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Permit 111 .� CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT PERMIT #: ELR2008 -00212 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: 12,14. 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: // � ,i` �� Permittee Signature: d� ,p/P4075 /, 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 5035981960 P. 10 lectir .. ical Permit A licatio �; � .x Or • :-.- tJs• .,• r . • . :. City of Tigard v� x " 1317.5 SW Nall Blvd., Tigard, OR 972z3 0 ... i v Date/II . / 06 y � Permit i�„ £ , 0�a • P t : 503.639.4171 Fax: 503.59s,1950 , MENEMEMII Other rCnnA: I hr I`.t U'AIiD rciSpeetipn Line: 503.639 4) 75 G to RcadY /aY tun 111[011101: w1Vw.ti;atYt•orgov 0. OF D V Val •mince/ - - + f ®Sec 1 nga a tar 1 3 Jl Method: /lJ Suppicmen(n[ tntarmatiun T� PIf OF W l� ,� ��� �- • PLAN REVIEW © New construction MI Addition /,(Iteration /re tlacerneat ricaso deck a ll MU :I ,>h su nwscta o f ,Ins e t I l l( p r I wtitccr cbccktJ below); ❑ f)CIn01i[i021 Other: SC7Vtte or reader d00 amps of more Q finildin3 over throe Merles where the aysilalrlc fault current Ll Marinas moat boatyards, _ CATEGORY UI CONSTRUCTION c cc ols 10.000 amps at 151) vntt. or Q I•lo g +ding buildin. Q 1- and 2_farnify dwelling © Commercial/industrial �� --77 AC r (n v to ox0untl. or exceeds 14,0 0 ❑Cammaciat -o agricnLur:n 1.,,.1 Accessory building amps for all aihrr nst:1ll:UmnS 0 multi-farr ivr p I nsta l Y [� �stcr builder ❑Other: gritr pump. [�!nscillation of 75 KVA c,• mm JOE SIT INFORMATION AND LOCATION © S system tar ;r scisab,icly dorived ay„tcn, L:1 Addition of new minor load of (] A' •q;•• ,. -�..., i _ a -. Job no.. Job site address. 14120 SW DRIFTWOOD CT. roollpnrn,OlC• cari,a„ey, City/statef7lP' TIGARD, OR, 97223 Cl SIX Or more restticurial yolk, ❑ Rccrcamoonl vchicic park,,. 21.4h -cacti ihe,iiiics. 0 Supply vonape for more than Suite/bldg./apt. n<t.• 1 D H:vardou, location). 600 vnit nomin,d. 2, 14 Prjeot name: DRIFTWOOD TERRACE g.Scrvicc orfccdcr600 .uoin or More. New FEE SCHEDULE Cross sheet /directions to job site: ` erlpttn° f QI� 1 or, residentia single- or muttitaniily dwelling unit Twat Includes attached garage, Subdivision: 1 Lot no : i3O sq. rt. or lc()); U I45.IS Tax (nap /parcel no.: Es . (WWI 500 u). ft- n, • portion 33.40 DESCRIPTION OF WORK (with energy, Ix aldenlial "' (wit atmc s( . 4.) 75.00 INSTALL FIBER OPTICS FOR VERIZON L) ir e s ide teal thins) family residential (with above R tt) 75,00 III Services or Feeders installation, alteration, and/or relocation PROPERTY. OWNER "� 200 slops or [coo 80,30 2 Name; M - _- 1 ' : 0 TENANT , 201 amps to 4.00 an, P s 106.85 2 401 amps to 600 amps 1 60.60 MB Address: 601 :aps to 1,000 a amps 240.60 Over 1,000 amps or volts 1.111 454,65 City/State/7(P: - rn - Teinpntary services or feeders instaiatiun, alteration, and /or Phone: ( ) -- relocation *- 7ax: ( ) 200 amps or less _. I 66.85 t Owner installation: