Permit •
C ITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: ELR2008 - 00118
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/16/2008
PARCEL: 1 S135AB -00100
SITE ADDRESS: 10350 SW LINCOLN ST ZONING: R-4.5
SUBDIVISION: METZGER ELEMENTARY LOT: 005 JURISDICTION: TIG
PROJECT: METZGER ELEMENTARY PORTABLE
Project Description: Installing intercom wiring for portables.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: X
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
TIGARD TUALATIN SCHOOL DIST 23J PRAIRIE ELECTRIC INC
6960 SW SANDBURG ST 6000 NE 88TH STREET
TIGARD, OR 97223 VANCOUVER, WA 98665
Phone: Contact #: PRI 360- 816 -0484
FAX 360- 816 -0482
FEES Reg #: ELE 37 -491C
LIC 60178
Description Date Amount SUP 3562S
[ELPRMT] ELR Permit 5/16/2008 $75.00
[TAX] 12% State Surch 5/16/2008 $9.00 REQUIRED ITEMS AND REPORTS
Total $84.00
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 • : 11.332.2344.
Issued By: / " — - ermittee 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.
05/16/2008 FRI 10:54 FAX 3608160482 GB Manchester R001/003
Electrical Permit Application R E I V ` FOR OFFICE USE ONLY
City of Tigard Received
&V
ale Tigard, OR 97223 MAY 2 0 201 r g nmit No.: �1Li4 r 0 I tr
13125 SW Nall Blvd., Ti (�laa Review
i llq
Phone: 503.639.4171 Fax: 503.598.1960 Date/ By: Other Permit:
T I G A R D Inspection Line: 503.639.4175 C il �' r Date Ready /By: J H See Page 2 for
Internet: www.tigard -or.gov ' i ` , ' �, trNotltied/Method: Supplemental Information
*ti4 • i ai 1: �. ;f c ra• s, .--- g '; y-i r' •., o'a '-'
JS .. r- r =:. +9F� ... .:. �,.�,'::c. .. A� 7i F ii ' � �. a cS: �- ,� ^�t�r -: � r
...rj S:.' � �: ..: F .e.' ic3i4 _" ,: .- .,:. `
❑ New construction ® Addition /alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
ID Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards
Iii;,`'-': ; x � `5 in k615 `y ar" 9 n•' -" a "� 1 ` 'r L 7 7. exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
' -q. - ;',:; ,_ k ;60 ,, a s r F' .ts : +t -tA4, :1:'t. : LL 'r-:� less to ground, or exceeds 14,000
® Commercial/industrial ❑ Commercial -use agricultural
❑ 1- and 2- family dwelling
❑ Accessory building amps for all other installations. buildings.
❑ Multi- family . ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
' 4.: - :77, ' '` ''; 5 : 1 " r1 f a a " " fit 7 r ; e� -'� ❑Emerge system. larger separately derived system.
. � „': F ":_. _... , :_ � ��_� � ' S ��F�- � � �c i�a. , • ❑Add
F of new motor load of 0 .,A....E,,.,1_2.,,.1_3„
Job no.: 334OR Job site address: 10350 SW Lincoln Street 10011P or O10re. occupancy'
❑ Six or more residential units. ❑ Recreational vehicle parks.
City/State/ZIP: Tigard, OR 97223 ❑ Health-care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal
Suite/bldg./apt. no.: I Project name: Metzger Elem. Portable ❑ Service or feeder 600 amps or more.
*
F • t'iA `x:6:7 =tix 1 ' • _:1 1 ' . 4°'-11 ;; i it ,,: t!r(.
Cross street/directions to job site: SW Greenburg Road and SW Locust Street Desc ipdaa I Qty. I Fee I Total I •
New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: I Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'l 500 sq. ft. or portion 33.40 1
Tax map /parcel no.:
r 1 s -4,4_ > s i ::..- _. -... s
mr energy, residential 2
J:.'r�_.,..r,a :7 •..t- s;ii+ ;ii !is: 8,`'{7:�: •47'. eta �_ e °,* -: ': c'.', : : : 0 - ;:=-r? (with above sq.
