Permit CITY CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2007 -00607
,', COMMUNITY DEVELOPMENT DATE ISSUED: 8/30/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
•` PARCEL: 2S113B0 - 00300
SITE ADDRESS: 08040 SW DURHAM RD OLD DURHAM SCHOOL ZONING: R - 12
SUBDIVISION: DURHAM ELEMENTARY SCHOOL LOT : JURISDICTION: TIG
PROJECT: DURHAM COMMUNITY CENTER
Project Description: Change panel board and add a/c circuit.
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:
MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: 1 W /SERVICE OR FEEDER: 20 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 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:
WACO SCHOOL DISTRICT NO 23J INLAND ELECTRIC INC
6960 SW SANDBURG ST 360 SE BASELINE
TIGARD, OR 97123 HILLSBORO, OR 97123
Phone: Contact #: PRI 503- 681 -4700
FAX 503 - 681 -4738
FEES
Description Date Amount Reg #: ELE 34 -599C
IELPRMTI ELC Permit 8/30/2007 $213.30 LIC 151632
[FAX] 8% State Surcharge 8 /30/2007 $17.06 SUP 4267S
I
Total $230.36 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 -0* 0 through OAR 952 - 001 -010 You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued B w4/ /4 Permittee Signature: a (
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 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.
08/29/2007 12:32 5036814738 INLAND ELECTRIC PAGE 02
. Electrical Permit Application F�.>ii 0! i. ICE l S,•: ON1,�,
City of Tigard Received ■
• 13125 SW Hall Bird., Tigard, OR 97 �.. 1 !' `1 ii I� Review v L PaPerm" iJO -: 2` x D (�
6!
, R Phone: 503.639.4171 Faa: 503 - ' , i
i t , A , D Inspection Llme: 501639.4175 nue Re y/Ry Other PPermit 1nternct: www.tigard- or-gov a� 2 f
�
c J Sa pro Q m sent Inform anon
See
b
❑ New construction i' Addition/altera i ,:, - t f�l 1�* Plca check all chat apply (sutm,it s . ; ,` bel :
❑ Demolition ❑ Other: DIN D
iVISIO ❑ Service orf 400 ; 't°R1S three rtes
amps or manta ❑ B u i lding over three stone
• d '. , ;s;..... % ::, a, :.,. _ . whim the available fault current ❑ Ma[inas and boatyards. .
` +, i':r ' : a. P e ° 'X3 : ` . ' 4., ;', : '' 7 t =wee 10000 at 5
� 1 0 volts Floatsag buildings-
❑ 1- and 2- family dwelling • ! Commercial/industrial ❑ Accessory building less t4 t of exszc 1a pop p camu�e�al -ax agricultural
❑ Multi-family O Master builde s for all other installations. buildings.
.;r ,":,•!.:`.1.:•',•.'.'+':‘':. 0 Other: P Pim pump. p Installation of 75 RVA or
;444R fi , ..5
.,. , � n �45
, " b i . . `t-.'-.;... ;:„''.,,';:s,,'',,: CI Emer®ency S)atem. larger separately derived . ,
Job no.: ` - .._ � Q Addition of mew molar load of ❑ "A", "6°', "1 -Z", "t -3 ",
i* Job site address: 81 6, • W pei W 1 10011P or more. occupancy.
❑ Sac or more residential units, 0 Recreational vehicle parks.
City/State/ZIP: _ , V M b 2Z CI Health -care facilities. . ❑ Supply wt�go for more Was
❑ Hazardous locations. 600 volts nominal.
Suite/bldgJapt no-: Project name:
� O/t1 , a . N. � L sarrtcc __ a feeder 600 amps or more.
Cross street/directions to job site: Anil • I /1l, . n ,
5 (040f?1
1 Q i F I Tog i ' .
— New residential single- or multi- fatuity dwelling unit.
Includes attached garage.
Subdivision: 1,000 sq. -
Lot no.: sy. ft or less 145.15 4
Tax map/parcel no.: Ea. x'1500 sq. ft or portion 33 -40 1
:.; Limited energy, residential
'r i :!•'!,•:•-.•;::','.;:'.: (with above sq. R) . 75.00 2
pp Limi rgy, multi- family
�- 0 10 e C ROA/ZA " A l �® A /tom reside (with above . ft. 75.00 2
Services or feeders Installation, alteration, and/or relocation
t '';;;;,::,:,.'!.:0_,.____ _ 200 amps or less 80 .30 2
' v FRO ,` : ' : r :i.: : q •:
.,
:.:. ; „ . �:.' : , ` ; ` .? �`�: �::' �';"V?lIT ' :' 201 amps to 400 snips 106.85 2
L�f�' 4. r5 -r i c 401 amps ho 600 amps 160.60 2
Name: ! �l� }�
Address: 601 amps to 1,000 amps 240.60 2
Over 1,000 amps or obits 454 - 65 2
City /State/ZIP: Temporary services or feeders iustallaticui, alteration, an
relocation
Phone: ( ) I Fax: ( ) 200 amps or Less _ 66.85 1
Owner installation: This installation is being Made on property that I own which is not 201 amps to 400 tarps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 as 133.75 2
Owner signature: pate: • Brandt circuits - Aew, alteration, 0.810n, per panel
s ratio or extension,
9 � F y t .�,��'i����i� ♦♦���,w.,��• ,•,., " �,.�. A. Fee for branch circuits with
;.. ........,.1Tlf - 't':'F' <'' '.';: above service or feeder fee, 6.65 2
Busine nam e: each branch circuit / 3
� C irive. B. Fee for branch circuits
Contact name: �•, rJ /C' _ withaid 5 taviee UT feeder fee,
first branch circuit 46.85 2
Address: 366 6 S E EASE(viue. Each add'l branch circuit 6.65 2
City/State/ZIP: / Miscellaneous Sservlce or feeder not included)
idf 6 d a 9749-.2 -,3 Each manufactured or modular
Phone: (‘03) i _ . # • Fax:: (6 ) /_ w1 .. Reconnect service and/or feeder 90 90 2
�O ! _ Reconnect only 66.85 2
E Pump or irrigation circle 53 .40 2
,. ,:. .:, .., .
... • •:... 0 4
Sign or ourluae lighting 53 .
Business name: Signal circuit(s) or limited -
�� �" [ �/rie energy panel, alteration, or
Address: ...7L 11) extension. Describe: as 2
eRIvs+Q_ Page 2.
City/State/UP; . _.. ' +, a_i , • L_ ee /Z Each additional inspection over allowable in arty of the above
Phone: _ 1 _ Per inspection 62.50
el ) a 0 Fax ( 5 - 0 •• : f ` 1/ '730 Investigation e er hour (1 hr min) _ 62.50
CCB Lic.: 5 - Electrical Lic.: _ _14-. Supt, Lie.: y) 7 Industrial ptant per boor 73.75
Suprv Electr sit;, T / • : ' . , ' r ¶ . ! l D 1 O } ..`' ',1' t : ' 5 : ? , -
" — .', Subtotal: 7/3 • �O
Print name: a 4 pate: -. ' Plaza review (25% of permit fee);
f - Z State surcharge (8% of permit fee): /7, 0 6"
Authorized signature: TOTAL PERMIT FEE: .3p 5 k
Print name: ! bate: Thh permit appJ c hou expires ita permit is not obtained within 180
•