Permit ELECTRICAL PERMIT
Y CITY OF TIGARD PERMIT #: ELC2006 -10104
DEVELOPMENT SERVICES DATE ISSUED: 6/21/2006
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: Electrical upgrade.
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: 15 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: 0 PLAN REVIEW SECTION
1000+ amp /volt: 6 > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: X CLASS AREA/SPEC OCC: X
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 #: FAX 503 - 681 -4823
PRI 503- 681 -4664
FEES
Description Date Amount Reg #: ELE 5 -33C
[ELPRMT] ELC Permit 6/21/2006 $2,902.65 LIC 142759
[ELPLCK] ELC Pln Rev 6/21/2006 $725.66 SUP 21215
[TAX] 8% State Surcharge 6/21/2006 $232.21
REQUIRED ITEMS AND REPORTS
Total $3,860.52
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: 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.
IN
Electrical Permit A frgtervED
13125 of Tigard De 4 ,/, 6 7 06 , eB Permit No _�0/
13125 SW Hall Blvd., Tigard, OR 9722�UN 1 5 2006 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 �� "°�` �� I 4 P�';I ";�1 Date/By: Other Permit:
O T�GAR� a I I Date Ready/By: Ju ' : ® See Page 2 for
Internet: Inspect
Line: Line: BUILDING DIVISION . i " � Notified/Method:0 / a�� ` ( Supplemental Information
us LD
< i ; ?'y'»' w , j : 1 b ^4° 'r M. ' x , x: t^. " , ui" -'? .ir , i t *.=',,=- „ ' am , t't ; ' . k , r ;' O „ • a A 1 , • ;; w ,,?!°,,,ri .. t
. o
a ,.-4 . n ' c, aAem.� r i. ;Mr x, t ,.:, ... e .�.:�i�d.,�.°v m = '.,- ra :�..._ . " ++ 4,,. a .w. .s,m -' "'�
❑ New construction Jg Addition/alteration/replacement Please check all that apply: G
Service over 225 amps, comm'1 ❑Hazardous location
❑ Demolition ❑ Other: ❑Service over 320 amps -rating ❑ Buildng over 10,000 sq. ft.,
- `, . S - a�,,xR g Z -P ° of 1- and 2- family dwellings 4 or more new residential Q
❑ 1- and 2- family dwelling Commercial/industrial ❑ Accessory building System over 600 volts nominal units in one structure i ,
❑ Multi-family ❑Master builder 0 ['Building over three stories f Feeders, 400 amps or more C.
, a t . ❑Occupant load over 99 persons ❑Manufactured structures or I6
a a s )t t n e g r I•_ - , . < , „, ❑E Egress/lighting plan RV park
�, - �� R., � O ,� `�, °� , � �° ��;.� - `: � • g P Other:
/ ( c ia o St/j �y 51.< ❑Health -care facility ❑
Job no.: Job site address: A
Submit 2 sets of plans with any of the above. 5
City/ State/ZIP: T / r / d l O» / 7 1Z L/ The above are not applicable to temporary construction service.
t G} P ' :1' x 'q ' x s x'7`;'7*'
Suitt: /hldg. /apt. no.: Project name: A! "t et \ I / - ' „
l t f ' 1 1 G� -L 4 i.t) f ^
Description I Qty. I Fee. Total
Cross street/directions to job site: D 0 r Li k s / �sr •,rt P A ( - f - New residential single- or multi - family dwelling unit.
/ ! Includes attached garage.
