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Permit • ill : CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT . COMMUNITY DEVELOPMENT PERMIT #: ELR2008 -00215 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: 21 -23. 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 $84.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344. Issued By Permittee Signature: Q yj2 /2:02 OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 503.639.4175 by 7 :00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. JUL 14 2008 9:36 PM FR TO 5035981960 P.13 . 5) Electrical Permit Application City o£' Tigard 301- 1 Received 7 , , . , .t 13125 SW H a i l Blvd., Tigard, OR 1 17223 -� :.� T. Or 11.10 . 1 *Plan Review ', Phone 503.G39.4 171 litx: 50;3.54$,1 }g(') Inspection Line: 503.639.4175 IIIIIIIIIIIIIIIIIIII T �c:�nn % . ,i G '01N ls Internewww.tigtrd•orgev NoliftcdJMa ocl: r3 Supplemental lnformntion s pos. ❑New construction TYPE OF WORK , . Nicazt ctmc PLAN REVIEW IUn Addition/alteration/replacement llaccmena k n11 than apply (5ubntit 2 sets or mix wtucm. checked betmv)- l--t Demolition El i I Service or loedec 400 ampx or more a l)uikling over three si0 let„ LJ U Othen': wltetc the availahle IStalf CUI'[alll Q V and hn,ayanls. CATEGORY 01 CONS'T'RUCTION cscceda 10,000 amps .0 L50 volts sa © l bc,lduip. rj !ens to gtpunu, or exceeds 14.000 0 Couimmvi:d - use age tcularral 1- and 2-family dwelling 0 Commercial /industrial ❑ Accessory building now fop nil odwl insiallatit>n btaidinga, I .M011i- family ❑ Master builder 0 Other: 0FEra pump. 0 lnstalhriun or 75 KV A OI JUTS SITE INFORMATION AND LOCATION © Emergency xySacn, larger sc pamlcly derive l sy,mm Q Addition of row ionior lo„d or Job no,,; 1 Job site addrees: SW DRIFTWOOD CT. ` voEP ortncie, " " "1 " "' °y Q Six or more reseticndal unn.- ❑ ROFI9751ia >,eid vchicic 1 City /State/ZIP: TIGARD, OR 97223 ©Hcnlrh.rn'e lactbltca, ❑ Supply vohxeo for more titan 0 HssxRtal)ux kuationy Ito0 ' nominal. Suite/bldg./ant. no.: 21 -23 Project name: DRIFTWOOD TERRACE 0 Scrviecnr feeder 000. Cross street/directions get /afitectipns to job site: FEE SCHEDULE -- - ..» ..m. -,n Dencripito° l o's. E fro. _f 'rural New residential single- or nutlti- fanliIy dwelling unit. Includes attached garage. Subdivision: Lot Ito.; 1.000 so, It. or less 1.11 145.15 4 Tax map /parcel no.; Ea. WI 500 Ng ft or portion 33.10 DESCRIPTION OF WORK l,inu 75,00 (with nix >vc sy. It Limited energy, i multi-family INSTALL FIBER OPTICS FOR VERIZON rc5idcnlial tvah.dx,ve,q,l1.) 75.00 Services or feeders installation alteration. ;and/or relocation _ 20 amps or 1.111.112 © PROPERTY' OWNER { ] TErIAN'T 201 1 to amps [11440 00 ate`: 106.85 Name: 401 amps to 600 snips 160 60 'NMI= 601 amps a I,00 alnpx NE 24 0.60 Address: over 1,000 limps or volts 454.65 City/State/ Temporary services or feeders installation. alteration, and /or relocation Phone: ( ) Pax: ( ) 200 amps or ies ; G6.85 Owner ittstallationt This installation is being made on property that 1 own which is not 201 al�,s to 400 amps 100.30 7 , intended Cot' Sale, lease, rent. or exchange, according to OILS 447, 449, 670, and 701. 40i amps to 599 amps v 133,75 2 Owner signature; Branch circuits - new, alteration, or ex(e113ion, Cr sane! .� , , E)illC; A. Fee for branch cu'ctftl5 with 0 APPLICANT q CONTACT PERSON above sot vice or feedat I'ec. III each branch circuit 6.65 II 2osincssnale^ NORTH SKY COMMUNICATIONS, INC. B. Fcc for branch circuits Contact !tame: RYAN ROBERTS wallow servieeor feeder fee, rug branch circuit 46.85 Address! 11818 SE MILL PLAIN BLVD STE. 410 E.,teh add'I branch circuit 6.65 QV/Stale/ZIP' Miscellaneous (service or feeder not included VANCOUVER, WA 98684 Each manufactured or modular Phone: dwelling. o, Cu eed 90,90 9 -5264 N ax:: ( )1 -866- 905 -4907 wetwice audio) f ' - Reconnect poly GG.$S 2 „ E -mail; mduor ..A orth k 2 mm..c�m Pump �r' trrigatrcln circle I 53.44 CONTRAC"I'PR Sign or outline lighting 53A0 2 B usiness name: NORTH SKY COMMUNICATIONS INC. Signal eircuiati)orlimited. energy panel. ,alteration, or Address: 11818 SE MILL PLAIN BLVD. STE 410 extension. Describe, 1 Paget $75.00 2 Cray /State/ZiP: VANCOUVER WA 98684 Each atidition,ll inspection over allowal,le in any of the above Phone: ( Por in'ipcclioo 62.50 360) 254 6920 Pax ( ) 1 -866 530 -4325 Invealigaltion per hour (I hr min) - 02.50 MOM CCB Lie.: 14117 i'Ieclt'ical Lie - 117- 154CL Sulrv. Lie ; 173LEB _lndttxn•ial plant per hour JIM 73 MI C . r 0 1 ' ELECTRICAL PF,RMIT FEES Subtotal: II — — II Print name: JACK CAGLE Date: Plant review (25% of permit fee); 7 -14 -08 State ourchai e 12,E of Authorized signature; / g Z 'e permit fee): $9 0� :'.__ • / v _. TOTAL PERMl'fFEE: '. 84.00 Print name: E THON A. DOLPH Date: 7 14 -08 11- i nrini t a aluivason czipiri:d it:, Permit iry not ol,tained w tbu, 1 o ._•.. _.. ha AN.,,, 11 h:id been nceC(alael oir wmplC[C. - o Number of inspections hllo per permit P ('LC'•Yrrmeit+pnloc 05i2tfl7G - 40 01 5'I'(ua)irCUN1/WGI3 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2008-00215 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/15/2008 Phone: (503) 639-4171 u ttifititili?\ Inspection Requests (24 Hrs.): (503) 639-4175 etjj AMARA. INSPECTION WORKSHEET FOR DATE: 7/2212008 TIME: 7:0'1AM PAGE: 76 SITE ADDRESS: 14121) SW DRIFTWOOD CT CLASS OF WORK: • SUBDIVISION: DRIFTWOOD TERRACE APARTMENTS LOT #: 8 - 9 TYPE OF USE: PROJECT NAME: DRIFTWOOD TERRACE DESCRIPTION: Units: 21-23. Installing fiber optics for Verizon. OWNER: FISCHER, CAMILLE PHONE #: CONTRACTOR: NORTH SKY COMMUNICATIONS INC PHONE #: 360-254-6920 Inspection Request Scheduled For: Date: 7/22/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 072%7-03 503-849-2025 Corrections/Comments/Instructions: - 0 PASS 0 PARTIAL APPROVAL 0 CANCEL Lii NO ACCESS FAIL Li CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: 066 L> Date: 1 '11 (r6 Phone #: (503) 718-