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Permit t CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2003 -00702 H- DEVELOPMENT SERVICES DATE ISSUED: 12/31/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S 113B0 -00600 SITE ADDRESS: 16580 SW 85TH AVE SUBDIVISION: SEWER TREATMENT PLANT ZONING: I -P BLOCK: LOT : JURISDICTION: TIG Project Description: Remodel of industrial process (fermenter /scum project). 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: 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: UNIFIED SEWERAGE AGENCY FARNHAM ELECTRICAL CO. 150 N 1ST AVE 1050 LAFAYETTE AVE HILLSBORO, OR 97123 MCMINNVILLE, OR 97223 Phone: Phone: 503 - 472 -2186 Reg #: ELE 36 -3C LIC 1217 FEES SUP 1597S Description Date Amount Required Inspections [ELPRMT] ELC Permit 12/31/03 $86.75 [ELPLCK] ELC Pln Rev 12/31/03 $21.69 Rough -in [TAX] 8% State Surcharge 12/31/03 $6.94 Rough -in Elect'I Final Total $115.38 This Permit is issued subject to the regulations contained in the Tigard Munidpal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility : ification C- gter. ose rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct qu- : io s to OU (5141 246 -6699 or 1- 800 - 332 -2344. Issued By: IA. ,LdA__,y ,26. Permit Signature: - . d o, I / ' OWNER INSTALLATION ON0 The installation is being made on property I own which is not intended for sale, ease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: /5 % 2 5 Call 639 -4175 by 7:00pm for an inspection the next business day 12 / nt'o• 2003 4:41PM farnham electric co No.8870 P. 3 I rC fftnEN( 1r . E1ectrica1 Permit .Appliication FOR OFF _ J • 1 N Received Electrical _- Datde c / 4 ' ? » # r Permit No.; ?2,e oC ?, - Cr' 7o'-- Planning Approval Sig n .Jty Of Tigard DarelBy: Permit No.: D 13125 SW Hall Blvd. Plan Review , Other Tigard, Oregon 97223 Date/By: Permit No.: . Phone: 503 -639 -4171 Fax: 503-59S-1960 k,,,,,2.,,, . I : A PO Land Use 17n=e/Bv _ Case No.: Internet: www.eitigard.or.us onus 6, •� I E Contact Juba.: a See Page 2 for 24 -hour Inspection Request 503- 639 -4175 thou/Method: , Supplemental Information. • i,> : �.4,•- S'". '.'[:1: l;= ! j,. d!'7,; zii..?' `ti+ri:. - ' - •`{S�Ve .,r. :• :, -:;::— ;;i,;: :�.,:;'•,. ". ,n• ,. ;�j�'.� ... >.�i��' •��Ti'��i?S'r0' ..4�5��w" . ' ' ....... ..E:� a!f!.. :.., :,,..�.�.r . • . .�VI��W� ',.[e�';�e, t�$il�' .' � d::.. >�, -u� =1 . r New construction • Demolition 0 Service over 225 Amps- • • - -, th -care facility commercial : - • • location t C • IN Addition/alteration/re placement IE Other: ❑ Service over 320 amps - rating of ❑ Building over 10,000 square fact, :' t ". } '' `"• ` •- • t' : d ,,r iC o ; S, 5 3l1ON: ':5 u': "Tian••,' N r : 1 & 2 fsrra1y dwellings four or more residential units in • 1 & 2 -Famil dwellin • • Comznercia1I ndustna1 0 System over 600 volts nominal one saucture ❑ Building over three stoics ❑ Feeders, 400 amps or more « st se • t • Multi-Fami1 ❑ Occupant load over 99 persons ❑ Mantl actured atruct ues or RV park IN u : - = lulder I Other: ' ❑ E gress/lightiug plan ❑ Other: .tnk _ , :,, S 1� r ar i r1 ,,,�r submit sets of plans Frith Ray of the above. ■ - ;F @`.';:ir'' .� n Al'i.1M1 \',CIS'/' Vrl]:RlA7WJ:+'i�r4 :lLLQL� ° : :: ' fey 'Fri �� ! • Ttte above art not a livable to Lent • raN caul Sew lee. ` Job site address: 5Z6 5 W :5 a ! > ��:� .':�I�I��0. :r � . : -,F ` . A'. ".a•. '51 ,;;, >_ ►.. a.��r•, :..r;;;� T�' ,: ` Bldg. /A.t. #: Number of in • odious peryermit allowed Pro'e'et Name: ► - .. �/.