Permit CITY OF TIGARD_ ELECTRICAL PERMIT
PERMIT #: ELC2007 -00042
COMMUNITY DEVELOPMENT DATE ISSUED: 1/19/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 113 B0 -00600
SITE ADDRESS: 16580 SW 85TH AVE ZONING: I -P
SUBDIVISION: SEWER TREATMENT PLANT LOT : JURISDICTION: TIG
Project Description: Aeration Basin - (6) branch circuits and (2) low voltage for instrumentation. Job No. 1637
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: 2
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: 5 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 NAES POWER CONTRACTORS INC
2550 SW HILLSBORO HWY 2130 NE GRIFFIN OAKS ST #700
HILLSBORO, OR 97123 -9379 HILLSBORO, OR 97124
Phone: 503 - 681 -3600 Contact #: PRI 503 - 681 -4664
FAX 503 - 681 -4823
FEES
Description Date Amount Reg #: ELE PBEI
[ELPRMT] ELC Permit 1/19/2007 $230.10 LIC 142759
[TAX] 8% State Surcharge 1/19/2007 $18.40 SUP 2121S
Total $248.50 REQUIRED ITEMS AND REPORTS
This P- ••- -d subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
wo will be done in a ordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for
ire than 180 days. A NTION• : egon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
AR 952 - 001 -0010 through OA: • j -' 100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Iss• - d By: . ly LL/ 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:
- TRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: Ire c
n - , PI% � D �]
DATE: �
LICENSE NO: d9 >
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.
Electrical Permit Applicatiou _, ' roR oFFrc. LTtir ON! •
City of Tigard Reed �% J Permit No.:
13125 SW Hall Blvd., Tigar 1 Plan Review Other Permit:
Inspection Line: 503.639.4175 J :�
Phone: 503.639.4171 Fax 3. 98 .1960, 200 G, '4 fi pw'I'' ,'' Date/B 11 ■ = .. Ready /By: Date Read B Juris: el See Page 2 for
Internet: www.ci.tigard.orus `' GPSID Notified/Method: Supplemental Information
+e QT'S, v� v eC' ' 14.7 33 a` -w+ =�' "beri`?�.tezre�'"5 ,;: c
�Y�, + � ;�.'8'S ��. ^ 'w �` � : �r .. ,� $�'�x a - _..c.y.�_.,.. �., .�
_�_a -arw .x ,t� -_ , _ tea _ -Sa.
Please check all that apply:
❑ New construction Li Addition /alteration/replacement 0 Service over 225 amps, cornm'l ❑Hazardous location
❑ Demolition ❑ 0th er. ❑Service over 320 amps -rating ❑ Buildng over 10,000 sq. ft.,
,, Ar . y � 9 1 . d i .?>7,6:4 ,b of 1- and 2- family dwellings 4 or more new residential
❑ 1- and 2-family dwelling []'Commerciallindustrial ❑ Accessory building OSystem over 600 volts nominal units in one structure
amps or more
❑Feeders, 400 am
❑ Other: ❑Building over three stories P
❑ Multi- family ❑ Master builder ❑Occupant load over 99 persons OManufactured structures or
t;a,_ „/ � �,_N �nt ar, ry, , ,Q +; 3 ? ❑Egress/lighting plan RV park
T' � . . - Nf3G•...` .Y'LV.g ,, •6- wiiP..A. Oh vimm• ._. , .z : 0 .. , .
❑Health -care facility ❑Other:
Job no.: / 37 lob site address: $� , Submit 2 sets of plans with any of the above.
City /State/ZIP: 7; 0/2 17Z P 4 The above are not applicable to temporary construction service.
Project name: �j ro J
Suite/bldg./apt. no.: - **
/`t` °" A 7 r , l..s/A) t
Description Qty I Fee. I Total
Cross street/directions to job site: 2 , f .• ; 'yA.,, �h o "t" New residential single- or multi- family dwelling unit
Includes attached garage.
