Permit a
i. •
4 *
A. CITY
O F TIGARD
ELECTRICAL RESTRICTED ENERGY PERMIT
DEVELOPMENT SERVICES PERMIT #: ELR2006 -00112
�.1 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/2/2006
PARCEL: 2 S 114AA -00100
SITE ADDRESS: 09000 SW DURHAM RD ZONING: R -4.5
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: Job No 964036 HVAC Control Girls Locker Room /CE2
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: X PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
TIGARD - TUALATIN SCHOOL DISTRICT 23J CHERRY CITY ELECTRIC
6960 SW SANDBURG ST 8100 NE ST JOHNS ROAD D -104
TIGARD, OR 97223 VANCOUVER, WA 98665
Phone: 503- 431 -4000 Contact #: PRI 360 - 571 -4411
FAX 360 -571 -4410
Reg #: ELE 37 -620C
FEES LIC 91668
Description Date Amount SUP 3486S
[ELPRMT] ELR Permit 6/2/2006 $75.00
[TAX] 8% State Surcha 6/2/2006 $6.00 REQUIRED ITEMS AND REPORTS
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 OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC at 503 - 246 -6699.
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:
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.
FIF JUN-01-2006 07:58 P. 002/002
Electrical P_..erinit Ap '
C I/ C D R OFFICE USE ONLY ,
City of Tigard V C R eceived
As
DeteB rtrmnit No.=
13125 SW Hall Blvd.. Tigard, OR 97223 JUN �� ' BUD - ...co I j oZ
s Review /
1 503 - 639.4171 r'aX: 503.598.1960 1 2UU6 4 5a y .t � a % Date/B : Other Permit: , ,,, _,
Inspection Line: 503.639.x175 ` 11 1 Notllied/Meihod: Date Ready/By: u
C ITY OF �" o Supplemental See rant 2nr
Internet: www.Ci.tigard.ar.us Information
S n to 1
Y � I a I.�-�. r,. 'n I•F4� 0.47 - R 1P.1'i"�'�•t. � 'i: y �� , ;.� y f !•, aG r a y- x.._.�.....:, R,. „,,+.�.
�.,vw .i � 71 ' .. .w ,Trill .7,'7� t , 5 t - s!lgqits!le:4�`i'.= i t ..y,�' f;+ 4:1 -W ..
�w r, S .. ,5J'1clq � • ; }.« •., 1, t wB+W..n.� ''+� �I �•y i �� 7_ ' r�S!� 4 �. !•
0 New construction kddition /altrnttionheplacemcnt Please check all that apply:
E] Demolition ❑ Other: CIService over 225 amps, comm'] Oliazardous location
[(Service over 320 amps - nitin
. s mP 4 or over 1
' `�'� s ,,� r u �{�. La �! � ��''�r aa' J� � -� ;;l:�t h•' �i ." B S 0,000 s ft.,
�
r " -�� s � ° .i ; of 1 -and 2-family dwellings 4 or more new residential
[f 1- and 2 family dwelling [ immercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
Multi Y ❑ Master builder OthQ [(Building over three stories (]Feeders, 400 amps or more
r ' ; °'; ;Y Y �' x�y »t;r r R [(Occupant load over 99 persons lManufactured structures or
!
1:4 ; • 'sx' ? ' y tgta "k ivn cl ec tw b r ti I + ":s y
I nt d3a+i�., � t � 'u -:fi-'fi r . " �°"`; ❑Eb'roas / lighting plan RV park
Job no-q(440" Job site addressq 1 / ( ' rah `ni �� ❑Ilealth -care facility C)Other:
1(1 Submit 2 sets of plans with any of the above.
City /State/ZIP: d�lO / I / r -).1.---1 � 9. The above are not applicable to temporary construction service.
Suite/bldg./apt /� 1 �� 7 tt . a s 1 'iA�;r.it
':! :,' . • -•' '' .
no.: Project "i ect name:
neseriUUon city. P. Total --
Cross streettdirections to job site: • ° / New residential single- or multi-
family family dwelling un1t.
Includes attached garage.
C C- .411A (4 1.: • _AK L- -,1 #) " 1,000 sq. It. or less 145.1,5 4
Subdivision: A i Lot no.cE Ea. add'1500 sq, ft. or portion 33.40 ]
Tax map/parcel no.: Limited energy, residential 75.00 2
Limited energy, non - residential
rt r� an dry 1�1 _ 75.00
' �1t "811 ` ' Ji e ib' to �, ,tw '8"0 : s! ' A ';t 6 � �itu'�.': • •' «.�i l Each tnanula red or modular 1 � t 2
I ({ V , # • 0 1'/ 1--0 , dwelling, service and /or feeder 90.90 2
} J- IJ Services or feeders Installation, alteration, and /or relocatio
�� i,1l lb 200 amps or less 60.30 2
"•»41!l9' r 5 ll,1s # ,r. tx �'z � c -E fi�I 1 js, „�I;I !� �, ll� �, e r ' • i 201 amps to 400 amps i 106.85 2
0 .� �l t � . li 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
Reconnect only 66.85 2
City /SL1te/ZTP; Temporary services or feeders installation, alteration, and/or
Phone: ( ) I Fax: ( ) relocation
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 1 00,30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2
Owner Signature: DeIe: Branch circuits - utwr, niteratlon, or extension, per panel
irtEs 1, N. . 141 % rim iti 1, ai.' is 1 t )',,,: it u li i ti A. lace for branch circuits with
service or feeder fee, each
Business name: branch circuit 6.65 2
B. Fee for branch circuits
Contact name: without service or feeder fee,
Address;
each branch circuit 46.85 2
Each add'i branch circuit 6.65 2
City /State/ZIP: Miscellaneous (service or feeder not Included)
Phone; ( ) Fax:: ( )
Pump or irrigation circle 53.40 • 2
_ Sift or outline lighting 5140 2
E-mail: Signal circuits) or limited -
E�'� N 't �, s �raliiMU '�1'�lkl o, a .. �,: I"s ; a. z7 1 "a t O . i�M`fL' al ener P
•� I ��k �s nel, alteration or
_ _ OIlier irM =Mi I extension. Describe: Page 2 2
Addres9 (f� �`' Each additional Inspection over allowable in an of the a/� above
A �. G , Per inspection 62.50
City /Statc/ZII� - I ,, g+, I � investigation per hour ft hr min) 62.50
Phone: co Fax; 0 1 _ (1/ 1 / Industrial plant per hour 73.75
ft a : T 1 J �J L.- - r: e: , ?i, hn i7���ifa "f it G " a „ ;.,r,. .y ., ;
a:,• ,
CCD Li" / L e 1 V l Lic. mi. uprv. Lic, % t r Subtotal IS, i5
Suprv. Electrician signature, required: PE Plan review (25% of permit fee)
- 6 I V h Dat 0 State surcharge (8% of permit fee) (Q • U
Print name: j
v /(1):, TOTAL PERMIT FEE .0
Authorized signature; This permit applleadon expires If a permit Is not obtained within 180
days after it has been accepted as complete
Print name: Date: • Fee methodology set by Tr1.4aunty l)uildmg Industry Service Board
" Number of inspections per permit allowed.
