Permit V
CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
DEVELOPMENT SERVICES PERMIT #: ELR2005 -00194
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 7/19/2005
PARCEL: 2 S 109AC -02100
SITE ADDRESS: 14850 SW 132ND TERR ZONING: R -7
SUBDIVISION: ALBERTA RIDER ELEM. SCHOOL LOT: JURISDICTION: URB
Project Description: Low voltage.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: : HVAC: PROTECTIVE SIGNAL: X
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
TIGARD - TUALATIN SCHOOL DISTRICT CHERRY CITY ELECTRIC
6960 SW SANDBURG RD 8100 NE ST JOHNS ROAD D -104
TIGARD, OR 97223 VANCOUVER, WA 98665
Phone: 503- 431 -4003 Phone: 360 - 571 -4411
Reg #: ELE 37 -620C
LIC 91668
FEES SUP 3486S
Description Date Amount REQUIRED ITEMS AND REPORTS
[UTAX] 8% State Surcha 7/19/2005 $6.00
[UELPMT] ELR Permit 7/19/2005 $75.00
Total $81.00
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 OAA - 001 -0100. You ma obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699.
Issued By Permittee Signature: j
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.
JUL- 19- 2005(T1JE) 13:17 P.002/004
.
• Permit Applicat `1 - - S R OFFICE USE ONLY
City of Tigard Received
23 ,' DateJn : I C/ () - 61 ° Permit NQat,�l`> �/ CJ
13125 SW Hall Blvd., Tigard, OR 972221 �• Plan Review '
Phone: 503. 639.4171 Fax: 503 - 598.1 (10 s � ,4 rn' i4 Date/a : Other Permit
Inspection Line: 503.639.4175 �3�1
1 1 2' Q � Notified/Method;
r �
l.. 7 Ell See Page 2 for
Internet: www.ci.tigard.or.us '
!� U ( Supplemental rnrormatlon
;. iy !�•' le t a �� it IBi it ` ti T, '�' 1 " 1, ii r lj H 4) J.:i t V I is.^ ., .,.; .�
tli kmrq yzrlc utV'r. try, .r �i : t :m 9s't w•`,`' '4-
�^! ; IS5 ,i.p�•r'',p ' I �1.
iu - • astruction ❑ Addigaliit( i tit II' ca • 'lent Please check all that apply:
a Demolition 0 otig 3ItOTNG D ['Service over 225 amps, cornnt'I 0 Hazardous location
', "" , v?" Wet� - y �,'� ; "� :. , may ,:;,.. .,, • ['Service over 320 amps — rating DHuildn over 10,000 sq. ft.,
K . a .. n , i�'° . ;> 1r: •'mot C a -hn o'I f .i. �" rrr r,Ylr 8
' � •° ��� ��� ,� • „w��i�""i�t6aF�k���t"',^•�1���: �iYii;,�� of 1 -and 2-family dwellings 4 or more new residential
❑ 1 - and 2 family dwelling P2 • e, crcial/induStrial 0 Accessory building OISystem over 600 volts nominal units in one structure
°Building over three stories DFeedcrs, 400 amps or more
❑ Multi - family IN Master builder El Other:
e '" r, t yj�i; a � »l,; .; Irr�, 1 . ['Occupant load over 99 persons 0Manufactured structures or
:�� � • - � ..E2' 1, � tKailar { q - is f i �;:l'rti '���t r1:, ❑Egress/tighting plan RV park
Sob no. ' Job site address' /VV St ( 3_2 ' : °Health -cure facility El Other:
Submit 1,. sets of plans with any of the above.
Ci State/ZIP: C /;Q Q(�
�` / � ��,,' 1 l � *`
Suite/bldg, /apt. no.: •' 'Project name: �n{'11 The above are not applicable to temporary construction service.