0 T i c, 4 rJ i-, y &, fi, 4 O 0 L 1,000 sq. ft. or less 145.15 4 0
Subdivision: 1 Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1 0
Limited energy, residential 75.00 2
Tax map /parcel no
Limited energy, non - residential 75.00 2
� '400 , a' o " ,$ ) ' , x k x' ' Each manufactured or modular
nn � ( dwelling, service and/or feeder 90.90 2 -1-
.9 0 �/ '.CY _ , - • 1 S 6- 1 r C 1 f e. Y Services or feeders installation, alteration, and/or relocation J
200 amps or less 80.30 2
�' PRaP s Ww 7, „. ' ,, 71,,, fro, § t 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2 4
Name:
C t 0 6, ,, s b.„.-- Q ✓tflc 1 601 amps to 1,000 amps "'Alb 240.60 ak , 2
Address: / 6 o 6o S IA) d'5'_ Over 1,000 amps or volts 454.65 2
V- Reconnect only 66.85 2
City /State /ZIP: --r7,, a q O ( 702 2 / 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
' (` . fi t ). 4 � t . a , - $t A. Fee for branch circuits with
" "'° -.2 " 4 "f`' c '' ` ' ' ''�' service or feeder fee, each /�
6.65 19,75 2
,.1
Business name: �A £ S P O fjt/t tr C Ors `r+i c � br anch circuit
A ) B. Fee for branch circuits
Contact name: Tl
6(v e let le v i N
0 without service or feeder fee, 46.85 2
Address: �, 0 �E 00. CI--: S � 7 00 first branch circuit
U i e E ach add'1 branch circuit 6.65 2
City /State/ZIP: hO,�v
4• jl p ^ 9 f) / Miscellaneous (service or feeder not included)
/ t Pump or irrigation circle 53.40 2
Phone: (S 0'3 ) Ca 1 — Y-(1,641' Fax:: ( S 04) ( - S2_ Sign or outline lighting 53.40 2
E -mail: d 0 .„ i 4 , a 1 , 7 a n/ r ( , - r Signal circuit(s) or limited -
a' R s = s �r�+ v4 ' energy Panel, alteration, or
E "�� °� °� � " extension. Describe: 1 Page 2 75 2
Buyness name: NAES Power Contractors PMRI Division
Address: 2130 NE Griffin Oaks St. Suite 700 Each additional inspection over allowable in any of the above
• Per inspection 62.50
Cite /State/ZIP: Hillsboro, OR. 97124 Investigation per hour (1 hr min) 62.50
Phone: (503) 681 -4664 Fax: (503) 681 -4823 Industrial plant per hour ¢¢ 73.75
CCB Lie.: 142759 Electrical Lic.: 5 -33C Suprv. Lic.: k 9,15 z! J Subto' I8 A7 c
Suprv. Electrician signature, required: ,;„ J o .. 42,57 64 Plan review (25% of permit fee) 11 c cf I
Print name: Date: / 23 State surcharge (8% of permit fee) 6.21
a� � % /6„,/&-- V //° �/ j.36'0,37:2--- TOTAL PERMIT FEE 3 !',ra.n
Authorized signature: This permit application expires if a permit is not obtai ed within :0
days after it has been accepted as comp to
Print name: Date: * Fee methodology set by Tri- County Building Industry Service Board
** Number of inspections per permit allo ed. / • w^
is \ lie ilding\I 'el =is \IELC- PermitApp.doc 12103 440-4615T(10 /02/COM/WEB 0 F^ 4 !//`.
CITY OF TIGARD
_.
PERMIT #: ELC:2006- 10104
1
BUILDING 1 31251 Hali B DI VISION
ivd1 VTigard I S l O N 97223
DATE ISSUED: WI/2006
! Phone: (503) 639-4171
IMO i'\
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: TIME: 700A1v1 PAGE:
1 2i 13/2006 lib
SITE ADDRESS: 1645130 SW 85TH AVE CLASS OF WORK:
SUBDIVISION: SEWER TREATMENT PLANT LOT #: TYPE OF USE:
PROJECT NAME: CLEAN WATER SERVICES
DESCRIPTION: Electrical upgrade
OWNER: CLEAN WATER SERVICES, PHONE #: 3(i.360O
CONTRACTOR: NAES POWER CONTRACTORS INC PHONE #: 503-61i1-466/1
Inspection Request Scheduled For: Date: 12113/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 041020-01 503-961-2890 N
Corrections/Comments/Instructions:
c... V
CO l i RO $4 4 M Pho INJ tS e &R,\)) 1 bi3 croA A j..x03€L5 GA)
"Eri be-ilk.% '■1 6 k. b1' W1/4 rl\Alt45 SS CI_
7' %\t■ N6 FA-. 6 t).)% cirk 1 ,
MT M\101/4L. - 2/■. SU i'Odi ION c
YvN Ai Esellt V\ tl r S ccSea 0 LI
4 4lb
a k
r
j XLPASS El PARTIAL APPROVAL 0 CANCEL n NO ACCESS
FAIL 0 CALL FOR INSPECTION pi ADDITIONAL FEES ASSESSED
Inspector: C ' ' N ii() Date: V 2-) 13( 6 6 Phone #: (503) 718- 2-4111,
CITY OF TIGARD
A .
