Permit 71 CITY OF TIGARD ELECTRICAL PERMIT
, COMMUNITY DEVELOPMENT Permit #: ELC2011 -00435
Date Issued: 08/04/2011
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 parcel: 2S114AA00100
Jurisdiction: Tigard
Site address: 9000 SW DURHAM RD
Project: Tigard High School Subdivision: Lot:
Project Description: (2) branch circuits for wiring for a gate. Gate is located between the cafeteria and the tennis courts.
Contractor: WEST SIDE ELECTRIC CO INC Owner: TIGARD - TUALATIN SCHOOL DISTRICT
1834 SE 8TH AVE 6960 SW SANDBURG ST
PORTLAND, OR 97214 TIGARD, OR 97223
PHONE: 503 - 231 -1548 PHONE.
FAX: 503 - 736 -0677
FEES
Quantity Description Date Amount
2 crt Branch Circuits wo /Purchase 08/03/2011 $63.60
Specifics: Service or Feeder
1 ea 12% State Surcharge - 08/03/2011 $7.63
Type of Use: COM Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $71.23
Required Items and Reports (Conditions)
This permit is issu d 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 i ccordance wi approved . - .s. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. TENTION: Oregon law r- •uires olio follow the rules adopted by the Oregon Utility Noti'catien Center. Those rules are set forth in OAR
952 -001 0010 through OAR 952 -001 8090. Y- lay . btain a copy of the rules or direct questions to OUNC • callin= 83. 2.1987 or 1.800.33 .2344.
Ai giOr
Issue y: ,, Permittee Sign: ure: ! i Af1 /•• •
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.
Aug 01 2011 5:26PM West Side Electric 503-736-0656 P.
•
Electrical Permit ArmlicatTin r % Ir 1.,,i• 01-11(-1. I si. 0.si.)
City of Tigard . g • .. y •J,T1-4 n
D4,43 . WMIZIII t i 1 ee 3 '
14 . ,-- 1 13 125SW Hall Blvd., Tigard, OR 97243. A 0 r) n 4 4 Plan Review
i Permi No.: / 1
Phone: 503.639.4171 Fax: 503.598W9601.1 2 LUII . Other Permit:
.,. i , :,,, ,, t -, Inspection Line: 503.639.4175 Dare Ready/By: Juris: 0 See Page 2 for
Internet www.tigard TY OF TICIA:ln Notified/Method: Sappdememal information
...... . . . _ . .
1 rel':' M:1 ' ";41fi474. " a4AL SZIM P LIn.- Wiiit.,-14Sdat ! I; " ;;IY " diftag . :4P. 4' 4. '',, •'' ". ;I gl ' .C° :. " ;:inniftitigni eftlic.
0 New construction i:"! Addition/alteration/replacement Please cheek all that apply (submit 2 SOD of pleas w/iterns checked below):
i 0 Service or feeder 400 amps or more CI Building over three stories.
• Demolition El Other: where the available fault current 0 Marinas and boatyards.
'
IIIttr M.13 .27/1,..,..,..c,'Iti,;:)4'ii,:.1.,: 4 IIIISIMYrii:T i !5 q t 4 "4.tntr,1•'• ; 1'i , l'' ' v '.: ARV' liri d, i exceeds 10.000 amps at 150 volts or 0 Floating buildings.
alVilit ':..it..1Mo •• 0 k, ,• , i,t., -- -, ,• ''',,---4-'' +'' ...-
k. ;k1 ,..trli'...k.::-C-1,' •
less to ground, or exceeds 14.000 0 Commercial-me agricultural
• I- and 2-family dwelling %4 Commercial/industrial 0 Accessory building amps for all other installations. buildings.
• Multi-family 0 Master builder 0 Other 0 Fire pump. 0 Installation of 75 KVA or
tI,r f,,,.;1.41.. nr it,,,,,,' ; -0,,,t.'7..N.16:—%. -. .tItireli 0 Emergency system larger separately denved system.
i F'n1;• P gtit.:::10.3104 ' ' ' .?: ',.' ' tl.:."' ' - 7.1' ! .!..!'aio.. L ' ," t'," :'''''''.". '''': -.LA ''. 0 Addition of new moor load of
•
lob no.: jc 3 S Li Job site address: .9610C) Set) Ar,r Xci Ai /ed 100HP or more.
