Permit CITY OF TIGARD ELECTRICAL PERMIT
- = • COMMUNITY DEVELOPMENT Permit#: ELC2013-00326
Date Issued: 09/09/2013
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S114AA00500
Jurisdiction: Tigard
Site address: 16375 SW 85TH AVE
Project: Clean Water Services Co-Generation Facility Subdivision: 1993-078 PARTITION PLAT Lot: 2
Project Description: Cogeneration and brown grease. Electrical installations for(2)new buildings for co-generation facility.
Contractor: OREGON ELECTRIC GROUP Owner: CLEAN WATER SERVICES
1709 SE 3RD AVE ATTN:ACCOUNTS PAYABLE
PORTLAND, OR 97124 2550 SW HILLSBORO HWY
HILLSBORO, OR 97123
PHONE: 503-234-9900 PHONE:
FAX: 503-234-1001
FEES
Quantity Description Date Amount
2 ea Services or Feeders-401 to 08/08/2013 $400.68
Specifics: 600 amps
2 ea Services or Feeders-601 to 08/08/2013 $602.08
Type of Use: COM 1000 amps
Class of Work: NEW 1 ea Services or Feeders-Over 08/08/2013 $552.26
1000 amps or volts
Type of Const: 124 crt Branch Circuits w/Purchase 08/08/2013 $920.08
Occupancy Grp: Service or Feeder
1 ea 12%State Surcharge- 08/08/2013 $297.01
Electrical
Total $2,772.11
Required Items and Reports(Conditions)
•
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through 0 952-001-0090. u may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 1.8 /344.
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' Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
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.
Electrical Permit ApplicatioREcEi J l'OOR f i"I l(is IIS,s ONLY
City of Tigard Received 1
a Plan Review i . Permit No,: g t 3 - 240
13125 SW Hall Blvd.,Tigard,OR 97223 IUL 3 ZU13 Plan Review J r� !
m Phone: 503.718.2439 Fax: 503.598.196{)�//�� /gip pnt�gy; Q-/� 3 4J,CT , Omar Permit;
T IC.1 I:1) Inspection lane: 503.639,41 75 CRY 1 OF TiW'ii1L! Date Ready/By: . J tuns: 65 See Page 2 for
Internet: www.tigurd-or.gov NotitIa/Metlsod:' '4�Y'V
��1�t�1p1t, Supplemental Information —
.fArx 'NI 4 _l. f;.ko,T.11fYi .Y.i.,'j;,;:1:.',F. .:: :_•4,-,•.=T 4);.:'.
®New construction 0 Addition/alteration/replacement Please check all that apply(submit a sets of plans wine=checked below):
❑Demolition ®Service or feeder 400 amps or more ❑Building over three stories,
❑Other:
t,_ v wham the avallnble Paul[current ❑Marinas and boatyards,
Fe Tl t}> '�lr,.'%C31� �, / :1 exceeds 10,000 amps at 150 volts or ❑Floating bui ldings.
-,.'1.., . . aldings.
...:: . :.•�',.,y`i`,�',°�,. �.-• � , , �•?�.;�.-r3'�:� -'•l-'r.-� '' less to uud,or exceeds 14,000
❑�1-and 2-family dwelling ®Commercial/industrial ❑Accessory building amps for all other installations. ❑buildings.ml-use agricultural
❑Multi- ❑Master builder pump, IS Installation of 150 KVA or
:.j �,�p,� 0 Other: 0 Fire amp.
•:Td :°i(It� iJ!A .'; { I ]s 4R?-v'' I1�sN Syr( 'f'(:.'..1,..::::.;; ❑Emergency system. larger separately derived system.
•i''.`".!; ❑Addition of new motor load of 0"A","B","1-r,"1-3",„
Job no.: Job site address:16375 SW 85th Avenue_ i00HP or o seal Recrunocy.
• 0 Six or more residential units. .0 Recreatonol vehicle parks.
City/State/ZIP;Tigard,OR 97224 ❑Health-cam facilities. El Supply voltage for more than
El Hazardous locations. 600 volts nominal.
Suite/bldg,/apt,no.: I Project name:Co-Gen 5112 ®Service or feeder 600 amps or
more.
Cross street/directions . Ti ' u; f i. .1 t. •f'.'•l tions to job site: 1!i ;,��. .• �-;,j'll�V!- Oh Fri. I ,rriTotal'�T►::
Description -
New residential single-or multi-family dwelling unit. .
Includes attached garage. .
Subdivision: I Lot no.: 1,000 sq.ft.or less 168.54 4
Tax map/parcel no.. Ea.add'I 500 sq.ft or portion 33.92 1
r ,;:r{;;; r ,yi-. r00.,- 3. r, ,,, Limited energy,residential
�t•,;•�.r'._ ;V:CfP4j1,7; 4+ii: p l3 t :)1gii ,` xr-;y.`,. ?{_'/$%-'N;.?b (with above sq.fl.) - 75.00 2
Limited energy,multi-family 75.00 2
Construct a brown grease receiving facility,a new Cogeneration Facility to residential(with above sq.IL)
Renewable Energy ® See Page 2
house two 848 kW generators,a gas purification system and gas storage. Services or feeders installation,alteration,and/or relocation
y ,' i - n10 4 'i •• F sa”. r.:rA,: " h ail 'Ea ffy' tk; fri. .,: °.r'F. 200 amps or less, l 100,70 2
Name:Clean Water Services
201 amps to 400 amps 633,56 2
401 amps to 600 amps 2 ✓ 200.34 2
Address:2550 SW Hillsboro Highway 601 amps to 1,000 amps 2 ,' 301.04 2
City/State/ZIP:Hillsboro,OR 97123 Over 1,000 amps or volts I / 552.26 2
Temporary services or feeders Installation,alteration,and/or
Phone:(503)547-8177 1 Fax:( ) relocation
200 amps or Icss 59.36 1
Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701.
