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Permit ELECTRICAL PERMIT ; CIT-Y..OF TIGARD COMMUNITY DEVELOPMENT PERMIT #: ELC2007 DATE ISSUED: 3/26/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2 S 103AA -00101 SITE ADDRESS: 10865 SW WALNUT ST ZONING: R -4.5 SUBDIVISION: LOT : JURISDICTION: TIG PROJECT: FOWLER MIDDLE SCHOOL Project Description: 4 branch ciruits for lighting. 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: W /SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 3 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: WACO SCHOOL DISTRICT NO 23J ELECTRICAL CONTRACTORS & DESIG 6960 SW SANDBURG ST 150 NE VICTORY SUITE A TIGARD, OR 97223 GRESHAM, OR 97070 Phone: Contact #: PRI 503 - 666 - 9358 FAX 503 - 667 -7965 FEES Description Date Amount Reg #: ELE 26 -466C [ELPRMT] ELC Permit 3/26/2007 $66.80 LIC 47712 [TAX] 8% State Surcharge 3/26/2007 $5.34 SUP 1882S Total $72.14 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. Issued By: � Permittee Signature: j . y �� L c <j. 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. Mar 23 2007 3:30PM Electrical Contractors & 503- 667 -7965 p.2 _ p - Electrical Permit: i lication RaeiY , Electrical�� ^,� ...y -gc, / 0-/ Permit N - �(/�// D Planning ppr Sign City of Tigard � � � Date/By: PemritNo.. 13125 SW Hall Blvd. /!A R Plan Review Other Tigard, Oregon 97223 Dale/By: Permit No.: Phone:' 503-639-4171 Fa>� �'S }960 ®® U ti ;; /B case Internet: www.ci £ /A/ 1 / / t z � r '': iii' Post - Review Land Use Contact 1y> .: 181 See Page 2 for 24 -hour Inspection Request: 503-639-4'19 fff, N -- Name/Method: I Supplemental Information. O OW/ c t .k : : ' 00,YO 3N , r • ''-,,i-•‘;;. - •, :, P,LAN REVIEW : (',lia3'e li' k ll' E:ii,th f a r"`'-; " „.1"" --, t, , ..' y d� , - If',�j•�w :' ���J,`: i•' S�iIF• °- jY.� '�2! )r�;n,',,i1' v � .. - ' ' � • : � � � p )'v� y,. [I New construction J Demolition j L_ j l Service over 225 amps- ❑ Health -care facility commercial ❑ Hazardous location VPril ,- 7 Addition/alteration/replacement Other: ❑ Service over 320 amps - rating of ❑ Building over 10,000 square feet, :;u -y' 5 4yr' ;*' dwellings four or more residential units in .- . �, -.., .., - .a:Lr� , , , - " 1 & 2 family & 2- Family dwelling Commercial/Industrial ❑ System over 600 volts nominal one structure ❑ Building over three stories ❑ Feeders, 400 amps or more Accessory Building Multi- Family ❑ Occupant load over 99 persons 0 Manufactured structures or RV park Master Builder Other: ❑ Egress/lighting plan ❑ Other: Submit _ sets of plans with any of the above. : :'F!l „, ;u u� '.' •1 ,0 i �l�; '.'n,";: + � " The a are not applicable to temporar ' construction service. Job site address: /d,r'6S” S `.{.,;';' : ,4FSri. .;c ...a „ 4,.. ''. csai 1, T y�■■����LI�v{pp,� ` 1 �I "� r � -, n : •tom ,S�` Ji � �. Y�Ir: r!<�t }�MF ��N.n. .bj+'�n� *5p•'�[i w. w _ Suite #: I Bldg./Apt. #: Number of Inspections per permit allowed Project Name: Description Qty Fee (ea.) Total ! New re;<Idendal- atngle or multi-fatally per Cross street/Directions to job site: dwelling unit. includes attached garage. Service Included: 1000 sq. R. or less 145.15 4 Each additional 500 sq. ft. or portion thereof 33.40 I Limited energy, residential 75.00 2 Subdivision: I Lot #: Limited energy, non residential 7 5. 00 2 Tax ma. n arcel #' Each manufactured home or modular dwelling � ' " 4 +{ IT. '41' .J,,i . 