0 Six or more residential units. occupancy.
CI Roc ii vehicle parks.
ity/State/ZIP: 7 Zini/k /9.7ZZ Cl Health facilities. 0 Supply voltage for more than
0 Hazardous locations. 600 volts nominal.
. uite/bIdg./apt. no.: I Project name: 77: 1,/„ j C3Service a foxier 600 amps or more.
ross street/directions to job site:
*-4.i .,44 7 :4 v , "' • , :' ' '.. ' n'I . IX I" : 777 :77:!":.:!!:::: 51 ... 74,
.•
Destription Oto. 1 Pen I That 1 •
New residential single- or multi-family dwelling unit.
Includes attached garage.
I
ubdiv ision: Lot a0.: 1,000 sq. ft. or less
168.54 4
Ea. add'l 500 sq. ft. or portion 33.92 I
ax map/parcel no.: .
. Limited energy, residential
75.00
il qtfil (with above sq. ft.) 2
Limited energy, multi-family
75.00 2
/C ya ''_... residential (with above sq. ft.)
: Services or feeders install ation and/or relocadon
200 amps or less 100.70 2
201 amps to 400 amps 13356 2
401 amps to 600 amps 200.34 2
ame: .
601 amps to 1,000 amps 301.04 2
• ddress: • Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation, alteration, and/or
ity/State/ZIP: i relocation
'hone: ( ) I Fax: ( ) 200 amps or less 59.36 1
201 amps to 400 amps 125.08 2
I wner installation: This installation is being made on property that I own which is not
tended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and .701. 401 amps to 599 amps
Branch circuits — new, alterati 168.54 2
on, or extension, per panel
• wiser signature: Date: ,
. A. Fee for branch circuits with
liSra.,-- each branch circuit
usiness name: ,
13. Fee for branch circuits without
service or feeder fee, first /?
i branch circuit
ontact name: / 56.18 sz ._.... 2
Each add' I branch circuit / 7.42 7 'f-. 2
• ddress: 1 Miscellaneous (service or feeder not included) _
Each manufactured or modular
ity/State/ZIP: dwelling, service and/or feeder 67.84 2
'hone: ( ) I Fax: : ( ) I Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
• -mail: • , „ ' ,, „ Sign Or outline lighting 67.84 2
;-, sm ,',',., :LI ,5 450,Wi..MIEZSZES2MEINEMEREMINE2Aillit si oirouito) or limiteci-energy
panel, alteration, or extension. Page 2 2
l: usiness name: West Side Electric Co., Inc. ,
Each additional inspection aver allowable in any of the above
• ddress: 1834 SE 8th Ave. ,
Additional inspection (1 hr min) 66.25/ hr
. Investigation (I hr min) 66.25/ hr
itY/State/ZIP: Port land/OR/97214 ,
.
Industrial plant (1 hr min) 78.18/ hr
•
'hone: ( 503)231-1548 Fax: (503) 736-0677 . Inspections for which no fee is
s.ecificall listed 1/2hr min 90.00/ hr
CB Lin.: 13306 I Electrical Use 26 _ 135 C Suprv. Lic.: 4654 — s ,si!J!..`grit,,,;:i1 [igp.o.t.q:;,t.
- uprv. Electrician signature, required: d. _ !
Plan review (25% of permit fee):
' rint n Randall F Roberts Date:
State surcharge (12% of permit fee): 7 G3
g State
PERMIT FEE: -7/ 2 > ott
• uthorized signature:
This permit application expires if a permit b oot obtained within 150
days after it has heats accepted as complete.
• rint name: Dare: * Number of inspections allowed per permit.
L . uold■ngTermrs‘ELC-PernucAup clot 07/01/10 440-4615T( 11/05/COM/WEB