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Permit CITY 1 IG ARD ELECTRICAL RESTRICTED ENERGY PERMIT • ' COMMUNITY DEVELOPMENT PERMIT #: ELR2008 -00208 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 - SUBDIVISION: DRIFTWOOD TERRACE APARTMENTS LOT: 8 -9 JURISDICTION: TIG PROJECT: DRIFTWOOD TERRACE Project Description: Units: 1 - 3. 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: CAMILEE 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 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: ,P g 1�1 OWNER INSTALLATION ONLY /01,10, � 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 9:34 PM FR TO 5035981960 F.03 Electrical '�� C ity of Tigart 4 `` '�0 > ` 1" 4; l tccc.vutl � :.,.: it � , *�1, ,�. : , . � '' 't 13125 SW Hail 131vd., Tigard, OR 97223 U t D 1 �,ult3 : i * �'rl� L _i +. O to • _ Phone' 503.639 4171 Fax; 503.59S.1960 ��C( ; ; t Ic plher taClnhi TI l; 4ii,RD Inspection Line, 501.639,4175 CO `1 ', C . •_ 'eadyalty: td gee Paz: intermit Www.ligard -or gpv �� Nom-Jed/14010u; 2 for G � = $upplg/tiQitlAt Information TYPE .OF WORI PLAN REVIEW • over three sto 0 New construction QI Addition /alteration /rephiceinont Picaeo check 40 um apply {s { sou 01 plans 'whims cl below) t—t pDemolitionDemolition Scrvico Or leadc, 400 amps or more 0 flow o d Ot her: Whom the v.rilat >IC fault crntcar rr-•, p ,%on:A .,n,l Imaty:Irtts, _ CATEGORY OF .CONS FRUCTION 0 4C041$ 10 000 rn,r,c loss to ground. or 14,000 . colts o. C) Floating buildiug5. 0 l -And 2 dwelling Lon noioi;t- u,cricut :�nrr:d - L! Y ❑ Co Commercial /irtcitlstrial 0 Accessory btrilditt snaps i'o. an q lie h aalafl:nnms- buitdu,ys. p Multi- family ❑ 4(astcr builder 0 Other: 0 Fire pump 0 InStatl,,Gur, of 75 KVA w JOB SITE INFORMATION AND LOCATION ©Etnctgooay system, 18ro c scpar:ucly uurived systcnt. .... -M,. ,•.,,._ ,,.- ........ 0 mdiuoir of new mole. tom; 01 Job no,; Job site address: 14120 SW DRIFTWOOD CT. _ C7 /00T ormwo eccuponcy S m ix or ore residcntial uaiti, ❑ ncercutional VC-hide hullo, City /State /ZIP: TIGARD, OR, 97223 0 Healit•eono raciblies. 0 Supply voltage lot more than T — CS Harm dous locations. 140 volts 1 )n,innt. Suite /bldg. /apt. no. 1 1 Project name' DRIFTWOOD TERRACE 11 Service or feederliO0 amps or x%me, Cross sneer /directions to job sue: FEE SCHEDULE • .. . — _ .,,, 1 IEun _. _. I Riy, I IQro. 1 'Ibt • New residential single. or multi- family dwelling unit —. - „,,, Includes attached garage. Subtiivision: Lot no.: 1,000 sq. ft. or less 14. f Tax mag /parcel no.: - El, ruin'! 5 00 :;q. fl. or portion 33.40 WI DESCRIPTION OP WORK (with energy, resuicmial (wdh nborc so R) 75.00 II INSTALL FIBER OPTICS FOR VERIZON Unwed t he ti 75.00 y 2 W „� icsidealiai (wid,a lwvexy.l6) Services or feeders installation, alteration, and /or relocation 200 amps Or ley; 80.30 2 p.mµ C1 PROPER'T'Y, OWNER .w wy 0 TENANT 201 amps to 400 106 85 Mill 2 Name: 401 amps to 600 amps 16040 MIMEO Address; 6A1 amps to 1,000 mum /40.60 ^"—' Over 1,000 •000 amps or v volts 4 011y /State/ZIP: Temporary services or feeders installation, alteration, and /or relocation Phone; ( ) Fax: ( ) 200 amps or loss 1 66.85 Owner installation: This installation as being made on prope,ty thAt I own which is not 201 :th a to 400 amps 100, intended for sale. lease, rent. or exchange, according to ORS 447, 449, 670, and 701. 