Permit CITY OF TIGARD ELECTRICAL PERMIT
• PERMIT #: ELC2005 -00838
DEVELOPMENT SERVICES DATE ISSUED: 10/27/2005
` x'11 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171
PARCEL: 2S113B0 -00600
SITE ADDRESS: 16580 SW 85TH AVE ZONING: I -P
SUBDIVISION: SEWER TREATMENT PLANT LOT : JURISDICTION: TIG
Project Description: 2 br. circuits to tunnel heaters.
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:
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: 1 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 A & D ELECTRIC
2550 SW HILLSBORO HWY 8507 SW WAKKILA TER R.
HILLSBORO, OR -9379 BEAVERTON, OR 97007
Phone: 503 - 681 -3600 Phone: 503 - 227 -0534
FEES Reg #: ELE 34 -644C
g
LIC 155486
Description Date Amount SUP 3522S
[ELPRMT] ELC Permit 10/27/200: $53.50 O
[TAX] 8% State Surcharge 10/27/200: $4.28 REQUIRED ITEMS AND REPORTS 0
Total $57.78 0 1
1
0
0
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. W
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 MM
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those W
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- 33 344. ..--_
Issued By: , l/ Permittee Signature: 7-7 s i C
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.
Inspections Required for: ELC2005 -00838
✓ Code I Inspection Description I PASS Date I By I ✓ Code Insp Description PASS Date By
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground/slab cover
410 Fill 110 Temporary electrical service
415 Grading 115 Electrical service
205 Footing X 120 Electrical rough -in
805 MFG - Structure grading/footing 125 Wall cover
210 Foundation walls 130 Ceiling cover
215 Footing drain 135 Low voltage
220 Slab 140 Sign installation
310 Crawl drain • 145 A/C or heating unit circuit
225 Post/beam structural 150 Hot tub /spa/pool
230 Underfloor insulation 195 Misc. inspection:
235 Shear walls /anchors X 199 Electrical fmal
240 Exterior sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 Low voltage
260 Tilt -up panel 195 Misc. inspection:
265 Masonry 199 Electrical final
270 Reinforcing steel (rebar)
275 Framing
810 MFG - Structure set -up MEC - Mechanical Permit
280 Insulation 605 Post/beam mechanical
285 Drywall nailing — 610 Gas line
287 Suspended ceiling 615 Mechanical rough -in
295 Misc. inspection: 620 Hydronic piping
899 MFG- Structure fmal 625 Duct work
498 Grading fmal 630 Fire damper
299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection:
699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit
910 Sprinkler rough -in 305 Plumbing underslab
915 Fire alarm rough -in 310 Crawl drain
920 Suppression trip test 315 Post/beam plumbing
995 Misc. inspection: 320 Plumbing rough -in
_ 998 Alarm final 325 RP/backflow preventer
999 Sprinkler final • 330 Water service
335 Rain drain
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation 345 Culvert/catch basin
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection:
205 Footing 399 Plumbing final
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection 599 Final inspection
I:\Building \IVR\InspCazd- AOP.doc 06/17/2005
CITY OF TIGARD
BUlL -DING DIVISION a A PERMIT #: ELC2005- 00838
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/2712005
Phone: (503) 639 -4171 �� h��iigllln��j���
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 33
SITE ADDRESS: 16580 SW 85TH AVE CLASS OF WORK:
SUBDIVISION: SCWERTREATMENT PLANT LOT #: TYPE OF USE:
PROJECT NAME: CLEAN W ER SERVICES
DESCRIPTION: 2 br. circuits t• nnel heaters.
OWNER: CLEAN WATER SE' ICES, PHONE #: 503- 681 -3600
CONTRACTOR: A & D ELECTRIC PHONE #: 503- 227 -0534
Inspection Request Scheduled For: Date: 10/31/2005 Pour Time:
Code # Inspection Description ► onfirm # Contact # Message
199 Electrical final 01:77-01 503 - 939.7765 N '
Corrections/Comments/Instructions:
G 5M% 541-
e, PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
El FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ,1 Date: I dl 31 06— Phone #: (503) 718 2 q 6 . _
CITY OF TIGARD
BUILDING DIVISION #: FLtM2000083f3
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/27/2006,
Phone: (503) 639 -4171 'r "iiN p @��
Inspection Requests (24 Hrs.): (503) 639 -4175 ?__..