BUILDING DIVISION PERMIT #:
I ELC2006- 10104
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/21/2006
Phone: (503) 639-4171 ,.. tollo v Ai i t
Inspection Requests (24 Hrs.): (503) 639-4175 .. ill- 1J-
INSPECTION WORKSHEET FOR DATE: 9/21/2006 TIME: 7:02AM PAGE: 22
SITE ADDRESS: 16580 SW 86TH AVE CLASS OF WORK:
SUBDIVISION: SEINER TREATMENT PLANT LOT #: TYPE OF USE:
PROJECT NAME: CLEAN WATER SERVICES
DESCRIPTION: Electrical upgrade.
OWNER: CLEAN WATER SERVICES, PHONE #: 503-681-3600
CONTRACTOR: NAES POWER CONTRACTORS' INC PHONE #: 503-681-46E41
Inspection Request Scheduled For: Date: 9/21/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
195 Misc. inspection 036974-01 603-961-2890 N
Corrections /Comments/ Instructions:
tIst% i C.-- 1 isAy",. ry1iYtiu*: @ t 4 5 S I loicIA 6.■) J
A PASS 0 RTIAL APPROVA D CANCEL El NO ACCESS
FAIL n CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: I cauc Date: Phone #: (503) 718- 2-44b
, _
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC200610104
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/11/2006
Phone: (503) 639 -4171 .114t fll�l` I,�\
Inspection Requests (24 Hrs.): (503) 639 -4175 .- ..
INSPECTION WORKSHEET FOR DATE: 8 /2/2006 TIME: 7; 06Am PAGE: E,0
SITE ADDRESS: 16580 SW 05TH AVE CLASS OF WORK:
SUBDIVISION: SEWER TREATMENT PLANT LOT #: TYPE OF USE:
PROJECT NAME: G WATER SERVICES
DESCRIPTION: Electrical upgrade.
OWNER: CLEAN WATER SERVICES PHONE #: 503 6f 1- .35th}
CONTRACTOR: NAES POWER CONTRACTORS INC PHONE #: 503.881-4664
Inspection Request Scheduled For: Date: 8/2/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
105 Underground/slab cover 034239-01 503 -961 -2890 N
Corrections /Comments /Instructions:
<
ASS n PARTIAL APPROVAL ❑ CANCEL El NO ACCESS
- n \\ FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: N o Q L Date: t a 6 Phone #: (503) 718- Zytid-
CITY OF TIGARD
BUILDING DIVISION r PERMIT #: ELC2006.10104
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6121/)i3
Phone: (503) 639 -4171 b 0,, P%lc, I�
Inspection Requests (24 Hrs.): (503) 639-4175 __..
INSPECTION WORKSHEET FOR DATE: 8/1/2006 TIME: 7 :02AM PAGE: 54
SITE ADDRESS: 16680 SW 85TH AVE CLASS OF WORK:
SUBDIVISION: SEWER TREATMENT PLANT LOT #: TYPE OF USE:
PROJECT NAME: CLEAN WATER SERVICES
DESCRIPTION: Electrical upgrade.