2'd' . service s o f feeder 90.90 - 2 �/ Se rvices or feeders - installation, /4.4. - 7 Git1)' 5 ; r— d AT .. , '4'( alteration or relocation: 200 amps or less 80.30 2 201 amps to 400 amps 106.85 _ 2 401 amps to 600 amps 160.60 2 _g r r ' i u 4 !i P ` ` s 1tL7� �o it ,ti' n.IS (' MI ' ME E 6 i v a107011 000 amps 240.60 2 { 5', > t .S_. + - . 4,... .. �Y �u t G_ yitrlJis Over 1ps orvolrs 454.65 2 Name: ,6,..i e--- : ir S'e ao Reconnect only 66.85 2 Address: Temporary services or feeders - installation, alteration, or relocation: City /State /Zip: 200 amps or less 66.85 1 Phone: Fes' 201 amps to 400 amps 100.30 2 401 to 600 amps - 133.75 2 gIP K ' _ ,� ,gli. rtM I - ©; o '>{! ilit- - r 'r'. "ii i' . " :. Branch ciremits . new alteration, or Name: extension per panel: A. Fee for branch circuits with purchase of Address: service or feeder fee, each branch circuit 6.65 2 Fee for branch circuits without purchase of City /StateJZip - H . service or feeder fee, first branch circuit 46 85 yb • /ST 2 Phone: I Fax: Each additional branch circuit 6.65 /q_9.4 2 E -mail Misc.(Service or feeder not included): T r U r t ,, f ar r r,5, i t E �tf rd Each pomp or irrigation circle 53.40 2 -. m: rf" :s., ..s.. ti '1 d _,t •t ..�.._.,, y- .i t 1�5'�, ' •• r�• ° Each sign outline light 53.40 2 Job No: Signal circuits) or a limited energy panel, alteration, or extension Paget 2 Business Name :Electrical Contractors & De ' Description: Address:150 NE Victory Suite A Each additional inspection over the allowable in an of the above: City /State/Zip:Gre sham Oregon 97030 Per inspection per hour (min. 1 hour) 62.50 Phone:(503) 666 -9358 Fax: ( 503) 667 -7965 Investigation fee: Other: CCB Lic. #: 477 Lic. #:26 -466C �_' l ^qr t j„ fir r, � ,��rril ,- a k rir, it : `� s: � tit;C,. ,�',r 1��� �����5`3�S.i.�'',:�1�.; iL7 �,.-�� t�.l�..� �., >._�'t -2 t�� � .,��, Supervising electrici 3ene Wa aina Subtotal $ , ., . signature required: _ Plan Review (25% of Permit Pee) $ Print Name: I ic. #: 1 8 H 2S - State Surcharge (8% of Permit Fee) $ ,,5 3 re TOTAL PERMIT FEE $ 7 a I & Authorized Notice: This permit application expires If a permit is n6t tained ithln Signature: Date: ISO days after it•has been accepted as complete. Fee methodology aet.by Tri -County Building Industry Service Board. (Please print Dame) i•\Dsts\Permit Forms \EicPennitApp.doc 01/03 • • CITY OF TIGARD _ BUILDING DIVISIO PERMIT #: ELC2007- 00183 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/26/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 �' ALL. INSPECTION WORKSHEET FOR DATE: 4/30/2007 TIME: 7:00AM PAGE: 27 SITE ADDRESS: 10865 SW WALNUT ST CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: FOWLER MIDDLE SCHOOL DESCRIPTION: 4 branch ciruits for lighting. OWNER: WACO SCHOOL DISTRICT NO 23J, PHONE #: CONTRACTOR: ELECTRICAL CONTRACTORS & DESIG CD `v ( .\ _, PHONE #: 503. 666 -9358 _ Inspection Request Scheduled For: Date: 4/30/2007 Pour Time: Code # Inspection Description Co ' is -# Contact # Message 199 Electrical final ( 047325.01 503- 320 -7807 Y Corrections /Comments /Instructions: \gip - F �C.R. --- r.> I or..w.r. ` Q C S - 10 N , 'a� N . \n n \ . \ \ . N • le PAS D PARTIAL APPROVAL ❑ CANCEL El NO ACCESS All ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector,: C - Iv w LE Date: ' 1 0 + Phone #: (503) 718- 2 03 - ,.