401 am )s to 599 amps 112111MI Owner signature: _. ��Date: Branchcitcuits - - new er )0nel - ._ -- A. Fee for branch circuits with 0 APPLICANT ' U CONTACT PERSON M -- above set vice 01' feeder- fee, each branch circuit 6.65 II Business name: NORTH SKY COMMUNICATIONS, INC. B. Fcc (or brooch citcuiis Contact name: RYAN ROBERTS _ — without xavrce or teeter tee, 4G•85 First branch circuit Address: 11818 SE MILL PLAIN BLVD STE. 410 Each add'I blanch circuit 6.65 11 Miscellaneous (service or feeder not included) City/State /ZIP; VANCOUVER, WA 98684 Each Inantt facttn+ed or (nodular Phone: (503 ) 519 -5264 I Fax: : dwelling. service and/or• feeder W . 90.90 ( )1 -866- 905 -4907 Reconnect only 66•85 I -ma1i: mduo Ii k CQTT111'(,corn Pump or it rigariou circle 53.40 CONTRACTOR Sign or Hotline lighting 53,40 Business name: NORTH SKY COMMUNICATIONS INC. Signal circuit(s) or limited- ,J.. -.... _. energy pallet, aim ,tlian. or Address: 11818 SE MILL PLAIN BLVD. STE 410 t:xtension. Describe 1 Page 2 $75. 2 — City / State/ZiP; VANCOUVER, WA 98684 _ Each additional 1u pectiol1 05er allowable in any of the above Phone: ( 360) 254 -6920 Fax: ( ) 1- 866-530-4325 Pct inSpeCinspection - 62.50 Invcan per hour (I tar row 1,2.50 ^ CC13 Lie., 14117 Eieetr'icni Lie :1 7_154CL; Suprv, Lic : 173LEB Indttstr•ial oat per hour 11111 7175 MI Suprv. Ele.ctricitin sign Mute. required: — ELECTRICAL PERMIT FE S Airmr.' Subtotal: 7�r 0a Print name: JACK CAGLE Date: 7 -14 -08 Plan rcviow(25r% fee): S State mac/huge (120h of permit fee): $9 00 Aathorixcd signature; - _,•, i. / TOTAL Pr Rlvl1•i' FEE.: 84.00 Print nntnv' r lit.¢ rernr11 uu ETHON A. DOLPH Date: 7 14 -08 I t)p �icatio „ e..,:,t „;t ., pca'mil is not AbtainctE within 160 An n1YC4: It has been s as camplctr. f: sae iId ngU'ennu.5 \pLC•I',:nna' \Pl),doc 05125/05 ” NV mbar el' inspections 41lu,ved pot permit. d.10- 401515 1 hoscomAyc ? - V , CITY OF TIGARD BUILDING DIVISION A PERMIT #: ELR2008-00208 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/15/2008 Phone: (503) 639-4171 1/441Illifi'\ Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 7/23/2008 TIME: 7:02AM PAGE: GO SITE ADDRESS: 11120 SW DRIFTWOOD CT CLASS OF WORK: SUBDIVISION: DRIFTWOOD TERRACE APARTMENTS LOT #: 8 - 9 TYPE OF USE: PROJECT NAME: DRIFTWOOD TERRACE DESCRIPTION: Units: 1-3. Installing fiber optics for Verizon. OWNER: FISCHER, CAMILEE PHONE #: • CONTRACTOR: NORTH SKY COMMUNICATIONS INC PHONE #: 360-2546920 Inspection Request Scheduled For: Date: 7/23/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 073038-01 503-849-2025 -,,,. Y I R Corrections/Comments/Instructions: • F.I. PASS pi PARTIAL APPROVAL fl CANCEL n NO ACCESS fl FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: G -, N M L4j Date: 1 - ' 1 -"1 -- 01) Phone #: (503) 718- 1 -4 1- ti) —'--