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Permit
• / ' l / Urrf'/1,1 /�i7` d 5 ��ylGG , ^ ®� �� p� ®����� Gr ELECTRICAL PERMIT 7 COMMUNITY DEVELOPMENT PERMIT #: ELC2008 -00104 DATE ISSUED: T ` / 3/6 2008 TIGA RDI 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 11380 -00600 SITE ADDRESS: 16580 SW 85TH AVE ZONING: I -P SUBDIVISION: SEWER TREATMENT PLANT LOT : JURISDICTION: TIG PROJECT: CLEAN WATER SERVICES Project Description: Aeration Basin #2 modification. Installing (16) branch circuits and (1) low voltage system for instrumentation. 9/24/2008 ADDED (2) branch circuits. RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: 1 MANF HM/ SVCI FDR: 601 +amps -1000 volts: MINOR LABEL (10): SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 1 401 - 600 amp: EA ADD'L BRNCH CIRC: 17 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: CLEAN WATER SERVICES FARNHAM ELECTRICAL CO. 2550 SW HILLSBORO HWY 1050 LAFAYETTE AVE HILLSBORO, OR 97123 -9379 MCMINNVILLE, OR 97128 Phone: 503 - 681 - 3600 Contact #: PRI 503 - 472 -2186 FAX 503 - 472 -4042 FEES Description Date Amount Reg #: ELE 36 -3C [ELPRMT] ELC Permit 3/6/2008 $223.60 LIC 1217 [TAX] 12% State Surchar 3/6/2008 $26.83 SUP 4949S [ ELPRMT] ELC Permit 9/24/2008 $13.30 (additional fees not listed here) REQUIRED ITEMS AND REPORTS Total $265.33 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: v�� ,, 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. • From: 09/29/2008 08:21 11362 P.005/008 CITY OF T ELECTRICAL PERMIT • ° O COMMUNITY DEv.:LOPMENT ) PERMIT #: ELC2008 -00104 i. T I G A R D . (, a L . DATE ISSUED: 3/6/2008 13 SW Hall Blvd., Tigard, OR 97223 503.639.4171 ' . I.. > .. . . PARCEL: 25113130 -00600 --` SITE ADDRESS: 16580 SW 85TH AVE ZONING: I -P J l SUBDIVISION: SEWER TREATMENT PLANT LOT : JURISDICTION: TIG PROJECT: CLEAN WATER SERVICES Project Description: Aeration Basin #2 modification. Installing (16) branch circuits and (1) low voltage system for instrumentation. ,9/24Q9AADDED (2) branch circuits. RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: 1 MANE HM! SVC/ FOR: 601 +amps • 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION: 201 • 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC:_ 17 IN PLANT: 601 • 1000 amp: . PLAN REVIEW SECTION 1000+ amp /volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: CLEAN WATER SERVICES FARNHAM ELECTRICAL CO. 2550 SW HILLSBORO HWY 1050 LAFAYETTE AVE HILLSBORO, OR 97123 -9379 MCMINNVILLE, OR 97128 Phone: 503-681-3600 Contact #: PRI 503 -472 -2186 FAX 503 - 472 -4042 FEES .) Description Date Amount Reg #: ELE 36 -3C ' IELPRMT] ELC Permit 3/6/2008 $223.60 LIC 1217 (TAX) 12% State Surchar 3/6/2008 $26.83 SUP 4949S [ELPRMT) ELC Permit 9/24/2008 $13.30 (additional fees not listed here) REQUIRED ITEMS AND REPORTS Total . $265.33 This Permit Is issued subject to the regulations contained in the Tigard Municipal Code. Stale 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 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. vv n 1 CITY OF TIGARD ELECTRICAL PERMIT • COMMUNITY DEVELOPMENT PERMIT #: ELC2008 00104 DATE ISSUED: 3/6/2008 ;1GARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 11380 -00600 SITE ADDRESS: 16580 SW 85TH AVE ZONING: I -P SUBDIVISION: SEWER TREATMENT PLANT LOT : JURISDICTION: TIG PROJECT: CLEAN WATER SERVICES Project Description: Aeration Basin #2 modification. Installing (16) branch circuits and (1) low voltage system