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Permit -% CITY OF T I GA R D ELECTRICAL PERMIT PERMIT #: ELC2003 -00605 ' j . I DEVELOPMENT SERVICES DATE ISSUED: 10/1/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2 S 113 B 0 -00600 SITE ADDRESS: 16580 SW 85TH AVE SUBDIVISION: SEWER TREATMENT PLANT ZONING. I -P BLOCK: LOT : JURISDICTION: TIG Project Description: Alteration of (1) feeder and (1) branch circuit for exhaust fan for biofilters. Contact Michael Dietz, 519 -7440, for exact location of work. Job No. 57022 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: 1 W /SERVICE OR FEEDER: 1 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 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: UNIFIED SEWERAGE AGENCY OREGON ELECTRIC CONST /GROUP 150 N 1ST AVE 1010 SE 11TH AVE HILLSBORO, OR 97123 PORTLAND, OR 97214 Phone: Phone: 503 - 234 -9900 Reg #: LIC 203 SUP 4460S FEES ELE 26 -95C Description Date Amount Required Inspections [ELPRMT] ELC Permit 10/1/03 $86.95 [TAX] 8% State Tax 10/1/03 $6.96 Elect'l Service Rough -in Total $93.91 Elect'l Final This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more tha i : • • - . ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth i.:' R 952-001-so ! through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -6699 or 1 -;s$- 332 -2344. • I - ued By: ! 'r% /%i � / //. t Permit Signature: ` i . ? / . ,% 47� �r 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: 2 7 / e/47) 5 Call 639 -4175 by 7:00pm for an inspection the next business day SEP - 29 - 03 10:15AM FROM - Oregon Electric Estimating 5032313587 T -827 P.001 /002 F -632 *l+dElectrical Permit Application -r OFFICE USE ONLY l i , City of Tigard Date r eceived: ¶ /9 # Permit no.:Zze,ke3- C�C) 13125 SW Hall Blvd I V Project/app). no.: Expire date: Arkka:.'�R 1 Phone: (503) 639 -4171, FAX: (503) 598 -1960 Date issued: B : I Recei • t no.: Internet address: www.cl.tlgard.or.us SFP 1 Sop Case file no.: Payment type: 24 -Hour Ins .ection Recuest 5Q3 -63 §4175 IN 16,2 family dwelling or accessory t7 Commercial /Industrial • Multi family p Tenant improvement C1 New construction M additioNsiteration /re.lacement 0 Other; © Partial JOB SITE INFORMATION Job Address: 113580'SW BSth Ave Bldg- No.: Suite no.: Tax map /tax lot/account no.: Lot Block: Subdivision . Project Name: Durham •Blofllters Description and location of work on premises: Alter feeder and branch circuit for exhaust fan Estimated Date of corn .letion /Ins• ection: Will ou call,for Ins. - ction within 24 hours? Yes ❑, No El Project Contact Paul Lib • (503) 546 Phone CCNTRAC OR APPLICATION FEE SLI • no. Job No.: 57022 Description Qty Fag (o2.) Total Insp `ew res • en la -singe or multi - family per dwelling unit. Business name: Oregon Electrio Group includes attached garage. Service Included; Address: 1010 SE 11th Ave. 1oo0 sq. it. ar lees $ 145.15 $ - n Ci ; Portland State: OR Zi.: 97214 Ea Addi 600 SF et Portion $ 33A0 $ - 1 Phone: (503) 234 -9900 Fax: (50$) 254.1001 E -mail: Limited E n e r gy , 1 & 2 Family $ 75.00 $ - 2 CCB no.: 203 Elec. bus. Ho. no.: 26-95C Umitoo u,Mulu- Fsmily $ 75.00 $ - 2 City /metro tic, a.: Each manufactured home or r modular dwelling. Service v,inu:,,r , ^Sr •/ r / . - ' %- - 9/29/2003 and/or feeder, 5 90.90 $ - 2 service or Feeders - Su.. E act. Name ;I' :M ;rk Kenn-,/ILlcense no: 446DS Installation, Alteration or Relocation; PROPERTY OWNER 200am.sorloss 1 $ 80.30 $ 80.30 2 Name (print): 20lamps- 400amps $ 108.65 $ - 2 Mailin. Address: 40lamps- 600amps $ 160.60 $ - 2 City State: Zip: 501amps - 1000amps 5 240.80 $ - 2 Phone: Fax: E -mail , Over 1000AorVole $ 454.135 $ - 2 Owner Installation: The installation is being made on property I own which is Rewnnectonly $ 66,85 $ not Intended for sale, lease, rent, or exchange according to ORS 447, 455, Fempoary Sarvlces or 479, 670, 701. Feeders Installation, Alteration • on or Relocation! Owner's signature; Date: 200 am•a or lees $ 66.85 $ - 2 ENGINEER 201s mos -400ampa $ 100.30 $ - 2 Name: over 401ampa- 800ampe 3 133.75 $ - 2 rant rcu is - t ew, Alteration or Extension Per Address! Panel: A. Fee for branch City: State: Zip: eircuit5 with purchase of service or feeder fee, each branch Phone: Fax: E-mail: circuit 1 5 6.55 $ 6.65 2 B. Foe fer branch circuits W /Out Purchase of Service or Feeder. PLAN REVIEW 1st Branch Ckt $ 46,85 $ - 2 ❑ Service over 225 amps -coma ❑ Health -care facility Each additional branch circuit $ 6,65 $ - El Service over 320 amps - rating of 0 Hazardous location Miscellaneous - (service or feeder not lncludedi 182 family dwellings ❑ Building over 1 0,000 square feet four or Each pump or inigatien circle 5 53.40 $ - 2 ❑ System over 600 volts nominal more residential units In one structure Each Stan or Outline Lighting S 53.40 $ - 2 o Building over three stories ❑ Feeders. 400 amps or more Signal Circuits) or Limited Energy Penci Altorubon or Extormlon ❑ Occupant load over 99 percons l7 Manufactured structures or RV park g 75.00 $ - ❑ Egress/lighting plan ❑ Other: •D @SCription: Submit 2 sets of plans with any of the above. The above are not applicable to temporary construction service. Each Additional inspection over the Avowable In any of the Notice: This permit application Above. For inspodion expheslf a permit1.F not $ 82,50 $ ' obralnod within 180 d ys •fiar'if InvestIga0on fee: h.s bean accepted ac eomptefe. Other Permit Fee $86.95 Plan review 25% $0.00 - State Surcharge 8% $6.96 il Total $93.91 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested �7 10 ' AM PM BUP (a Location / .5" Suite _ MEC Contact Person / - i Ph ( ) 9 � PLM 17)3 F' K 9- 2 Contractor Ph ( ) 42.E SWR BUILDING Tenant/Owner L ,1 Cc fivt_ '1 3/9 1 +-i / ELC Footing = r Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: • SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final 111, PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final ACS, PART FAIL LECTRICA Service Rough -In UG /Slab Low Voltage arm PAS PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. S C Please call fo reinsp- =on RE: El Unable to inspect — no access Fire Supply Line ADA Date /a Inspector t►. f Ext Approach/Sidewalk Other: Final DO NOT REMOVE this inspection record f om the j ' . site. PASS PART FAIL