't'' 7 tJ sv� )rim �� e s ru = ft.)
Intercom wiring for (2) new Portables
limited id energy, (with above s multi-family 7500 2 "
residential (with above sq. R)
Services or feeders installation, alteration, and/or relocation
. ,,,r:4n::. -.. -�- - ;- •- -' •�e ate:.: ,�_,a -t 200 amps or less 80.30 2
.
� - = - ��. >~.1 i.a4� +��..,��51..,.,�= ''�:- . .:<_. � t� � �w - f _ � 201 s to 400 106.85 2
•_ -. a .....__. .:... ...�...,.:�,:.. ''•-' --... � .... amp GPs
Name: 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City/State/ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) I Fax: ( ) 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 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Branch circuits - new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
.:.. i 3 , 62E''v r.:.: ,�n7.r " s ' •. ' •S ,w..r e� l . 5r -,,. above service or feeder fee 6.65 2
each branch circuit
Business name: GB Manchester DBA Prairie Electric, Inc. B. Fee for branch circuits
Contact name: Scott Erickson without service or feeder fee, 46.85 2
first branch circuit
Address: 6000 NE 88 Street Each add'I branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City/State/ZIP: Vancouver, WA 98665 Each manufactured or modular 90.90 2
Phone: (360) 816.0484 I Fax: : (360) 816.0482 dwelling, service and/or feeder
Reconnect only 66.85 2
E- mail: scott.e®gbmanchester.com Pump or irrigation circle 53.40 2
i.qt _ " v yt::;.' - .0- :ir.•-r.^°.a. - , „e„�, '? ;a ;xgn':• ;tsl'''''•''' - : ;rmt.. , e::l:r.:4 r
.: 'i_ i`;*',. :C + . -, t � .�; ' 2 :', •,';>J,. 9 __ _ �e• a' ' , .. - rz� r• ! - t : , . ;. Sign or outline lighting 53.40 2
Signal circuit(s) or limited -
Business name: GB Manchester DBA Prairie Electric, Inc. energy panel, alteration, or
Address: 6000 NE 88 Street extension. Describe: 1 Page 2 75 '� 2
City/ State/ZIP: Vancouver, WA 98665 Each additional Inspection over allowable in any of the above
Phone: (360) 816.0484 Fax: (360) 816.0482 Per
inn 62.50
Investigation per hour (1 hr mid) 62.50
CCB Lic.: 60178 Electrical L' .: 7 -49 S +. Lic.: 3562S Industrial plant per hour 73.75
t:_.,+,,,,,,llruc . ' ,.x'17 .laL�!.Tr9 mil -- _^!'_*1
Suprv. Electrician signature, required: t , Subtotal: 75.00
Print name: Bill Heiberg Date: 5/16/ ■ Plan review (25% of permit fee):
State surcharge (12% of permit fee): 9.00
Authorized signature: _ - - - - TOTAL PERMIT FEE: 84.00
This permit application expires if a permit is not obtained within 180
Print name: Scott E . • ' on Date: 5/16/08 days after it has been accepted as complete.
• Number of inspections allowed per permit.
I:\ Building \Permite\Et.C•PensirApp.doe 05/23/06 440.4615T(11/05ICOM(wEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR2008 -00118
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/161200F)
Phone: (503) 639 -4171 4q% l 1
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9/3/2008 TIME: 7:01AM PAGE: 44
SITE ADDRESS: 10350 SW LINCOLN ST CLASS OF WORK:
SUBDIVISION: METZGER ELEMENTARY LOT #: 005 TYPE OF USE:
PROJECT NAME: METZGER ELEMENTARY PORTABLE
DESCRIPTION: Installing intercom wiring for portables.
