Permit ELECTRICAL PERMIT
CITY O F TI G RD PERMIT #: ELC2006 -00322
Air i a DEVELOPMENT SERVICES DATE ISSUED: 6/7/2006
1,L �' 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: Clarifier motor replacement, (6) branch circuits and (2) limited energy systems for control panels. Job No. 1608
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 #: FAX 503 - 681 -4823
PRI 503 -681 -4664
FEES
Description Date Amount Reg #: ELE 5 -33C
[TAX] 8% State Surcharge 6/7/2006 $18.33 LIC 142759
[ELPRMT] ELC Permit 6/7/2006 $229.10 SUP 2121S
Total $247.43 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 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 $52 -001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699 or
1- 800 -33 344. \�/ J• �
Issue By: i\ /! i Permittee Signature: ,- "''
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: < ... — , g.7,711
/ - DATE:
LICENSE NO:
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
ED /JUN/07/2006 11:45 AM Keizer Electric FAX No, 503 378 1861 P. 001
Jun. 6. 2006 2:37FM . . No. 0217 P. 3
•% Electrical Permit Applicati volt OI [ I(I I SF t)11.%
•
• City of Tigard Received y e 40 ME I it No,: E! .. ; -.6652- 2
13124 SW Hall Blvd„ Tigard, OR 97223 Pion Review
Phone: 503.639.4171 Fax: 503.598.1960 "A'+" "i+l� .;11 17ats1 : Other Pertok
Inspection Line: 503.639.4175 ,,,!, • '! � ; Data Reedy/By A j..-- -, M see Page 7 for
Internet: www,cLtigard,or,us Notifaed/1vlatbad: t i C gupp neymt Iefornlatlon
�u : 1 2. :. .:v ..., �rL� `fek. 77
_ +..� i ail, 1 1 r. C� �i�•: U- f "1∎ -. 4 � .. # � kt gi F, w . i . : . �\ ti t �R r∎ kg ,w.
❑ New construction ® Addttion/alteratlon/replacement Please check all that apply:
['Service aver 225 amps, comm'l ['Hazardous location
❑ Demolition ❑ Other:
parr r im r " �± . p 4r y ❑Semite over 320 amps- rating 1]13uildn$ over 10,000 sq. ft.,
yt i } , . c � F iyti _' 2 ,, c J a . I o � ji . ” la c ., .i= L : . ' ' j��rii : 1 _ of 1- and 2 -family dwellings 4 or more new residential
❑ 1- and 2- family dwelling ® Commercial/industrial U Accessory building ❑System over 600 volts nominal units in ane structure
❑Building over tree stories ['Feeders, 400 amps or more
❑ Multi family ❑ Minster builder ❑ Other ❑Occupant load over 99 persona °Manufactured structures or
l r y',.', I► . r I f} . AE 1 s f r x ❑ E gre se/lighdng p RV park
�.... :; ;.; .Y . ,a: _. _ <. �'£�`_ t - . c�. tt xt,_ ., � _ ,�Fr,.ir I �i, Y� : . P.�.
Job no.: 1608 Job site address: 16060 SW bi ' Ave ❑ Heal h -care facility ['Other _
Submit 2 sets of plans with any of the above.
City/State/ZIP; Tigard OR 97224 The above are not applicable to temporary construction service. •
Suite/bldg. /apt no.: I Project name: Secondary Clarifiers *' - �' " ^N "
APuiPdoo Qs/. !fee. Toast
Cross street/direetions to job nits; Hall St / 85` to Din -ham WWTP Clarifiers #28x3 New residential single- or tunkl- family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
`
Subdivision: I Lot no.: Ba. add'I 500 sq, ft orportlon 33.40 1
Tax map/parcel no.: Limited energy, residential 75.00 2
CCII Limited energy, non - residential 75.00 2
ui ,,,, . :iv .., i , , . , :- :tlrl4r''� el.L •` 11 hlNi�plll.i1. #.I "4I4 11 - - -- r.'"4 Ent mauufliatured or modulo;
Change breach wiring for clarifier motor replacement dwelling, s4+s+f6G or feeder 90-90 2
Services or feeders Installation, alteration, and/or relocatio • y f q�qy� p IIII II p op gk 200 amps or less 80,30 2
v. ^ = • •?W ", } w . o IS 11:4: , „,,... 22,'.11 P N�ii 111 N Nfl N� 9NR 1 :! 201 amps to 400 amps 106.85 2
Name: 401 amps to 600 amps 160.60 2
601. • • s to 1 000 atn. is 240.60 2
Address: Over 1,000 amps or volts 454.65 2
- Reconnect only 66.85 , 1
City/State/ZIP- Temporary services or feeders installation, alteration, and/o
Phone: ( ) I Fax: ( ) rebut don
200 amps or less 66,85 1
