Permit (51) CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2019 00135
T GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/26/2019
Parcel: 2S113B000600
Jurisdiction: Tigard
Site address: 16320 SW 85TH AVE
Project: CLEAN WATER SERVICES Subdivision: None Lot: None
Project Description: Secondary Treatment System:Electrical work for expansion of the secondary treatment,including new aeration
basin,new secondary clarifier,electrical building,odor control,and expansion of tunnels.
Contractor: CHRISTENSON ELECTRIC INC Owner: CLEAN WATER SERVICES
17201 SACRAMENTO ST 2550 SW HILLSBORO HWY
PORTLAND, OR 97230 HILLSBORO, OR 97123
PHONE: 503-419-3344 PHONE:
FAX: 503-419-3695
FEES
Quantity Description Date Amount
4 ea Services or Feeders-200 03/26/2019 $402.80
Specifics: amps or less
2 ea Services or Feeders-201 to 03/26/2019 $267.12
Type of Use: COM 400 amps
Class of Work: NEW 2 ea Services or Feeders-Over 03/26/2019 $1,104.52
1000 amps or volts
Type of Const: 83 crt Branch Circuits w/Purchase 03/26/2019 $615.86
Occupancy Grp: Service or Feeder
1 ea 12%State Surcharge- 03/26/2019 $286.84
Electrical
1 ea Plan Review Electricial 03/26/2019 $597.58
Total $3,274.72
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 Notification Centep Those les are set forth in OAR
952-001-0010 through OAR 952-001-0090. Yo •• - - ,4.o the rules-or direct questions to OUNC by calling 503.232.19$1 800.3 2. 44.
Issued Permittee Signature:411,
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.