INSPECTION WORKSHEET FOR DATE: 10/27/2005 TIME: 4:11PM PAGE: 10
SITE ADDRESS: 16580 SW 85TH AVE CLASS OF WORK:
SUBDIVISION: SEWER F REATME:NT PLANT LOT #: TYPE OF USE:
PROJECT NAME: CLEAN WATER SERVICES
DESCRIPTION: 2 br. circuits to tunnel heaters
OWNER: CLEAN WATER SERVICES, PHONE #: 503631 -3600
CONTRACTOR: A & D ELECTRIC PHONE #: 503.227.0534
Inspection Request Scheduled For: Date: 10013/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 01967x01 503 1339 - 7765 N
Corrections /Comments /Instructions:
Roj : S03 -' 3 u?
IA (5 i -vrt[ V 6pl Sl 1
72a 63yr
❑ PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
1 FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: t1 V(Sel ' Date: 1 Phone #: (503) 718 -`'6
e'
•
CITY OF TI GARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00838
DEVELOPMENT SERVICES DATE ISSUED: 10/27/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171 PARCEL: 2S113B0 - 00600
SITE ADDRESS: 16580 SW 85TH AVE ZONING: I -P
SUBDIVISION: SEWER TREATMENT PLANT LOT : JURISDICTION: TIG
Project Description: 2 br. circuits to tunnel heaters.
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:
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: 1 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 A & D ELECTRIC
2550 SW HILLSBORO HWY 8507 SW WAKKILA TER R.
HILLSBORO, OR -9379 BEAVERTON, OR 97007
Phone: 503 - 681 -3600 Phone: 503 - 227 -0534
FEES Reg #: ELE 34 -644C
LIC 155486
Description Date Amount SUP 3522S
[ELPRMT] ELC Permit 10/27/200' $53.50
[TAX] 8% State Surcharge 10/27/200: $4.28 REQUIRED ITEMS AND REPORTS
Total $57.78
•
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- -33 344.
Issued By: Permittee Signature: #'Y7
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.
, get 26 2005 4:41PM R & D ELECTRIC (503)227 -1941 p.1
1 4 - r r>v - aft' Sio-eet-
0ot 27 05 05129 c OE1-.T I E (503) 372 -9025 p.1 •
Electrical Permit m t (►IZ 1 11 l lc 1 ,1 (I.1.\
City of Tigard wait Net
111u Rw I loll Illvd. 7iyprd.OR 9722 2 7 2005 K 1 1 r1 ! e'7,27/05 6 , � C�2Gb 5 - ov�',�j�
Phase: 503.039.4171 1 M; 503390.1900 W.A aano•v
flMnln.` ^ .�. . t� ltrm�c
Iefpookon Line: 403.039.4175 CITY OF TIG • t .,, 0_14- '� I Orra itau,,,,„
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1.1,...0: www.eltiarrder.vr L,I1 1 O 1114 tun ` I►Mr
i�UI�1YISION -
PLAN KVII{W
ej Now construction ❑ Atklilion/rll,:rilicMrCplut:cm nl • I check oll Uwl poly:
❑ 1)crltolidtm El Other. ['Service over 225 gaps, control °I•Iazardous location
El Novice over 320 amps - noting ❑Duildng over 10.000 sq. n,.
C A T E G O R Y OP CON.Kf'RUCTION _ u r t. end 2- Lunuly dwdlie go Apr more new raWertial
13 1. mod 2 family dwdling �•ummun iitl/ilidlwtrad ❑ Accessory building 0= _ Dsvucm over 601) yobs nominal units in 0 tdrupare
Multi- Glmily CI M:rit�build,r ()lhesr: 0 nil Min y. nver three %tonic+ Dpeedas.400smp, rrmure
❑ (kcup,nt load over 09 wan DMrtrwfaan red structural Or
FOR SITlil I1*ORMATION AND I,OCATION ❑Iiplrassfighlingpion RV park
Jab 110.: ,�J &c loll Xile dcldrert+: � ' . C y s�` V L ' ❑I la titli•en►c Wilily ❑Where . -
_ Nubmit sets of O ms with any orate above,
Cily/Statc/ZIP: 1 - ,. . a ' U�__9 °7.a„� y The above are not applicable lo lemotvury onariuuctiat sanity.
Soile/Mdg. /opt. no,: / •; Project aura ' / 11 PER* SCNRQIIta
1 _..._._ .C� JYCu Toy !S 6..r.b.1... [ ea i mar I ..
Cross greet/directions to job site: y$' Y'• :D l Nt 1dw01
w vet nr moat -Grapy Owe11:w0 ash.