tot/A FF/ 5 ye., 4 r 1,000 sq. ft. or less 145.15 4
Subdivision: I Lot no.: Ea. add'1500 sq. ft. or portion 33.40 1
T.imited energy, residential 75.00 2
Tax map /parcel no.: T United energy, non - residential 75.00 2
,' ' m a B . B 76T ,t 6 3-s' fl ^N ,,, ,. � G 1 . . Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
❑ PRi3PElr 0 + r�i J� � � ; ?6 "9 ,, 201 amps to 400 amps 106.85 2
:-''.4� : 1,a.kax .t om �„ . -_ - ,- .�...' ,' - 401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City /State/ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) I Fax: ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property that I 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 600 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
-f U4 . _1 ∎ -.I ' - 4 L $ 0 Z , '` A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: Z. c . - - - - -- 5 SA S& A 6-22.-e, , without service or feeder fee, / 46.85 44 ' 2
first branch circuit
Address: Each add'l branch circuit 5' 6.65 ,33.Z 2
City /State/ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: (-5 ) tt / - 2 8cio I Fax: : ( ) Sign or outline lighting 53.40 2
E -mail:
Signal circuit(s) or limited- a o on
' '' ;1 zg y ;07r; , .... _ - ' , 4 .,, . 3w -. ; =r'i , *- �' energy panel, alteratiA, 0.L 2'�° /
ex erasion. Descripe: T � 7 Page 2 2
Business name: NAES Power Contractors PMRI Division bMautif l io /3
Address: 2130 NE Griffin Oaks St. Suite 700 Each additional inspection over allowable in any of the above
Per inspection 62.50 •
City /S tate/ZIP: Hillsboro, OR 97124 \b' Investigation per hour (1 br min) 62.50
1 Industrial plant per hour 73.75
Phone: (503) 681 -4664 Fax: (503) 681 -4823
g7: :''I. z e7 - . g t^. „! - . • i, . ' ; -.1.4
CCB Lic.: -, .; 7 3 46, i Elect Lic.: Suprv. Lic.: ,„;2i..2 /-5 Subtotal 2. ./
Suprv. Electrician signature, required: 01.e. &T!1 PIan review (25% of permit fee)
State surcharge (8% of permit fee) i i . 4
Print name: /?,..) ate: / 0 / TOTAL PERMIT FEE 24- e, -6
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
Print name: �/ �� �J �f 1� �"� � Date: r tj * Fee methodology set by Tri -County Building Industry Service Board
/�/✓ � f r ** Number of inspections per permit allowed.
i:U luilding \l'ennits \ELC- PermitApp.doc 12/03 440 4615T(10 /0JJCOMIWEB
A
CITY OF TIGARD
BUILDING DIVISION PERMIT #: EL 2007 00042
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/19/2007
Phone: (503) 639 -4171 : Ili-
Inspection Requests (24 Hrs.): (503) 639 -4175 ....:,__..
INSPECTION WORKSHEET FOR DATE: 6/20/2007 TIME: 7:04AM PAGE: 23
SITE ADDRESS: 16580 SW 85TH AVE CLASS OF WORK:
SUBDIVISION: SEWER TREATMENT PLANT LOT #: TYPE OF USE:
PROJECT NAME: CLEAN WATER SERVICES
DESCRIPTION: Aeration Basin - (6) branch circuits and (2) low voltage for instrumentation, Job No. 1637
OWNER: CLEAN WATER SERVICES, PHONE #: 503- 681 -3600
CONTRACTOR: NAES POWER CONTRACTORS INC PHONE #: 503 -601 4664
Inspection Request Scheduled For: Date: 6/20/2007 Pour Time:
Code # Inspection Description j - CCTobfirm # Contact # Message
199 Electrical final ! 05057401 503-705-1691 N
Corrections /Comments /Instructions:
N o? Cf. .6 b Ail A cAbuC 't, $ N61 \J . O
Ns $00 •rigIdl7 4616' 'p \ ,
v ■P ka 11t• 3 .
Q.
A, PASS _ PARTIAL APPROVAL ❑ CANCEL H NO ACCESS
• FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: , N bG LE- Date: 6' VZ 0 1 Phone #: (503) 718- 14440'
CITY OF TIGARD 4 .
BUILDING DIVISION PERMIT #: ELC20t)7- 000E12
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/19/2007
Phone: (503) 639 -4171 1/I u �� p
Inspection Requests (24 Hrs.): (503) 639 -4175 ..:....� s__..
INSPECTION WORKSHEET FOR DATE: 6/12/2007 TIME: 7 :00AM PAGE: 13
SITE ADDRESS: 16580 SW 85TH AVE CLASS OF WORK:
SUBDIVISION: SEWER TREATMENT PLANT LOT #: TYPE OF USE:
PROJECT NAME: CLEAN WATER SERVICES
DESCRIPTION: Aeration Basin - (6) branch circuits and (2) low voltage for instrumentation. Job No. 1637
OWNER: CLEAN WATER SERVICES, PHONE #: 503-681 -3600
CONTRACTOR: NAES POWER CONTRACTORS INC PHONE #: 503 - 681-4664
Inspection Request Scheduled For: Date: 6/1212007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 050066.01 503705 -1691 N
Corrections /Comments /Instructions:
•
LI PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: V 4 Ui L. Date: 6 1 le,y7 Phone #: (503) 718- 1 LI LA .