Permit A-, .. `'CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00491
I
DEVELOPMENT SERVICES DATE ISSUED: 7/11/2005
II - 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 25111 AC -02700
SITE ADDRESS: 14650 SW 97TH AVE ZONING: R - 4.5
SUBDIVISION: TIGARDVILLE HEIGHTS LOT : 037 JURISDICTION: TIG
Project Description: Lighing retrofit, (5) branch circuits. Job No. 86705
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: 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: 5 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 DIST 23J OREGON ELECTRIC CONST /GROUP
6960 SWSANDBURG ST 1010 SE 11TH AVE
TIGARD, OR 97223 PORTLAND, OR 97214
Phone: 503 - 431 -4000 Phone: 503 - 234 -9900
FEES Reg #: LIC 203
SUP 4460S
Description Date Amount
ELE 26 -95-95
C
[ELPRMT] ELC Permit 7/11/2005 $73.45
[TAX] 8% State Surcharge 7/11/2005 $5.88 REQUIRED ITEMS AND REPORTS
Total $79.33
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 • --; - han 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules a,,. set forth in 0' - 95 - 01 -1110 through OAR 952 - 001 -0100. You may obtain copies of these r es or direct questions to OUNC at
503- 46 -6699 or 1 -800 -3 -2344
Iss ed By: / ` & dig Permittee Signatrre 0
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:
CO. TRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: /' ;: / DATE:
LICENSE NO: &)S
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 -08 -2005 12:11PM FROM —OR ELECTRIC SERVICE 5035352763 T -439 P.001 /001 F -270
- Llecirrj 711 t Cl lust t'RJF/aa� axay..
R. Ca1Ved
Cit of regard Daw/Bv A� )! re.r. .Q7
13125 SW Hull Blvd -, Tigard, OR 97223 Plan Review other Pem,;[.
Phone: 503,639.4171 Fax: 503.598.1960 �` i ii j • Date Ready/By eady /By hula to See Page 2 roe
Inspection Line: 503.639.4175 .k+. -- �a Supplemental Information
Internet. www.ci- tigard.or.us Notified/Ma[bod
TYPE OF WORK' PL N REVIEW
❑ New construction ® Addition/alteration/replacement Please check all that apply: .
❑Service over 225 amps, comm'l ❑Hazardous locution
❑ Demolition ❑ other. _ _ ... in Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft,
CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential
QSystem o ver 600 volts nominal units in one structure
ID 1 -and 2-family dwelling /5 CotnnlerciaUittdustrial ❑ Accessory building
[) Building over three stories ❑ Feeders, 400 amps p • or more
❑ Multi-family El Master builder rt Other ❑ Occupant load over 99 persons ❑Manufactured structures or
JOB SiTE INFORMATION AND LOCATION ❑Egrcaa/lighting plan 1W park
['Health-care facility ❑ er:
Job no,: 86 705 I Job site address: 14650 SW 97 Ave Submit 2 acts of plans with any of the above.
City /State/ZIP: Tigard, OR 97224 The above are not applicable to temporaty construction service.
FEE" SCHEDULE _
Suite/bldg. /apt no.: 1 Project name: Twality Middle School Descrlpnon I QVj Fee. I 1° °' -•
Cross street/directions to job site: — — — — -- — — New residential singles or multi - family dwelling unit.
4 V ` c �� n (7 ��, 1 ! Iltdudca f ttoehed ru
nage. _
r 1,000 sq. !t or loss 1 45.15 4
t
Subdivision: k . / yen - ` l - / 1 r {� 5, 1 —' — - En, addl 500 sq. f1- or portion - `_ 33.40 1
}) Limited energy, resid 75 -0D 2
Tax map /parcel no.: Limited ene rgy, rum-residential 75.00 2
DESC+R Each manufactured or modular
_
r �/ 1- dwelling, service and/or feeder 90.90 , 2
Lighting Retrofit Services o feeders i l ulterotlon, 80. and 30 /or relocation
2
/
-
Ser amps ar ec d
❑ PROPERTY OWNER I f 201 amps to 400 amps 106.85 2
L 401 amps to 60D amps 160.60 2
Name: Twality Middle School O 601 amps to 1,000 amps 240.60 2
r v Over 1,000 amps or volts 454.65 2
Address: 14650 SW 97 Ave (CI.) Reconnect only 1 I 66 -25 .2
City/State/ZIP: Tigard, OR (5c3) - 2.11 4 4 J t7 Temporary services or feeders installation, alteration, and/or •
relocation
Phone: ( ) I Fax: ( ) ' .
1
200 amps or less 66.
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 excllanne, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2
Owner signature: Date: Brunch circuits - new, alteration, or extension, per panel
❑ APPLICANT 1 ❑ CONTACT PERSON A Fee for branch circuits loth
service or feeder Ice, each 6.65 2
Business name: brunch circuit
B. 1Fee far branch circuits p
Contact name: without service or feeder fee, 46.85 ��• p� 2
—^ each branch ci rcuit
Address: _
Each add'l branch circuit 6.65 - Zia ,/,(20 2
City /State/ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: ( ) I) : ( ) Sign or outline lighting 53.40 2
E-mail: Signal circuit(s) or limited -
CONTRACTOR energy panel, alteration, or
extension. Describe: Page 2 2
Business name: Oregon Electric Group _ _
Each additional inspection over allowable in any of the above
Address: 1010 SE 11th Ave Per inspection 62.50
Ciry /State/ZIP: Portland, OR 97214 Investigation per hoot (1 hi- Win) 62.50 •
403 535 -27 Industrial plant per hour 73.75
Phone: (503) 234-9900 Fax (- ) ELECTRICAL PERMIT PEES"
CCB Lie.: 203 J Electrical - • • 5 • i pry. Lie,: 44605 - Subtotal . 13,10
._,1• •" i ...wow
Suprv, Electrician signature, required: Plan review (25 %ofpermit fee)
�� State surcharge (8% o permit fee) 5. $4
Print name: _ Date: h rte:'' i
/ � � . TOTAL PERMIT FEE 11 , 3
Authorized signature: This permit appdention expires if n permit Is not obtained within 187
days after it has been accepted as complete
Print name: 0 - V . .. ' . J Hate: 07/08/05 • Far methodoloy an by To- County Building industry Service Board
•• Number of inspaixions Der rem-dr allowed.
CITY OF TIGARD
• A . .
BUILDING DIVISION PERMIT #: ELC2005 -00491
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 71110006
Phone: (503) 639-4171 *41W,.
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11912006 TIME: 7 :01AM PAGE: 38
SITE ADDRESS: '146:x~: 97TH AVE CLASS OF WORK:
SUBDIVISION: TIGARD *° HEIGHTS LOT #: 037 TYPE OF USE:
PROJECT NAME: TWALITY Ni'o *LE SCHOOL
DESCRIPTION: Lighing retrofit ` branch circuits. Job No. 86705
OWNER: TIGARD TUALATIN `',ST 23J, PHONE #: 503 -431 -4000
CONTRACTOR: OREGON ELECTRIC +F,,NST /GROUP PHONE #: 503 - 2349900
Inspection Request Scheduled For: \Date: 1/9/2006 Pour Time:
Code # Inspection Description C3nfirm # Contact # Message
199 Electrical final 024 ": -01 503- 793 -5706 N
Corrections /Comments /Instructions:
v
•
J
lc PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
I FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 6 o` i\it& Date: b Phone #: (503) 718- Zg