Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00534
DEVELOPMENT SERVICES DATE ISSUED: 12/29/2005
--' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S110BC 00900
SITE ADDRESS: 12475 SW BULL MOUNTAIN RD ZONING: R -
SUBDIVISION: LOT : JURISDICTION: TIG
Project Description: Electrical service for well house. Limited energy is for protective signaling.
Job No. CIP W 03 -14
. RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION: 1
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: 1 W /SERVICE OR FEEDER: 26 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: 2 PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: X CLASS AREA/SPEC OCC:
Owner: Contractor:
TIGARD WATER DEPT. COUGAR ENTERPRISES
8777 SW BURNHAM ST 1301 COOLEY RD.
TIGARD, OR 97223 WOODBURN, OR 97071
Phone: 639 -4171 395 Contact #: FAX 503 - 256 -7679
PRI 503 - 256 -7718
FEES
Description Date Amount Reg #: ELE 24 - 400C
[ELPRMT] ELC Permit 7/28/2005 $689.90 LIC 132060
[ELPRMT] ELC Permit 12/29/200: $172.90 SUP 24125
[ELPLCK] ELC Pin Rev 7/28/2005 $172.48
(additional fees not listed here) REQUIRED ITEMS AND REPORTS
Total $1,147.52
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 • estions t• • UN C at
503 - 246 -6699 or 1-- ;11 -33 -2344.
Issued By: `A _ 4 . Permittee Signatur• •
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.
Electric 1 A lication ` FOR'OFFICF USE ONLY '
City of Tigard Date/By Permit No.: -E Lc ux on L
13'i25 SW Null Blvd. OR 97223 Plan Review
/o;
Phone: 503.639.4171 Fax: 503.598.1960 r^w,yJl'fi\ Date /By Other Permit:
Inspection Line: 503.639.4175 _ _Alj. ^' 1 Date Ready/By: fans: lid See Page 2 for
� -
Internet: www.ci.tigard.or.us Notified/Method: 1'1'1' 6' L✓" Supplemental Information
TYPE OF WORK PLAN REVIEW
. ❑ New construction ❑ Addition/alteration/replacement Please check all that apply:
El Demolition ❑ Other: El Service over 225 amps, comm'I ❑Hazardous location
0 Service over 320 amps - rating ❑Buildngover 10,000 sq. ft.,
CATEGORY OF CONSTRUCTION of 1 - and 2- family dwellings 4 or more new residential
❑ l- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑ Multi - family ❑ Master builder ❑Other: ['Buildin over three stories ❑Feeders, 400 amps or more
❑Occupant load over 99 persons ❑Manufactured structures or
. 'JOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park
Job no.: Job site address: 0 Health facility ❑Other:
Submit 2 sets of plans with any of the above.
City /State /ZIP: The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: Project name: FEE* SCHEDULE
Description I Qty. I Fee. I Total I .
Cross street/directions to job site: New residential single- or multi- family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'I 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
DESCRIPTION OF WORK Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Services or feeders installation, alteration, and /or relocation
200 amps or less a . 80.30 , 1 A,,30 2
❑ PROPERTY OWNER ❑' TENANT 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps 2 _ 240.60 4 4 , Z0 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: ( ) 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
❑ APPLICANT ❑ CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each 2 to 6.65 r) 2 00 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee, 46.85 2
Address: each branch circuit
• Each add'l branch circuit 6.65 2
City /State /ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) Fax:: ( ) Pump or irrigation circle I 53.40 5'3,i. 0 2
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited -
CONTRACTOR energy panel, alteration, or
I
.1 Business name: Cougar Enterprises extension: Describe: Paget 9S 2
Address: 1301 Cooley Road 1 Each additional inspection over allowable in any of the above
City /State /ZIP: Woodburn, OR 97071 y , .014' . Per inspection 62.50
1 Investigation per hour (1 hr min) 62.50
Phone: (503) 256 -7718 l 00 p Fax (503) 256 -7679 \,( Industrial plant per hour 73.75
CB Lic.: 132060 �D t� / ELECTRICAL PERMIT FEES* '
C
(� Electrical Lic.: 24- 400C��� Supr X S Subtotal g6'Z:$0
• Suprv. Electrician signature, required: / • / Plan review (25% of permit fee) l‘`j ,,1
/ Print name: — e� I e? 1 e r 4 r ate: , y 2 6 Z State surcharge (8 /o of permit fee) 6 g ; Q 2
1 h J �1 ►1 � /
TOTAL PERMIT FEE SZ.