iU mundinc\femutslfLGPerntitApp 17/07 440.461 ST(1WO2/COMrwiia
CITY OF TIGARD
BUILDING DIVISION PERMIT #: 0..F0006-00112
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 602006 Phone: (503) 639 -4171 u� W�� °�'�LI
Inspection Requests (24 Hrs.): (503) 639 -4175 -_
INSPECTION WORKSHEET FOR DATE: , 9/0/2006 TIME: 7 : 00AM PAGE: 71
SITE ADDRESS: 09000 SW DURHAM RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: TIGARD HIGH SCHOOL
DESCRIPTION: Job No 964036 HVAC Control Girls Locker Rooni /CE2
OWNER: TIGARD- TUALATIN SCHOOL DISTRICT 23J, PHONE #: 503-431-4000
CONTRACTOR: CHERRY CITY ELECTRIC PHONE #: 360- 671-4111
Inspection Request Scheduled For: Date: 9/B/2006 Pour Time:
C. 4e # Inspection De : Confirm # Contact # Message
199 Electrical final 036192-01 360-607-6142 V
• - '•ns /Comments /Instructions: r . ��
' P 1,4_, fit-
cA)
k IFAASD n PARTIAL APPROVAL n CANCEL I i NO ACCESS
FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: CTN. 0 0 6 L. Date: C l' el ' 0 Phone #: (503) 718 -1446
CITY OF TIGARD
BUILDING DIVISION • .
PERMIT #: ELR2006-00112
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/2(2006
Phone: (503) 639-4171 i 7ollitit
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 8/21/2006 TIME: 6:68AM PAGE: 7
SITE ADDRESS: 09000 SW DURHAM RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: TIGARD HIGH SCHOOL
DESCRIPTION: Job No 964036 HVAC Control Girls Locker Roorn/CE2
OWNER: TIGARD-TUALATIN SCHOOL DISTRICT 23J, PHONE #: 603-431-4000
CONTRACTOR: CHERRY CITY ELECTRIC PHONE #: 360-571-4411
Inspection Request Scheduled For: Date: 8/21/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
• -
135 Low voltage Qx, I L.. • Csl 035323-01 360-607-5142 Y
1
tA) ,
Corrections/Comments/Instructions: j AU I---,
UP, V L-
6& `To c o \PR\ CE• i La s ` 014 0 LW .
- 445 liNfe' si'YNtf. ber ... s IV tNir
4 t-F .
/
1 FA PASS I I PARTIAL APPROVAL I I CANCEL NO ACCESS
FAIL 0 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: I f 1 \) (R) LE Date: i'l•A 'CA) Phone #: (503) 718- 1446
1
CITY OF TIGARD . 1.
BUILDING DIVISION PERMIT #: ELR2006-00112
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6 /212006
Phone: (503) 639-4171 Azo1141,1111 '.
Inspection Requests (24 Hrs.): (503) 639-4175 g■ 11.
INSPECTION WORKSHEET FOR DATE: 8/18/2006 TIME: 7:03AM PAGE: 79
SITE ADDRESS: 09000 SW DURHAM RID CLASS OF WORK:
SUBDIVISION: 0 LOT #: TYPE OF USE:
PROJECT NAME: TIGARD HIGH SCHOOL
DESCRIPTION: Job No 964036 HVAC Control Girls Locker Room/CE2
OWNER: TIGARD-TUALATIN SCHOOL DISTRICT 23J,
PHONE #: 503431-4000
CONTRACTOR: CHERRY CITY ELECTRIC
PHONE #: 360-571-4411
Inspection Request Scheduled For: Date: 8/18/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
135 Low 'voltage 036195-01 360-607-5142 N
Corrections /Comments / Instructions:
A
apiko cie L. 1 or tt Fit eL
1•1 5 e fft,? 1 0 koA6 F iNsr
CovO6a3 1 z,E Olat- As ....
PASS rJ PARTIAL APPROVAL n CANCEL n NO ACCESS
FAIL CALL FOR INSPECTION I 1 ADDITIONAL FEES ASSESSED
Inspector: CI — • t4I(W) t.. Date: 4 1' i t 040 Phone #: (503) 718- 1.4447