for instrumentation. RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: 1 MANF HM/ SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10): SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 15 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: CLEAN WATER SERVICES FARNHAM ELECTRICAL CO. 2550 SW HILLSBORO HWY 1050 LAFAYETTE AVE HILLSBORO, OR 97123 -9379 MCMINNVILLE, OR 97128 Phone: 503 - 681 -3600 Contact #: PRI 503 - 472 -2186 FAX 503 - 472 -4042 FEES Description Date Amount Reg #: ELE 36 -3C IELPRM ELC LC Permit 3/6/2008 $223.60 LIC 1217 (TAXI 12% State Surchar 3/6/2008 $26.83 SUP 4949S Total $250.43 REQUIRED ITEMS AND REPORTS This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344. Issued By: ? � / PermitteeSignature. OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. From: 09/23/2008 15 :47 #347 P.001/002 it Electrical Permit Applicati on li , l` " ? , r r 'IOit'' \L1 City of Tigard ���� Receives V p Dat e/B p3.7 1 • Permit • No.: 1 S 3125 W Hall Blvd. Tigard, and OR 97223 ��.�- '' ' . Phone: 503.639.4171 Fax: 503.598.1 60 ` D • 0. an `yew ( ../(21"1 S ��(� `Itll't: Other Permit: J 5 _ 7 T h i n Inspection Line: 503.639.4175 v • a dy By: June Internet www.ttgazd or.gov 0 9 11 Notified/Methad: El See Page 2 .or Supplemental +��( 1 y 1 {1Y C,� ?S' "``tIa+al � �IJttI,�1!!)n31ljtt �" 1 F �1 � �u p @,, t �D Information r ltd.f.�1 #i.,el�sr �rtlrf}.� , NO `I �II�(nfpl,!'(df.,; :. 't h nit ,+ . : r$.. j I { l i S� :�� r� ill +`�{Plliiil1t' ,,�„t r . _i1 � 1 -n :t'. tSttTT ! , a+ Eklxsjl :+.t1ti'f)6�lxi����tu¢nl�ai� i @f�tY - tl�..a l Lif "�'Isil +,!(EI d i..� ,, ,� I2., l ( I G i s ! C 7 �wv. 1w „= i.,.- Ili + ., -� San.1. .� �EI+.:�.. j ❑ New construction ® Addition/alteration/re acement Please check all that apply (submit 2 sets of plans wine= checked below): I Service or feeder 400 amps or more g ❑ Demolition ❑ Other P ❑ Marinas over three stories. ?;' i't) y 1 k'I ,j t r E }i r w - t + wi ++ where the available fault current ❑ Marinas and boat ff t ^ -i 1 �:,d t , :, r.� , ,..: •. � boatyards. 11113 i,I•10 iitiaii, Sf„ {�l 11 ' �1'lM1 P: rt �f •dFIt1I'tL la I ar t r r Han exceeds 10,000 amps at 150 volts or ll i .��ti �._rt;fk � � I � p����,1 �" �d;� � � l#"�Il f�fi �' t I t�d ❑ Floating buildings. ,t L, i1l�R,1r , , +, -.art 11f1 1t t r i< a. �:, ,,;�, ,; I- and 2 -famil dwCllin less to ground, or exceeds 14,000 ❑ Commercial - use agricultural ❑ Y g ® Commercial/industrial ❑ Accessory building amps for all other installations, buildings. Multi ❑ Master builder Other: ❑ Fire um 'J;l`lRa }ilil �3;3}I � l a; > > I }! d � f IIS+ t"` ej.tA+ v n�u , t � , f ❑ r z I y 1 1 t pump. ❑ Installation Of 75 KVA or i } 1 �r �: i r ❑ Emergency system. larger separately tIFI I L U.l.. I 1111 1,++. t•.ka d. , i ,.. 4 a ±U? fiS� T� I U g P Y Y tt ��I ,,may r' t t { � ( � p f derived system. B ' I I"K�';ifif' sec ,.,,,.., t . I��t1,���;��`?;P;. �1, „�!„ ��`,�ktrdlEt.,+,ai ++' ['Addition of new motor load of ❑ "A • "l �2 "I.3 Job no.: 828-45 ) Job site address: aw 85 ave 10001 or more. occupancy. ❑ Six or more residential units. ❑ Recreational vehicle parks. City /State/ZIP: tigard oregon 1 ,5e0 • ❑ Health - care facilities. 0 Supply voltage for more than no.: ['Hazardous locations. 600 volts nominal. Suite/bldg./apt Project name: 85 ave p station a___L 0 Service or feeder 600 amps or more. V11i +iI1�1111 tt[11�'Shl'ItU'.c...