Permit (101) CITY OF TIGARD ELECTRICAL PERMIT
' te. . COMMUNITY DEVELOPMENT Permit#: ELC2019-00519
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/03/2019
T I Parcel: 2S1136000600
Jurisdiction: Tigard
Site address: 16310 SW 85TH AVE
Project: Clean Water Services-Train 5 Unit Sub Subdivision: None Lot: None
Project Description: Medium voltage substation.
Contractor: E C COMPANY Owner: CLEAN WATER SERVICES
PO BOX 10286 2550 SW HILLSBORO HWY
PORTLAND, OR 97296 HILLSBORO, OR 97123
PHONE: 503-224-3511 PHONE:
FAX: 503-295-3012
FEES
Quantity Description Date Amount
2 ea Services or Feeders-601 to 08/28/2019 $602.08
Specifics: 1000 amps
4 ea Services or Feeders-Over 08/28/2019 $2,209.04
Type of Use: COM 1000 amps or volts
Class of Work: ALT 8 crt Branch Circuits w/Purchase 08/28/2019 $59.36
Service or Feeder
Type of Const: 1 ea Plan Review Electricial 08/28/2019 $717.62
Occupancy Grp: 1 ea 12%State Surcharge- 08/28/2019 $344.46
Electrical
Total $3,932.56
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 NotificationCe r. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You ma ••-'r a copy• - • - • • t•uestions to OU NC by calling 503.23 . 98 or 1.800.332.2344. /
Issued By: illi - 1r-= Permittee Signature:
- Air Aar
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.
•lectrical Permit Application _ _
City of Tigard D ed°'/i /9 r Permit G c.020/7 4.0.
S/ 9
III • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie
II Phone: 503.718.2439 Fax: 503.598.1960 Date/By: "IlliRelated Permit#:
Inspection Line: 503.639.4175 Ready Date y: / oris: ® See Page 2 for
T I G A R D Internet: www.tigard-or.gov Notifi-.t• et 4 " /V Z� Supplemental Information
,. i"4:2177-4' ' !
�
TYPE OF WORK
PLAN REVIEW
❑New construction ®Addition/alteration/replacement Please check all that apply(submit a sets of plans w/items checked):
0 Service or feeder 400 amps or more 0 Building over three stories.
❑Demolition 0 Other: where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
Job#:77397 I Job site address:3696U SW 85th Ave 0 Addition 0Hof new motor load of system.
I.
`_ �;0 100HP or more. ❑"A","E","1-2","1-3",
City/State/ZIP:Tigard,OR 97224 67 0 Six or more residential units. occupancy.
ty g , L`_ Z"e 4 1t' ',/ /G 7 G c-S ❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: I Project name:Durham Train 5 Unit Sub 0 Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: FEE SCHEDULE
Description I Qty. I Each I Total
New residential single-or multi-family dwelling unit.
Subdivision: I Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#: Ea.add'l 500 sq,ft.or portion 33.92 1
DESCRIPTION OF WORK Limited energy,residential
Medium Voltage Substation (with above sg.ft.) 75.00 2
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
Renewable Energy 0 See Page 2
0 PROPERTY OWNER 0 TENANT Services or feeders installation,alteration,and/or relocation
Name:Clean Water Services 200 amps or less _ 100.70 2
Address:3235 River Rd 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Hillsboro,OR 97123 601 amps to 1,000 amps 2 301.04 602.08 2
Phone:( ) I Fax:( ) Over 1,000 amps or volts 4 552.26 2209.0 2
Temporary services or feeders installation,alteration,and/or
Email: relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
® APPLICANT 0 CONTACT PERSON Branch circuits-new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name:EC Electric above service or feeder fee,
7.42 2
41
each branch circuit _ _
Contact name:Kathy Kelley B.Fee for branch circuits without
service or feeder fee,first
Address:2121 NW Thurman St branch circuit 56.18 2
City/State/ZIP:Portland,OR 97210 Each add'l branch circuit 8 7.42 51.94 2
Phone:(503)220-3580 Fax: : Miscellaneous(service or feeder not includedd
( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email:kathy.kelley@ecpowerslife.com
Reconnect only 67.84 2
-
CONTRACTOR Pump or irrigation circle 61.84 2
Business name:Et Electric "" Si oroutIineTi l - "
Sign ghting 67.84 2
Address:2121 NW Thurman St
Signal len or limited-energy
0 See Page 2 2
panel,alteration,or extension.
City/State/ZIP:Portland,OR 97210 Each additional ins i ection over allowable in an of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(503)220-3561 Fax:( ) Investigation(1 hr min) 90.00/hr
Industrial plant(1 hr min) 78.18/hr
Email:Thomas Miller _Inspections for which no fee is
CCB Lic.: 49737 Electrical Lic.: 2 -45C Suprv.Lic.: 59785
specifically listed(''A hr min) 90.00/hr
ELECTRICAL PERMIT Ff:ES
Suprv.Electrician signature,required:
Subtotal: 2863.0
Print name: Jeff Roberti Date: 7/26/19 0 Plan Review Required(25%of permit fee): 71.58 _
State surcharge(12%of permit fee): 34.36
Au signature: TOTAL PERMIT FEE: 2969.0
,/ This permit application expiresifa permit isnotobtained within 180
p days after it has been accepted as complete.
* Number of inspections allowed per permit.
I:\Building\Permits\ELC_PermitApp_ELR ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB
r •
Dianna Howse
From: Mike Idehara <IdeharaM@CleanWaterServices.org>
Sent: Thursday,August 1, 2019 5:14 PM
To: Dianna Howse
Cc: #Building Permit Technicians; Dan Garbely
Subject: RE:Clean Water Services - Electrical Permit
Warning!This message was sent from outside your organization and we are unable to verify the sender.
Please use 16310 SW 85th Ave,Tigard, OR 97224 in lieu of 16060 as the physical address of the project.
Thanks
Mike
Michael Idehara, P.E.I Senior Engineer
Clean Water Services I Wastewater Treatment Department
16060 SW 85th Ave I Tigard OR 97224
o 503.547.8152 I m 503.367.9070
engage news I facebook I twitter
From: Dianna Howse [mailto:Dianna@tigard-or.gov]
Sent:Thursday,August 01, 2019 5:03 PM
To: Mike Idehara <IdeharaM@CleanWaterServices.org>
Cc:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Subject: FW: Clean Water Services- Electrical Permit
Hello Mike,
I understand that Dan is out of the office until August 20tH
Please see my question below and respond so that we can get this permit routed for plan review.
Thank you.
Dianna L. Howse
rom
City of Tigard I Community Development
13125 SW Hall Blvd I Tigard, OR 97223
503-718-2430 Direct 1503-718-2439 Permits
From: Dianna Howse
Sent:Thursday,August 1, 2019 4:46 PM
To: Dan Garbely<GarbelvD@CleanWaterServices.org>
Cc:#Building Permit Technicians<TigardBuildingPermits@tieard-or.gov>
Subject:Clean Water Services- Electrical Permit
1
°
Hello Dan,
EC Electric submitted an electrical permit application and plans for 16060 SW 85th Ave with the following information:
• Project Name: Durham Train 5 Unit Sub
• Description of Work: Medium Voltage Substation
Can you please confirm that 16060 is the correct address for this work, and if not, provide the correct number.
Thank you.
Dianna 1. Howse
Building Division Services Supervisor
City of Tigard I Community Development
13125 SW Hall Blvd I Tigard, OR 97223
503-718-2430 Direct I 503-718-2439 Permits
DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail
may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained
by the City of Tigard in compliance with the Oregon Administrative Rules"City General Records Retention Schedule."
2