� ` :•,� Dreri • don Qty I Fes (es-) 'fetal `. 1 New rea.tdeIIttal- single or multi-family per Cross street/Directions to job site: 51, ' p[P J duelling unit-Includes attached Virago. 47 Q Service lndodedt 1000 •. R Driers 145 - 15 h additional 500 - • _ ft. or • • Mon Thereof Mi 33.40 1l0 Subdivision: Lot #: jim l r 75 -00 © -y Li m i ted pare :s no res um 75.00 Tax ma • • areel # Fnch manufactured home or modular dwelling •., 3tes,"Jb' sf. 7, 71iQ •,', . +;s r -- ervice and/or feeder • 90.90 IIIIIAIIIM ��;t�,�����Li�,: :1 soh•, : a, F �`, ir;. - .... s : : Services or feeders - iosta)larloo, alteration or relocation: 200 em • or less 80 -30 201 amps to 400 amps 106.85 401 am • to 600 nm . MI 160.60 II E , - 1 . •�' , . ` i.,1 , a .' t a 601 amps to 1000 amps j' 240.60 �ii Er • a a • na is �}� � ill, . Over 1000 amps or volts 4 54.65 Name: C , A' . .6 �" - 1`r • Kewanee/ on! I. 66.45 - Address: z ., id_ Temporary services or feeders - installation, / ?/CiiG:liw Asti s • � 200alteratiam•�orle,on, or relo cation: 201 , e • • rot -. 10030 iii Phone: • ; r Fax . /. • r 401 so 600 amps 133.75 J • 1 !i "�j;; i`i�i;L,�;. 4 :. 4 r :.4' '' 5 ° AMY P 3 .I. cili a g,t ° r Branch circuits - n alteration, or Name: extension per panel: A. Fee for branch circuits with purchase of Address: service or feeder fee, mch branch circuit 6.65 rigritilMallill B. Fee for branch circuits without purchase of service or feeder fee first inanch circuit I 46.25 Ela Phone: Fax: Each additional blanch circuit 1. 6.65 ;k11� . E -mall: Misc.(Serviee or feeder not included): Fach • • or ,on circle 53.40 11111 S R; �,. «;ri7� n • r. '.E. 0 •iF ' 1 • i�.�,; {•� =.: a CI , ;l."?'l.••l Each sign or outline linbr 11 Business Name: ra. lw;, �, + °Ur•� it ' ` R, : -. is ,s:4 °E' :;. ' im d ( 53.40 Job No : •/ • - 4f2 Signal clreuit(sj or a limited energy panel, * IM1�� alteration. or extension Pa e 2 R a r. Description: � 11 Address: r 50 ,i , iMiL� -� E9ch additional ins• • tioa over the allowable in an of the above: • I � Pori - • Coo - er h ory mio. t h ear 62.50 Phone: .I 1,FA %> Z .- nvee:41 bon fee: OM I. CCB Lie. #r`. o _ °that, `,} T>v - , -.. � h::,.:. • . -...r , .psi•r'N.�is • �i :ii�`.�xi•,�,.ii�:•i�eCt1'1S�tl� 1Mt:i L `CG� :�.� '•Eirro; =.. �. Supervising electrician Subtotal 3 '141011 si : . ature re• uired• ......• /�� . Z Plan Review 25 %e of Permit Fee Print Name: . . %.. � T '� �i State Surcharge CM of Permit Fee) S_ _ ice TOTAL PERMIT FER j S / 5.3 • Authorized Notice: This permit application expires If A permit is net obtained within Signature: Date: 180 days after it has been accepted as completes *Foe nsotbodology set by T14 County Building industry Service Board. (Please print name) • CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 # INSPECTION DIVISION Business Line: (503) 639 -4171 MST _ � BUP Received //, U / ' Date Requested AM s f PM BUP Location /6 5 4'O Suite MEC Contact Person aAA Ph ( ) PLM Contractor nn � ( �� , S) 293 SWR BUILDING Tenant/Owner _.6u.. -I aAA- t 4 44 Footing ELC '76107-- Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG /Slab Low Voltage F' - - Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. 4 -4 PART FAIL SITE Li Please call for reinspection RE: 0 Unable to inspect — no access Fire Supply Line ADA 1 Approach/Sidewalk Date Inspector I U Ext Other: Final DO N I REMOVE this inspection record from the job site. PASS PART FAIL