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Permit
'T qua R;mv CITY OF T I GA R D ELECTRICAL PERMIT PERMIT #: ELC2008 -00654 -, COMMUNITY DEVELOPMENT DATE ISSUED: 11/26/2008 TI . P. -13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S113B0 00600 a t v; � SITE ADDRESS: 16580 SW 85TH AVE ZONING: I -P SUBDIVISION: SEWER TREATMENT PLANT LOT : JURISDICTION: TI G PROJECT: CLEAN WATER SERVICES Project Description: Install transformer and (1) circuit for new gate operator at Metro Gate. Job No. 810665 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: SIGNAL/PANEL: MANF HM/ SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10): SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: 1 W /SERVICE OR FEEDER: 1 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 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 HUGHES ELECTRICAL CONTRACTORS 2550 SW HILLSBORO HWY 9640 SW SUNSHINE CT STE 600 HILLSBORO, OR 97123 -9379 BEAVERTON, OR 97005 -4689 Phone: 503 - 681 -3600 Contact #: FAX 503 - 626 -3377 PRI 503 - 626 -3344 FEES Description Date Amount Reg #: ELE 34 -281C [ELPRMT] ELC Permit 1 1/26/2001 $86.95 LIC 49850 [TAX] 12% State 11/26/2001 $10.43 SUP 4506S Total $97.38 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 suspende a than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those les 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 503.2 6.6699 or 1.80 ! 4. Issue B �i l / �' Permittee Si natur-: �: , ii • 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 ;t. SIGNATURE OF SUPR. ELEC'N: �...A ..L � — 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. From:" • 11/26/2008 13:53 #465 P.0011003 tIvV ro 4 ELECTRICAL CONTRACTORS m 9640 SW Sunshine Court Suite 600 Beaverton, OR 97005 Phone (503) 626 -3344 Fax (503) 626 -3377 nonab© hugheselectrical.com F A X C O V E R S H E E T TO: CITY OF TIGARD ATTN: PERMITS FAX: 503.598.1960 PHONE: 503.639.4171 FROM: NONA BOWLING DATE: 11/26/08 RE: PERMIT APPLICATION - METRO GATE #810665 No. of Pages including cover: 03 • Message: Please issue permit as per attached application and payment authorization. If you have any questions, please give me a call. , •From: ' --- 11126/2008 13:53 #465 P.0021003 Electrical Permit Applicati0 'RECEIVED FOR OFFICE USE ONLY . / _ City of Tigard D eBy; 0 Ot.a Og ' Permit 6 ,'9 . o •55 III 13125 SW Hall Blvd., Tigard, OR 97223 q 6 Plan Review _ Phone: 503.639.4171 Fax: 503.59g.196U�O 2 6 2008 Date/By: Other Permit: — T I G A R D Inspection Line: 503.639.4175 Dale Ready/By: lur s: 1w1 See Page 2 for Internet: www.tigard or.gov CI OF TIGARD Notified/Method: !! [� Supplemental Information TYPE OF I; DING u1VISlOP� PLAN REVIEW ❑ New construction ® Addi [IOn/alterati0n/replact:men[ Please check all that apply (submit 2 sets of plans w /items checked below): ❑ 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 0 Commercial - use agricultural ❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family 0 Master builder ❑ Other: ❑ Fire pump. 0 Installation of 75 KVA or ❑ Emergency system. larger separately derived system. JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of Job no.: 810665 Job site address: 16580 SW 85th 100HP or more. occupancy. ❑ Six or more residential units. ❑ Recreational vehicle parks. City /State/ZIP: Portland OR 97224 ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite/bldg./apt. no.: Project name: Metro Gate/Clean Water _ ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description I Qt 1 Fee. 1 Total 1 •__, New residential single- or multi - family dwelling unit. includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Ea. add'I 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 DESCRIPTION OF WORK (with above sq. ft.) Limited energy. multi - family Install transformer and (1) 120v circuit to new gate operator residential (with above sq. ft.) 75.00 2 Services or feeders installation, alteration, and/or relocation 200 amps or less 1 80.30 80.30 2 ❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 Name: 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 City /State /ZIP: Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 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, 1 6.65 6.65 2 each branch circuit Business name: Hughes Electrical Contractors, Inc. B. Fee for branch circuits without service or feeder fee. Contact name: Rick Blair 46.85 2 first branch circuit Address: 9640 SW Sunshine Court, Suite 600 Each add'I branch circuit 6.65 2 — -- -- Miscellaneous (service or feeder not included) City /State /ZIP: Beaverton, OR 97005 Each manufactured or modular 90.90 2 dwelling. service and /or feeder Phone: (503) 626 - 3344 Fax:: (503) 626 - 3377 Reconnect only 66.85 2 E -mail: hec @hugheselectrical.com Pump or irrigation circle I 53.40 2 CONTRACTOR Sign or outline lighting i 53.40 2 Business name: Hughes Electrical Contractors, Inc Signal circuits) or limited - energy panel, alteration. or Address: 9640 SW Sunshine Court, Suite 600 extension_ Describe: Page 2 2 City /State /ZIP: Beaverton, OR 97005 Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: (503) 626 -3344 Fax: (503) 626 -3377 Investigation per hour (1 hr min) 62.50 CCB Lic.: 49850 Electrical Lic.: 34 -281C Suprv. Lic,: 5350S Industrial plant per hour 73.75 _ ELECTRICAL PERMIT FEES Suprv. Electrician signature, required Subtotal: 86.95 — Print name: David Trapp Date: Plan review (25% of permit fee): 0 State surcharge (12% of permit fee): 10.43 Authorized signature: TOTAL PERMIT FEE: 97.38 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. I:\Building'PermitslELC- PermitApp.doc 05/23/06 440•4615T(1I/05 /COMJWEB CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC200B-00654 13125 SW Hall Blvd., Tigard, OR 97223 Atr'll DATE ISSUED: 11/26/2003 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 12/2/2008 TIME: 7:OOAM PAGE: 11 SITE ADDRESS: 16580 SW 15TH AVE CLASS OF WORK: SUBDIVISION: SEWER TREATMENT PLANT LOT #: TYPE OF USE: PROJECT NAME: CLEAN WATER SERVICES . DESCRIPTION: Install transformer and (1) circuit For new gate operator at Metro Cate, Job No. B10665 OWNER: CLEAN WATER SERVICES, PHONE #: 603-681-3600 CONTRACTOR: HUGHES ELECTRICAL CONTRACTORS PHONE #: 503-626-3344' Inspection Request Scheduled For: Date: 121212008 Pour Time: Code # Inspection Description z iCorifir — *M-# Contact # Message 1(39 Electrical final 070688•01 50381643060 . N Corrections/Comments/Instructions: • 1 • PASS fl PARTIAL APPROVAL 0 CANCEL El NO ACCESS El FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: C., 1)011-s Date: IV # 2 2 3 Phone #: (503) 718- mtg.