Permit CITY T I GA R D ELECTRICAL RESTRICTED ENERGY PERMIT
'= . COMMUNITY DEVELOPMENT • PERMIT #: ELR2008 -00307
TicnK4 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/3/2008
PARCEL: 2S 113B0 -00600
SITE ADDRESS: 16580 SW 85TH AVE ZONING: I -P
SUBDIVISION: SEWER TREATMENT PLANT • LOT: JURISDICTION: TIG
PROJECT: CLEAN WATER SERVICES
Project Description: Low voltage fiber optics for struvite recovery facility.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE/IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA /TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: • HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER: FBR OPTICS X
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
CLEAN WATER SERVICES OREGON ELECTRIC GROUP
2550 SW HILLSBORO HWY 1010 SE 11TH AVE
HILLSBORO, OR 97123 -9379 PORTLAND, OR 97214
Phone: 503- 681 -3600 Contact #: FAX 503- 234 -1001
PRI 503- 234 -9900
FEES Reg #: ELE 26 -95C
LIC 203
Description Date Amount SUP 4549S
[ELPRMT] ELR Permit 11/3/2008 $75.00
[TAX] 12% State Surch 11/3/2008 $9.00 REQUIRED ITEMS AND REPORTS
Total $84.00
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. • • • • . 1800.332.2344.
Issued By: _ - ermittee Signature: `of75o /�
4.--
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.
INSPECTOR'S SIGNATURES ARE NOT • • -
Inspections Required for: olcxjg-- c,a307 REQUIRED ON GREEN INSPECTION CARD.
✓ Code Inspection Description I PASS Date I By I ✓ Code I Inspection Description PASS Date I By
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground /slab cover
410 Fill 110 Temporary electrical service
415 Grading 115 Electrical service
205 Footing 120. Electrical rough -in
805 MFG - Structure grading /footing 125 Wall cover
210 Foundation walls 130 Ceiling cover
215 Footing drain 135 Low voltage
220 Slab 140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
225 Post /beam structural 150 Hot tub /spa /pool
230 Underfloor insulation 195 Misc. inspection:
235 Shear walls /anchors , _ 199 Electrical final
240 Exterior sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 Low voltage
. 260 Tilt -up panel 195 Misc. inspection:
265 Masonry x' 199 Electrical final
270 Reinforcing steel (rebar)
275 Framing
810 MFG - Structure set -up MEC - Mechanical Permit
280 Insulation 605 Post /beam mechanical
285 Drywall nailing 610 Gas line
287 Suspended ceiling 615 Mechanical rough -in
295 Misc. inspection: 620 Hydronic piping
899 MFG - Structure final 625 Duct work
498 Grading final 630 Fire damper
299 Final inspection 635 Smoke detector shutdown
•
_ 640 Exhaust hood
695 Misc. inspection:
699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab
910 Sprinkler rough -in PLM - Plumbing Permit
915 Fire alarm rough -in 305 Plumbing underslab
920 Suppression trip test 310 Crawl drain •
995 Misc. inspection: 315 Post /beam plumbing
998 Alarm final 320 Plumbing rough -in
999 Sprinkler final 322 Shower pan
330 Water service
335 Rain drain
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation 345 Culvert /catch basin •
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection: •
205 Footing 399 Plumbing final
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection 599 Final inspection
•
1:\ Building \ Forms \InspCard- AOP- Blank.doc 02/02/07
OCT -31 -08 15:31 FROM- OREGON ELECTRIC -MAIN 5032349900 T -819 P.001 /001 F -051
•
'r .. *:' .4 0 . City of Tigard 1 ✓ 1` Received • n , .
� Y Q Permit No.:
13I2S SW Hall Blvd., Tigard, OR 9 Daten3v:
Plan Review
_ p>
.,
Phone: 503.639.4171 Fax: 503,598.1 • • ��
Inspection Line: 503,639.4175 -, 1 �OO� D't Other Permit;
Dare Ready/By: T1GAR0 Internal www t igard•or - gov A. Noti6ct11Meehod: 13 SeePage2for
f . t IC, Supplemental Information
k .? f : ' . li . /. . °• ' f l�.1: ;•T r ° , 'S Si
- ..t ?5 ,',,:;i;,i ci- • :• „ }:413- ,AN' :.Rk,V1EVV . :':;:!.E.:%.!:,-,:::: t ;li J y .;
❑ New construction ® Addition/alteratiOrb�y1 Please check all that apply (submit g sea of plan w /item- checked below)'
❑ Demolition Er Other; NO3' El service or feeder 400 amps or more
w ❑ Building over three stories.
`r'- �¢ "J ��' ' . , ; � � OR` where the available fault curre
x . CATS El Florins and boatyards.
