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Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT Permit#: ELR2010-00005 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 01/13/2010 Parcel: 2S113B000600 Jurisdiction: Tigard Site address: 16580 SW 85TH AVE Subdivision: SEWER TREATMENT PLANT Lot: 0 Project: Clean Water Services Project Description: Access control from Admin Bldg panel to new CR location at cart gate. FEES Owner: CLEAN WATER SERVICES Description Date Amount 2550 SW HILLSBORO HWY Restricted Energy Permit 01/13/2010 $67.84 HILLSBORO, OR 97123 12% State Surcharge - Electrical 01/13/2010 $8.14 PHONE: Contractor: SONITROL PACIFIC 8220 N INTERSTATE PORTLAND, OR 97217 PHONE: 503-223-5822 FAX: 503-973-7773 Type of Use: COM Class of Work: ALT Total Number of Systems: 1 Audio & Stereo: N Boiler Controls: N CCTV: N Clock Systems: N Data & Telecommunications: N Fire Alarm: N HVAC: N Instrumentation: N Total $75.98 Intercom/Paging: N Landscape/Irrigation: N Required Items and Reports (Conditions) Landscape Lighting: N Medical: N Nurse Calls: N Protective Signal: N Security Alarm: N Other: Y Other Desc: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the 180 days. ATTENTI Oregon w requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 rough OAR 952-0 - ou y obtain a copy of the rules or direct questions to OUNC by callin . 6.6699 or 1.800.332.2344. (l~~1 Issued ~ lyl: Permittee Signat 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' 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. JAN-12-10 11:06 AN SONITP_OL-PORTLAND 9737773 P.01 RECEIVED Electrical Permit Apulicatiot rY JAN 12 2010 IIIrcrtuh No. ~t,~.Zvio City of Tigard 7, 1312S 1W I loll 1'111 J , 'I'i,,11 a d, (.)A U-123 - C' Pholic! 503.(09.1171 Fax: 503598 .91 OcherPeru,ie Inspcrlilln I.inc: 511.5.6:1'),4175 OF TIGA ) A ®Fcc )'ugc 2 for Illluillul, w1vW',ll ,t'tl•UI', Uy d: /rte Sup,Ira,cn lul lnrurntaNun u; BUILDING DIVISION _ FTHR"I"IT TTI tYPE OF WORK PLAN REVIEW ❑ Nero'Con31('tldion Addllloll/Jite1"itllon/replacemcm Maw check all thatapply(:ubmil1,,iety(1l'planswhic,riSchocked below): C1 %e1, ice ui ree,ler 4,00 amps ur more (J Iluildiup, curt [hies sturics• ❑ Demol it ioit Other; wlten• the available fault rurreut (3 Marinas and haatyards. i exceeds 10.000 unlps at 150 ,ells ur Flualiug buiIjiligs. ,1) rt'i''' r CATF.000Y (JIF CONSTRUCTION IVm to ground, ur ex.ceds 141,000 C7 Commercial-use ugricultuml ❑ I • aI1tI -I.Ilntly alx'l'llln~; WCommercial/industrial ❑ Accessory building amp% our all usher instal{arians bulldiltg9 ❑ Nfulti-family ❑ Muster buiWer ❑ Other; ❑ Firc pump. I11xl-4Ih1ionor75 KVAor ) 1\,,,,... © Ellmkcn~y ayaly ll. IarHc r:wparalcly Jerked systom, ' JOB SITE INFORMATION AND LOCATION' p Addition orulw 11111101 luad ul' 'A", 'l.r ..1.1 1001 II' or nu)rc, ae'cupancy. ) Job Ito: P1 loh site address 00006 Six or more residential tends, Reseed ,wal vehicle parks. , p licalth-!'etc Iaeilitics. I~ Supply vu11a4e for more d,an ' City/5tate0ly Tigard, CR 97224 ❑+[a.rrdaus locations. 