Permit CITY OF TIGARD ELECTRICAL PERMIT
IPI
_ COMMUNITY DEVELOPMENT Permit#: ELC2021-00102
Tigard OR 97223 503,718.2439 13125 SW Hall Blvd.,Ti Date Issued: 4/26/2021
TIGARD9
Parcel: 2S111ACO2901
Jurisdiction: Tigard
Site address: 9550 SW MURDOCK ST
Project: Templeton Elementary School Subdivision: None Lot: None
Project Description: Electrical for renovation of core building.
Contractor: PORTLAND ELECTRICAL CONSTRUCTION INC Owner: TIGARD-TUALATIN SCHOOL
1019 7TH ST DISTRICT 23J
OREGON CITY, OR 97045 6960 SW SANDBURG ST
TIGARD, OR 97223
PHONE:
PHONE: 503-655-2281
FAX: 503-655-5033
FEES
Quantity Description Date Amount
1 ea Limited Energy 04/22/2021 $75.00
Specifics:
3 ea Services or Feeders-200 04/22/2021 $302.10
amps or less
Type of Use: COM 58 crt Branch Circuits w/Purchase 04/22/2021 $430.36
Class of Work: ALT Service or Feeder
Type of Const: 1 ea Plan Review Electricial 04/22/2021 $201.87
Occupancy Grp: 1 ea 12%State Surcharge- 04/22/2021 $96.90
Electrical
Total $1,106.23
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 obtain a copy of the rules or direct questions to OUNC by calling 503.232.19877 or 1.800.332.2344.
Issued By: ifO'14'VAN1LDe'WP9 Permittee Signature: OvvAppL,,catwn
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.
DocuSign Envelope ID:CB4B8B19-99A2-4185-8A11-8A517DB19C7E i %a ; "i
` Electrical Permit Application FOR OFFICE USE ONLY
Received
City of Tigard r`CEIVEDDate/By: 1I /i-I Pernnt#: �RV3',�_e01v�
4 13125 SW Hall Blvd.,Tigard,OR 97223 1L�e1�.J ILA V Plan Review
• - Phone: 503 718.2439 Fax: 503.598.1960 DateBy: //Z�Z/ Related Permit#:
Inspection Line: 503.639.4175 .._ •,iq Ready Date/By:�� / it Jens R1 See Page 2 for
TIGARD Internet: www.tigard-or.00v Notified/Method �f 4 Supplemental Information
TYPE OF WORK ei7i{i C wiser L4 PLAN REVIEW
El New construction ® Add ition/alteratiom4epl)cement Please check at apply(submit 2 sets 01 plans,+"items checked):
0 Service or feeder 400 amps or mote ❑Building over three stories.
❑ Demolition ❑ Other: where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
❑ l-and 2-family dwelling DICommercial/industrial ❑ Accessory building less to ground,or exceed 14,000 ❑Commerc al-use agricultural
amps for all other installations. buildings.
❑ Multi-family ❑ Master builder ❑Other: 0 Fire pump. 0 Installation of 150 KVA or
JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived
❑Addition of new motor load of s
Job#: .lob site address W Murdock St. ` 19u 100HP or more. [pi.
�"n
City/State/ZIP: Tigard, OR 97224 Et Six or more residential units, occupancy.
g ❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: I Project name:TTSD Templeton Pre-K Conf Center ❑Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: SW 96th Ave. Terriou-fi40 �G FEE SCHEDULE
T' tb i Description I Vt4- I Foch I Total I "
J New residential single-or multi-family dwelling unit.
Subdivision: I Lot#: Includes attached garage.
