Permit CITY OF TIGARD ELECTRICAL PERMIT
`3' ° PERMIT #: ELC2008 -00186
COMMUNITY DEVELOPMENT DATE ISSUED: 4/2/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S114AA-00100
SITE ADDRESS: 09000 SW DURHAM RD ZONING: R -4.5
SUBDIVISION: LOT : JURISDICTION: TIG
PROJECT: TIGARD HIGH SCHOOL
Project Description: Installing (1) service for power to portable.
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: 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: SVCIFDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
TIGARD - TUALATIN SCHOOL DISTRICT 23J WILLAMETTE ELECTRIC INC
6960 SW SANDBURG ST PO BOX 230547
TIGARD, OR 97223 TIGARD, OR 97281
Phone: 503 - 431 -4000 Contact #: PRI 503 - 624 -3631
FAX 503 - 624 -2938
FEES
Description Date Amount Reg #: ELE 34 - 283C
[ELPRMT] ELC Permit 4/2/2008 $80.30 LIC 75059
[TAX] 12% State Surchar 4/2/2008 $9.64 SUP 42265
Total $89.94 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 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246 6699 or 1.800 332.2344
4
Issued By: /� .- :��� `� 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: y - 2
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.
1
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- Electrical Permit Application
R eceived u
) ) la_ rr7'f Permit Ito.: Ftc ?t of e..r�l r C� of Tagard i1tB A.;: � ' a 13125 SW Hall Blvd,. Tigard,OR 97223 Plan Review ptherPcrmn.�(1 - ® Phone 503.639.4171 Fax; 503 598.19(0 Date y, `` // Y
e ; a Read y/By' Aids, for
'i inspection Line: 503,639 4175 ® 0 Supplemental Se! ee rage 2
jl I! t „ b+i Notified/Method. Z f
n,:<- , „ _ 1r. Internet' www tigard•or go
iv REVIEW
TYPE OF WORK
_ Please check all Out apply (submit 2 acts of plans wAtcros checked below)'
Now construction 0 Addition /alteration /replacement ❑ Service or feeder 400 amps or more ❑ Building over three stones
Other; where the available fault current ❑ Marines and boatyards
Demolition exceeds 10,000 amps at 150 volts or ❑ floating buildtngc.
CATEGORY OF CONSTRUCTION less to ground, or exceeds 14.000 ❑ Commercial -use agricultutni
ID 1 - and 2- family dwelling PK1 Commercial /industrial ❑ Accescory budding amps for all other installations D buildings. ys KVA or
Flre pump•
0
® Multi - family Li Master builder Other: Emergency system. larger separately derived Aystcm
JOB Sifl;E INFORMATION AND LOCATION ❑Addition of new motor load of ❑ "A ". "E "l .2 "1 -3 ",
_ I UHT or more, occupancy
Job no.: 6 I Job site address; O O O .5' e... ,f�vi 4 a•-. i• Six M more residential unit ❑ Recreauonal vehicle parka
_ � // ❑ Hcnhh -care facihnca. 0 Supply voltage for mo n than
City/State /ZIP. / 17 ......1 0 r 97y T) " � / 7j'y2, �( i locations. GOD volts nominal
J / /-� ) C /a q l Q Service or kcdet 600 amps or more
Suite/bldg./apt. apt. no.. Project name: S c FEE SCNEDULE
D riolien I 47, I Pee I Total F•
Cross street/directions t+cmh to job site e r„ ✓ S r w+ G New residential single- or multi-family dwelling unit.
Includes attached garage.
Subdivision: Lot no
1.000 sq ft or less 145.15 4
-- Ea add') 500 sq. R or portion 33 40 1
Tax map/parcel no., -
Limited energy, residential 75 00 2
DESCRIPTION OF WORK - (with above sq. ft_.) I
Limited energy. multi - family 75 00 2
/ residential (with above aq ft )
�p `� tt/ ,a /if C Services or feeders installation, alteration, and /nr relocation
200 amps or less / ' 80.30 e70 2
❑ PROPERTY OWNER 0 TENANT 201 amps to 400 amps _ 106 85 2
401 amps to 600 amps 160 60 2
Name: 601 amps to 1,000 amps 240 60 2
Address' Over 1,000 amps or volts ,, 454.65 , 2
Temporary services or feeders installation, alteration, and /or
City/State/ZIP: _ relocation <
Fax. ( ) 200 amps or less 66,85 1
P hone: ( ) 201 amps to 400 amps 100 30 2
Owner installation: This installation is being made on property that 1 own which is not 133.75 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449. 670, and 701 401 amps to 599 amps Branch circuits - new, alteration, or extension, per panel
Owner signature: Date A. Pee for branch circuits with
above service or Feeder fee,
CI APPLICANT 0 CONTACT PERSON each branch circuit 6 65 2
Business name. B. Fee for branch circuits
wrthour service or feeder fee, 46.85 2
Contact name: first b circuit
Each tidal branch circuit 6 65 2
Address' Miscellaneous (service nr fceder not included)
City /State/ZIP, Each manufactured or modular 90 90 2
dwelling, service and /or feeder
Phone• ( ) Fax' . ( ) Reconnect only 66 85 2
E -mail' Pump or Imgation circle 53,40 2
^
CONTRACTOR Sign or outline lighting 53 40 2
Signal circuit(s) or limited -
Business name: �) \1_�,aw1t,,Tts L2L - r•" ic-_- 7 4 - energy panel, alteration or
extension Describe, i Page 2 2
Address: 2 p , - cry 27, D 5"
City/State/ZIP: 2 ; - c -1 7 I Each additional inspection over allowable in any of the above
ry l i �i/i is I_ Per inspection 62.50
Phone: (y c - - 1�, ,, I Pax: (5 )C9 ^ - 4l ,; 5, Investigation per hour (l hr min) 62,50
Supry Lie.: S industrial plant per hour 73.75
CCB Lie.. � Electrical L+c p UL2.b ELECTRICAL PERMIT FEES
Suprv. Electrician signature. required, —� -� Subtotal 2 h
Plan review (2.5% of permit fee),
Print name' `� �� t 1e,s,, Date �' ) Slate surcharge (12%of permit fcc) (1--y
Authorized signature: TOTAL PERMIT FEE: f?9 7-7
This permit application expires it a permit is not obtained within NIP
Print name: Date• days laer it hat {teen accepted as complete,
Number of inspeehnns allowed per permit.
