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Permit pp! CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT PERMIT #: ELR2008 -00214 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: 18 - 20. 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 $84.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344. r Issued By Permittee Signature: 2 7 �j OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. JUL 14 2008 9:36 PM FR TO 5035981960 P. 12 ED Ele deal Pei mil A hca fal. - of 1 4 2008 :. c� o y r City of Tigard . UL ONLY, 12c <Ci +cd — u 7.5 5W Hail Blvd., Tigard. t(!, OR 9722 3 �U. Aj�} Date /11 . 2 ff i —1 a 131 Q [�� "" 1x1:111 tZCYICtV i I _� 1� Phone 503,6394171 Fax SOS. r!(' N Datei8 caw., t >crml. II TI Cv+4 11 ' Ins L ine: .63941 75 `� NI$IO • I ntet'neC www,ugard -or gay 'Bli NGD Dote Rd /deny RI Sae t ".t 11n Notified/Monied; Mill Suplemcrua! Inrormntiwr TYPE OF WORK PLAN RFVIEW "_ ❑ New ConstruCtIOn QIAddition/alierati°n /replacement Plaa , ccheck15.apply(sub vt .s nr1WmnhekeitI>clotvp ❑ DClhOlitiOn ❑ Otf Or: Ca$ m all Iccdcc 1,1 JU0 ampg or ii rntttc ❑ O ite ovci c 'Ih e mc s(orle . whUlr the ay.,ilahle Molt Cm rent fl'vinnna: ,rd' honl 'CATEGORY Oh' CONSTRUCTION exceeds /0,000 o pv d( 150 v olts or buildings- s- _ 0 Con a mt; e e tee lo ground. or exceeds 14 .000 0 Ct >111morc;:,!•u agltic Out el ❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building says for III 01110 nr:1:5 111111 0 5 5 151 Multi - family Ouild;ngs. ❑ Ma ster builder CI Other: 1=1 nit pomp 0 Install,,lion of 75 l(vrlt or Larger JOB :SITE INFORMATION AND LOCATION 0 Emergency syste ' s sctasttataty chaired , yacht. :SITE iNF El rlddttlrn of new room Mao 0l Job E20.; �..�,. ,� •,! �., ., t .. Job site address. 14120 SW DRIFTWOOD CT. 100HP or moat Koplin.) TIGARD, OR, 97223 Q Six ii .ma te fs i 1 aiiit: © Suppl voltage ve Ito 0 1akx © ftCallh�piUL' IpCl © ,nslll>i,fy VUhRgO tSS, nt0rC than Hazardqus locations 600 vont, nou4o», . Suite/bldg. /apt. no.: 18 - 20 Project 'tame: DRIFTWOOD TERRACE ❑ Scrvide of feeder 600 ,unps or more, Cross street /dircetions to job site: 1 t;E SCHEDULE 1 _ -. . nCACrlp[lou Qtr. - Pte. 'NO • -- New residential single• or nwfti- family dwelling unit. Inc attached garage, Subdivision: f r-ot no.: — 1,000 stII It. or less . - U 1 45 15 Tax map(p t c(*) no__ Ea. tufd'I 500 sq. ft. n, portion 33.40 ill DESCRIPTION Oh WORK energy, l csidcntial " - (with anon RI, rt.) 75.00 INSTALL FIBER OPTICS FOR VERIZON �` Litnitedencrgy,n , ulri- liva,iiy - residential (with above sit, It) 7500 Services or feeders installation, alteration, and/or relocation Pl20PER "C'Y• _ 240 amps or lez ❑ OWNER 86,35 _ ©Ti NAN "X _201 amps to 400 ; nips _ [OG,$5 Name: 40 t amps to 600 ;,n)p 16D,G0 ____________________ IMIN Add[css; GO i I.0 to 1,000 amps 240.60 [ mu Ovcr .