Owner installation: This installation is being made on property that I own which is slot 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 am.s to 600 amps 133.75 2
Owner signature: Date: _ Branch circuits - new alteration, or extension, per panel
' - r n.n :A 1 41 .ON 7 _ -- r r '-7fi ate :,- 7- s ; - 7o A, Pee for branch circuits wtth
. -. ....., _...t.: :� - - i.;.s.. .1., -a ., service ar seeder fee, each 6.65 2
Business name; branch circuit
Contact name: B. Fee ibr branch circuits
wtfhout service or feeder fee, 1 46.85 46.8 5 2
Address; first branch circuit
~ Each Each add�l branch circuit 5 6.65 33.25 2
City /State/ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) g :. ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E- mail; s „„pp� p J p ^pl p�� signal oircuit(s) or limited. 2 75'00150.00
„ A 7 r raS IIII��II 1:fi;I�f��dll�d�V�ENtlN�tV� El �>' NCI y = energy panel, alteration, or
BuBineaa name NA Power Contractors Inc. elrtensi Dy�cr%bc: Page 2 2
Cofrffa/ P,44 al .aGC
Address: 2130 NE Griffin Oaks Street 1!700 Each additional Inspection over allowable in any of the above
Per inspection 62.50
City /State/41: flllsboro OR 97124 Investigation per hour (1 In min) 62.50
Phone: (503) 681 -4664 Fax: (503) 681-4823 („\\(1 Industrial lent . Of hour 73 75
CCB Lie.: 142759 ( ,• I ' Electrical Lie.: 5 -33C , Suprv, Lic. '/j Su ' o s
Sv. Elecu•iciarl signature, rec)uired: Slip "9 Plan review (25% of permit fee)
Print name: pate: State surcharge (8% of permit fee) 1 6 •3 3
oe6 -A 1) // G/2 /A� 247.43
TOTAL I'ERNIIT FEE
Authorized signature: This permit application expires Ira permit is not obtained withla 180
days after It has been accepted as complete
Prinz name; Date: • Fee reetodology set by 'M- County 33o 11ding ledustyy Service Board
**Number otiaspsadons par panic allowed C?
i:\ BuildinkPermialYLC-PvgiirApp.dpc 12/03 440.461370aroziccminv a
CITY OF TIGARD
A ..
BUILDING DIVISION PERMIT #: ElA;2006-00322
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: &7/200t)
Phone: (503) 639-4171 Adroiiiiiti'\
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 73/2006 TIME: 103 AM PAGE: 16
SITE ADDRESS: 16580 SW 85TH AVE CLASS OF WORK:
SUBDIVISION: SEWER TREATMENT PLANT LOT #: TYPE OF USE:
PROJECT NAME: CLEAN WATER SERVICES
DESCRIPTION: Clarifier motor replacement, (6) branch circuits and (2) limited energy systems for control panels .Job
No. 1608
OWNER: CLEAN WATER SERVICES, PHONE #: 503-60 1-3600
CONTRACTOR: NAES POWER CONTRACTORS INC PHONE #: 503-681-4664
Inspection Request Scheduled For: Date: 7/3/2006 Pour Time:
(Code # Inspection Description Confirm # Contact # Message
195 Misc. inspection 032608 01 503-961-2890 N
Corrections/Comments/Instructions:
4*EQ1 '. CA13 - 1 ) 1AAD .
n PASS XI PARTIAL APPROVAL E CANCEL El NO ACCESS
0 FAIL 0 CALL FOR INSPECTION r] ADDITIONAL FEES ASSESSED
Inspector: N08 L.c.. Date: '3( 3/ o Phone #: (503) 718- 7-111/4
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006 -00322 •
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: €47/2006
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 '!+�
INSPECTION WORKSHEET FOR DATE: 12/13/2006 TIME: 7 :04AM PAGE: 46
SITE ADDRESS: 16680 SW 86TH AVE CLASS OF WORK:
SUBDIVISION: SEWER TREATMENT PLANT LOT #: TYPE OF USE:
PROJECT NAME: CLEAN WATER SERVICES
DESCRIPTION: Clarifier motor replacement, (6) branch circuits and (2) limited energy systems for control panels. Job
No. 1608
OWNER: CLEAN WATER SERVICES, PHONE #: 503-681 -3600
CONTRACTOR: NAES POWER CONTRACTORS INC PHONE #: 503 -681 -4664
Inspection Request Scheduled For: Date: 12/13/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 041020 -02 603-961-2890 N
Corrections/Comments/Instructions:
t� \
:'PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: E N oe LA Date: 14 0� Phone #: (503) 718- 244({)