Permit ,74 CITY OF TIGARD ELECTRICAL PERMIT
_.. COMMUNITY DEVELOPMENT Permit#: ELC2021-00280
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503,718.2439 Date Issued: 7/15/2021
Parcel: 2S108C000100
Jurisdiction: Tigard
Site address: 15600 SW RIVER TERRACE BLVD
Project: Art Rutkin Elementary Subdivision: None Lot: None
Project Description: Electrical for a new two-story elementary school.
Contractor: PORTLAND ELECTRICAL CONSTRUCTION INC Owner: TIGARD-TUALATIN SCHOOL DISTRICT
1019 7TH ST 6960 SW SANDBURG ST
OREGON CITY, OR 97045 TIGARD,OR 97223
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PHONE: 503-655-2281 PHONE:
FAX: 503-655-5033
FEES
Quantity Description Date Amount
11 ea Services or Feeders-200 07/08/2021 $1,107.70
Specifics:
amps or less
10 ea Services or Feeders-201 to 07/08/2021 $1,335.60
Type of Use: COM 400 amps
Class of Work: NEW 1 ea Services or Feeders-601 to 07/08/2021 $301.04
Type of Const: 1000 amps
Occupancy Grp: 1 ea Services or Feeders-Over 07/08/2021 $552.26
1000 amps or volts
473 cr1 Branch Circuits w/Purchase 07/08/2021 $3,509.66
Service or Feeder
1 ea Signal circuit or Limited 07/08/2021 $75.00
Energy Panel
1 ea 12%State Surcharge- 07/08/2021 $825.75
Electrical
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Total $9,427.33
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the
180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center_ Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a coov of the rules or direct ouestions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Roily Van/De,Weqe Permittee Signature: 0 App
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale,lease or rent.
OWNER'S SIGNATURE: Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR.ELEC'N Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Doc isign Envelope ID:B66B8ABD-CDC0-4E81-AC4C-62COEEOFEC20 ; /-4
Electrical Permit Application FOR OFFICE USF,-ONI,Y
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City Of Tigard Received Date/By: " p°'° : 1 5��v/' t r )— Qr)
II41 13125 SW Hall Blvd.,Tigard,OR 9722 Plan Review / t
i Phone: 503.718.2439 Fax: 503.598.19 C E I V E®Date/By: rbY/i 4 Related Permit#: ii,9a0�cn i'S'
Inspection Line: 503.639.4175 Ready Date r Y saris ® See Page 2 for
T IGARD Internet: www.tigard-or.gov h " Notified Method-4 ,A�sY4h 7 Supplemental Information
a I v.
TYPE OF WORK 1r7 A t ,01 1 ' ' PLAN REVIEW
U New construction ❑Add it ion alteration4la t Mti i GAR i_ Please check all that apply(submit 2 sets of plans writems checked):
($I Service or feeder 400 amps or more ❑Building over three stories.
❑ Demolition ❑Other: 'I N{n h i S I O, where the available fault current(.S'�I.��. „1 -i�l ❑Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings.
[1 I-and 2-family dwelling ❑Commercial El Accessory building teas to ground,or exceeds 14,000 ❑Commercial-use agricultural
School amps for all othe installations. buildings.
❑ Multi-family El Master builder ®Other: ['Fire pump. ($(Installation of 150 KVA or
JOB SITE INFORMATION AND,LOCATION Do Emergency system. larger separately derived
Job 4: Job site address: 15600 SW River Terrace Blvd. 0 Addition of new motor load of system.
100HP or more. "A" "E
City/State/ZIP: Tigard OR 97224 ID Six or more residential units. occupancy.
tytate ' _ 0 Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: Project name: Art Rutki n E.S ❑Hazardous locations. El Supply voltage for more than
I$]Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: Site access off of SW Taylor Ln FEE SCHEDULE
Description I Qtv. I Each I Total I *-
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
1,000 sq.ft.or less 168.54 4
Tax map/parcel#:
Ea.add.'500 sq.ft.or portion 33.92 I
DESCRIPTION OF WORK Limited energy,residential
Electrical For New Art Rutkin E.S -Solar System By Others (with above sq.ft.) 75.00 2
Limited energy.multi-family 75.00 2
Reference Building Application #BUP2020-00153 residential(with abovesq.ft.) -
Renewable Energy 0 See Page 2
® PROPERTY OWNER I ❑ TENANT Services or feeders installation,alteration,and/or relocation
Name: 200 atnps or less 11 100.70 1107.70 2
444VAddress: 201 amps to 400 amps 10 133.56 1335.60 2
401 amps to 600 amps 200.34 2
"U City/State/ZIP: 601 amps to 1,000 amps 1 301.04 301.04 2
Phone:( ) Fax: ( ) Over 1,000 amps or volts 1 552.26 552.2E 2
' Temporary services or feeders installation,alteration,and/or
Email: relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 I
In 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: Date: 401 amps to 599 amps 168.54 2
(,S) APPLICANT 1 NI CONTACT PERSON
Branch circuits-new,alteration,or extension. .er panel
A.Fee for branch circuits with
alls Business name: Portland Electrical Construction Inc. above service or feeder fee, 473 747 3509.66 2
each branch circuit
Contact name: Corey Donohue B.Fee for branch circuits without
Address: 22187 HWY 99E, NE service or feeder fee,first 56.(8 2
branch circuit
City/State/ZIP: Aurora, OR 97002 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(503) 961-0160 Fax: : ( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
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
Address: 22187 HWY 99E, NE Sipagnal alteration limited-energyor I See Page z 75.00 2
tension.
City/State/ZIP: Aurora, OR 97002 Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(503)961-0160 Fax: ( ) Investigation(1 hr min) 90.00/hr
Email: Corey@portlandelectrical.com Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is 90.00/hr
CCB Lie.: 51764 Electrical Lie.: 3-246C Suprv. Lie.: 6075S specifically listed(Yr hr min)
ELECTRICAL PERMIT FEES
Suprv.Electrician signature,required:
���� Subtotal: $6881.26'� 5/18/2021
Print name: Pete Boen Date: ®Plan Review Required(25%of permit fee): $1720.32
State surcharge(12%of permit fee): "$825.75
(arty
oo.vaw..da;
Authorized signature: Dattla,tu TOTAL PERMIT FEE: $9427.33
e. 5182021 This permit application expires if a permit is not obtained within 180
Print name: Corey Dono l ue Date: / / days after it has been accepted as complete.
" Number of inspections allowed per permit.
I:Duildiangr.Permits\Etc PermitApp ELR_ERF..doc Rev06/17/20t5 440-4615T111/05/COM/WEB
DocuSign Envelope ID:B66B8ABD-CDC0-4E81-AC4C-62COEEOFEC20
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESIDENTIAL WORK ONLY: FEE SCHEDULE
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
Check Type of Work Involved: s kva orless 100.70 2
5.01 to 15 kva 133.56 2
n Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
n Burglar Alarm 25.01 to 50 kva 301.04 2
n Garage Door Opener* 50.01 to 100 kva 552.26 2
>100 kva(fee in accordance 552.26 2
with OAR 918-309-0040)
U 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:
n Other: Each additional inspection is 66.25/hr
charged at an hourly(I hr min)
Inspections for which no(ec is 90.00/hr
specifically listed(9z hr min)
COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES
$75.00 Subtotal(Enter on Page I):
Fee for each commercial system: , Nutaha uinspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑X 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'dtuilding Rermits`.F.LC_PerntitApp_FLR_ERE.doo Rev 06/17/2015
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