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Permit 11/ CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT 1- COMMUNITY DEVELOPMENT Permit #: ELR2011 00171 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/15/2011 Parcel: 2S 114AA00100 Jurisdiction: Tigard Site address: 9000 SW DURHAM RD Project: Tigard High School - Theater Subdivision: Lot: Project Description: Audio and stereo system Contractor: CASCADE SOUND INC. Owner: TIGARD - TUALATIN SCHOOL DISTRICT 1225 20TH ST 6960 SW SANDBURG ST SALEM, OR 97301 TIGARD, OR 97223 PHONE: 503 - 581 -5525 PHONE: FAX: 503 - 370 -8415 FEES Description Date Amount Specifics: Restricted Energy Permit 07/15/2011 $75.00 Type of Use: COM 12% State Surcharge - Electrical 07/15/2011 $9.00 Class of Work: ALT Total Number of Systems: 1 Audio & Stereo: Y Boiler Controls: N CCTV: N Clock Systems: N Data & Telecommunications: N Fire Alarm: N HVAC: N Instrumentation: N Intercom /Paging: N Landscape /Irrigation: N Landscape Lighting: N Medical: N Nurse Calls: N Protective Signal: N Security Alarm: N Other: N Total $84.00 Other Desc: 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 the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 -001- 90. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: r e r e Permittee Signature: /'/7 !}/ /OA/ 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' 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. 07/15/2011 FRI 9:31 FAX ({j]001 /001 07/15/2011__7:_ 359 001 - X 5081960 CITY OF TIGARD PAGE 01/01 _. (41001 /00Z • Electrical Permit ApplicatianRECEIVED FOR f)tI i{'i USE ONLY City ofTigard • MI 13125 SW Hell I3lvd.,'rigald,OR 97223 JUL 1 4 2011 '. MM1 tt ' 1 '• ornit -L�°2 Q / /��f /7/ PL+n Rcvic +v Phone: 503 Fax: 503.598.1960 DnteB�___ OtherPenuit: rrc AiL Impaction Line: 503,639,4175 CITY OF TTGARD Datc Ready /l y: Jur4: BS Seo P ngc 2 for (ntcmck www.tigard- or.Rov BUILDING DIVISION No ff'emOlhod' / Sunplemental Information • .. , ... .. , . ., ,: IAN ?.: • p ❑ Sery ce o f 400 ;imps or more ❑ New construction 2 Addition /aitorahorl/ a lacclncnt piCaaC check Oli that apply (StlblT it t sets 0t)flallx +v /IlCNS ChoE1(Cd below): • 0 Demolition ❑ Other: Ca Building over three stories. Ibr all e 2 - tamely dwelling ..... , .. ' .. nd bou . "•..... : ,,: ':: : A1ECiQI Y` ::ior CON ?JUJC. "•g0,:: i ..: : ;. •:; '... • ' o a+np5 al or El looling buildings, P r+3 .: • . .' • exceeds ., ... d A cccasor) ; bui lding Ej alu t0 ground, ma a other insinuations, t 14. ❑ Cold buildings. l• LL <c aaricidttml 1 • ant! ® Commercial /industrial an+lx+ theunilaumse. buildings. . 0 Multi - family EI Master builder ❑ Other; 0 Pim plump. U Inx+allatien of 7$ KVA or .. . 301;,:$ITE`_'11� 0.1.0.A 0N'k U ntorgenayayatc, 1 ( argeraepart6 41 ,, r,vtmn. ' .7...,.- t /» LOCA'Cl_d�I; :.; %',:` , S''i:: : <(;'::`-`.: U Addillon of acw mnlotor load of � .•A,, ,, 1 .2.• ., d6ys i01.5 no. Job site address: 9000 SW Durham Rd, 1 or more, occupancy, 0 Six ix or or more residential oar:, 0 Reeroationnl veleta parka - City/State /ZIP: Tigard, OR 97224 U }(catm•care faoililiea. CI Supply voltage ibr more tliam © its>srdnus locattona, 600 y oke naminel. Suite/bldg./apt, no.: Project mains S,....\ `\ A • CI Service or feador 400 amps or more. • Crows street /directio :: : *:.. , ..?:. .. .,... .P ,.. n6 to job site; , :,,.:..:,;,:•.,; ., cS. tE` St 1F� A,UJ:ES ;':i. . ... Duo 1 !ion rt .. .tsl New residential single -or multi- famiiy dwelling unit. ... Includes attached garage, _ • Subdivision: Lot no.; 1,000 se,,. R, or less 148.54 4 Tax map /pttrcol no,; En. add'I SOOS4• ft, or Donlon 33.92 t ) .. .. . ... .. . .:. teal 2 ••_.... :. • .; . . n • ............. .:. ,:... OIN ::'::' . + ( w i th silo v e g. 0,) 76.00 Running low - voltage wire and mounting speakers Limned energy, (with above 73,00 2 & ' P __ residential (with above sq. ft.) 7S Services or feeders Installation alteration and /or relocation :......., R or amps o less 100 70 El P)rtOpEwry+`OWNE .:• i s ':,,:' ?;?r ` ;:..i` IBiTENi1�VT ?