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Permit CITY OF TIGARD RD ELECTRICAL. PERMIT V H PERMIT #: ELC2005 -00429 Ira DEVELOPMENT SERVICES DATE ISSUED: 6/20/2005 ' �- -! 13125 SW Hall Blvd., Tigard, OR 97223 503 -639 -417 PARCEL: 2S 113 B0 -00600 SITE ADDRESS: 16060 SW 85TH AVE ZONING: I -P SUBDIVISION: SEWER TR PLANT LOT : JURISDICTION: TIG Project Description: Install gate actauators on aeration basins 1& 2. Job # 13141. 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: W /SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: - lst W/O SRVC OR FDR: • 1. , , . PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 3 IN PLANT: . 601,- 1000 amp:. PLAN REVIEW SECTION 1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVCIFDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: - _Contractor: • CLEAN WATER SERVICES OREGON ELECTRIC CONST /GROUP 2550 SW HILLSBORO HWY • ' 1010 SE 11TH AVE HILLSBORO, OR 97123 -9379 PORTLAND, OR 97214 ' Phone: 503- 681 -3600 Phone: 503 - 535 -2652 ' FEES Reg #: LIC 203 Description Date Amount SUP 4460S ELE 26 -95C [ELPRMT] ELC Permit 6/20/2005 $66.80 • [TAX] 8% State Surcharge . 6/20/2005 $5.34, , REQUIRED ITEMS AND REPORTS Total $72.14 . 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 -6699 or 1-800-332-2344. ' - 800 332 2344. .. Issued By: Permittee Signature: �,c)c 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. 08-17-15 12:27PM' FROM - Oregon Electric Estimating 5032313587 T -482 P.002/002 F -589 � - F olz orl - lei USE t'�e�trical Permit Application D.���- :6 .C�4p.SpOg/,29 Received permit No : City of Tigard �te/Br ©?D SW Hall Blvd., T igard, OR L Plan Review - Other Permit i Date /0y: Phone: 503.639.4171 Fax 503.5 .960 753 „... Date Ready/BY see P 2 for Internet Line: 5 igard. . xel {, 1 1 •l Notified/Method. �' 1 Supptemer�t Information • In[ernel: wtvw.ci.tigard.of.tig S Q PLAN itEVIEW TM �0 SGVt� t e ... 1 4 PIws3 check al l thaT a 1 . irplaccht<estt PP Y- ❑ New construction ® �' ❑Service over 225 imps. contra 1 ['Hazardous location 0 ❑: ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. R, Demolition of 1 • and 2 -Emuly dwellings 4 or more new residential CATEGORY OF CONSTRUCTION ® ❑ System over 600 volts nominal units in one struciu ' ❑ l and 2 family dwelling Commtacial/ind Accessory usttial ❑ sorY bthilding ❑Buildin ❑Feeders, 400 amps or more g over three ❑M: actwcd structures or ❑ Multi - family 0 Master builder ❑ Other ❑occupant toted over 99 persons E plan SITE INFORMATION AND LOCATION ❑ l;r ess/lightin 6 P an RV park ❑Other _ D l;captlt•cuc f:rClliry ' Job no.: 13141 Job site address: 16060 SW 05 1h Submit 2 sets of plans with any of the above. The above are not applicable to temporary construction service. City /State/ZIP: Tigard, OR 97224 FEE* SCHEDULE Suite/bldg. /apt. no.: I Project Hume: Durham A6 &2 nescrtptlan Qtr. roe rout "• New residential single - ur multi -fly dwelling unit. Cross street/directions to job site: �� Includes attached - ar n c. 1,000 sq.110r less 145.15 4 I Lot no.: P.a. addl 500 sq. it or portion . 33.40 11111111 Subdivision: Limited enertv, residential 75.00 2 Tax >nap/pstcel no.: Limited energy, t 0 DESCRIPTION OF WORK Each manufactured modular i 90.90 2 Install Batt: actauators on aeration basin 1&2 ---._ Servirms or feeders installation, alteration. and/or relocation . 