This installation is being made on property that l own which is not 201 groats to 400 amps 100.30 intended for sale, tease, rent, or exchange, according to ORS 447, 449, 670, and 701. _ 401 an, amps to 599 ;imps 1 ]3, 75 2 2 Owner signature: Date: Branch circuits - new, alteration pr extension, or anal 0 APPLICANT CONTACT — A. Fee for branch cmcutts with NORTH SKY COM PR,RSpN e ach b r o c c or feeder fcp, Ell $usiness name: citcl, branc circuit G GS MUIVICATIONS INC, B. Foe for branch circuits Contact name: RYAN ROBERTS without service or fender fee, first branch circuit 46.85 Address: 11818 SE MILL PLAIN BLVD STE. 410 Each add'! branch cn'cuit 6 - City /Slate/ZIP; VANCOUVER, WA 986 Miscellaneous Ucti eila ofact u r ero od o r or feeder not includcdi _ �Iiach man uCtctrr modular PhOf (503 ) 519 -5264 ax; ; ( )1.969.905 -4907 dwellin and /or feeder 00 y ? E Iteconncctonly 66,85 Ell mdlnr(er�r'ZQJt_ hsKy . -ri CIM Pinup oritriy;Uionci,ale CONTRACTOR 53.40 2 _ Sign of outline lighting 53.40 i 2 8ustncss naitle: NORTH SKY COMMUNICATIONS, INC. stgnalcicuit(s ) t >t Ii,,,iuXl- mm energy uL D c alteration, or Address: 11818 SE MILL PLAIN BLVD. STE 410 extension. Describe 1 Page ? $75.00 City /State /ZIP: VANCOUVER WA 98684 Each additional ins section over allowable in any of the above - Pho j nc: ( 360) 254 -6920 Fax ( ) 1 -866- 530 -•4325 Pot inS 62.50 �M in vcsri , ;tikillPeritottealirMtn) 62.50 MI= CCl3 Lie,. 14117 Et Lie., 17 -154CL Suprv. Lic,: 173LEB b,dusni;d plant per hour 1111111 73,75 III Suprv. Electrician signature, replied; - _ ELECTRICAL PERMIT FEES JACK CAGLE Print name: Subtotal: $7,5,00 ..�,• Cate: 7-14-08 Plan review (25% of permit fee): Authvfi70d signature' / State Surch;irge permit fee): $ 9.00 Ie)TAL FEE: Ptinl name: —�. $84.00 ETHpN A. DOLPH Date: 7 14 -0$ TI 11 pCrl application CXp1YL'S jf a pnrplii 14 not oI)tain Cl( \rlth(11 ISO clays after it hnx been „ ccpled .,x complctt•. ,:nln d,hnt,l'o.w F \IiLC- rwnna,4,pd OX/2.3/06 E /Iv robe, of inspccd oos:Mowed per permit. 14t1- 015'ff1 ups/COMAVI;n • CITY OF TIGARD •BUILDING DIVISION PERMIT #: ELR200B -00212 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 71/5/2008 Phone: (503) 639 -4171 /uia'gliny���y9li� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 712212008 TIME: 7:01AM PAGE: 79 SITE ADDRESS: 14120 SW DRIFTWOOD CT CLASS OF WORK: SUBDIVISION: DRIFTWOOD TERRACE APARTMENTS LOT #: 0 -9 TYPE OF USE: PROJECT NAME: DRIFTWOOD TERRACE DESCRIPTION: Units: 12,14. Installing fiber optics for Verizon. OWNER: FISCHER, CAMILLE PHONE #: CONTRACTOR: NORTH SKY COMMUNICATIONS INC PHONE #: 360^264 -6920 Inspection Request Scheduled For: Date: 712212008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 072967-02 503 - 849 -2025 N Corrections /Comments/ Instructions: 11 PASS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS n FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: (5-• N S€ Date: .1 Phone #: (503) 718- j1Tb