401 amps to 599 amps 168.54 2
Owner signature: Date: Branch circuits–new,alteration,or extension, r panel
;'.1.ip4).—ii.;�;'0 t r' a i " 6 i . x 3 e,",4"y „ A.Fee for breach circuiLg with
�'�• - - �� n �l �� ,�' �'�°"' �.•��. �~ �` above service or feeder ice,
I Business name:Clean Water Services each branch circuit 24/ 7A2 2
B.Foe for branch circuits without
Contact name:Joel Borchers service or feeder fee,first 56,18 2
branch circuit
Address: 16060 SW 85th Avenue Each add''branch circuit 7.42 2
City/State/ZIP:Tigard,OR 97224 Miscellaneous(service or feeder not included)
Each manufactured or modular 67.84 2
Phone:(503)S47-8177 Fax::( ) dwolling,service and/or feeder
r, Reconnect g 67.84 2 borchersi @cleanwaterservices.or g Pump or Irrigat ion circle, 67.84 2
,y - ---.
Sign or outline lighting 67.84 2
Business name:Oregon Electric Construction Inc. Signal cirwit(s)orlimited-energy See
panel,alteration,or extension. Page 2 2
Address: 3.709 S E 3rd Ave Each additional Inspection over allowable in any of the above
City/State/ZIP; Portland / OR / 97219 Additional inspection(I hr min) 68.25/hr
Investigation(l hr min) 66.25/hr
Phone:(5 0 3) 234-9900 I Fax:(503) 234-1001 Industrial plant(l hr min) 78.18/hr
CCB Lic.: 203 Inspections for which no fee is
Electrical Lic.:a7,„(,,ic.:2 6-9 5 C I Suprv.Lic.: 4 818 S apcci[icalI listed yr ter min) 90.00/hr
Suprv.Electrician signature,required: �, )'�f 4 ~`'F+ r, ,Tfy..
n i? I5)
! Subtotal:
Print name: Mark Weinbender Date: 8/19/13 Plan review(2546 ofpetmirfee):
7 State surcharge(12%of permit fee);
Authorized signatu I� /��%�� /�
TOTAL PERMIT FEE:
Print name: �n�� '! � }�� �l ^, I Date: // This permit application explrzs If a permit is not obtained within 180
1`v "f I` `1/K..1 f1,X!%h r � r'J If I days after It has been accepted as complete.
• Number of inspections allowed per permit.
FAB uileinglPerma ARI.C_PenniiApp_EI.R_FRA..dw;Rev 05/21/2013 4e0-46157'(1 WS/COM/WEa
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RES1AENTAVWO1WO'N'I`."7 �yz*°= WW ;;'
Fee for all residential systems combined ... $75.00 Description I Qty. Fee l Total l •
Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
illAlarm Wind generation systems in excess of 25 kva:
25.01 to 50 kva 301.04 2
❑ Garage Door Opener* 50.01 to 100 kva 552.26 2
>100 kva(fee in accordance with 552.26 2
H Heating, Ventilation and Air Conditioning OAR918-309-0040)
System* Solar generation systems in excess of 25 kva:
Each additional kva over 25 7.42 3
❑ Vacuum Systems* >100 kva—no additional charge 0.0 3
ElOther: additional inspection over allowable in any of the above:
Other: Each additional inspection is
charged at an hourly(I hr mm) 2 66.25/hr I
Inspections for which no fcc is 90.00/hr
specifically listed 'V:hr min)
COMMERCIIAL WORK.:ONILX. r; °� y �' ::, = 0, E . , I✓. .n .
Fee for each commercial system $75.00 Subtotal:
(SEE OAR 918-309-0000) Plan review,if required(25%of permit fee):
State surcharge(12%of permit fee):
Check Type of Work Involved: TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
❑ Audio and Stereo Systems days after it has been accepted as complete.
Number of inspections allowed per permit.
❑ Boiler Controls
❑ Clock Systems
H Data Telecommunication Installation
n Fire Alarm Installation
n HVAC
❑ Instrumentation
n Intercom and Paging Systems
H Landscape Irrigation Control*
❑ Medical
n Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I:\BeiIdmg Pemdts\ELC_PemtitApp_ELR_ERE.doe Rev 05212013
CITY OF TIGARD FEE AND PAYMENT HISTORY
w 13125 SW Hall Blvd.,Tigard OR 97223
• 503.639.4171
TIGARD
ELC2013-00326 - 16375 SW 85TH AVE, TIGARD, OR 97224
Revenue Payment
Fee Description Account Number Fee Amount Invoiced Paid Date Paid Method Receipt# Due
Services or Feeders-401 to 600 amps 220-0000-43103 $400.68 $400.68 $400.68
Services or Feeders-601 to 1000 amps 220-0000-43103 $602.08 $602.08 $602.08
Services or Feeders-Over 1000 amps 220-0000-43103 $552.26 $552.26 $552.26
or volts
Branch Circuits w/Purchase Service or 220-0000-43103 $920.08 $920.08 $920.08
Feeder
12%State Surcharge-Electrical 100-0000-24001 $297.01 $297.01 $297.01
Totals for Fees $2,772.11 $2,772.11 $0.00 $2,772.11
Receipt# Payment Method Check# Pavor: Receipt Date Receipt Amount
Total Payments: $0.00 --
Baand
Balance Due: $2,772.11
c..----
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
16375 SW 85TH AVE, TIGARD, OR, 97224
Commercial - Electrical
199 Electrical final
PASS - No C of O
ELC2013-00326
Jeff Grove
Violation Summary:
Inspector Contractor