6!x) whs nunulral. ❑Srrvua orflt,lvrr+noan,pxnrn,ore. _ Suite/bldg ltpt nU ~Pto)cCt t)an)c: Clean Water Servic a ! - - SSE SCliERU[.< CroSS Street/dtl-cellot's tujob rile: Drcrrl Itlnu -urE _frr. Tlltd New resitlrntiul sinigle• or mulll•funilly dwelling unit. d IlIVttldts attached garage. SubdlvisiullLot no: 1000 sy it or less- 108.54 4 f - E.a add 11110 y,1. It. or portion 3392 1 Tax )nap/parcel no,; I.imiled onergy, residential 07.84 2 k',:i' DESCRIPTION OF WORK Lil,tited energy, multi•fan,lly 67.84 2 Pull under round PLTC from Admi n _Bl-dresidcntiai wlnl thl.,vr sl. n.) - 5ervIces 01, I'ceders ittrlallulion, alteratJon, and/or relocation anel to new _ CR location at cart ate 1.00arupsorless IO0.7b 2 ;i tr.: wROP1 RT5' UWN~ It Q TENANT 201 antes to 400 pn)rs 133.SG - 2 _....-50 1 Name; 401 amps to 600 umps 200.34 2 601 amps to 1,000 amps 3(11.(F4 2 Addl'css: Over 1,000 uml)s or MIS 552.2h 1 City/51a1c!!IP Temporary services or (ceders instullutiuit, alteratlon, and/or : relocation Phonc; ( ) Fax: ( ) 200 an)ps ur less 59,36 1 C)x'ner installation: 'I'bis install;uiun is hcing matic on property that I own Which i4 lint 2111 corps ti) 400 amps I25,G8 2 ~ t 40I atn1. ,s to 591) -m»- Intended for sale. lease, rent, or exchun~1c, .ucordinb u) ORS 447, 44), 07(1, and 701• L.-.._ Ilrunch circuity tor - 1, t, atter)atiun, or extension, u' and Owner si l i, Date; 1natu - A. Fee Ibr branch circuits uidl §77. ?.:Q AI'i'1IC'AN'I CONTACT PERSON above scrviec.or teadur Ice. 47 each branch circuit 7. 2 Business name'. B. Fee for brunch circuits _ r. Comm nan)C: whhuur service or (seller I@c' 5(1.18 2 _ tu_sI branch circuit _ Midi add'I branch Address cirwit _ 7.42 2 1.11 Is L a or feeder no[ fuctud~lte~w 3 - Mlscc1h In 11 Lolls .cevut Each I ilcturcd ic_ - C1IV/~lalC/'- modular - dwellirt''.service -anti/or feeder 7.x4 2 Phtrnc; ( I fax: ' ( ) Rcc'unncci only h7.K4 2 i E-mail; 1'um or irrigation circle 67.84 2 _ - - _ _ . k CONTRACTOR Sign or uutlinc Iigluing 0,84 2 ,or 1 signal Sonitrol Pacific - Sound Secur,it enurLY UI'gy parted, 00el,(sd alturUralimitiun or 1 .............,._.,.._,_......--------------------•`~_____....~._m,~......- Address: 8220 N. Interstate Ave cxtcnsiun.ncscribt: Pagc2 v 2 eity/$IatC//IP, Portland OR 87217 Eachaddltlon)Sllnslcctiunovc•J allu,vublein an'ofthealso v0 1 Perinspcc[ion 66.25 ; 1, 5 Phone; ( 1 Fae: ( ) . _ - _ 503 223-5822 503 _.Z -7773-___-_-- Investigation per hour (1hrmin) 60.25 :r-t1',•N 1 ; CCO Lic,: 5 3 5 3 5 lileclrical l.ir.: 2b-370 CIE Suprv. l.ie.: 3567 IM Industrial plant per hunr 7K.IK - - n - - ELECTRICAL PVRmiT .r.9F'k. :q i Suprv. E=lectrician signalure, required: . fl ~~('~rl Suhwl,L _ _ ..IL - _ - Plan revu.sv (,S'/ nl p[ mit it t'1 Print name: Lp. 41 L. I • ~a. 1 C --~.W T- galesurchot e I.%ilur urnilkc) ~_j Authorized sl 'fOT'Al. P1'sRMI'1' fliE': bnuwre I ' This pcrrrtll uuplicatlun rsprrte If a perbdt Is uni ubtsh,rd wtlhia 160 ; Print n(mte: Dole: ! dxys after It bus been acrrplud as rongdelr, „ Number of it!spcelions allowed per pen»Il. ) , I lHinhilny''Pei mils ailC Pei mi Al41 do, In(ul/04 440-0151(1 UUS/COAWEI) l t i a 'r