- .Qk ;CONSTRUC�'ION ' S "' ` ' '; iF_ � -•. exceeds 10,000 amps at 150 volt:, or ❑ Floating buildings,
❑ 1 - and 2- family dwelling Commercial /industrial less to (found, or exceeds 14,000 ❑ Commercial -use agricultural
❑ Accessory building amps for all other installarion.,, buildings.
Multi -family ❑ Master builder 0 Other. ❑ at
1J Fire ptunp,
u'• ' t i n N : 0A F iN = � - ❑ Emer e ❑ lnsrallation of 75 KVA or
iFORMATION LpCATIpN l ' :` +' g nc y sy ste m. larger separately derived system.
Job no.: 25150 -101 Job site address: 16060 SW 85TII • �_ inn
o ore. motet load of ❑ p • p I_Z ", t -
lnl D---4-_- 100FIP or more. occupancy, City/State/ZIP: TIGARD, OR 97224 7 ❑ Six or mom residential units. Recreational vehicle parks.
City/State/ZIP:
❑tIealth -ta facilities. ❑Suppl voltage for more than
Suitelbld /a t. no -: —� ❑ l•Iazardou„ locations. 500 volts nominal.
g P Project name: STRUVITE RECOVERY FACILIT ❑Service or feeder 600 amps or more,
—
Cross street/directions to job Site: -'`` iii ;. :. FEE' SCHED
''c:-,: .::lip ?r, .
Desert • [i„n '
New residential single- or multi-fa dwelling unit. Vial •
Includes attached garage.
_ Subdivision: Lot no.: 1,000 sq. ft or less
I45,15 4
Tax map /parcel no,: Ea add 500 sq. ft. or portion 33.40 1
" ? 4.1+' I�ESCRII'TTOxti OR WOl(21{' Limited energy, residential
:r,i:' _ (with above x9. ft.) 75.00 2
- LOW VOLTAGE WORK AT DURHAM WASTE WATER Limited energy, multi
residential (wit above s . R, 75.00 I 2
amps or less 80.30 installation, It ,and /of rclocatt
Services a crafion '
I.: . ® ',PROPERTY,::OWN�'R` r... .'i,•-,`!:'' -- '`'•• - TENAIVI' 200 _ 2
80.30 1 2
i 201 ainps to 400 am 106.85
Name: CITY OF TIGARD r ` 401 amps to 600 amps ` 160.60 Z
Address: F' 601 amps to 1 amps r 240,60 2
Over 1,000 amps or volts 454 2
City/State/ZIP: i n
` / • t (4 ' Temporary services or feeders installation, alteration, and /or
Phone: ( ) relocation
Fax: ( ) 200 amps or less 66.85 r
Owner installation: This installation is being made on roe that I own which is not Ps ro¢ am s 1
P P rtY 20I am p 100.30 2 ,
intended for sale, lease, rcpt, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75
2
Owner signature: Date: Branch circuit _ new, alteration, or extension, er panel • , AL Fen for branch circuits with •
Q ; t1PPI TCA'`'C 0 : C ONTA C T ;PE RSON. r above service or feeder fee,
Business name: each branch circuit 6.65 2 -
B, Fee for branch circuits -
Contact name: without service or fecder fee,
first branch circuit 46,85 2
Address: Each ndd'l branch circuit
6 -GS 2
City/State/ZIP - Miscellaneous (service or feeder not it ____1
` Each manufactured or modular
dwcliing, service and/or feedct
Phone: ( ) Fax:: ( ) 90 - 90 2
E-mail:
mp
Reconnect Only 66.85 2
:,,;M1 - Pu or irrigation circle
•', ;'s;': 1 COVL7ZACTOR to `, 5140 2
Sign or outline lighting 53.40 2
Business name: OREGON ELECTRIC CONSTRUCTION, INC Signal circuit(s) or limited
Address: 1010 SE I I T ° AVE energy panel, alteration, or
extension. Describe: 1 Page 2 75
2
City/State /ZIP: PORTLAND, OR 97214 Each additional inspection over allowable in any of the above
e
Phone: (503) 234 -9900 Fax: (503) 234 -1001 Per inspection I 62.50
Investigation per hour (Ihr I 62.50
CCB Lic.: 203 Electrical Lie.: 26 -95C Suprv. Lic.: 4549s Industrial plant per hour 73 I i
Suprv. Electrician si • .. :' :. _
gtarure rc ELECTRICAL: PE ., . Nk. Subtotal: 75.00
Print name: RICHARD T. MCELLIOTT Date; 10/31/08 Plan review (25% of permit fie);
Authorized sigma M a � r, • �� * -
State surcharge (12% of permit ice): 9.00
_ TOTAL PERMIT FEE:
84.00
Print name RICHARD T. MCELLIOT7 Date: 10/31/08 This permit application expires if a permit is not obtained within 180
-
days after it has been accepted as complete,
IBvild;rtElPetmiulELC•Pennitq " Number of inspections allowed per permit.
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