Permit CITY ' TIGARD ELECTRICAL PERMIT
CITY
DEVELOPMENT PERMIT #: ELC2008 -00484
DATE ISSUED: 8/21/2008
TIGARI): 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S111AC -02700
SITE ADDRESS: 14650 SW 97TH AVE ZONING: R -4.5
SUBDIVISION: TIGARDVILLE HEIGHTS LOT : 037 JURISDICTION: TIG
PROJECT: TWALITY MIDDLE SCHOOL
Project Description: Installing (1) branch circuit and (1) low voltage fire alarm system.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: 1
MANF HM/ SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
TIGARD - TUALATIN SCHOOL DISTRICT PRAIRIE ELECTRIC INC
6960 SW SANDBURG ST 6000 NE 88TH STREET
TIGARD, OR 97223 VANCOUVER, WA 98665
Phone: 503 - 431 -4000 Contact #: PRI 800 - 573 -2750
FAX 360 - 573 -9866
FEES
Description Date Amount Reg #: ELE 37 -491C
[ELPRMT] ELC Permit 8/21/2008 $121.85 LIC 60178
[TAX] 12% State Surchar 8/21/2008 $14.62 SUP 3562S
Total $136.47 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
OAR 952- 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued B Permittee Signature:
`
t e"--
- 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:
Cali 503.639.4175 by 7:00 a.m. for an inspection that business day.
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 lication FOR OF FICE US[ ONLY
,' N eil Received Ammo e- _ �. N
City of Tigard (� B : t , Ammo No.: ���� — '
Date
,,. i q 13125 SW Hall Blvd., Tigard, OR 9 7# ': J Plan Review
` . l • Phone: 503.639.4171 Fax: 503.59: ' 9 " Other Permit: �1t ,,�. 1r ,� 8".-05 't;� v
QO Date/By: � pC
T I G A Ii D Inspection Line: 503.639.4175 `, G 21 Date Ready/By: Juris: El ee Page 2 for
Internet: www.tigard-or.gov p,U G � �
O` mk s',1 otified/Method: 776 Supplemental Information
TYPE OF WOR, ` 1 SC* PLAN REVIEW
ID New construction ® Addition/alteratio r . -y
r. DV/ Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Demolition ❑Other:
❑ Service or feeder 400 amps or more ❑ Building over three stories.
where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1 - and 2- family dwelling ❑ Commercial /industrial ® Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "I -3 ",
Job no.: Job site address: 14650 SW 97th 100HP or more. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City/State /ZIP: Tigard, Oregon 97224 ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Portable Project name: Twality Middle School ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description 1 Qty. 1 Fee. 1 Total 1 •
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'I 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential
DESCRIPTION OF WORK (with above sq. ft.) 75.00 2
Limited energy, multi - family 75.00 2
1 Dedicated 120 VAC Branch Circuit for Fire Alarm residential (with above sq. ft.)
Services or feeders installation, alteration, and /or relocation
Inst. wire & dev. for fire alarm in newer portable and underground to existing 200 amps or less 80.30 2
® PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2
Name: Tigard Tualatin School District 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: 6960 SW Sandburg Street Over 1,000 amps or volts 454.65 2
City/State /ZIP: Tigard, Or. 97223 Temporary services or feeders installation, alteration, and /or
relocation
•
Phone: (503)431 -4000 Fax: ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 _ 2
Branch circuits — new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
® APPLICANT ❑ CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: B. Fee for branch circuits
Contact name: without service or feeder fee, 1 46 85 46.85 2
first branch circuit
Address: Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/State /ZIP: Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
Signal circuit(s) or limited -
Business name: Prairie Electric
energy panel, alteration, or
Address: 6000 NE 88 Street extension. Describe: 1 Page 2 75.00 2
City/State /ZIP: Vancouver, Wa. 98665 Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: (360) 573 -2750 Fax: ( ) Investigation per hour (1 hr min) 62.50
CCB Lic.: Electrica i : \ rv. Li .: Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required Subtotal: 121.85
Print name: \ Date:
Plan review (25% of permit fee):
State surcharge (12% of permit fee): 14.62
Authorized signature: "-°... TOTAL PERMIT FEE: i tZ, hi7
i This permit application expires if a permit is not obtained wit tstt
Print name: W days after it has been accepted as complete.
• Number of inspections allowed per permit.
I: 05/23/06 440-4615T( I I/05/COM/WEB
________
CITY OF ��wn n n-�n� mo���mnm��
BUILDING DIVISION ^` PERMIT #: El'C2008.0U484
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8121/2008
Phone: (503) 639-4171
Inspection Requests (24Hm.):(SO3)G3Q-4175 .�J�+�^��
INSPECTION WORKSHEET FOR DATE: 9/5y2008 TIME: 7:O0Ah4 PAGE: • 32
SITE ADDRESS: 1485USW97TMAVE CLASS OF WORK:
SUBDIVISION: T|(;ARDV|LL[HE|GMTS LOT #: 037 TYPE OF USE:
PROJECT NAME: lWAL|TY MIDDLE: SCHOOL U
DESCRIPTION: Installing (1) branch circuit and (1) low voltage fim alarm oyo1omn. »
OWNER: TlQARC-TUALAT|N SCHOOL DISTRICT, PHONE #: S03'431-4080
CONTRACTOR: PRAIRIE PHONE BOC�S7]'Z75O >
� #: |
Inspection Request Scheduled For: Date: 9/6/2008 Pour Time:
Code # Inspection Oeoohption Contact # Message
199 Elm-I/ioal5na| 300-81G~04B4 N
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Corrections/Comments/Instructions: -`------~'
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[� �� U PARTIAL � ��EL � NO ACCESS
.~��»,"��' �� �� / /
n FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
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Inspector: ��'^ ���� r�^ Date: ��^ _- ` Phone (503) '
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: EL C2008-00484
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/21/2008
Phone: (503) 639 -4171 f(I
Inspection Requests (24 Hrs.): (503) 639 -4175 z�
INSPECTION WORKSHEET FOR DATE: 9/3/2008 TIME: 7:01AM PAGE: 19
SITE ADDRESS: 14650 SW 97TH AVE CLASS OF WORK:
SUBDIVISION: TIGARDVILLE HEIGHTS LOT #: 037 TYPE OF USE:
PROJECT NAME: 1WAIJTY MIDDLE SCHOOL
DESCRIPTION: Insialling (1) branch circuit and (1) Io t voltage fire alarm system.
OWNER: TIGARDTUALATIN SCHOOL DISTRICT, PHONE #: 503431 - 4000
• CONTRACTOR: PRAIRIE ELECTRIC INC PHONE #: 800-573-2750
Inspection Request Scheduled For: Date: 9/3/2008 Pour Time:
Code # Inspection Description Confirm #- Contact # Message
199 Electrical final 074995-01 \) 360- 931.7209 N
Corrections /Comments /Instructions:
\—oft) OfJ '� ti 1 G A ,Cab
`S o PPe I L --
The electrical installation defects noted
on this report shall be corrected and
an inspection request made within 20
calendar days per OAR 918 -271 -0030
PASS ❑ PARTIAL APPROVAL ❑ CANCEL I NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
do — �- -- 1�1
Inspector: v �S L Date: C I • 3•1 Phone #: (503) 718 , ,' 19{,