OWNER: TIGARD TUALATIN SCHOOL DIST 23J, PHONE #:
CONTRACTOR: PRAIRIE ELECTRIC INC PHONE #: 360 - 816 -0484
Inspection Request Scheduled For: Dat-: ' 3/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electiical final 174949-0/ 360 -816 -0484 Y
3(,0 - 601 0 1 Ic
Corrections /Comments/ Instructions:
S 6317
•
_PAS ____❑_PARTIALAP_P_ROVAL_______ ❑ CANCEL_ _ ❑ NO ACCESS _
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G tt)tei 1. Date: c.' 3 I Phone #: (503) 718- 1-114
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELR20080011B
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/16/2008
Phone: (503) 639 -4171 P i ° l �,
Inspection Requests (24 Hrs.): (503) 639 -4175 11- L I
INSPECTION WORKSHEET FOR DATE: ' 8/29/2008 TIME: 7:00AM PAGE: 40
SITE ADDRESS: 10350 SW LINCOLN ST CLASS OF WORK:
SUBDIVISION: METZGER ELEMENTARY LOT #: 005 TYPE OF USE:
PROJECT NAME: METZGER ELEMENTARY PORTABLE •
DESCRIPTION: Installing intercom wiring for portables.
OWNER: TIGARD TUALATIN SCHOOL DIST 23J, - PHONE #:
CONTRACTOR: PRAIRIE ELECTRIC INC PHONE #: 360-816-0484
Inspection Request Scheduled For: Date: 8/29/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
(-
199 Electrical final 074800.1 360 - 816 -0484 N Y
Corrections /Comments /Instructions: -- b' y 31- 1.1.4. 1( e f .w 1��
') c°Mp CoRIG.�� - 1@i%s wit_i` 6N
l 7,108 .
id) Puysibm
We --Try.t,se 4oA Fas__.
The electrical Installation defects noted
on this report shall be corrected and
an inspection request made within 20
calendar days per QAFI 818 -271 -0030
❑ PASS ❑ PARTIAL APPROVAL _ CANCEL ❑ NO ACCESS
i,4 FAIL ACALL FOR INSPECTION XADDITIONAL FEES ASSESSED
Inspector: ' . 1I VFJ Date: < a -Zq' i Phone #: (503) 718- 24
•
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: ELR2008 -0011B
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/16/20013
Phone: (503) 639 -4171 A lit
Inspection Requests (24 Hrs.): (503) 639 -4175 ":_..
INSPECTION WORKSHEET FOR DATE: - 6/20/2008 TIME: 7:02AM PAGE: 26
SITE ADDRESS: 10360 SW LINCOLN ST CLASS OF WOR e r
SUBDIVISION: METZGER ELEMENTARY LOT #: 005 TYPE OFA fj
PROJECT NAME: METZGER ELEMENTARY PORTABLE
i e DESCRIPTION: Installing intercom wiring for portables. T
OWNER: .TIGARD TUALATIN SCHOOL DIST 23J, HONE #:
CONTRACTOR: PRAIRIE ELECTRIC INC PHONE #: 360 - 816.0484
Inspection Request Scheduled For: Date: 6/20/21:: Pour 7 e:
Code # Inspection Description Confirm # Contact # Mes - .: /
199 Electrical final 071647 -'91 360 -921 -1406 `�
Corrections /Comments /Instructions:
i i
C.5-0-
.: CL . I .d- r_: l t om le i 4 , ; y_
/ •c 0 e - . J., , -, -
.„( See . v,t ,e)
4 de,,r ef,.
c to /- i ----.--./ 4 / i / S'C„Q P Geis Q/I/ da,L l /,4l/J
■ '' X 5 „I 4,/,7,5 4 e).00-e 5 —
��L?s7 le aired _ . - A ■
_,.. ,,,, i _ 4or ' _ ,f Y '...- - A
I r
%%�� -J -
(_ " ate - led 1 0/ /e-$ olio ar24 tine./
❑ PASS In1 APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: i_ _ ii`/ „ Date: gl i Phone #: (503) 718-
/