Permit CITY OF TIGARD ELECTRICAL PERMIT
till E COMMUNITY DEVELOPMENT
Permit#: ELC2021-00045
13125 SW Hall Blvd.,Ti Date Issued: 3/31/2021
Tr C_7.h R O and OR 97223 503.718.2439 9
Parcel: 2S111ACO2700
Jurisdiction: Tigard
Site address: 14650 SW 97TH AVE
Project: Twality Middle School Subdivision: None Lot: None
Project Description: New conduits for future sports field lighting system; Replacing(2)motorized access control gates;Adding(1)new
vehicle access control gate at field;(2)new keycard access devices--(1)at vehicle gate and(1)at South gate.
Contractor: OWNER Owner: UNION HIGH SCHOOL DISTRICT
NO.3 JT
00000
PHONE: PHONE:
FAX:
FEES
Quantity Description Date Amount
1 ea Limited Energy 03/31/2021 $75.00
Specifics:
3 crt Branch Circuits wo/Purchase 03/31/2021 $71.02
Service or Feeder
Type of Use: COM 1 ea 12%State Surcharge- 03/31/2021 $17.52
Class of Work: ALT Electrical
Type of Const: 1 ea Plan Review Electricial 03/31/2021 $36.50
Occupancy Grp:
Total $200.04
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 Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001.0090. You may obt ' y of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: K 7 Permittee Signature: ? ,yyc.S
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.
(J) Cardno 6720 S Macadam Ave.
Suite 150
Portland, OR 97219
(503)419-2500 I Fax(503)419-2600
www.cardno.com
Transmittal
Date: 02/01/2021 From: Mary Wiser
To: City of Tigard Project Number: 22015500
Permit Services
13125 SW Hall Blvd. Project Name: Twality Middle School Athletic
Tigard, OR 97223 Field
Re: Electrical Permit
We are sending you:
❑ Attached ❑ Under Separate Cover Via Permit Drop Box
® Drawings ❑ Contracts ❑ Plans ❑ Report
❑ Copy of Letter ❑ Aerials ❑ Proposal ❑ Other
QUANTITY DESCRIPTION
2 Twality MS Athletic Field Plan Set
These are transmitted as checked below:
® For approval ❑ For your use El As requested ❑ For review and
comment
❑ For signature ❑ Call me ❑ Return ❑ For your information
REMARKS:
Please email Matt Lewis at matt.lewis cardno.co or call 503 419-2540 with any q
m uestions.