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Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT :711 z COMMUNITY DEVELOPMENT PERMIT #: ELR2008 -00211 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' 9 -11 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 $84.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344. Issued By: Permittee Signature: OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. JUL 14 2008 9:35 PM FR TO 5035981960 P.09 • Electrical RECEIVE Permit Application , . 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City of Tigard t � L 14 200; / l .,i� Pc-"''''-' •',__ — K 1312 S w Halt Blvd., Tigard, OR )7223 � plan ltcvicw �1 L • Phone' 503.639 4 171 Fax; 503.598.1960 pu,a, Paro,n, if, :rtcJ[3 T1C,ARD [nspecti°n UM": 503,639.4175 �r�J ar+ TIG . i Ready /By: QF Ste Page 2 for fntccnet7 www "tigufd- Or•g0v C,)11 • Dil , LR'� `cd /MMhnd. y f 1 � SupplemcrdtYi trtformntion � PLAN REVIEW TYPE ON 1VOR ' ❑ New COit$trUCtinn 1 11 A( iditiUft /atiefilti0n /t6)150emon( Meese check all that apply (sohnta 2 sots '[ plans whtcmi checf:eu bclow)- 0 SCt V1LC Sr 1"cedct 40D amps or more El fittil(Gng over three atones. ❑ Demolition .mow © Other: whom the available firsl( ciusent © Mnritms nod homyerd;• CATEGORY OF CONSTRUCTION , exceeds 10,000 amps at 150 volt. or ❑ Floating buildings. •-ti lest. logt mind. orexceeds 14,000 0Commerciabusc alp iculictral ❑ 1- an(l 2- faintly dwelling 0 Commercial /iltdutitrial ❑ Accessory building amts (oral othertin4alteions. bu,ldotzp, LZI Multi - fatally D Master builder ❑ Other: 01'BIC 1 )1110 5. 0 inmaltaiou of 75 KV A m -- U Esnetroacy system. larger 55f11551515 (WI yeti system. ' • J013 SITE INFORMATION AND LOCATION ' ...... .......,..,.,.W...�� ,_„„.,M,,,.....,,W,�„ �y © Addition cr new timer load nl Job Ino.: Job site address: 14120 SW DRIFTWOOD CT. E {)p1•ip grnx7a rltu,lmnry ❑ SIX Or IuOfc rCsi ticunid torts, � Rccrcation:tl vcF.icic p,uks. City/State/ZIP, TIGARD, OR, 97223 0 Health -cone I"aeila GI Supply voltage for more tltar -- - -..-. . . 0 Sts ua dm locations. 500 sons nominal. Suite /bldg. /apt. no.: 9 -11 Nroject name: DRIFTWOOD TERRACE Osceviccortccde- mom. _ W FEE *SCHEDULE ,• • Cross street /directions to job site: ^ - . _, nexcrlydma 1 Qty. I Rea _ r Total J New residential single- or multi- fancily dwelling unit. lndudos attached garage. Sii bdis'isiVF1, LU( 110.7 1.000 fit)• 0. or less MI 11 — Em. add' 1 500 so 0 or pq, dst 33.40 3 11( map /parcel 1id.: - --- _........ Limited energy, rcsidenlinl i)PSCRIPTION OF WORK (,viol: above >t , R. 75,00 _II Limited enelIty, multi- fn INSTALL FIBER OPTICS FOR VERIZON multi-Riau ly 7500 .v. _. Icstdcnliq! wisi: alts >ve set ti.) 111. Mill Services or feeders installation, alteration, and/or retpcetiott 200 amps or less NM 80.30 IMMO • ' O PROPERTY, OWNER ' © TENANT 201 amps 1u 400 mops 106.85 —L 2 Name: 401 amps to 600 amps 160.60 2 M.. __.. _ -- . 601 amps to 1,000 amps 240.6o 2 Address: Over 1.000 amps or veils 454,65 j 2 City /State /ZIP: Temporary services or feeders installation, alteration, and /or . . . -. .. . - relocation Phone: ( ) Fax: ( ) 200 amps or less 66.85 1 iiimi Owner installation: This installation is being made on property that I Own which is not 201 a "tl)s t° 400 amps • „••- 100.30 intended tot sale, lease, rent, or exchange, accotding to ORS 447, 449, 670, and 701. 401 amps to 599 amps 1111•111E111 Branch circuits - new, alteration, is ex tenniort er I Owner signature: Date: __-., _ —_ A. Fcc for branch Circuits aid/ CI APPLICANT I CONTACT PERSON . above set vice or feeder fee, each branch circuit 6.05 il Business name: NORTH SKY COMMUNICATIONS, INC. B. Fee for branch circuits — wawa' or feeder roc, Contact 04106; ■III _ RYAN ROBERTS — lust branch circuit 4G -ss Address; 11818 SE MILL PLAIN BLVD STE. Each add'Ibrartch 6.65 2 "'- """'-"' ”' Miscellaneous service or feeder not included) City/state/ZIP: VANCOUVER, WA 98684 Each tnanufaculred or modular dwclhnr, service and /or fccdcr 90.90 1 2 PhOnn: (503 ) 519 -5264 Fax:: ( )1 866 -905 -4907 Racoon= only 66.85 MOEN E -mail: mduorCa�north kvcomm,com Pump OrIrrigation circic 53.40 � CONTRACTOR ' Sign or outline. lighting 53.40 2 2 - Business name: NORT SKY COMMUNICATIONS INC. H e a alter limited. energy panel, ahcattien, or Address: 11818 SE MILL PLAIN BLVD. STE 410 ex tension, Describe 1 Pa $75.00 2 City/Statc/ZIP: VANCOUVER, WA 98684 Each additional inv,ection over allowable in an or the abov 360) 254 -6920 Per Inspee(rou _ 62.50 M e Phone: ( Fat(: ( ) 1 -$66 -500 -4325 hwesti per hour (I hr mint 62.50 CCB Lilo.. 14117 Electrical Lic.17-154CL Suprv. Lie.: 1 73LEB Industrial plant per how' 73.75 .. II ELECTRICAL PERMIT FEES Suptw. Electrician signature, required: Subtotal: J ACK GA �' "' " Print name: CAGLE D'tc: Plan revie (25% of permit fee): 7 -14 -08 Stare surehdrge (12% of permit fee); _ .� 84. 0 AttthOriY,c�(I signature; TOTAL PER x, 84.00 Pun Ira nC: -eht. permit „ppticntiun CS if 007 :x not obtained within 150 ETtiON A. DOLPH _ ante: 7 -14 -08 ,ta antra has Iwo., MA:I:pled ax eo ' Nuotbor of 'n%txeuow. rliowetl poi pern•it 1,11 , dt,hag \ 05l2,3m6 4411.4515'I'(r I01/Cgrt/wlils • CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2008-00211 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7115/2008 Phone: (503) 639-4171 0404 t Inspection Requests (24 Hrs.): (503) 639-4175 .14A INSPECTION WORKSHEET FOR DATE: 7/22/2008 TIME: 7:01AM PAGE: 80 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: 9 Installing fiber optics for Verizon. OWNER: FISCHER, CANAILLE PHONE #: CONTRACTOR: NORTH SKY COMMUNICATIONS INC PHONE #: 360-254-6920 Inspection Request Scheduled For: Date: 7122/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 072957-01 503-849-2026 Corrections /Comments / Instructions: • FA PASS LI PARTIAL APPROVAL El CANCEL LII NO ACCESS El FAIL n CALL FOR INSPECTION 1:1 ADDITIONAL FEES ASSESSED Inspector: (■! Date:1 ' Phone #: (503) 718- 1)04)