>.: ";`( : :,. :'•; 201 ampsto40Oamps IN 133.56 _fi Name: Tigard School District 401 amps to 600 amt's 200.34 El 601 amps le 1,000 amps 301.04 r 2 Address: 9000 SW Durham Rd, Over 1,000 amps or v0lt 552,26 2 City /State/ZIP: Tigard, OR 97224 Temporary services or feeders Installation, alteration, a nchor relocation Phone: ( ) Pex; ( ) 200 amps or less In •9.36 - H Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps � �© intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps (68,54 MEM Owner signature: Date: Branch circuits— new alteration or extension, or and free for branch cireuite with ;i1P•YLI COIy. oe or feeder fee • i`.�, CANT'; abo�� acrvi .. . ... .......:.'�:.. r�'.... �A: C�f1c ;1?.<cX;Sb�y:;�� ' cash brencit circuit 7.42 Business name: Cascade Sound ifvc . e, Fee for branch circuits widow — . —___ service or focdor feO, first Contact name: Tom Campbell branch circuit Address: 1225 20th St. Fach add'l branch circuit 7,42 �IQ Miscellaneous service or feeder not included City /State/ZIP: Salem, OR 97301 Each manufactured or modular 67,84 — II (Wallin' service rind /Or thodar Phone: (503) 581-5525 Fax:: (503) 370 -8415 Reconnect only 111111 67.84 In E-mail: TOm� cascades rrd.COnt Pump orirrlpationcircle 1111111126111111111111111113 Y'.':' CfJ1VII2AC :TC dt,a. : 5:;;;:, ; ::: c IIIN Sign or anlira fighting 67.84 • Signal limited•cnergy Business name: Cascade Soun fl (tve.. •Anal alteration oroxtena(an, Pa _ o 2 Address: 1225 20 St. Each addltlannt inspection over al owahle in ao of (lie above Additional inspection (I hr min) 66.25 / hr City /State /ZIP: Salem, OR 97301 Investigation (I brmin) 6025/ hr Phone; (503) 581-5525 Induaeialplant(I hr am)) 78,18 /hr Fax: (503) 371 - 41 Impactions for which no fee is Bs �. r i3I,(c. 79709 , � //1 / Electrical s elfin!! listed +/rhrmin 90.00 /hr 75.00 CC Lie,: 24 - 224CL 6 f • uprv, Lic - 354. : B _ .....'' .Z1J.TO'X!RIOW,P.8 i i1 T :i pEI?,5 = ;t';' <::: :::: :: • Suprv, Electrician signature, required: Subtotal: 75,00 Plan review 25S of -etmit fee): • 0 Print name: Thomas P. Campbeli Date: 7/14!2071 State surcharge (12% of permit fee): 9 � Print name; � 'PQTAL PERMIT FEE: 84,00 • AuthOriredsignature: / �. bate: Tills permit application expires if a ptrn+it to not obtained within 150 • O ' _ .t days After tt has noon accepted as complete uC —1 j • Number of inspections allowed per permit. I:t funds >d+rmnitstliLt-rermslApp.uoc 07 /1'!0 46 0.451(1 I l /0! ( rCOM /tYtt6 07/14/2011 THU 10:25 FAX 2002 /002 Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL. WORK ONLY Fee for all residential systems combined .. $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm n Garage Door Opener* • ❑ Heating, Ventilation and Air Conditioning System* n Vacuum Systems* C Other: COMMERCIAL WORK:ONLY:: • Fee for each commercial $75.00 system (SEE OAR 918 309 - 0000) Check Type of Work Involved: • ® Audio and Stereo Systems n Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ FIVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls n Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: 1 *No licenses are required. Licenses are required for all other installations trV 3uildin \PCrmi,s \0LGPcmiitApp.doc 07/01/10