Permit q CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2022-00462
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 7/28/2022
Parcel: 2S 111 ACO2901
Jurisdiction: Tigard
Site address: 9550 SW MURDOCK ST
Project: Templeton Elementary School Subdivision: None Lot: None
Project Description: Electrical for HVAC upgrades: (7)branch circuits and(1)low voltage fire alarm system.
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: 503-655-2281 PHONE:
FAX: 503-655-5033
FEES
Quantity Description Date Amount
Specifics: 1 ea Limited Energy 07/22/2022 $75.00
7 crt Branch Circuits wo/Purchase 07/22/2022 $100.70
Type of Use: COM Service or Feeder
yP 1 ea 12%State Surcharge- 07/22/2022 $21.08
Class of Work: NEW Electrical
Type of Const: 1 ea Plan Review Electricial 07/22/2022 $43.93
Occupancy Grp:
Total $240.71
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 adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 throuah OAR 952-001-0090. You a coo the rules of 'ect Questions to OUNC by calling 503.23 !I or 1.800.332.2344.
Issued By: --Permittee Signature:
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.
Electrical Permit Application
City of Tigard E E IV E Q DateB :Received Permit#:
� 13125 SW Hall Blvd.,Tigard,OR 9 2 Plan Revie
Phone: 503.718.2439 Fax: 503.598.1960 DatcB Related Permit#: _V�
Inspection Line: 503.639.4175 JUL 3 �p Ready Date/By: luris: 0 See Page 2 for
Internet: www.tigard-or.gov Notified/Method: 7 Supplemental Information
CY1'
WOTO ..'PLAN I2EVIW ,
❑New construction IN Addition/alteraltej5f4VJSIQN Please check all that apply(submit I sets of plans w/items checked):
uv �— iZ Service or feeder 400 amps or more ❑Building over three stories.
❑Demolition ❑Other: where the available fault current ❑Marinas and boatyards.
CAGbRY tF',CQNriiGl tON„ ' exceeds 10,000 amps at 150 volts or ❑Floating buildings.
❑ 1 and 2-family dwelling ®Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or
s J(}$ SITE �NEQ Qj11 p11(p..1OCA�IUN ❑Emergency system. larger separately derived
W Murdock St. ❑Addition of new motor load of system.
Job#: Job site addj7e
lOOHP or more. ®"A" "E",`1-2""1-4"
City/State/ZIP: Tigard/OR/97224 ❑Six or more residential units. occupancy.
Recreational vehicle arks.
❑Health-care facilities. ❑ P'
Suite/bldg./apt.#: Project name: TTSD Templeton Pre-K HVAC Upgrade ❑Hazardous locations. ❑Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: SCHEDULE
SW 96th Ave. Description I Qry. I each Total IR
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
Tax map/parcel#: 1,000 sq.ft.or less 168.54 4
Ea.add'1500 sq.ft.or portion 33.92 1
g DESCRIPTION.OF-WOIt[C
Limited energy,residential
(7)Branch Circuits without Feeder for(7)HVAC Equipment Upgrades (with above sq.ft.) 7s.00 2
Limited energy,multi-family 75.00 2
(1)LE for F.A Modifications for HVAC Duct Detectors residential(with above sq.ft.)
Renewable Energy See Page 2
❑ 'TENANT Services or feeders installation,alteration,and/or relocation
Name: Tigard Tualatin School District 200 amps or less 100.70 2
Address: 6960 SW Sandburg 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 Fax:( ) Over 1,000 amps or volts 552.26 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 1
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
(� APPLICANT ® CONTACT PERSON Branch circuits–new,alteration,or extension, er anel
A.Fee for branch circuits with
Business name: Portland Electrical Construction Inc. above service or feeder fee, 742 2
each branch circuit
Contact name: Corey Donohue B.Fee for branch circuits without
Address: 21187 HWY 99E service or feeder fee,first 1 56.18 56.18 2
branch circuit
City/State/ZIP: Aurora/OR/97002 Each add'I branch circuit 1 6 1 7.42 44.52 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
4 u COttTItAACF+tIRR, r*•> # Pump or irrigation circle 67.84 2
Business name: Portland Electrical Construction Inc. Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy ® See Page 2 75.00 2
Address: 21187 H WY 99E panel,alteration,or extension.
City/State/ZIP: Aurora/OR/97002 Each additional inspection over allowable in anv of the above
Additional inspection(1 hr min) 66.25/hr
Phone:(503) 961.0160 Fax:( ) Investigation(I 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 Lic.: 51764 Electrical Lia: 3-246C Suprv.Lia: 6075S s ectfieall listed /�hr min
Suprv.Electrician signature,required: - Subtotal: 175.70
Print name: Peter Boen Date: 7/11/22 ®Plan Review Required(25%of permit fee): 43,93
A — State surcharge(12%of permit fee): 21.08
Authorized signature: TOTAL PERMIT FEE: $240.71
This permit application expires if a permit is not obtained within 180
Print name: Corey Donohue Date: 7/11/22 days after it has been accepted as complete.
" Number of inspections allowed per permit.
L^Building\PermitslELC_PermitApp_ELR_ERE.doc Rev06/1712015 440-4615T(I 1/05/COM/WEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
Total
Fee for all residential systems combined: $75.00 Description I 0tv. I Each 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:
❑ Burglar 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 1
charged at an hour) (l hr min)
Inspections for which no fee is 90.00/hr
7�,�7� �i /^t ♦ (��' s ecificall listed(Y:hr min
.[►1l,�iGVti1J 7J1111yfr .,_w. ;...,:
M ,,.,0EI.ECTRiGAL`PERMIT,FEE5.
Fee for each commercial system: $75.00 Subtotal(Enter on page 1).
(SEE OAR 918-309-0000) ' Number of inspections allowed per permit.
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑X Fire Alarm Installation
❑ HVAC
❑ 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
I:\Building\Permits\ELC PermitApp_ELR_ERE.doe Rev06i17/2015