� ' t'i "l , T i �i a ►J r .. i°:;i 4i? ;'.7 �: , '
1 ' } -p, Deserlptlem Qty. Fee. Tutu(
Cross street/directions to job site: New residential single -or multi family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less _ 145.15 4
Subdivision: I L no.: Ea. add'( 500 sq. tt. or portion 33,40 l
Tax trap/parcel no.: Limited energy, residential 75.00 { 2
I i lr; rwc a ay. ra ! , Limited energy, non - residential 75.00 2
1, ' w'kY ll�::.t' l t °'e" I R ►.Et it�• r1• , t c W "r+" '
3r��. -J "war �a� !rRu. ,��dt h manufactured or modular
dwelli, service and /or feeder 90.90 2
Services or feeders installation, alteration, and/or relocatio
200 amps or less 80.30 2
w ;;yyd i �` 9 I !i# ,"�;�, , �,1�,�� rr��`,,'�i ,,{� rcxt, r !r t �t: 8 W 400 a � .'.
igr l ' ' a i�� � iatl �*�I m Ir nliti i r r 1 4 X.. 201 amps 106.85
`" 401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps 240.60 2
Address: Ovcr 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City/State/ZIP: Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( ) Pax: (
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 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 1 33.75 2
Owner signature: Date: _ Branch circuits— new, alteration, or extension, per panel
A ��''__ —
i� ijL�.�; :teiR @il .• gii 1 r 1'� "i 4 s .. ! N with
� .�j is °'+"'��, , nn �, Mid ! �j (�;
�. �� �tw �t��!d�� a1;;1 i�1'ait'�1'ai,: �• �,.��,? :� �".C� A. Fee for branch circuits wi
service or feeder fee, each 6.65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee,
Address:
each branch circuit 46,85 2
Each add'l branch circuit 6.65J 2
City /State/ZIP: Miscellaneous (service or feeder not Included)
Phone: ( ) I Fax : : ( Pump or irrigation circle 53.40 I Z
J Sign or outline lighting 53.40 2
E -mail;
~A +fir " "�t� ", ii"" i t'� 1T .� ,,, „ Signal circuit(s) or limited. ,
;c� 11 it t ��' �� n , a 36 :" r ".� Rp f ' ener8Y panel, alteration, or
Business name: (''horn /\ � �� `, extension. Describe: Page 2
Address: t . U� " 0 O .)1,104 0 ' D L1 , li Each additional Inspection over allowable In any of the above
I1 Per inspection 62.50
City /State/ V 6 g [j Investigation per hour (t hr min) 62.50
Phone: (?l ) S , --� - I �fII i F (� )) i_ u/ Industrial plant per hour 73.75
�s ! ;too �" / (�
CCB Lic.: f Suprv. Li _ � ° f � t"�."�w„�r ;" .t " �'I(3 FMS a it i t '.!r o .,�' �t �,t,,�;t� . .rIlr;t•:.,, , � , ;
�Q u E1 e al Lie.: sa. Subtotal
•
Suprv. Electrician signature, required: ( 7......-- 1:1) Plan review (25% of permit fee)
Print name: j Date; I _ State surcharge (8% of permit fee) ta et , TOTAL PERMIT FEE
Authorized signature, This permit application expires If a ermit Is
p nut obtained within ISO
days alter It has been accepted as complete
Print name; Date: - lee methodology sat by Tri County Building Industry Service Board
Number or inspections !xi-permit allowed.
i; uiui ldingwermi.0..�C- PermitApp.doe lulu) 440.46 1O/021
( COnvwLa
•
4
'CITY OF TIGARD
ELR2005*-00194
BUILDING DIVISION 44— a. PERMIT #: 7/19/2005
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 4 70q1u1ij
Inspection Requests (2fLHrs.): (503) 639 -4175 '' .. .
