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Permit x 1.f ,;, ELECTRICAL PERMIT Ii7 CITY OF TIGARD °t COMMUNITY DEVELOPMENT Permit#: ELC2015 00853 a, ( " Date Issued: 11/04/2015 TIGARD 13125 SW Hall Blvd ,Tigard OR 97223 503 718 2439 Parcel. 2S113B000600 Jurisdiction: Tigard Site address: 16060 SW 85TH AVE Project: Clean Water Services Subdivision: ROSEWOOD ACRE TRACTS Lot: D Project Description: Replace(2)branch circuits and install(3)new 800 amp service feeders and(1)fiber optic/CAT5 for controls Contractor: FIVE STAR ELECTRIC, INC Owner: BURLINGTON NORTHERN INC 756 SW BAILEY AVE PROPERTY TAX DEPT HILLSBORO, OR 97123 PO BOX 961089 FORT WORTH,TX 76161 PHONE 503-324-0948 PHONE FAX 503-324-0973 FEES Quantity Description Date Amount 3 ea Services or Feeders-601 to 11/04/2015 $903 12 Specifics: 1000 amps 2 crt Branch Circuits w/Purchase 11/04/2015 $14 84 Type of Use: COM Service or Feeder Class of Work: ALT 1 ea Signal circuit or Limited 11/04/2015 $75 00 Energy Panel Type of Const 1 ea Plan Review Electricial 11/04/2015 $248 24 Occupancy Grp: 1 ea 12%State Surcharge- 11/04/2015 $119 16 Electrical Total $1,360 36 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 Cent Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090 You may obtain a cop ules or direct questions to OUNC by calling 503 2 •: or 1 800 332 2344 Issued By:.0,..og--.--74-- _ r�mittee Signature: ' , r / `f /I 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 Applicatio � CEIV� , FOR OFFICE USE ONLY City of Tigard Received ` 114 9° 13125 SW Hall Blvd.,Tigard,OR 97223 Date/B : ! / .%I! _ Permit No t-1420/3-___d�t a g C 7 t 2015 Plan Review �I� ` Phone: 503 718 2439 Fax 503.598 19 Date/B /d�� 'r Other Permit T I GA R D Inspection Line: 503.639 4175 g Date Ready/By: / lures ® See Page 2 for - Internet www.tigard-or gov a CLTV��nrOF 11( ApRliph�, Notified/Method. if Ait� �-/J Supplemental Information �r f� TYPE OF q.� ,ygl�tG DIVISION spa( 1....r:+— iz,(4 I'LAN REVIEW ❑New construction IXI Addition/alteration/replacement Please check all that apply(submit 2 sets of plans whtems checked below) 7� ❑Service or feeder 400 amps or more ❑Building over three stories ❑ Demolition ❑ Other: where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑Floating buildings less to ground,or exceeds 14,000 ❑Commercial-use agricultural ❑ 1-and 2-family dwelling Commercial/industrial ❑Accessory building amps for all other installations buildings ❑ Multi-family Master builder ❑Other: ❑Fire pump. ❑Installation of.75-KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived system ❑Addition of new motor load of ❑"A","E","1-2","1-3", Job no.:f..50 Job site address: 1Ar/�'e, �( / 100HP or more occupancy ��./ Yrl V1/W ��{/� ❑Six or more residential units ❑Recreational vehicle parks City/State/ZIP: A ❑Health-care facilities El Supply voltage for more than �� 1�� ❑Hazardous locations 600 volts nominal Suite/bldg./apt.no.: Project name: -(V Service or feeder 600 amps or more FEE SCHEDULE Cross street/directions to job site: Description I Qty. I Fee. I Total New residential single-or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq.ft.or less 168.54 4 Ea add'l 500 sq ft or portion 33.92 1 Tax map/parcel no.: Limited energy,residential 75 00 2 DESCRIPTION OF WORK (with above sq.ft.) M Limited energy,multi-family 75 00 2 ' C`� La) L. s r�� 'A— \`cS Oat, h0 residential(with above sq.ft.) �� j��jjj`��^��( ^ jj�� ` �n -, Services or feeders installation,alteration,and/or relocation �---\ Y NC\5 &M V S Qv` ,1 JQ/.. i✓\/ 200 amps or less 100.70 2 v ❑ PROPERTY OWNER ❑ TENANT M s 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 Name: 601 amps to 1,000 amps 3 301.04 1:10), 121 2 Address: Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or City/State/ZIP: relocation Phone:( ) Fax:( ) 200 amps or less 59.36 l 201 amps to 400 amps 125.08 2 Owner installation:This installation is being