OWNER: CLEAN WATER SERVICES, PHONE #: 603- 681 -3600
CONTRACTOR: NAES POWER CONTRACTORS INC PHONE #: 503.6131 -4664
Inspection Request Scheduled For: Date: 8/1/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
105 Underground/slab cover 034157 -01 503. 961 -2890 N
Corrections /Comments/ Instructions:
❑ PASS XPARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Cr- - N LT Date: I a Phone #: (503) 718 - 2+14‘-
CITY OF TIGARD
• ,
BUILDING DIVISION PERMIT #: RG2006-'10104
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/2 woo6
Phone: (503) 639-4171
I
Inspection Requests (24 Hrs.): (503) 639-4175 ,.._ te l
INSPECTION WORKSHEET FOR DATE: 7/26/2006 TIME: 7:07AM PAGE: 81
SITE ADDRESS: 16580 SW 85TH AVE CLASS OF WORK:
SUBDIVISION: SEWER TREATMENT PLANT LOT #: TYPE OF USE:
PROJECT NAME: CLEAN WATER SERVICES
DESCRIPTION: El u
OWNER: CLEAN WATER SERVICES, PHONE #: 503-6131-.M0
CONTRACTOR: NAES POWER CONTRACTORS INC PHONE #: 503-681-46G4
Inspection Request Scheduled For: Date: 7/26/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
105 Underground/slab cover 033722-01 503-961-2890 N
Corrections/Comments/Instructions:
Si AB (i v (L. Itkep it oNiipt\---
n PASS 0 PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
0 FAIL El CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: "'-%, w oe) LE Date: 1 2:4106 _ Phone #: (503) 718- 1-14L
CITY OF TIGARD ,
BUILDING DIVISION PERMIT #: ELC2006 -10104
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/21/2006
Phone: (503) 639 -4171 ,A R 4 ' / "94i,I1 � ;� I � l
Inspection Requests (24 Hrs.): (503) 639 -4175 ! 1!,
INSPECTION WORKSHEET FOR DATE: 1/18/2006 TIME: 7 :03AM PAGE: 34
SITE ADDRESS: 16580 SW B5TH AVE CLASS OF WORK:
SUBDIVISION: SEWER TREATMENT PLANT LOT #: TYPE OF USE:
PROJECT NAME: CLEAN WATER SERVICES
DESCRIPTION: Electrical upgrade.
OWNER: CLEAN WATER SERVICES, PHONE #: 503.681 -3600
CONTRACTOR: NAES POWER CONTRACTORS INC PHONE #: 503 681 -4664
Inspection Request Scheduled For: Date: 7/1812006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
105 Underground/slab cover 33241 -01 503-961 -2890 N
Corrections /Comments /Instructions:
G"R a v ►SY1 N Are (kmiv G \ - � .
❑ PASS A PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
' Inspector: G T N Lir Date: i,1 t Phone #: (503) 718- 2 f 'h -
CITY OF TIGARD „.
BUILDING DIVISION PERMIT #: ELC2006-10104
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 61210006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 AA AL
INSPECTION WORKSHEET FOR DATE: 7 TIME: 7 : 04 AIVI PAGE: 28
SITE ADDRESS: 16580 SW 85TH AVE CLASS OF WORK:
SUBDIVISION: SFWER TREATMENT PLANT LOT #: TYPE OF USE:
PROJECT NAME: rt., EAN WATER SERVICES
DESCRIPTION: Electrical upgrade.
OWNER: CLEAN WATER SERVICES, PHONE #: 503-681- 3600
CONTRACTOR: NAES POWER CONTRACTORS INC PHONE #: 503-681- 4664
Inspection Request Scheduled For: Date: 7/17/2006 Pour Time:
Code # Inspection Description on irm ' Contact # Message
105 Underground/slab cover 033119-01 503-961-2890 N
Corrections/Comments/Instructions:
U4) ii:S/ Z €0\5114 1 Pia g- N6044\
fl PASS XfARTIAL APPROVAL III CANCEL D NO ACCESS
n FAIL 0 CALL FOR INSPECTION 11 ADDITIONAL FEES ASSESSED
Inspector: Cr' d NUSLe Date: I. ) 17 (144 Phone #: (503) 718-2.06
. _
CITY OF TIGARD �_ L-C__
BUILDING DIVISION r PERMIT #: Z(��o oo _ Al co r
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 0/ 4 /
Phone: (503) 639 -4171 N
Inspection Requests (24 Hrs.): (503) 639 -4175 ..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: / 6 D .s 3,c T 4 1 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: )
OWNER: PHONE #:
CONTRACTOR: i ; PHONE #:
Inspection Request Scheduled For: Date: 6 - a e - o (P Pour ••e: 7
Code # Inspection Description Confirm # Contact # Message
03D-'lq -o► 9 (0 l— a 890 e �
Corrrec ons /C omm e nts / I uc on p Aa-- -� �` L 1
coiND\) T ' )C C1A(s)K uN
tZ.o NO A Ail (z.., .)0 r
cAv.
G---. Nog
P V C. CZS(■Q V ( $ oOlt
( s il 7 ? )
PASS AARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
N Inspector: N L Date: �1 718- p I V 6 � � D te. 6 �11� Phone #: (503) 718 21/C•