Authorized signature:
)
This permit application expires if a permit is not obtained within
days after it has been accepted as complete
Print name: Date: *
Fee methodology set by Tri- County Building Industry Service Boar
** Number of inspections per permit allowed.
i. \Building \ Permits \ELC- PermitApp doc 12/03 440- 4615T(10/02/COM /WEB
L
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTI WORK ON
Fee for all residential systems combined $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning
• System*
❑ Vacuum Systems*
❑ Other:
FT WORK ONLY: -
Fee for each commercial system $75.00
• (SEE OAR 918 - 260 -260)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
V I Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
i:\ Building \Permits\ELC- PermitApp.doc 04/03
CITY OF•TIGARD EZ__C
BUILDING DIVISION PERMIT #:a�as= . ac2S"�3‘{
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 � umll'tf +
Inspection Requests (24 Hrs.): (503) 639 -4175 1_..,
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: / L(7 1 t4J.( (rib . CLASS OF WORK:
SUBDIVISION: 11 LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: I b LJt v PHONE #:
Inspection Request Scheduled For: Date: j i . Pour Time:
Code # Inspection ription Confirm # Contact # Message
1 61 q 6._
.73.
Corrections /Comments /Instructions:
eafe / ,_-/eA i ��--� pi_-(3
rr
a'
' '4
* PASS ❑ PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
n FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: G N 6e L-ri Date: 3 30 0.1 Phone #: (503) 718- zoo.
CITY OF TIGARD =.,
BUILDING DIVISION PERMIT #:42RD03,- a D cc'? rJ
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 ::
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: / Z. L/ 7. 6-CA----e a CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: : PHONE #:
CONTRACTOR: Q------.. L - PHONE #:
Inspection Request Scheduled For: e: 3 0 c Pour Time:
Code # lnspectio Des iption Confirm # Contact # Message
[ / ✓
Corrections /Commen s /Instructions:
G pttgav+® bs:T it.. to 60,43 Sze, 6P
W6C-11^/AA w,, sd- _VA p
S V G (Z G . 2 AB G-v `rtr .
0 N.�� bF 2`1°14 w 1 el bbt
thlvac. `t AAA) w it s7 G
------ 1 it •Art cA6-11 lobik, l_Qc \
41- .
"ti4tA si.k-‘- plVc.b -
n PASS n PARTIAL APPROVAL n CANCEL NO ACCESS
X ] FAIL ►(I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
�( r
Inspector: ( th Date: 3124 bi Phone #: (503) 718- Z -080
08/20/04 07:48 FAX 763 422 2940 HOFFMAN 0 001
DISTRIBUTION: Dave Leveille, Todd Mickley, Wally Polzin, lab
L - 2945
Test No. F20 - 9
LB 138, Page 10
PERFORM WIREWAY BONDING TESTS '
SUMMARY
TEST OBJECTIVE: Determine the reliability and/or repeatability of the bonding between wireway sections.
TEST OUTLINE: Two (2) F44W12 wireway sections will be pulled from stock and tested in the following
manner:
• The two sections will be bolted together as per the instruction sheet using the hardware provided (with Keps
nuts and Keps screws). All voltage and current measurements will be performed at room temp. (68° to 78° F).
• All of the bolts (1/4 - 20) will be torqued to 65 inch -lbs. of torque.
• Bonding will be performed at 10A 20A, 30A, 100A, 200A, 300A, 400A, and 500 A.
• After the voltage drop is measured @ the above current readings, the two wireway sections will be conditioned
. at 70° C (dry heat) for 7 days. The above assembly will then be retested at the above currents.