,t/�.�.' �=1 Iaclodra uoarhed annum.
Gl t ., / �il� / r . fi� / . � � �j • y� / r' . 1.0 sq. 11, or iota $43.15
Subdivision: I L no . 1 ». mill 500 sq. R. M portion 33.40 1
•
Tax t1�up/11areW no.: 1.initeJ aaa ryry. residential 73.00 2
�., � l mused enemy, nun -ra ids ria1 73.00 2
DESCRIPTION A t WORK l;uch mor dared or modular -
l
�
��� � dwellinll, service and/or lecdor 00.90 L
Jw ✓
( (GL...4. / / 1.t , e • j 5 ✓ �G � kA. �/ Srr.1„.. ur rerdrra ia.e.Ratlort. atorrntlon. and /or reloconen
,�✓ 200 nmp, *rips 110.10 2
►N rROYFJCT OWTiKR 1 _ ❑TAN 201 amps 1n 600 amps ItNn01 2
-- - -•-- -- � 401 amps In h 0 lungs _ 1 4 0 . 6 0 2
GG4/ L [c.. r_ r _ 5 r. or ..(`ter _. 601 empt 11. L000 tours 240.60 2
• Ad,Iress: /C � a 5Gt) Sl S • ihG • € .0r I.OIMI amp. .....,h. 434.4S 2
. -M
- Ncar Only 66113 _, 2
City/`latter/P: • • .4 cll.' 9'72••? 4 I Temporary nnervier, or, *ultra nMalhNon. ntaralk,. nod/or
c y
Phtxre:(saa.l ) 'J , / e! `/ ' Fah: ( S : 3) S 2 200 amps or fort 66 )13 1
0Mrdine
.� /�!
Owner Installation: This installation is being muck an property that 1 on whi0h i, not 201 amps k+ 400 neaps _ 100.30 2
;Mended for ado. liaise, rant. nr Gauhdnrp. reaanlinA In ORS 447. 449. 670. and 70 I. 401 amps In 6111 amps 133.75 2
Owner laimalure: • __ . age: _. .- _ Brooch circuits- Irv. alteration, or evleuienar . p Mart
Q APPLICANT ❑ CONTACT Rl;ttypN A. Pee liar brooch e,rgllts with .
'-
'voice or loctirr fee. each 6.63
'Stigma mete: branch eiroril
4tlrntaca r►iurlo 1).1'cefru bntnc)i cira,ilb o
aril /rnu n
i aerca or feeds lei 1 46.113 7 �/ / .L tJ 2
Address: _ coc k brund, oirCxit h
Melt ndd'1 hunch circuit --I 6.63 L.. 6 5-, 2
City/StninIZIP: Mlsrelkseels nrrvite nr frrd.r not larh
Pomp or irrigation cue) 33A0 ~ 2 _
Phone: ( 1 Rux :: ( ) NiO ■ill ouiltne talo nj 53.40 2
N.. 1. -mall: .Signal Ci�CuitO or lrnalcal-
V C0N1 RACTOR - -
- _ maw !sand. afternoon. r►
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liu:cinclts name: ,I p : r! r I I a . C • ,
�/ r Earn laldiliar.l ins tertian ever apawabir in any of the Abov -
a Addrerx: 3 sO r/ s Li„ 1 Alifi.f.S // rt lle1L 1"cr iaxpatl►an � 62.311 ..
\ Ci c)P. ''r•. .
� /Slat/Z ms =!a.•Y• •! �, f l� � ,� Or) � �•� ---- -- hrveslu!atin p as halt (t he nln) 62.50
!'hone: ( S.• 3 217 C>..5.34/ I :an: ( D • .,2, 2 ./ -/ J'V / ` indu rIt ul plant .hour _ 73
I 'AL ream IT ii2i?I•
L. CClf Lies: / S S 6 I71a- �Irit.al l ie-: y-6 4' C. Swart. Liu.: 3 sj..Ls ` S S• C.) • s,ablvWl
Suprv. Electrician signaulre, required: M ill . 2, IMrv, review (2336 of permit P
Re)
t�•� NMI sore) tre:o ($%o pang feral / ..,Z
Print num :'�Uh CK 4 - Date: /01 ,36 ..dr - TATAL -
•
Aulhowiiidsipnvurc: r`` • "nor promo if . prawntono.M :arm
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Prin t na ze7 C - (.(� �,r_ . 1 Milo: /(J.- 2.6-4s- • tee IegheNd,gy .re by • rnd'.1rNy W„adinK Mdusry \paw .Ihalal
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