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Permit CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2007 -00666 COMMUNITY DEVELOPMENT DATE ISSUED: 9/25/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S135AB -00100 SITE ADDRESS: 10350 SW LINCOLN ST ZONING: R -4.5 SUBDIVISION: TOWN OF METZGER LOT : 005 JURISDICTION: TIG PROJECT: METZGER ELEMENTARY PORTABLES Project Description: Install power and low voltage for data and intercom. 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: 2 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: 2 W /SERVICE OR FEEDER: 1,5 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: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: TIGARD TUALATIN SCHOOL DISTRICT WILLAMETTE ELECTRIC INC 6960 SW SANDBURG ST PO BOX 230547 TIGARD, OR 97223 TIGARD, OR 97281 Phone: Contact #: PRI 503 - 624 - 3631 FAX 503 - 624 -2938 FEES Description Date Amount Reg #: ELE 34 -283C [ELPRMT] ELC Permit 9/25/2007 $310.60 LIC 75059 [TAX] 8% State Surcharge 9/25/2007 $24.85 SUP 4226S Total $335.45 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 th days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 2- 001 -0010 through O. •52- 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344. Iss d By: i t - 411_ :; 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: CTOR 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. • Electrical Permit Application • FOR OFFICE USE ONLY Received O f; ^�„ / , , City of Tigard Rece Rete ® Permit No.: `�(���! a 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review ' C Phone: 503.639.4171 Fax: 503.598.1960 Date/B : Other Permit: TI G A R D Inspection Line: 503.639 Date Ready/By: ® See Page 2 for Internet: www.tigard - or.gov Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ❑ New construction ® Addition/altcration/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. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION El Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "I -3 ", Job no.: 731 Job site address: 10350 SW Lincoln IOOHP or more. 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.: Project name: Portable Classroom ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description I Qty. I Fee. I Total I • New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Tax map /parcel no.: Ea. add'I 500 sq. ft. or portion 33.40 1 Limited energy, residential 75.00 2 3•40. DESCRIPTION OF WORK (with above sq. ft.) Limited energy, multi - family 75.00 2 Instal power and low voltage conduit to two portable classrooms residential (with above sq. ft.) Services or feeders installation, alteration, and/or relocation ,L 200 amps or less 2 80.30 160.60 2 r ❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 Name: 401 amps to 600 amps 160.60 2 . 3 601 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: ( ) 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 r 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, ter panel Owner signature: Date: A. Fee for branch circuits with ❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee, 6.65 2 each branch circuit Business name: B. Fee for branch circuits without service or feeder fee, 46.85 2 Contact name: first branch circuit Address: Each add'I branch circuit 6.65 2 , Miscellaneous (service or feeder not included) City/State /ZIP: Each manufactured or modular dwelling, service and /or feeder 90.90 2 Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 Signal panel, or limited - Business name: Willamette Electric Inc energy panel, alteration, or 4 Address: PO Box 230547 x n. De r' e: 2 Page 2 150.00 2 H c Each Tigard, OR 97281 Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: (503) 624 -3631 Fax: (503) 624 -2938 Investigation per hour (I hr min) 62.50 CCB Lic.: 75059 Electrical Lic.: 34 - 283C Suprv. Lic.: 4226S Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: Subtotal: 310.60 Print name: David Fife Date: c .„-....,-, - Plan - review (25% - 9 . State surcharge (8% of permit fee): 24.85 Authorized signature: TOTAL PERMIT FEE: 37t0 335. This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. • Number of inspections allowed per permit. I: \ Building \Permits\ELC- PermitApp.doc 05/23/06 440.4615T(11 /05 /COM/WEB F CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007- 00666 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9, Phone: (503) 639 -4171 • Inspection Requests (24 Hrs.): (503) 639- 4175'I INSPECTION WORKSHEET FOR DATE: 10/31/2007 TIME: 7 :00AM PAGE: 106 SITE ADDRESS: 10350 SW LINCOLN ST CLASS OF WORK: SUBDIVISION: TOWN OF METZGER LOT #: p05 TYPE OF USE: PROJECT NAME: METZGER ELEMENTARY PORTABLES DESCRIPTION: Install power and low voltage for data and intercom. 10/8/07 ADD (15) branc :h circuits. Job NO. 731 OWNER: PHONE #: CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503 -624 -3631 Inspection Request Scheduled For: Date: 10/31/2007 Pour Time: Code # Inspection Description ' • . Contact # Message 199 Electrical final 058673 -01 503- 624 -3631 N Corrections/Comments/Instructions: \ . PASS ❑_PARTIAL_APPROVAL_ ___ -n_ CANCEL_ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: . Ncts41. Date: i°11116 Phone #: (503) 718- 14 114 CITY OF TIGARD BUILDING DIVISION - PERMIT #: ELC2007 -00666 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/25/2007 Phone: (503) 639 -4171 VtI l Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/26/2007 TIME: 7 :00AM PAGE: 61 SITE ADDRESS: 10350 SW LINCOLN ST CLASS OF WORK: SUBDIVISION: TOWN OF METZGER LOT #: 005 TYPE OF USE: PROJECT NAME: METZGER ELEMENTARY PORTABLES DESCRIPTION: Install power and low voltage for data and intercom. 