I \Building \ronnlI \PI C- PmmvApp day °5121"16 ado.o615T(I IN51COM/w'Er
. ..
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2008-00186
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 40/2008
Phone: (503) 639-4171 A
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Inspection Requests (24 Hrs.): (503) 639-4175 J A J'- =WS
INSPECTION WORKSHEET FOR DATE: 5/2/2008 TIME: 7:00AM PAGE: 16
SITE ADDRESS: 09000 SW DURHAM RD CLASS OF WORK:
SUBDIVISION: LOT #:. TYPE OF USE:
PROJECT NAME: TIGARD HIGH SCHOOL
DESCRIPTION: Installing (1) service for power to portable.
OWNER: TIGARD-TUALATIN SCHOOL DISTRICT 23J, PHONE #: 503-431-4000
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503-6263631
Inspection Request Scheduled For: Date: 5/2/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
'-....,.,
199 Electrical final 069271-01 503.624-3631 Y
Corrections/Comments/Instructions: C Sir) Li7 1
ANCC.F.66 li ' . 8S`l 00
Cik U-52.1) 1 4 61 . 62. 0 e:sct
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LAJAI`re 1. ey\ 1 F, A _ ._ t .
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PASS 0 PARTIAL APPROVAL El CANCEL III NO ACCESS
I FAIL El CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: eTh Nt(S61... Date: 6 Phone #: (503) 718- 2-Iii
CITY OF TIGARD ...
BUILDING DIVISION PERMIT #: t LC2008•001136
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 41272008
Phone: (503) 639 -4171 fi
Inspection Requests (24 Hrs.): (503) 639 -4175 J
i
INSPECTION WORKSHEET FOR DATE: t/21/2Q08 TIME: 7:00Aivi PAGE: 8
SITE ADDRESS: 0900() SW DURHAM RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: TIGARD HIGH SCHOOL
DESCRIPTION: Inslallinq (1) service for per to poitatale.
OWNER: TIGARD- •TUALATIN SCHOOL DISTRICT 23J, PHONE #: 503- 43 -4000
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503 - 624 -363 I
Inspection Request Scheduled For: Date: 4/21/2008 Pour Time:
Code # Inspection Description Confirm # Contact # NMessage
193 electrical find 00857(} 01 503-624-3631 N Y
Corrections /Comments /Instructions:
, 62-
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Fw i Die . c . sAk, PA L —
i3 6 w O ; c is S Rcs>
The electrical installation defects noted
on this report shall be corrected and
an inspection request made within 20
calendar days per OAR 918- 271 -0030
n PASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
A AIL g CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: - N O Date: � al Phone #: (503) 718 -1+
„ .
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2008-00186
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/212008
Phone: (503) 639-4171 egiapivie
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 4/16/2008 TIME: 7:00AM PAGE: 19
SITE ADDRESS: 09(100 SW DURHAM RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: TIGARD HIGH SCHOOL
DESCRIPTION: !Walling (1) service for power to portable.
OWNER: TIGARD-TUALATIN SCHOOL DISTRICT 23J, PHONE #: 503-431-4000
CONTRACTOR: WILLAME: I I E ELECTRIC INC PHONE #: 503 621-363i
Inspection Request Scheduled For: Date: _ 4/16/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 068466-02 503-624-3631
Corrections/Comments/Instructions:
.)1)
(7•■-
P r j\ : ) 7Z -
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PASS 0 PARTIAL APPROVAL FA CANCEL NO ACCESS
I I FAIL CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: G Date: J41 14( 01 Phone #: (503) 718- lott%'
. • ` -
•
CITY OF ��nm m v�'m TIGARD ~ - .
BUILDING DIVISION ' ^/ ' PERMIT #: ELC2000'00186
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 40K2008
Phone: (503) 639-4171
Inspection Requo�e(24Hmj:(5O3) 03A'4176 ...._„,_..0- "�J..
INSPECTION WORKSHEET FOR DATE: 4/16/2008 TIME: 7:00AM PAGE: 20 '
SITE ADDRESS: 09000 SW DURHAM RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: T1GARD HIGH SCHOOL
DESCRIPTION: Installing (1) service for power to portable.
OWNER: I1GARDTUALAT SCHOOL DISTRICT 23J, PHONE #: 503-431~4000
CONTRACTOR: Ail [IMF_ ELECTRIC INC PHONE #: 503-0243031
Inspection Request Scheduled For: Date: 4V16/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
105 Under gn»u/t«in}obcover 503'624'3631 N
Corrections/Comments/Instructions:
__ __ __
PASS PARTIAL APPROVAL 0 CANCEL ri NO ACCESS
| | FAIL I CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
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Inspector: ` ~~ «~ �� Date: 4 6 t Phone #: (503) 718- '
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