RESULTS:
f:1t n..p .... ; .�.. ._�, '. .: :•'} , ',`,".� }'► �-1,� �,�,� *.�. . .,? � ���''' 'R .�O�� A+�s9
4:+°t. ° A .��7,aAGlA,� �'Y}'i,1= 15 `AN O .. > .: -, c sVi.t,.. F i`6 N ,'it'Ynl-' 0.0 . G lye. � a;.4�' M 4'GC�1�' y'
�, ::t r._!' -5l � :�n[.. r... a. r,,, 0 .C� cr3 �.�_ A4'- a w• a •,•: - ;�.�� ,�--t -=^ C� m � � } pct 'r�:r�•,� .�: ; � r„;thjr?� S�
� r„3 '��,i t),r (�//��}�, 4.,� J} ' '4. F .�f . �y.,�,a F r v �t ..- i�► �(.a's., s ' -0[; .gp
k , : t��'t ,.�+�' Z Fi��'l1J`�'xr `YJ,':� �� 1GY .f,1�T;Fj�.. °� :}ti "'t�c'tt4:iitt.;.- ,'`' -,'r: ; � � iv-�. -wii : �E `v'? :p: .'1���k.Y; 1 '•,:4t4i.:f�.,; «�SCJ:� , xa',. gtr'1'��'tr�:G:
,�.< 'j�lxCsf�� I�.t.. -.. ,.tr -v'} ... ,�. .1...<4'�i; rSt�!3:it:'�:1 =•a M1+.. ���' . �, `� S7 ^':.. •
HOFFMAN BONDING HARDWARE HOFFMAN BONDING HARDWARE
(KEPS), 4 (KEPS)
;��:. [��,j' yy/. -, 5 �; , :,aa:p ST ^ { °- � pQEfI, i v� �Q. p . stAl ;` �. .. '
• uc°•a�! �k+; �i�1�5YtCJ��Z'�4�.� `�''t' C+-� 1'F�. Is f�l:'.f . ��FC�w�! �. �z !7Llt},. i !?fit; 17?. *� �'�z� �, -....� r�. =Su 1v1�...3�,..Z
p [y }�,� "� t, A �1 �� y r, , �r, y( tf ��y �y���tay. 'Kh6.`� t. ��y1YS� �C4�`
M c e_!<l .t-�::�1.(t�,l:S! . i,WA. ' ,:; IY1�.7��y'jh- '15.1 ' �'^4}T� T'tl� ` r}b'tIRO.l'i4 ( �?' cY: ,°'.' 7 4,4 11,. IN
. ±Y��I�lil...��'},�. � (l � „�1 ; R xr. ���� �J�. F.vcT7�V.w6. �1t�i���i....... S. ; -• 7 ' �.•,.
J , 10 0.0075 0.00075
1 0 0.0098 0.00098 7
20 0.0255 0.00128 ;c 20 - 0.0158 0.00079
30 0.0403 0.00134 x 30 0.0247 0.00082
100 0.1680 0.00168 I, 100 0.1065 0.00107
_ 200 0.320 0.00160:, 200 0.2543 0.00127
300 0.379 0.00126'; 300 0.377 0.00126
400 0.394 0.00099: 400 0.501 0.00'125
500, 0.536 .0.00107 _ 500, 0.586 ' 0.00117
NOTES AND COMMENTS:
• UL 870, paragraphs 17.1 and 17.2 (June 17, 1985, page 11) requires that the resistance between adjacent
sections of wireway be no more than .005 Ohm.
•
• From the above table we can see that in all cases tested, the resistance is less than .005 Ohm.
• See log book no. 138 for more information.
- EDT-
'
TESTED BY: t c- c-.--,./ DATE 1/4702 7/1 e
Steven L. Rib ,
WITNESS ' • � •
SIGNED ■ ,, 4 14 DATE � S
. lace Polzin
CITY OF TIGARD
BUILDING DIVISION PERMIT #: EL .- 40 0 6" -
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 0 0534
Phone: (503) 639- 4171� °1�a
Inspection Requests (24 Hrs.): (503) 639 -4175 ,
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: 12 15 %%AL ViciN kt> CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Ot7, Pour Time:
Code # Inspection Description Confirm # Contact # Message
‘t -- 1\ta.L
Corrections /Comments /Instructions:
Pet- £4Z•`-1 ell
I I PASS n PARTIAL APPROVAL 7 CANCEL n NO ACCESS
FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: V t'i ( l611. Date: 317,1. do Phone #: (503) 718- Is)
CITY OF TIGARD , -.- Aii/,,_
BUILDING DIVISION PERMIT #: ELC2006-00f.M
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/29/2005
Phone: (503) 639-4171 li,gh
Inspection Requests (24 Hrs.): (503) 639-4175 i
INSPECTION WORKSHEET FOR DATE: 2/9/2006 TIME: 7:04AM PAGE: 59
SITE ADDRESS: 12475 SW BULL MOUNTAIN RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: CITY OF TIGARD
DESCRIPTION: Electrical service for well house. Limited energy is for protective signaling.