- -- ,-,-._ I,D00 amps or volts ti4.G5 City /State/ZIP: ')'cinporary services or feeders installation, alteration, and /ot- Phone: ( ) relocation Fax: ( ) 200 amps Or lt:ss 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100 ;0 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701, 401 maps In 399 amps 2 WI 2 Owner sigttttture. w � 17atc: Branch circuits - new, alteration or extension, per Tani AI)pL[CA -- A Fee for branch cilcults bird I 12 CONTAC C PERSON about service or ICC(1Ct' fcc, $ustnews mine: aaeh branch citLUit 6.0 2 NORTH SKY COMMUNICATIONS, INC. B.FeelerbranelleiNuitY Contact name: RYAN ROBERTS t+t ++ /lout crvicc feeder fcc, first brand) circuit' $$ 2 Address: 11818 SE MILL PLAIN BLVD STE. 410 Each add' Iblanchcircuit um " WI G Miscellaneous (service or feeder not included) euy/statCrzii�: VANCOUVER, WA 98684 Eneh tn: cnG u ultactured °r modular Phone (503) 519-5264 Fax: ; &vellum ce slut, /or fcedCC 90.90 n i )1- 8 66 - 905 -4907 ti)tti1; 7 -p c Or •.agrRh .kycomm.coM Pumpor i onlyo 6(,.85 z Pump or r,igau0n Circle 53.40 I 2 CON'1'ftACTOR Sign or outline IiShting 53 40 Business name: El NORT SKY COMMUNICATIONS INC. signal "'rtlit(:)OrsS,,;tcd -- e xtegy Pan el. ar Ur Address; 11818 SE MILL PLAIN BLVD. STE 410 cxl4nsiort. Describe: 1 Paoc 2 $75.00 city/State/ p; VANCOUVER WA 98684 each additional inspection over allowable in tiny of the above Phone: (860) 254 -6920 Fax ( ) 1 866- 530 -4325 Per inspection 52. invoeur� ;toot, per liour(i hr r nu) 62 O CCB Lie.; 14117 Elr~cttical Lic.:17 -154CL 2 Suprv- Lie.: 173LEB 1ndu5ttiatl plant per hour 73,75 Suprv. Electrician xionattW', required: i llr, . it CLI RIGAI. P Rt !x'x r'F TS �" �ACwc cAI.�LE Subttrtal: QQ Print mate; Dale: 7 Dian review (25%ol —14 -08 Authorized signature f — State eurclt:°gc (l; %eJf pet'rrtit fcc): $9.00 _ TOTAL i >LitMt't Fl E: Pri n me: t 84.00 I— E THRN A, D ©LPH not : 7 -14 -0$ t,5n po5•a�it upplic espiI i f n pe,noit IC „ot oStni ,.untn days atter it alas laecn .tuceptcd as complete. 1:m5 11 ingli�cr�ni nee 00/231 5 ° Namhcl cf in:pcniour .11100154j pm permit. 4.10.4615 uosrcomiwc d WN ' J . ; CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR200800214 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/15120013 Phone: (503) 639 -4171 u i�i f , l l � Inspection Requests (24 Hrs.): (503) 639 -4175 „ _. INSPECTION WORKSHEET FOR DATE: 7/23/2008 TIME: 7:02AM PAGE: 46 SITE ADDRESS: 14120 SW DRIFTWOOD CT CLASS OF WORK: SUBDIVISION: DRIFTWOOD TERRACE APARTMENTS LOT #: B-9 TYPE OF USE: PROJECT NAME: DRIFTWOOD TERRACE DESCRIPTION: Units: 18 -20. Installing fiber optics for Verizon. OWNER: FISCHER, CAMILLE PHONE #: CONTRACTOR: NORTH SKY COMMUNICATIONS INC PHONE #: 350254 -5920 Inspection Request Scheduled For: Date: 7/23/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 073038 -05 503-849-2025 N Corrections /Comments/ Instructions: PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G NJ QG Date: / 'V3 - . 4 1 Phone #: (503) 718- r