10/24/2005 7:02AM 52
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
14850 SW 13 ■D TERR
SITE ADDRESS: ALBERTA RIDE ELEM. SCHOOL CLASS OF WORK:
SUBDIVISION: ALBERTA RIDER E MENTARY LOT #: TYPE OF USE:
PROJECT NAME: Low voltage. N
DESCRIPTION:
TIGARD - TUALATIN SCHO0,. DISTRICT, 503 -431 -4003
OWNER: CHERRY CITY ELECTRIC \ PHONE #: 360- 571 -4411
CONTRACTOR: PHONE #:
10/24/2005
Inspection Request Scheduled For: Date.. Pour Time:
Cc # Iige t g c aTipal scription O� iQT∎•, S t # 669 Me
Clhl t�
Corrections /Comments /Instructions: A v 1=. to a
\
A ASS I PARTIAL APPROVAL I CANCEL n NO ACCESS
� FAIL n CAL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: _Ally Date: /6 7/ Phone #: (503) 718 IA-
.
CITOF TIGARD --
BUILDING DIVISION • , ' t PERMIT #: ELR2005-00134
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/19/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ...' :_..
INSPECTION WORKSHEET FOR DATE: 10/21/2005 TIME: 7:00AM PAGE: 90
SITE ADDRESS: 14850 SW 132ND TERR CLASS OF WORK:
SUBDIVISION: ALBERTA RIDER ELEM. SCHOOL LOT #: TYPE OF USE:
PROJECT NAME: ALBERTA RIDER ELEMENTARY
DESCRIPTION: Low voltage.
OWNER: TIGARD- TUALATIN SCHOOL DISTRICT, • PHONE #: 503 - 431.4003
CONTRACTOR: CHERRY CITY ELECTRIC PHONE #: 360- 571 -4411
Inspection Request Scheduled For: Date: 10/21/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
195 Misc. inspection 018967 -01 503 - 203.0569 Y
Corrections /Comments /Instructions:
�L •,
1 • 1 % aom ts)
ILE - cA LL ; N 5Fr
❑ PASS AARTIAL APPROVAL LI CANCEL I I NO ACCESS
I~I FAIL I I CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: 1 v d utk Date: 10 1 El tb a Phone #: (503) 718- '2445
t
CITY OF TIGARD - ,:. 4 ,
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ELFt2005- 017184
Phone: (503) 639-4171 r iilii 711912005
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9!2612005 TIME 7:12AM PAGE: 81
SITE ADDRESS: 14850 SW 132ND TERR CLASS OF WORK:
SUBDIVISION: ALBERTA RIDER ELEM. SCHOOL LOT #: TYPE OF USE:
PROJECT NAME: ALBERTA RIDER ELEMENTARY
DESCRIPTION:
Low voltage.
OWNER: TIGARD - TUALATIN SCHOOL DISTRICT, PHONE #: 503-4314003
CONTRACTOR: o PHONE #:
CHERRY CITY ELECTRIC 360 -571 -4411
Inspection Request Scheduled For: Date: 9!2612005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low voltage 016568-01 360- 607 -5142 Y
Corrections /Comments /Instructions:
S F"L36(Z. tE 1 L 1 NI tagWL pro.
I4, PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
(I Q J 1 2� 6 � Inspector: 1 60 (....t" Date: Phone #: (503) 718- ?A`W •
f '
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2005-00134
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/19/2005
Phone: (503) 639- 4171aan „� �/
Inspection Requests (24 Hrs.): (503) 639 -4175 _� 11-
INSPECTION WORKSHEET FOR DATE: 9/1612005 , TIME 7:01AM PAGE: 78
SITE ADDRESS: 14850 SW 132ND TERR CLASS OF WORK:
SUBDIVISION: ALBERTA RIDER ELEM. SCHOOL LOT #: TYPE OF USE:
PROJECT NAME: ALBERTA RIDER ELEMENTARY
DESCRIPTION: Low voltage.
