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Permit _ „ CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT • COMMUNITY DEVELOPMENT PERMIT #: ELR2008 -00210 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: 7,8. 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 0 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 $84.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344 / Issued B � � 1 �� Permittee Signature: �c (y" OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. JUL 14 2308 9:35 PM FR TO 5335981963 P. Electrical Permit A lication �� Tig ro>I�1.4.e. r City o f' Tigard d k ���� o ,F t..a, ' RCCCI ••,�'" �: °�� ' W 1ai : 1 Perini' N''''' . v t o ( 3 125 SW Hall Blvd,. Tigard, OR 97223 1 �_ L • V • _ � _ • ' Phone- 503,639 4171 Pax; 503.59$.1960 -- (, , F4:nnil; I MENIMIIIIMMI In spection Line: 503.639,4175 v Older � GJI IiD d \i do ROacl /O him- 0 See Page Internet. www.Ugard -or goy T `��� • I,c 2 for r V Notified /Method: --�'�� id (`'� / 21 Supptementnt fare cmmion ', • , 'TYPE OF WORK 97 i � ` � r ��' PLAN REVIEW © NCW Cp11Siftietiort L / ( i(titionlaltCYatioAc ftcaae cl col aI1 4 n apply plans Wwhet., dtcckcd UCkrw)" ( pp y (5to ntit sots of , I ❑ i70tTSUiiCiOn ❑ Odaet' Q Scrvicc oe [ceder 400 amps or more ti r3uiltling over Ilm:c stenos ' whore the available I;udt Current 0 Mantas and hoaty,lnis, CATEGORY OF CONSTRUCTION • • , cztccdh ID,000 nn,ps.tt (50 volt, o, ©t'lt)tt,ng bu ildingr. ❑ I- and 2-family less to around, or exceed, 14,0([0 ❑ Calumnrci,d•usc a ricuuur,d Y dwelling 0 Commercial /industrial 0 Accessory building MOPS fa, all other IIIAI.dlal bUildings. 0 Multi - family II Master builder Fire ❑ Other: Cl PIMP. 0 1ast;dtalwn of 751(VA ul ' JOB .SITE INFORMATION AND LOCATION ' © cy o r,ystcm. lalarger ael �rntcty derived •:yxtcnt. ^ ^... - -.. ❑ AsLlimn new nmta•laad o f © "A" •'F" "I_r .. 1.1 ,. Job no.: Job sloe address, 14120 SW DRIFTWOOD CT. t{1DtiP Ur nttC, Kctipnncy. C �r Sir, Or mart rosxlcotidl Units. 1] Rareaaionnt velictc p,utx. City/State /Zli ' TIGARD, OR, 97223 - ©Hcatth•ente facilnics 0 Sop!) votlttgo for more tb,tn U KIM dous loco lent MD volts nominal_ Suite/bldg. /apt. no. 7 -8 Projcctnamc: DRIFTWOOD TERRACE E Service la (cede'600 amps ort'lore, Cross sneetltlireeripns to job site: ' • ' FEE SCHEDULE • .. w,. ". Dcxcrl•tlntt iv. MM. 'rum • - '"— New residential single- or multi - family dwelling; ussi(, Includes attached garage. Subdivision: - 1 Lot no,: 1.000 sry, lt, or less 145,i? Tax tit #tp /parcel no., La. ,tdd'I SOU sq. ft. or F o r t i o r i 1111 33.40 DESCRIPTION OF WORK Limited k energy, Iesidenti III o El v al (wall above sy- It) 75.00 Limited en y, iluiti-fnmlly Icvtdentinl (tvith,d,nvc t1 -) 75.00 INSTALL FIBER OPTICS FOR VERIZON Services or feeders installation, alteration, and/or relocation 200 p amps or less 80.30 al O PROPERTY, OWN ....,.. .,,,,.