10/8/07 ADD (15) branch circuits. Job NO. 731 OWNER: PHONE #: CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503-624 -3631 Inspection Request Scheduled For: Date: 10/26/2007 Pour Time: Code # Inspection Description 4nfirm Contact # Message 199 • Electrical final k 058428 - 01 503-624 Y Corrections /Comments /Instructions: cb tz . `is.,Aw cv 2 14.0�®S Wee ck1 1kiki 110 iN S(OA v NIC • Po. 1f 0►l(AJ — t i : PROV iog ALL %A, .. C J & 6 cALEU.5 Its) PKi a-Q6A0 ha ilo. 3( ) ISCCiN 611.c,.;11 46 (6 S cL w Ir PAACC, UNvWl I 6 avIti vNjr. ker. 1 %6.3 e,4 8. �^rnov is v N v SO wia i N ?o (WC) Filaa M. m P NA .s 11i sehA vNl -r cORSLIEtl ►& Fcbm 1c((o', 1 sz LA E3g v■Azi P 61-ty i to b; - f cm.rotJ . MI PASS ❑ PARTIAL APPROVAL _ ❑ CANCEL_ _❑ NO ACCESS _ �` FAI Ul CALL FOR INSPECTION 111 ADDITIONAL FEES ASSESSED Inspector: N S V : Date: ` l 1 Phone #: (503) 718- 1.-If it' CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007 -00666 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/25/2007 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639 - 4175 1_.. INSPECTION WORKSHEET FOR DATE: 10/25/2007 TIME: 7:01AM PAGE: 3.1 SITE ADDRESS: 10350 SW LINCOLN ST CLASS OF WORK: SUBDIVISION: TOWN OF METZGER LOT #: 005 TYPE OF USE: PROJECT NAME: METZGER ELEMENTARY PORTABLES DESCRIPTION: Install power and low voltage for data and intercorn. 10/8/07 ADD (15) branch circuits. Job NO. 731 OWNER: PHONE #: CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503-624 -3631 Inspection Request Scheduled For: Date: 10/25/2007 Pour Time: Code # Inspection Description Confirm -# Contact # Message 199 Electrical final 8339 -01 503-624-3631 N Corrections /Comments /Instructions: j S V +•6 6\LL LoW Vd' l Nett 6 STayn S Qsol b cia, La N 10 A � Y1 \ to Noy a N op �rD 1 ∎ Le6 coo/ ��1 ) LL w V o N ,aea�K ,ANZ$ CAL f ti 1 n1 i bN p N 11/4C.CE� `f0 SOV'f VAI1- � ?12.13vo q Z kcce `Po 63o`1 v NIT s, ❑ PASS ❑ PARTIAL_ APPROYAL ❑ CANCEL_ __ _NOACCESS _ ___ _ A FAIL A CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: • 1\14 ` L Date: 1 Z 0 Phone #: (503) 718- vl CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007 -00666 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/2512007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 - 4175, I.. INSPECTION WORKSHEET FOR DATE: 10/9/2007 TIME: 7:00AM PAGE: 60 SITE ADDRESS: 10350 SW LINCOLN ST CLASS OF WORK: SUBDIVISION: TOWN OF METZGER LOT #: 005 TYPE OF USE: PROJECT NAME: METZGER ELEMENTARY PORTABLES DESCRIPTION: Install power and low voltage for data and intercom. 1018107 ADD (15) branch circuits. Job NO. 731 OWNER: PHONE #: CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503-624 -3631 Inspection Request Scheduled For: Date: /01912007 Pour Time: Code # Inspection Description Confirm- # - Contact # Message 115 Electrical service 05717601 503-624 -3631 N Corrections/Comments/Instructions: w LP n`„ r o 10 S a(ZV 1 c.4 Q i S cja4 Alts g. 6`T P l 3Z.- _ j PARTIAL APPROVAL ❑ CANCEL _ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 1.4 Phone #: (503) 718 - 1 � r r CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007 -00666 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/25/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 R_ INSPECTION WORKSHEET FOR DATE: 10/9/2007 TIME: 7 :00AM PAGE: 59 SITE ADDRESS: 10350 SW LINCOLN ST CLASS OF WORK: SUBDIVISION: TOWN OF METZGER LOT #: 005 TYPE OF USE: PROJECT NAME: METZGER ELEMENTARY PORTABLES DESCRIPTION: Install power and low voltage for data and intercom. 10/8/07 ADD (15) branch circuits. Job NO. 731 OWNER: PHONE #: CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 5036243631 Inspection Request Scheduled For: Date: 1019/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 130 Ceiling cover"" 057176-02 503-6243631 N Corrections/Comments/Instructions: X PASS _.❑ PARTIAL APPROVAL. _______ ❑ .CANCEL.__ ____ ___ ❑_NO ACCESS ❑ FAIL • ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: G I Phone #: (503) 718 -1 • CITY OF TIGARD BUILDING DIVISION PERMIT #: FLC2007 -00666 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/25/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/6/2007 TIME: 7 :01AM PAGE: 35 SITE ADDRESS: 10350 SW LINCOLN ST CLASS OF WORK: SUBDIVISION: TOWN OF METZGER LOT #: 005 TYPE OF USE: PROJECT NAME: METZGER ELEMENTARY PORTABLES DESCRIPTION: Install power and low voltage for data and intercom. OWNER: PHONE #: CONTRACTOR: W IL.LAMETTE ELECTRIC INC PHONE #: 503-624 -3631 Inspection Request Scheduled For: Date: 10/5/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 115 Electiical service 057045- 503 - 624 -3631 N Corrections/Comments/Instructions: ti ' r �rz G—so v ns `-c) Cr rt4 o1\11);N S SiaYY\ ARI 2-CC. 6 Paso v t m-A- r c\) S�sZv i P • C,N6fak I N cp"p O© AV tJ A YV czv- 3 N t (\' C . �� R.CN ►� S 4)s vol ❑ -PASS ❑_PARTIAL_AP_P_ROVAL 0 CANCEL ❑ NO ACCESS ►� FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: % Date: 10 1 3 1C I Phone #: (503) 718- 2.A LA