+1+. i11 1 I, 1 lr _ Cross street/directions to job site: i on i" i l i .' il,,:rl'I � 31.', l I4 -° _ Description 1 Qty. j Pee. 1 Total New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Tax map /parcel no.: Ea, add'I 500 sq. ft. or portion 33.40 I `iiG 1 1` a 9 �t ,f ytp� t I { gqIIP.�F� i try F3', ;;': ' + ��,,,,,v� 1 II 5 i r'§ 1 . 1 g Limited energy, residential ! Iil + i x lJw rdi it�ir r lik, it lli ,I ,� iIai+31'il,y{ . , `� uta at l illf. ,1 -�u ili P 1����1i 9 iri i 9d d i>{ d� -��ilt{i pi) (with above sq. R.) 75.00 2 add 2 circuits Limited energy, multi- family - residential (with above sq. 8.) 75.00 2 Services or feeders installation, alteration, and/or relocation '1 tlfl t 1 'I I ; �'. „. e r l a *t o .a, ni il tl +t i I p. PP i + l i .�. ,;+ : „ + 31 } 200 amps or less 80.30 2 �la �� t. . ',i . ',� I!! 'il �,' II ;i ljll ��l i 11 ii'fiq!d'r .,,, l.. ' l,if)t E till �l ��F 3 P 106.85 2 t' e. I t ,11 1! :.1j.. ilurli.,i,; „aktB�� I I .l a t,,il, I " 20I amps to 400 amps Name: 401 amps to 600 amps 160.60 2 Address: 601 amps to 1,000 amps 240.60 2 Over 1,000 amps or volts 454.65 2 City /State /ZIP: Temporary services or feeders installation, alteration, and/or relocation • Phone: ( ) Fax: ( ) 200 amps or less 66.85 1 1 Owner installation: This installation is being made on property that Town which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Owner signature: Date: Branch circuits - new, alteration, or extension, der panel i` j'1' ,1�1 t I1 yt 11;1x111' ta� � t!�d "��.�.f d�Il �t' � I� r Y' ! f u t �� I t (I I .,n., :,, _ I r � , ,,�� , , A. Fee for branch circuits with i lii +, ,I J.«»,ir1 M ,tr-...,,4311A+L,oti1; �a�,�lt,:.lx�,11�+(E��t "a�1-t 101 :.,',a1`�0 s_,`. 00..0!a.(�J�( liii�l+ above service or feeder fee, each branch circuit 6.65 2 _ Business name: farnham electric co B. Fee for branch circuits Contact name: loren without service or feeder fee, 1 46.85 46. first branch circuit �1 Address: 1050 ne lafayette ave _ Each add'l branch circuit 'ct" 6.65 6.65 2 City/ State/ZIP: mcminnville / or / 97128 Miscellaneous (service or feeder not included) 1 Each manufactured or modular 90 2 Phone: (503) 3147390 Fax: : (503) 4722186 U "" tn °`1 dwelling, service and/or feeder ff�OlV d:/ Reconnect only 66.85 2 E -mail ashleeb @farnhamelectric.com { y quo l5 t Pump or irrigation circle 53.40 2 9! t } , { i +l+.'Fj�. i(� flt .+� rt1 l ;1t(7�! ij ilf {51. S - '' : . , 1E� 4 � 1 t j 4e t lli E q i o j a 3, 11 �d ti � (( t Pd.tt, ,rq", t: d,,,+ .,,9r,:i/lL�lO,?I,.n;r, ii i��,tN ,ililll. ° � i .,,i�3.,.i {I tai, r�n4:.�o�t�:Et ,�i l�, �,$.r�!����Il'�tdi�e� Sign or outline fighting _ 53.40 2 Business name: farnham electric co Signal circuit(s) or limited energy panel, alteration, or Address: 1050 ne lafayette ave extension. Describe: Page 2 2 City /State /ZIP: mcminnville or 97128 Each additional inspection over allowable in any of the above Phone: (503) 4722186 Fax: ( ) Per inspection 62.50 Investigation per hour (1 hr min) I 62.50 1 CCB Lic.: 0121'7 Electrical Lic.: 36 -3c j Suprv. Lic.: Industrial plant per hour i 73.75 H Suprv. Electrician signature, required: ' 1 l"!,'i'4i} i ill'I$ L_ , 100"A it, t bT ` t t iEliii 11+ �, °. Subto ✓ 3.5p / ! 