200 amps or less 80.30 �r PROPERTY OWNER I ❑ TENANT , 201 amps to 400 amps 106.85 2 - - 401 600 amps 160.60 rte Name: Clean Water Services amps 240.60 . 2 t II t Over 1,0 amps or volts 454.65 2 Address: )6060 SW 85 Reconnect only 66.85 2 City /State /ZIP: Tigard, OR 97224 Temporary scrvita or feeders installation, alteration. and/or relocation 1 Phone: (503 - 547 - 8175) l Fax: (503)547 - 819 6 200 amps or less 66.85 that l own which is not 201 amps to 400 a� 100.30 2 Owner installation: This installation is being made on Property intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 .apps 133.75 2 Date: Branch circuits -new, alteration, or eXtenaion, p panel Owner signature: Date: Fee for branch circuits with ❑ APPLICANT I ❑ CONTACT PERSON _ savior feeder fder Fee., each 6.65 2 branch circuit ee 13usincs, name: B. Fcc for branch circuits Contact name' without service or feeder fee, % 46.85 y6 2 cnch branch circuit j � , 2 Address: Each add'l branch circuit .3 6.65 ! `%, Miscellaneous (service or feeder not included) City/State/ZIP: Pu or im6a1.100 circle 53.40 - 2 Phone: ( ) J Fax ( ) Sig or outline lighting 53.40 2 Signal circuits) or limited - E - mail: energy panel, alteration, or . CONTRACTOR extension. Describe: Page 2 2 Business name: Oregon Electric Group _ Each addltiomd inspection over allowable in any of the above Address: 1010 SE 11111 Ave _ Per inspection ,. _ City/State/ZIP: Portland, OR 97214 Investigation per hour (1 trr eve) 62.5 _ industrial pleat per hour ?3.7 !'hone: (503)234 -9900 Fax (503) 535 -2763 - +ELLI' CI'RICAL PERMIT FEES• .. - . Electrical Lie.: 26 - 95C Suprv. Lic.: 4460S Subtotal S_ CCB Lie.: 203 _ iv • Pl review (25% of permit Suprv. Electrician sigattture, =culled: 7/ „ r A - - � � State surcharge (R° /. of Perm Fee} 2' Pr;,ttna : 4 I1.. J Y ' _ t 7- TOTAL PERMIT FEE r/a " . This permit npplieation esplres ifa permit is not obtained within 180 Authorized signature: ,, — days alter It has been accepted as complete Print Hanle: P),q,,cv- t�11 dr Date: (p / 7` • Fee methodology set by TA- County Buildie8 ledestlY Service Boned gam, i1' CITY OF TIGARD - I BUILDING DIVISION PERMIT #: ELC2005 -00429 13125 SW Hall Blvd., Tigard, OR 97223 ' DATE ISSUED: 6/20 /2005 Phone: (503) 639 -4171 /a, m , % l Inspection Requests (24 Hrs.): (503) 639 -4175 ..._:W 111._ INSPECTION WORKSHEET FOR DATE: 6/21/2005 TIME: 7:11AM PAGE: 99 SITE ADDRESS: 16060 SW 85TH AVE CLASS OF WORK: SUBDIVISION: SEWER TREATMENT PLANT LOT #: • TYPE OF USE: PROJECT NAME: DURHAM AB DESCRIPTION: Install gate actauators on aeration basins 1& 2. Job # 13141. OWNER: CLEAN WATER SERVICES, PHONE #: 503 -681 -3600 CONTRACTOR: OREGON ELECTRIC CONST /GROUP . • PHONE #: 503 - 535.2652 Inspection Request Scheduled For: • Date: 6/21 /2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199- Electrical final 009740 -01 503-849-3885 Y . Corrections /Comments /Instructions: G. \ �_ -- . ---- Lc . P.2 • • • • JS PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • Inspector: 6..._,___%:), y ‘>------, Date: ‘ '0 —5---- Phone #: (503) 718- 1