The URL can be used to link to this page

Permit CITY OF TLtARD ELECTRICAL PERMIT ° UMW O cc PERMIT #: ELC2006 -00637 COMMUNITY DEVELOPMENT DATE ISSUED: 11/7/2006 T I G A RD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S11380-00600 SITE ADDRESS: 16580 SW 85TH AVE ZONING: I -P SUBDIVISION: SEWER TREATMENT PLANT LOT : JURISDICTION: TIG Project Description: Clean Water Services. (1) branch circuit for dryer. 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: SIGNAUPANEL: 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: 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 11/7/2006 $46.85 LIC 109669 [TAX] 8% State Surcharge 11/7/2006 $3.75 SUP 4501S Total $50.60 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 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: �1, Permittee Signature: 54" . Q 1 1 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. 4 200 § /NOV /07 /TUE 09:43 AM Conduit Electric FAX No. 5036923652 P. 001 RD NotiSedMialrolt Electrical Permit A von OFFICE USE oNL,V vF Received �!2 City of Tigard DateB . d‘ �1 penrntNo: CL /Q , , 13125 SW Hall Blvd„ Tigard, OR 972241 n . . Plan Review Phone: 503.639.4171 Fax 503.598 V 7 2006 ,,,,,, I DaedBy. Other Permit; I _ I ' Date Ready/By: El See Page 2 for Inspe Line: 503.639.4175 - M • • Intemet www.ci.tigard -on art OF Tit�7A us A D1f�➢ �� Supptememtal Information •.+e .•n.:1 ., 'LD AIVO 70IVIC' .y ;;i.� 'I e.` :f : 2 4 , � , § .1":":A. ^. . '�� °d . 1 '7i, _\.�. c.::.<�i': .J.< ',�:ti v �, t� ,�ey.. .r:- r.i<x .Sri ,t ;. \ t . .•' . '..eaSA.LV..EI:;W i�... „.-C .!. ,�,.. .�� , :r�: : b.. ::�.::�' 'p.�ill/Y �W�� :,"•. L . '�:i ; ?:� l�.� 1- . .,,- r .•. . . �. .. (2 4..^[ f':,•C ❑ New construction 'Addition/alteration/repiacement Please check all that apply: ❑Service aver 225 amps. comml ❑Hazardous location ❑ Demolition ❑ Other: ['Service over 320 amps - rating ❑Burildng over 10,000 sq. ft, 'rc:;.:t ' f:ff ,. ^ ;i':.;: <s- ^y ; ;ap;I L ,y' a `tjcn©g. .,'.: ' _ �; : '' :_ '.." r'F :',: :: `t` of 1 -and 2- family dwellings • 4 or more new residential • - ❑ l- and 2- family dwelling [Commercial/mdustt ial ❑ Accessory building ❑System ova 600 volts nominal units in one structure ❑Bulding over three stories ❑Feeders, 400 amps or more ❑ Multi- family ❑ Master builder ❑ Other. ❑Occupant load over 99 persons ❑Manufactured structures or "" . ,, c' :a\; "' ? ��`�f r.�� ? ;�` }��`JdS SSE �; �1itOkA ><iA'�AN:; °} {; 4 . a rr ... ❑Egress/Ii81>tnnB P lan RV.park kl y }';'•., .. , •. , T ❑Health-care &oiliry ❑Other: Job no -: Job site address: k. 5 • S u L Submit .2 sets of plans with any of the above. • . Ciry /Statc/ZlP: -fl c ► d op - glaDy The above are not applicable to temporary construction service. h�'r3'�!iF� �•tit�!i'Fi -:2 py�!{ x •il'1 .. 5t'�`�`. ib 1 • �' v:' N�? nrw',. aJ7Wt 'F +,fLL.�r;L(t_.el,�.:��•el. .{',>t. ;. Suite/bldgJapt, no.: Project name: - Description I QV. I Fee• Tata] Cross street/directions to job site: New residential single- or multi- family dwelling unit. . Includes attached gars: e. 1,000 sq. ft. or less 145:15 4 Subdivision I L no.: Ea add'l 500 sq. ft or portion 33.40 I Limited energy, residential . • 75.00 • 2 Tax map /parcel no.: Limited energy, icon -- residential , 75.00 2 . iLti ,�ia'- c��je.L'� �i� ° � 1�O1N�0�?��!0�' >;`.< •':�i� "' . -�i',� �, E.� {��;. Eachme mtfac01red0imDdtlar ' ;= G``, },,rt �. ,5"ft.. .i .SC#C :.. :erg• dwelling. service and/or feeder • 90.90 . .2 _ _ .f/ Services or feeders installation, alteration, and/or relocation • 200 amps or less . 