3:)3 Print name: Jeffrey farrand / �/ 1 Date: 9/23/08 Plan review (25% of permit fee). f � State surcharge (12% of permit fee): 6.42 Authorized signature:At� I o ALL - �r TOTAL PERMIT FEE: j,..4.,99"- ! ,i - "� Print name: Waldo famham Date: 9/23/08 This permit application expires if a permit is not obtaine within 1 -- " I ' 1 v days after 0 has been accepted as complete. • Number of inspections allowed per permit. I: 1Build ingTermiu1ELC•PermilApp,doe 05/23/06 440-461Sr(iI /05 /COMWEB J Elect'r-ical Permit Application " ; �4' : , �, I OR Or , FleF S E O M'�� , " M, } �' 1 , 4, j . > M � a" r• ". g: +q' 'i City of Tigard RDafe /By: ( O Or I ' j""Permit No.: -t -c.; v6-- tl l a 13125 SW Hall Blv d .. Tigard. OR 97223 Q Plan Review - > �,. �' Phone: 503.639.4176 Fax: 50'...:I. '.�. { r Other Permit: �/- � r!C, .a�'rr,,,",I �_. , . � �� ,{4i Date /Bv: • ; ✓" 1 7 - �6 t7`;IGrA'R'D' Inspection Line: 503.639.4175 '•-it h Date Ready/By: , e urls ® See Page 2 for tt:;. v llKt44 Internet: www.tigard- or.gov 1 _ Notified /Method: a, / �J Supplemental Information TYPE OF WOli�C-\3 b 0 Lu.`" ., ` (<IV ' LAN REVIEW ❑ New construction ® Addition /alteration /r lac1ni D Pleas • check all that apply (submit 2 sets of plans w /items checked below): Y r 1 II ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: C DIVISION A where the available fault current ❑ Marinas and boatyards. CATEGORY OF ��ciZ F CTION t exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building amps for all other installations. buildings. El Multi - family ❑ Master builder ❑ Other: ['Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A' . "[:" "I -2 " 1-3", Job no.: Job site address: 16580 SW 85 Avenue 1001IP or more. occupancy. ❑ Six or more residential units. ❑ Recreational vehicle parks. City /State /LIP: Tigard, OR 97224 iealth -care facilities. ❑ Supply voltage for more than Hazardous locations. 600 volts nominal. Suite /bldg, /apt. no.: Project name: CWS Aeration Basin #2 ❑ Service or feeder600 amps or more. FEE SCHEDULE Cross street /directions to job site: 85 and Durham Road next to Tigard H.S. Description 1 Qt.. 1 Fee. 1 Total 1 • 7"' New residential single - or multi-family dwelling unit. \ Jrr Y1 r ,A AI Z • Vii. Includes attached garage. Subdivision: 4..0-, ;4' - C Gt,5 w• 11 /r s . 1.000 sq. 11. or less 145.15 4 Tax map /parcel no.: Ea. add] 500 sq. ft. or portion 33.40 1 Limited energy. residential 75.00 2 DESCRIPTION OF WORK (with above sq. 0.) Limited energy. multi - family 75.00 2 Dissolved oxygen sensors wired into automatic control system to control residential (with above sq. 0.) Services or feeders installation, alteration, and /or relocation air flow control valves. 200 amps or less 80.30 2 ® PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2 Name: Clean Water Services 401 amps 10.600 amps 160.60 2 601 amps to 1.000 amps 240.60 2 Address: 16060 SW 85' Avenue Over 1.000 amps or volts 454.65 2 City/State/ZIP: Tigard, OR 97224 Temporary services or feeders installation, alteration, and /or relocation Phone: (503)547 -8177 Fax: (503)547 -8196 200 amps or less 66.85 1 Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease. rent. or exchange. according to ORS 447. 449. 670. and 701. 