/ c 1,000 sq.ft.or less 168.54 4
Tax map/parcel#:
P-p` Ea.add'l 500 sq.ft or portion 33.92 I
DESCRIPTION OF WORK Limited energy,residential
(with above sq.ft.) 75.00 2
Electrical for Building Remodel at Templeton District Services Building Limited energy,multi-family
(3)200A or Less Feeders & (78) Branch Circuits residential(with above sq.ft.) 75.00 2
Renewable Energy ❑ See Page 2
❑,PROPERTY OWNER I ❑ TENANT Services or feeders installation,alteration,and/or relocation
Name: Tigard-Tualatin School District 200 amps or less 3 100.70 302.10 2
i Address: 6960 SW Sandburg Street 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: Tigard/OR/97223 601 amps to 1,000 amps 301.04 2
Phone:(503 ) 431-4000 I Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
ko`i. Email: relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 I
N. intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature:4
❑ APPLICANT I Date: 401 amps to 599 amps 168.54 2
Branch circuits—new,alteration,or extension,per panel
❑ CONTACT PERSON A.Fee for branch circuits with
Business name: Portland Electrical Construction above service or feeder fee, 58 7.42 430.36 2
each branch circuit
Contact name: Corey Donohue B.Fee for branch circuits without
Address: 1019 7th St. service or feeder fee,first 56.18 2
branch circuit
City/State/ZIP: Oregon City/OR/ 97045 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(503 ) 655-2281 I Fax: : ( ) Each manufactured or modular 67.84 2
dwelling,service and/or feeder
Email: corey@portlandelectrical.com Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name: Portland Electrical Construction Inc. Sign or outline lighting 67.84 2
Signal eircuit(s)or limited-energy I See Page 2 75 2
• Address: 1019 7th St. panel,alteration,or extension.
Each additional inspection over allowable in any of the above
City/State/ZIP: Oregon City J OR/97045
Additional inspection(I hr min) 66.25/hr
Phone:(503 )655-2281 I Fax:( ) Investigation(I hr min) 90.00/hr
Email: corey@portlandelectrical.com Industrial plant(I hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lic.: 51764 I Electrical Lic. 3-246C I Suprv.rv.Lie.: 6075S specifically listed(Ih hr mini
p
� 4 ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required: %� — ' --%' Subtotal: $807.46
Print name: Peter Boen "B9r29CCa10844e- Date: 2.22.21 0 Plan Review Required(25%of permit fee): $201.87
• /f State surcharge(12%of permit fee): $96.90
Authorized signature: �� "Al " ' TOTAL PERMIT FEE: $1106.23
This permit application expires if a permit is not obtained within 180
Print name: Corey Donohue Date: 2.22.21 days after it has been accepted as complete.
' Number of inspections allowed per permit.
tiJ3uilding1PermaslELC PermaApp_ELR_ERF..doc Rev 06/17/2015 440.4615T(1 l/05/COM/WEB
DocuSign Envelope ID:CB4B8B19-99A2-4185-8A11-8A517DB19C7E
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Description I Qfv. I Each Into! x
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
ElBurglar Alarm 25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
❑ Garage Door Opener* >100 kva(fee in accordance
with OAR 918-309-0040) 552.26 2
❑ Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System*
Each additional kva over 25 7.42 3
❑ Vacuum Systems* >100 kva no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
❑ Other Each additional inspection is 66.25'hr
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00'hr
specifically listed(%hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
Subtotal(Enter on Page 1):
Fee for each commercial system: $75.00 Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
n Fire Alarm Installation
(� HVAC
n Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
• Protective Signaling
❑ Other:
Total number of commercial systems: 1
*No licenses are required. Licenses are required for all
other installations
l.fuilding\Permtls'ELC_PermitApp_ELR_EREdoe Rev 06/17/2015
Branden Taggart
From: Branden Taggart
Sent: Wednesday, April 21, 2021 11:53 AM
To: Corey Donohue
Subject: Templeton Elementary School Permit: ELC2021-00102 - 9550 SW Murdock St.
Attachments: Invoice.pdf
Hello Corey,
The Electrical permit for Templeton Elementary School is ready to issue now. The balance due is$1,106.23, and I have
attached an invoice above for you to reference. The fees can be paid online now at https://aca-
prod.accela.com/TIGARD/Welcome.aspx by searching for the permit record number ELC2021-00102 under the Building
tab. There is a 3%service fee for credit cards, but e-checks do not have a service fee.
Once paid, please email the Permit Technicians at TigardBuildingPermits@tigard-or.gov so that we may issue this
permit and make it available for pick up.
Thank you,
Branden Taggart
a City of Tigard
1 Senior Permit Technician
Community Development
TEt:GAittl
13125 SW Hail Blvd
Tigard,OR 97223
(503)718-2449
brandent@tigard-or,gav
1