Job No. CIP W 03-14
OWNER: TIGARD WATER DEPT,, PHONE #: 639,4171 39
CONTRACTOR: COUGAR ENTERPRISES PHONE #: 503-256.7718
Inspection Request Scheduled For: Date: 2/9/2006 Pour Time:
Code # Inspection Description Confi m # Contact # Message
110 - •:„. - , ,----,- electrical service 026550-01 503-932-2741 N
Corrections/ • .• . - - • _ • structions:
., %.
.L ---- C Lee .6 '6 'S tt-ict-.%'Cz-
cisctiz vzt ekZe .
. _
,
.,t, ...... A =
- * • A , . f_11,b t +, :..
r
falis
4. V CIO li CANMCE
'-'
-----------------------.....,. ,./
ol,PASS 0 PARTIAL APPROVAL 1 CANCEL I I NO ACCESS
I I FAIL n CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: -, OCB 12( Date: 2 1 clic) b Phone #: (503) 718- 2-14
. ,
CITY'OFTIGARD
BUILDING DIVISION _ I
PERMIT #: FLC2005 00534
13125 SW Hall Blvd., Tigard, OR 97223
DATE ISSUED: 12/291)006
Phone: (503) 639-4171 iartiinvitA IT
Inspection Requests (24 Hrs.): (503) 639-4175 Jr.i.4 11.
INSPECTION WORKSHEET FOR DATE: 2/0/2006 TIME: 7:01AM PAGE: 10
SITE ADDRESS: 12475 SW BULL MOUNTAIN RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: CITY OF TIGARD
DESCRIPTION: Electrical service for well house. Limited energy is for protective signaling.
Job No. OP W 03-14
OWNER: TIGARD WATER DEPT., PHONE #: 639.4 t 71 395
CONTRACTOR: COUGAR ENTERPRISES PHONE #: 503-256-7718
Inspection Request Scheduled For: Date: 202006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
110 Temporary electrical service 026500-01 503-932-2741 N
Corrections /Comments/ Instructions:
0 1ka ' es- ,( 4 . 13 R.tilv i o E. watA _ ucts il p g
24Nes tv) cAlim ■ qlsc?.
0 &lb 1 P
0 ,
----------
6 111/ AA
—9-u i •
, Oat E o?. i
•
.V•Vs
%S \iks 21 Li 3s-Li (I 0 . - 01(,
tRiNoltisa)
Kv 4X) 12 002 (- ' GO
0 PASS — PARTIAL APPROVAL Ei CANCEL 111 NO ACCESS
i .IKKAIL 4 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: N -1 C Date: Id I- 0 il• Phone #: (503) 718- 2,LI Lilo
CITY OF TIGARD ,
BUILDING DIVISION PERMIT #: ELC200 &00634
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1212912005
Phone: (503) 639 -4171 /4It0.1/t
Inspection Requests (24 Hrs.): (503) 639 -4175 ° :_..
INSPECTION WORKSHEET FOR DATE: 2/1/2006 , TIME: 7 :02AM PAGE:
SITE ADDRESS: 12475 SW BULL MOUNTAIN RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: CITY OF TIGARD
DESCRIPTION: Electrical service for well house. Limited energy is for protective signaling.
Job No. CIP W 03.14
OWNER: TIGARD WATER DEPT., PHONE #: 6391171 396
CONTRACTOR: COUGAR ENTERPRISES PHONE #: 503- 2567718
Inspection Request Scheduled For: Date: 211/2000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
110 ,r electrical service 026118.01 503-932-2741 N
Corrections /Comments /Instructions:
CescvV * Sfv1 G� - ( osNto 1 �•
V FR(L G O ■ s G%TT 6F P.
tqltAig vw e Iwo)
11010 V im^ 14 (1/46 R Fa °A)
,��� vim- s e v c4
6 cizz44) 4 t0 - 11 6a01 eXL-
' Z6o.
n PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: v iSt Date: 2/0/ a Phone #: (503) 718- 2 / 44 , •