401 amps to 599 amps 133.75 2 Branch circuits - new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with ❑ APPLICANT 1 ® CONTACT PERSON above service or feeder fee, each branch circuit 6.65 2 Business name: Clean Water Services B. Fee for branch circuits without service or feeder tee. 1 46 85 48.85 2 Contact name: Joel Borchers first branch circuit • Address: 16060 SW 85' Avenue Each add'1 branch circuit 15 6.65 99.75 2 Miscellaneous (service or feeder not included) City/State/ZIP: Tigard, OR 97224 Each manufactured or modular 90.90 2 dwelling. service and /or feeder Phone: (503) 547 -8177 Fax:: (503) 547 -8196 Reconnect only 66.85 2 E -mail: borchersj @cleanwaterservices.org Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 Business name: Farnham Electric Siena] circuit(s) or limited - enerey panel. alteration. or Address: 1050 N.E. Lafayette Ave extension. Describe: I Page 2 75.00 2 Instrument Mods. City/State/ZIP: McMinnville, OR 97128 Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: (503) 472 -2186 LFax:(503)472 -4042 ( u c /�/�.' KM d Investigation per hour (I hr mm) 62.50 CCB Lic.: /6 _ Electrical Lic.:t o _° C Suprv. Lic.: t- -G('49 C Industrial plant per hour 73.75 cc,,�� ////// ELECTRICAL PERMIT FEES Suprv. Ele. �sign6ture, re. aired j - J t C_ Subtotal: 223.60 /� • K 21 i - / O ' g _ Plan review (25% of permit fee): 55.90 Print name: Je f ivy i Date: State surcharge (12% of permit fee): 6.83 Authorized signature: TOTAL PERMIT FEE: This permit application expires if a permit is not obtaine : ! ' Print name: Date: days after it has been accepted as co i' e / ILO * Number of inspections allowed per permit. b 0 1--- I:\ Building \Permits \ELC- PermitApp.doc 05/23/06 440- 4615T(1I/05/CO \1 /WEB Gary Noble From: Corie Peterson [CPeterson @westyost.com] Sent: Tuesday, March 04, 2008 1:22 PM To: Gary Noble Subject: Clean Water Service Durham Plant Project _Attachments: SKMBT_C55008030414080.pdf Hello Gary, In response to your inquiry last week, I have attached some pages from NFPA 820 that define the requirements for electrical classified areas. I have circled the areas of this chart that pertain to the improvements set to begin construction on the Aeration Basin 2 at the Clean Water Services Durham Plant. • None of the work above grade around the aeration basin is classified. • The tunnels are continuously vented at greater than 12 air changes per hour. New installations in the tunnels are only wire and conduit. Work in the tunnels is unclassified except within three meters of any valve or meter on a sludge line. I hope that this material answers your questions. If not, please do not hesitate to contact me again. Thanks. Corie Peterson, P.E. West Yost Associates 1800 Blankenship Road, Suite 425 West Linn. Oregon 97068 P 503 -657 -8813 F 503 -722 -2342 www.westyost.com cpelerson �r; v estvost.com 1 CITY OF TIGARD BUILDING DIVISION . . PERMIT #: El.C2000.00104 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/6/20013 Phone: (503) 639 - 4171 , 1� i���� Inspection Requests (24 Hrs.): (503) 639 -4175 A A _ _ .. . INSPECTION WORKSHEET FOR DATE: 6/26/2008 TIME: 7:00AM PAGE: 1 SITE ADDRESS: 16680 SW 85TH AVE CLASS OF WORK: SUBDIVISION: SEWER TREATMENT PLANT LOT #: TYPE OF USE: PROJECT NAME: CLEAN WATER SERVICES DESCRIPTION: Aeration Basin #2 modification. Installing (16) branch circuits and (1) low voltage :,ystem for instrumentation. OWNER: CLEAN WATER SERVICES, PHONE #: 603-681-3600 CONTRACTOR: FARNHAM ELECTRICAL CO. PHONE #: 503-472-2186 Inspection Request Scheduled For: Date: 6/250008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Elechicai final 071845.01 503.314 -7330 Y y — GAS co DE: Corrections /Comments /Instructions: LI V �/, PASS ❑ PARTIAL APPROVAL n CANCEL NO ACCESS • i L n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: �-` N o* L ' Date: O 1 QA Phone #: (503) 718- DfLiet City of Tigard TIGARD Tidemark Refund Request This form is