CI OWNER: TIGARD- TUALATIN SCHOOL DISTRICT, PHONE #: 503 -431 -4003
CONTRACTOR: CHERRY CITY ELECTRIC PHONE #: 360 -571 -4411
Inspection Request Scheduled For: Date: 9/1612005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
13 1 Low voltage 015884-01 360-607-5142 Y
Corrections /Comments/ Instructions:
141_ 0:4. ∎ \,-.1 v1 L. S 0 0 G:, _••g w r J Q) 0? 14`.' \D).k
t
T \vA - V o 1 vAR w
Rc\ V , ►t Il,
f v q4. \ ,ND , - To --" 1 PASS V PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: rAA. ��/✓�— �� Date: —/‘ Phone #: (503) 718 -
ti
Inspections Required for: ELR2O05 -00194
�.� Code I Inspection Description PASS Date By 5 Code Inspection Description -PASS Date By
BUP - Building Permit „ ELC - Electrical Permit
405 Excavation 105 Underground/slab cover 7
410 Fill 110 Temporary electrical service _
415 Grading 115 Electrical service _ I
205 Footing 120 Electrical rough -in _
805 MFG-Structure grading /footing 125 Wall cover
� 210 Foundation walls 130 Ceiling cover u _ i
215 —I Footing drain 135 Low voltage
_ 220 Slab 140 Sign installation _ __
310 Crawl drain 145 A/C or heating unit circuit
225 Post/beam structural 150 Hot tub /spa /pool __
230 Underfloor insulation 195 Misc. inspection:
235 _ Shear walls /anchors 199 Electrical final
240 Exterior sheathing
245 Firewall
250. Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls X 135 Low voltage _
260 Tilt -up panel 195 Misc. inspection: _ _
265 Masonry X 199 Electrical final
270 Reinforcing steel (rebar)
275 Framing
810 MFG Structure set-up MEC - Mechanical Permit
280 Insulation 605 Post/beam mechanical _i
285 Drywall nailing 610 Gas line
287 Suspended ceiling 615 Mechanical rough -in
u 295 Misc. inspection: 620 Hydronic piping i
899 MFG - Structure final 625 Duct work
- S 498 Grading final 630 Fire damper
299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood
• 695 Misc. inspection:
699 Mechanical final
'a BUP Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit
910 Sprinkler rough -in 305 Plumbing underslab
915 Fire alarm rough -in 310 Crawl drain
920 Suppression trip test 315 Post/beam plumbing _L____
995 Misc. inspection: 320 Plumbing rough -in I
998 Alarm final 325 RP/backflow preventer
999 Sprinkler final . 330 Water service
335 Rain drain
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer
_ 405 Excavation 345 Culvert/catch basin
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection:
205 Footing 399 Plumbingjpal
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer _
498 Grading final 595 Misc. inspection:
499 Final inspection 599 Final inspection
I: \Building \IVR\InsnCard- AOP.doc 06/17/2005
•
sr' • . f ELECTRICAL RESTRICTED ENERGY PERMIT
DEVELOPMENT SERVICES PERMIT #: ELR2005 -00194
DATE ISSUED: 7/19/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2 S 109AC -02100
SITE ADDRESS: 14850 SW 132ND TERR ZONING: R -7
SUBDIVISION: ALBERTA RIDER ELEM. SCHOOL LOT: JURISDICTION: URB
Project Description: Low voltage.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: : HVAC: PROTECTIVE SIGNAL: X
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor: -
TIGARD-TUALATIN SCHOOL DISTRICT CHERRY CITY ELECTRIC
6960 SW SANDBURG RD 8100 NE ST JOHNS ROAD D -104
TIGARD, OR 97223 VANCOUVER, WA 98665
Phone: 503- 431 -4003 Phone: 360 -571 -4411
Reg #: ELE 37 -620C
LIC 91668
FEES SUP 3486S
Description Date Amount REQUIRED ITEMS AND REPORTS
[UTAX] 8% State Surcha 7/19/2005 $6.00
[UELPMT] ELR Permit 7/19/2005 $75.00
Total $81.00
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 O
you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010
through OAR 9:2'- -001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699.
/ Th
Issued Bye`` T�- c. -f ,�.. _., 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 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.