #: CONTRACTOR: NORTH SKY COMMUNICATIONS INC PHONE #: 360-254-6920 Inspection Request Scheduled For: Date: 7/2312008 Pour Time: Code # Inspection Description . Confirm # Contact # Message • 199 Electrical final 075038'04 603'849-2025 Y Corrections/Comments/Instructions: I | PASS PARTIAL APPROVAL rj CANCEL ri NO ACCESS I I FAIL CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED ��_ m�� ~� � � �� Inspector: ~ �� v��-�� Date: o^u°��^ Phone #: (503) 718- itFtio "