used for refund requests of land use, engineering and building application fees. Receipts, documentation and the Request for Permit Action or Refund form (if applicable) must be attached to this form. Refund requests are due to Tidemark System Administrator by Friday at 5:00 PM for processing each Monday. Accounts Payable will route refund checks to Tidemark System Administrator for distribution. Please allow 1 -2 weeks for processing. PAYABLE TO: Farnham Electric Co. DATE: October 2, 2008 1050 NE Lafayette Ave. McMinnville, OR 97128 REQUESTED BY: Dianna Howse Attn: Ashlee Brenden TRANSACTION INFORMATION: Receipt #: 2008 -3339 Case #: ELC2008 -00104 Date: 9/24/08 Address /Parcel: 16580 SW 85th Ave. Pay Method: CreditCard Project Name: Clean Water Services EXPLANATION: Per applicant's request as work was permitted under ELC2008- 00551. Refund 100% of permit fees. REFUND INFORMATION: Fee Description From Receipt Revenue Account No. Refund • Example: [BUILDS Permit Fee Example: 245 421000- 432000 $ Amount [ELPRMT ELC Permit 220- 0000 - 431510 $13.30 [TAXJ 12% State Surcharge 100 - 0000 - 207020 1.60 TOTAL REFUND: $14.90 APPROVALS: If under $500 Professional Staff If under $7,500 Division Manager ; �,� If under $22,500 Department Manager If under $50,000 City Manager If over $50,000 Local Contract Review Board FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY Case Refund Processed: I Date: I AAA � ' 1 By: 1 1: \ Buildin \ Refunds \ RefundRequest.doc 05 /23/07 t CARD 11I 6/_ou'� . ViLITTOR 'A`` g si 13125 S\\ u:�{I RIv 12:04:06I'M , , -,_ Tigard. OR 97223 503.639.4171 E .1. ,I} Refund Receipt #: 27200800000000003470 j F": (... _> r- e::_,_ Date: 10/06/2008 Line Items: Case No Trait Code Description 12c4 enuc :Account No Amount Paid ELC2008 -00104 Reversal - [ELPRMT] ELC Permit 220-0000-431510 (13.30) ELC2008 -00104 Reversal - I TA X I 12% Stale Sur 100- 0000 - 207020 (1.60) Line Item Total: ($14.90) Refund: Method Payer User ID Acct. /Check No Approval No. Hon Received Amount Paid Credit Reversal FRANI -IAiM ELECTRIC CO. 024351 Fax (1-4 90) Refund "Iota 1: (514.90) r I 9 o 1 ` � 0 u W v au v id • • . 4 C. ) r,, (/3 N 0 � a� v 'C 41 • , , w - ri, 11 v A + a� O + 117 O cn v c� H Q N x 2� � E g . � , ° .. 47 7,1 n \ , v y 4 y (Yi 8 w 6J V) a X f., V W O tt o i a • • ` Z." - v w �J O c.. v �`, m y u ,. 1x Cs; U sv- z (.4 0 ter 2 v \ a.a r •E u c O CI v v \ ,--'''' . H 4=. tx 'F—, From: 09/29/2008 08:21 8362 P.006/006 ■ -,.. ::'!:•••.::-: ii 7 = -.2 •:' --- . - • , .., :'::.P' I .' ; • 'n %-: ,... f. :•-.,1=1:. ..." 7 ■ .-- — , = = - C .7. . ...;.- n .: - ,, - = . „... ..,_ _ _ .^.:. ,..., H ,.. --- - - r, 2 — • —..! .:' = ' —J M ', :" rt 7., ..=.. m... rt , -• qZ = lt •: -- II . --.. , - © ■ ,. ,.. ■ ce - CITY OF TIGARD PERKTS 13125 SW NALL OLUD ...... . , 0 tispRD, OR, 97223 ' _... J - TERNINAL I.D. : 8011340080800313065801 , Ct © MERCHANT 1: M .__, 3130658 :,.. = MC PCARD f .......) DUMUS**1438/6 t = ;,-,, T7 c..• SALE = :7...- ; ,......, RECORD 8 8 HU: 888908 DATE: SEP 24, 88 TIME: 11:31 ...-..-- 7 ....- 5: ..-..- ,.......-. - •'' , ALITN: 824351 l'._, 1- CUT! CODE: 1111 24351 = AUS RESPONSE: Y - ADDRESS AN DI .... .., r. ". .--; .7.: = D 5 ET ZIP ICH M = , = = , 11 - E TOTAL $14.90 _: _. , -... \,,, .... E. e .... F.- . I AGREE TO PAY 013011E TOTAL AMOUNT ACCORDING TO CARD ISSUER AGREEMENT (MERCHANT AGREEMENT IF CREDIT UOUCHER) CUSTOMER COPY 1 .. ,_ ,,,.. _ ■ s... — ..-.... ▪ .L — 4.