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Permit A.\ CITY OF TI GARC• ELECTRICAL PERMIT PERMIT #: ELC2006 -00477 fly DEVELOPMENT SERVICES DATE ISSUED: 8/24/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2 S 113 BO -00600 SITE ADDRESS: 16580 SW 85TH AVE ZONING: I -P SUBDIVISION: SEWER TREATMENT PLANT LOT : JURISDICTION: TIG Project Description: Disconnect and reconnect irrigation controllers. Job No. S0892 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: 2 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 CONDUIT ELECTRIC 2550 SW HILLSBORO HWY 19461 SW 89TH AVE HILLSBORO, OR 97123 -9379 TUALATIN, OR 97062 Phone: 503 - 681 -3600 Contact #: PRI 503 - 692 -1428 FAX 503 - 692 -3652 FEES Description Date Amount Reg #: ELE 26 - 905C [ELPRMT] ELC Permit 8/24/2006 $62.15 LIC 109669 [TAX] 8% State Surcharge 8/24/2006 $4.97 SUP 4501S Total $67.12 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 suspende• • • • an 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules - - set forth in OA" 9. - 401 -0010 through OAR 952 - 001 -0100. You may obtain copies of th- - _ lei" or direct questions to OUNC at 503 - -6699 or 1- 800 -3• • -2 Iss d By: I / 1 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: !� ' - c°e" �� 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. 2006 /AUG /24 /THU 08:28 AM Conduit Electric FAX No. 5036923652 P. 001 . E lectrical Permit Application i.; R orrl(.1. i 1SL ("II City of Tigard �` V SO D 1 iMi al Permit No- e c�+ ( _ 7 13125 SW Hal1131vd., Tigard. OR 97 ` Plan Review Phone: 503.639.4171 Fax: 503.591. /2411 N;,ih; �1( nsze/Br. Other Permit: Inspection Line 503.6394175 �..^ c) G� 0 ! .� " 14, Date Ready/By: Mill 12r Seel'ag 2 for Internet: www.ci,tigard.or.us N 1" Notified/Method Supplem Information a F Y �r, 1 : ��F ilal „ gegle FK� f It . q ^ —^ '9 Z *L* m � � : �•_ .Y>� r } tutu ' "'� 1 u k. d i w Gt7 F a 1'b. .,x, k , r � �.� 0• , �' -. �aa:,! �� ,..+ ° ❑ New construction P Addition/alteration/replacement Please check all that apply: ❑Service over 225 amps, comm'l ❑Hazardous location ❑ Demolition ID Other: ❑ Service over 320 amps – rating ❑Buildug over 10,000 sq. ft,. ant irt `+ t ' ' 47 . p Y 11 ' it)'r i1 , i , ' '- 0 5y. 3 „ of I- and 2- family •dwellings. 4 of more new residential ❑ 1- and 2-family dwelling i' Commercial /industrial ❑ Accessory building ['System over 600 volts nominal units in one structure ❑ Building over three stories ['Feeders, 400 amps or more ❑ Multi family • Master builder ❑ Other: D Occupant load over 99 persons ['Manufactured structures or ' roan, .J; ' y , y z � o xl ii. a ..., a " x pat*, . x l ` fir ' it. DAgress/lighting plan R.V park a � y Job site address: qc ©klealth -care facility 0Other: Job no.: Q` I i 6 s a) C� J Submit,_ sets of plans with any of the above_ City /State/ZIP: ( rt..' ( C+ "-ia.D L / The above are not applicable to temporary construction service. fit; ija1 . i01:Ms 4 ,1. .u. :.> �� Suite/bldg. /apt - no.: 0 ProjectMune! ... A •n •ecrlpUon Qty. Pea Tow •• Cross street/directions to job site: New residential single- or multi- family dwelling unit. Includes attached garage. 