80.30 2 �_� .;,F4G ;;. . ;-;e 201 amps to 400 amps 106.85 2 • k'3� :•.H} ,•,, & "'•-j'�y�' •y •�,.�: Z Yj%'v j``'= ;. - �' - l� . to r .... .. £e' .. `%�' ....,.... . �. J�. i,• �.. �: �.,.,W,: :�. ' x�- .Z~^•:�.�`,�`,�L.�:..it^" 401 amps t0600amps • :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 Ciry /State/Z.1P: Temporary services or feeders Installation; alteration, and/or • relocation Phone: ( ) I Fax: (. . ) _ 200 amps or less 66.85 1 Ownerinstallation: This installation is being made onproperty that I own which is not r Y01 ampsto400 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 extensiou,.per panel r''".. •``; • . • : •, '.. oG °i: • \ �` . ,r, :0;Lid.S.1.:-.1.-1:. r 4• ,:«; V"'' A. Fee for branch cQCAits with , :. ii $: 1: .. s c• P�` ", „ice [' t O l '..7 .- , ,fi . ✓ : •r 'IP � ” . \ G 2F!' � . "^u =.. . r ,.......: •. ' •., ..... ..: ' Service or feeder fee, each • 6 65 2 Business name; ' branch circuit • . . . - B. Fee for branch circuits- ' Contact name: without service or feeder fee, 46.85 $S 2 - each branch circuit 4La Address: • Each add'I branch circuit 6.65 2 -- City /State/ZIP: • - -' - -- — -- IVfistellaneovstserviceror fecdernatineludet3j , • Pump or irrigation circle 53.40 • 2 Phone. ( ) ii Fax.: . ( ) _ Sign or outline lighting 53.40 • 2 • E-mail: • _ Signal circuit(s) or limited - 7i:. ;; ;_ ;:•: . -,. .,;- , '%CONNNIILA'cTOxt" ....,, . . +'' ,�.a mergy Pmel, alteration, Or ?i _:r!,,�;= '::... : , __...:'r ^�. .. ... extension_ Describe: • Page 2 . 2 Business name: con C f �; / F j . •( , Eacb additional inspection over allowable in any of the above 41.) .. ' -\ Address: I r1 ! � c:AGj Aui _ Per inspection • 62.50 City /State/ZIP: M a 0_1.; n / . ) q f o D Investigation per hour (1 lir min) 62.50 _— •'•--'- - -. ►►"" -- -' ax ' — • - - - -7— --- -•�1• -' - - .. - - - dusts tan er�►atr Phone: (S(}3) W�� `� — '- -, - -.- - a F _ _ I 0 71..A.) ' ,;, >., , _ Eli C ` . - -... -_ _. _.. CCB Lio : Electrical Lie.: a S • rv - Lie.: Subtotal • y lo— Suprv. Electrician signature, required: 1'11r Plan review (25% of permit fee) State surcha permit fee) Print name: el) curl tS - i7(a Date: t`1 IND L, T OTAL PERMIT FEE 50 . �V Authorized signature: This permit application expires if a permit is not obtained within 180 — • days after it has been accepted as coadplete Print name: j Date: . — . • • Fee methodologysnby CountyBulding Industry ServiceBoard , •• Number of inspoaiona per permit allowed. ■guildns \PemGidg51- C-PermiiApp.8oe 12ca • 400-0 613Tt10/07/COM/wan CITY OF TIGARD , ., BUILDING DIVISION PERMIT #: ELC2006-00637 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 11/7/2006 Phone: (503) 639 -4171 �► Inspection Requests (24 Hrs.): (503) 639 -4175 .. &- "'I I.. INSPECTION WORKSHEET FOR DATE: 11/13/2006 TIME: 7 :04AM PAGE: 81 SITE ADDRESS: 16580 SW 86TH AVE CLASS OF WORK: SUBDIVISION: SEWER TREATMENT PLANT LOT #: TYPE OF USE: PROJECT NAME: CLEAN WATER SERVICES ---------- DESCRIPTION: Clean Water Services. (1) branch circuit for dryer. , • - - /o,mk 20L -1 4 S! OWNER: CLEAN WATER SERVICES, • . •NE #_ S. - • it CONTRACTOR: CONDUIT ELECTRIC PHONE #: 503- 692 -1428 Inspection Request Scheduled For: Date: 11/13/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 039608 -01 503-692 -1428 N Corrections /Comments /Instructions: rg9ttipr;=_-717-, . CQ- (-t4 - qc1 p 140 ® IA -i .. — 0 lec e re ccr11 and U Imo to a-rv\ ,,,,..► e ,) i-O Q cc 6 ., ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS AIL C FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 11 / 3 - Ob Phone #: (503) 718- ___ILI&kl_______