- ..•- .. ■:: •:-.. ' > = = = .7.7 .--. Z. From: 09/29/2008 08:21 #362 P. 004/006 : : E ` : „ : :. , ment RECEIVED RECEIVED Community Develo - p SE P 29 Request for Permit Action 2008 T I GAR D 9 BUILDING DIVISION TO: CITY OF TIGARD Building Division Services Coordinator 13125 SW hall Blvd., Tigard, OR 97223 Phone: 503.718.2430 Fax: 503.598.1960 www.tigard- or.gov • FROM: ❑ Owner ❑ Applicant ® Contractor 0 City Staff (check one) REFUND OR Name: FARNHAM ELECTRIC CO. INVOICE TO: (Business or Individual) Mailing Address: 1050 NE LAFAYETTE AVE. City/State/Zip: MCMINNVILLE, , OR 97128 .� Phone No.: 503 -472 -2186 5 PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (✓): `'I 1 D C,A14C; '; -RMIT APPLICATION. REFUND P IT FEES (attach receipt, if available). C L FOR FEES DUE (attach case fee schedule and explain below). v ❑ REMOVE CONTRACTOR FROM PERMIT (do not cancel permit). Permit #: ELC2008 -00104] Site Address or Parcel #: 16580 SW 85 AVE. ( 1 Project Name: CLEAN WATER SERVICES n -. Subdivision Name: SEWER TREATMENT PLANT Lot #: ,'i. i, EXPLANATION: ADDED (2) CIRCUITS TO OLD PERMIT BY MISTAKE. PLEASE REMOVE (2) CIRCUITS FROM PERMIT AND REFUND FEES. S /4 2 ATTACHED PERMIT AND RECEIPT. Je—E- ELC ,2©O6P— DOSS1 Signature: 42,403 i G L J.L P !1� Date: 9/29/08 ASHLEE BRENDEN Print Name: Refund Policy I. The Director or Building Official may authorize the refund of a) any fcc which was erroneously paid or collected. b) not more than SO° o of the land use application fcc when an application is withdrawn or canceled before any review effort has been expended. c) not more than 8(1% of the land use application fee for issued permits. d) not more than 8C) o of the building plan review fee when an application is canceled before any plan review effort has been expended. e) not more than 80% of the building permit fee for issued permits prior to any inspection requests. 2. Refunds will be rerurned to the original Payer ir . p. ,41 the same p method } in which ' payment was received. Please allow 1.2 weeks for processing refunds. . .J... � d 1,� F a,., tW lit...; 11�'f�i f 1 �::., "1�IY .i ? 6. 01~1..1 �' a I i. v 104 rjM g y yf '7 • .�.k q :.): Rte to Sys Admin: Date -• B Y R te to Bld• tu Adrn: Date j, 411 B , �� fa Refund Processed: Date /. . # J By ,; *�, Invoice Processed: Date B Permit Canceled: Date By Parcel Ta _ _Added: Date B Recei t # ,• , - Date 2 0, Method (� /, Amount $ I_• \Buildint \I onns \RegPcnnitAceon.d c Re - 07/2(,/117 • City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223 • N1 • T I GARD October 7, 2008 Farnham Electric Co. 1050 NE Lafayette Ave. McMinnville, OR 97128 Attn: Ashlee Brenden • Re: Permit No. ELC2008 -00104 Dear Ms. Brenden: The City of Tigard has processed a refund for fees on the above referenced permit(s) for the following: Site Address: 16580 SW 85 Ave. Project Name: Clean Water Services Job No.: N/A Refund: ❑ Check # in the amount of $ ® Credit card "return" receipt in the amount of $14.90. • ❑ Trust account "deposit" receipt in the amount of $ Notes: Per applicant's request as work was permitted under ELC2008- 00551. Refund 100% of permit fees for additional work. If you have any questions please contact me at 503.718.2430. Sincerely, Dianna Howse Building Division Services Supervisor Enc. • I: \Building\ Refunds\ Administration \LtrRefund- Refundonly.d 01/16/07 Phone: 503.639.4171 • Fax: 503.684.7297 • www.tigard- or.gov • TTY Relay: 503.684.2772