made on property that I own which is not intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2 Branch circuits—new,alteration,or extension,per panel Owner signature: Date: A.Fee for branch circuits with ❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee, 7 42 Ill qA 2 each branch circuit Business name: B Fee for branch circuits without service or feeder fee,first 56 18 2 Contact name: branch circuit Each add'l branch circuit 7.42 2 Address: Miscellaneous(service or feeder not included) City/State/ZIP: Each manufactured or modular 67.84 2 dwelling,service and/or feeder Phone: ( ) Fax: :( ) Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E-mail: Sign or outline lighting 67.84 2 CONTRACTOR ,--circuit(s)or limited-energy tl,,.� Business name: Five Star Electric,Inc. panel,alteration,or extension. I Page 2 -75 2 Each additional inspection over allowable in any of the above Address: 756 SW Bailey Ave Additional inspection(1 hr min) 66.25/hr City/State/ZIP: Hillsboro,OR 97123 Investigation(1 hr mm) 66.25/hr Industrial plant(1 hr min) 78.18/hr Phone:(503)324-0948 Fax:(503)324-0973 Inspections for which no fee is 90.00/hr ...-- specifically listed(%hr min) CCB Lic.: 158231 Electrical Lic.: 34-665C Suprv. Lic.:, ),i45---5 ELECTRICAL PERMIT FEES Subtotal: Suprv. Electrician signature,required: = Plan review(25%of permit fee): �2/ �' C , •Print name: l./G id�. Date: In L s State surcharge(12%of permit fee): / i 9 1 (o7 1 TOTAL PERMIT FEE Authorized signature: / This permit application expires if a permit is not obtained within 180 Print name: Date: * days after it has been accepted as complete. Number of inspections allowed per permit 1\Building\Permits\ELC-Perm1tApp doc 07/01/10 440-4615T(I I/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Descri ption Qty Each Total j * Fee for all residential systems combined: $75.00 Renewable electrical energy systems:. Check Type of Work Involved: 5 kva or less 1 00.70 2 5.01 to 15 kva 133.56 2 n Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: n B• urglar Alarm 25.01 to 50 kva 30104 2 50.01 to 100 kva 552.26 2 n Garage Door Opener* >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 n H• eating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 n Vacuum Systems* >100 kva—no additional charge 0 0 3 Each additional inspection over allowable in any of the above: n Other: Each additional inspection is charged at an hourly(1 hr mm) 66.25/hr 1 Inspections for which no fee is 90.00/hr specifically listed(1/2 hr mm) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Subtotal(Enter on Page 1): Fee for each commercial system: $75.00 * Number of inspections allowed per permit (SEE OAR 918-309-0000) Check Type of Work Involved: I Audio and Stereo Systems n Boiler Controls n Clock Systems n Data Telecommunication Installation n Fire Alarm Installation n HVAC n Instrumentation n Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls n Outdoor Landscape Lighting* n Protective Signaling Other: b oph 6 lb((�14/ s Total number of commercial systems: / *No licenses are required. Licenses are required for all other installations 1\Budding\Permits\ELC_Perm tApp_ELR_ERE doc Rev 06/17/2015 FIVE S' 'AR E .ECTRI * * * * * COMMERCIAL/INDUSTRIAL/RESIDENTIAL luCuk17 OCT 2 2015 City of Tigard O n Oil' I1( AKD 13125 SW Hall Blvd BUILDING DIVISION Tigard, OR 97223 October 19, 2015 RE: Plan Review To Whom It May Concern: These prints are for a plan review for the Cleanwater Durham Blower Conversion Project, CIP #6802. It will be installed per the Landis Consulting designed drawings. The project is located at the Cleanwater facility, 16060 SW 85th Ave, Tigard, OR 97224. Please feel free to contact Eric Gerdes at 503-324-0948 with questions. Sincerely, Eric Gerdes Five Star Electric, Inc. 756 SW Bailey Ave, Hillsboro, OR 97123 * Phone: (503) 324-0948, Fax (503) 324-0973 * CCB# 158231 LICENSED• BONDED• INSURED