� •,•, ,..,.., ©' TENANT 201 amps to 400 amps 1.11 106.85 Name; 401 amps to 600 :an 55 160.60 � � Address; _ 601 amps to h,000 amps ME 240.60 2 Over 1,000 amps or volts 454.65 2 City/State/ZIP Temporary services or feeders installation, alteration, and /or — " relocation Phone: ( ) Fax: ( ) 200 amps or loss 66.85 IIII III Owner installation: This installation is being made on property that - I own which is not - -Ol amps to 400;unps _ 100 30 intended for sale, lease, rent. or exchange, according to ORS 447, 449, 670, and 701. 4 0 1 amps to 599 amps 133.75 Owner signatsn'c: _ „ , „ Dale: � • Droner) Droner) circuits - new, alteration, Or extension, or ;met " — A. Fee for branch eit'ewts with 0 APPLICANT ' ' ' In CONTACT PERSON ' above service or feeder fee, Business name; NORTH SKY C each branch circuit 6,65 2 COMMUNICATIONS, INC. B. Pee tar branch circuits II Contact name: _ RYAN ROBERTS hutrnonr service or feeder tee, lust branch divan 46,85 Address: 11818 SE MILL PLAIN BLVD STE. 410 Each add ibi„nchcilcuit iniiiiai City /State /ZIP: Miscellaneous (service or feeder not included) _ VANCOUVER, WA 98684 Each manta ",tciured or modul.fr II Pltonu: ) 519-5264 F ax: — T _dwelling service and /or feeder 9/,90 (503 ' ( )1- 866• -905 -4907 Rer-onncat only th MIZZEIMIER E-mail: and or . a,.rth k 'mm_G �-- 1 2n1 Pomp iatigatoneiicte 53.40 CONTRACTOR . • Sign or outline iii kiting 53.40 au r __ name: NORTH SKY COMMUNICATIONS, INC. slgntd clrcuit(s)ortin,itotl. energy panel, a lteration, or I Address: 11818 SE MILL PLAIN BLVD• STE 410 extension. Describe 1 Page? $75.00 2 City /State/7_I13' VANCOUVER, WA 98684 Each additional inspection over allowable in any of the above W -_ — __ -... fait Bo nn Phonc: (360) 254 6920 F<tx Inv ( ) 1-866-530-4325 —~ P 62 so GG a,tt Investigation pet bout (I hr min) 62,50 CCB Lit.: 14117 Electrical I1t. I7 154CL upt S'v.I Ica: 173LEB r„dusui:al pl;totpct!tour 71,75 =� Suprv, Electrician signatutc, required: 45If ..— ELECTRICAL. PERMIT PIES ' 41111111111mr Subtotal: $75.0 Print [,nine: ,JACK CAGLE Data Plan review (25 % of permit foe): ° " 7-14-08 tiion c Stale surch;n 12% of AuthoAuthorized ure: . �� ( permit fee): $9 00 �� °�� �• - _i_ -� S been TOTAL PERM rI' PEE,: $84.00 Prin °` ETHONADOLPH I Date 7.14 08 'n;0Prt PPticahnne.,rex permit 8D i P D wt ollia c wi thin d a y s aflcr it twos accepted its coahptct inspee LLanlIdl v' ,, Number cr vi' hon,I .,Iluwct3 per Milli( h: onnhaul,C'.�'4ra n A non 05l23/06 440.451:51'( I /0SlCO5Vw1313 , - - CITY OF TIGARD • BUILDING DIVISION PERMIT #: ELR2008-00210 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7(15/2008 Phone: (503) 639-4171 .,.....40/4111,11 I Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 7/23/2008 TIME: 7: 02Alsof PAGE: 48 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: 7,8. Installing fiber optics for Verizon. OWNER: FISCHER, (..:AMILLE PHONE #: CONTRACTOR: NORTH SKY COMMUNICATIONS INC PHONE #: 360-254-6920 Inspection Request Scheduled For: Date: 7/23/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 073038-03 503'849-2025 Corrections/Comments/Instructions: FA PASS El PARTIAL APPROVAL 0 CANCEL NO ACCESS pi FAIL El CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: N Date: 1 7,3 O Phone #: (503) 71814 •