1,000 sq, ft_ or less 1 I45.15 4 Snhdivisiotl: - Lot tl0 ' Ea. add'! 500 sq. ft or portion 33.40 1 Limited energy, residential 75.00 2 Tax map /parcel no.: . _ _ Limited energy, non - residential 75.00 2 yea ' E ' s , - „ ,� '' ` • .: ! 's ., !siq,�m - :1 T r • 1_ " y 4, ; ' ' • ` ,4u�.; Each manufactured or modular dwelling, service and/or feeder 90.90 2 . ' a A 0 - 1 A, - . &I - Services or feeders installation, alteration, and /or relocation i a 00�r - i .1.11=111.111111111,.. 200 amps or less 80.30 2 � - t sK , t 106.85 2 ' . . ti 5 4 r� �a' = ,F„a � sMMc e, j s 6 i±' u,' 201 amps to 400 amps " — T� � – �2 M x7 �` 'Z ii': Y 401 amps to 600 amps 160.60 2 Name: . 601 amps to 1,000 amps 240.60 2 Over 1,000 amps or volts 454.65 2 Address: Reconnect only I 66.85 2 City /State/ZIP: Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) 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 v , 0 , . a r , 4 ' liar A. Fcc far branch circuits with service or feeder foe, each 6.65 2 Business name; branch circuit • B. Fee for branch circuits Contact name: • without service or feeder fee, each branch circuit 1 46.85 1 2 i Address: Each add'1 branch circuit – 6.65 Li 2 City/State/ZIP: Miscellaneous (service or feeder not included) ^ Pump or irrigation circle j J 53.40 2 Phone: ( ) • Fait: . ( ) Sign or outline lighting 53.40 2 E - mail: Signal circuit(s) or liiaiitcd- sti ' ig c _ ” ° ` a >ti -- r "I h, energy panel, alteration, or extension. Describe: Page 2 2 Business name; art Address: n y 4 / Each additional inspection over allowable in an of the above l / 5�1 Og /mss �c Per Inspection 62.50 City /State/ZIP: I 0 . ' ' 1 • — a a / .... Investigation ,per hour (1hrmin) .62.50 Industrial plant per hour 73.75 Fax: �1 p Phone' (SD ) . 0 -. I . 1 is � � � : ;r, u CCB Lie.: /6 4 Electrical Lie.: a� a S . Subtotal lr?a --- Supra'- Electrician signature, required: ' :" X189/ Plan review (25% of permit fee) State surcharge (8% of permit fee) 4.1 l MM Date: '8 93 O / TOTAL PERMIT TEE 1a (fin _._-. Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name: Date: • Fee methodology sat by Tri- Cotutb• Building Industry Servi Board •• Number ofinsperIDons per permit allowed. f ; \neilding'Permits\Gi.C-Permil +yp•doe 1:101 440- 4515T(30J07/COM/WIM CITY OF TIGARD BUILDING DIVISION PERMIT #: ELc:200 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/2412006 Phone: (503) 639 -4171 411411i' Inspection Requests (24 Hrs.): (503) 639 -4175 . 1_.. INSPECTION WORKSHEET FOR DATE: 8131/2006 TIME: 7 PAGE: SITE ADDRESS: 16580 SW 05TH AVE CLASS OF WORK: SUBDIVISION: SEWER TREATMENT PLANT LOT #: TYPE OF USE: PROJECT NAME: CLEAN WATER SERVICES DESCRIPTION: Disconnect and reconnect irrigation controllers. Job No. 50892 OWNER: i L EAN WATER SERVICES, PHONE #• 503691 -3600 CONTRACTOR: CONDUIT ELECTRIC PHONE #: 503 - 637 -1128 Inspection Request Scheduled For: Date: 81 112006 Pour Time: Code # 'on Description Confirm # Contact # Message «' final 035873.01 503- 703 -8682 N Corrections/Comments/Instructions: PASS n PARTIAL APPROVAL n CANCEL El NO ACCESS -cr n FAIL L CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: -6 Date: 11 6 Phone #: (503) 718- 2,4/43____