Permit q CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: ELC2013 00243
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/13/2013
Parcel: 1 S136CC00100
Jurisdiction: TIGARD
Site address: 8200 SW PFAFFLE ST
Project: Westside Christian High School Subdivision: 2006 -016 PARTITION PLAT Lot: 3
Project Description: Remodel and addition to existing building
Contractor: OREGON ELECTRIC CONSTRUCTION INC. Owner: WESTSIDE CHRISTIAN HIGH SCHOOL
1709 SE 3RD AVE 4565 CARMEN DRIVE
PORTLAND, OR 97124 LAKE OSWEGO, OR 97035
PHONE: 503 - 697 -4711
HONE: 503 - 234 -9900
FAX: 503 - 234 -1001
FEES
Quantity Description Date Amount
2 ea Limited Energy 05/13/2013 $150.00
Specifics:,
6 ea Services or Feeders - 200 05/13/2013 $604.20
amps or less
Type of Use: COM 4 ea Services or Feeders - 201 to 05/13/2013 $534.24
Class of Work: ALT 400 amps
Type of Const: 224 crt Branch Circuits wo /Purchase 05/13/2013 $1,710.84
Service or Feeder
Occupancy Grp: 1 ea 12% State Surcharge - 05/13/2013 $359.91
Electrical
1 ea Plan Review Electricial 05/13/2013 $749.82
Total $4,109.01
Required Items and Reports (Conditions)
This pe i is issued su• - to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be do e in accordance with - .roved plans. This permit will expire if work is not started withi • issuance, or if work is suspended for more the 180
days ATTENTION: Oregon la quir-- . to follow the rules adopted by the Or= -on enter. Those rules are set forth in OAR
952 001 -0010 thro! gh OAR 952 -P • $090. • •y obtain a copy of the rules or direct questions to OUNC by calling • • - • :7 or 1.800.332. 44.
%
Is ued By: - �!' � ..� _" Permittee re: _!, . ,�%
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. ELE Date:
• `
• G ��I !aI 5 $ /
LICENSE NO. of e 5
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
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
City of Tigard R jCEIVED 17� 5{ Permit II tY g Date /B g-Ci J E.L.- i�U(
q 13125 SW Hall Blvd., Tigard, OR Plan Review /�
Phone: 503.718.2439 Fax: 503.598.1960 Date /B : `lid / ,0 AM Other Permit / o i 3 ° bo0
TIGARD Inspection Line: 503.639.4175 el
4175 APR 2 9 2013 Date Rea. �� See Page 2 for
Internet: www.tigard-or.gov Notified/M Supplemental Information
4 41 TYPE 0 �� i�', e - - '1 f r/ .7 V PLAN REVIEW
i t i o r O - 1 • e r l 9 P • 1 1I r I Please check all that apply (submit 2 sets of plans w /items checked below):
❑ New construction E• Add
❑ 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
u
❑ 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
❑ Emergency system. larger separately derived system.
JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of ❑ "A ", "E ", "l - ", "l - ",
geld" 100HP or more. occupancy.
Job no.: 1 JJob site address: � / /% � �/j" j
❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State /ZIP: , J a1 977-23 ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: I Project name: j le /2F L L!/ - 40 1 / Abri ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description I Qn'. 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 168.54 4
Ea. add'I 500 sq. ft. or portion 33.92 1
Tax map /parcel no.: Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq. ft.)
h . �l Limited energy, multi - family
75.00 2
/ 4 r /10 !!Jv lv ,Y .' /�i G , residential (with above sq. ft.)
Renewable Energy I ❑ See Page 2
Services or feeders installation, alteration, and /or relocation
❑ PROPERTY OWNER I ❑ TENANT 200 amps or less b 100.70 2e1 2
201 amps to 400 amps ./ 133.56 5314.2i 2
Name: 401 amps to 600 amps 200.34 2
Address: 601 amps to 1.000 amps 301.04 2
Over 1,000 amps or volts 552.26 2
City /State /ZIP: Temporary services or feeders installation, alteration, and /or
Phone: ( ) I F ar;: ( ) relocation
200 amps or less 59.36 I
Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps 125.08 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
❑ APPLICANT I CONTACT PERSON A. Fee for branch circuits with
above service or feeder fee,
7.42
Business name: each branch circuit
B. Fee for branch circuits without
Contact name: 8' I flfii'540 service or feeder fee firs 56.18
2
branch circuit
Address: Each add'l branch circuit Aa4 ;321 7.42 / 2
City/State /ZIP: Miscellaneous (service or feeder' not included) � It 7 W
Each manufactured or modular 67.84 2
Phone: (503 ) 635 -- d l 0 to I Fax: : ( ) dwelling. service and/or feeder
Reconnect only 67.84 2
E - mail: Pump or irrigation circle 67.84 2
CONTRACTOR Sign or outline lighting 67.84 2
Business name: / .j/ {,� I ,!
C�✓�cfo� llle�l /C � „ f/LC' �n Signal
- D — Page 2 �7l/ 2
� panel, alteration, or extension.
Address: / 70e7 se' 3`d ire Each additional inspection over allowable in any of the above
City/State/ZIP: / J p O Additional inspection (1 hr min) 66.25/ hr
Ci
ty I b, l k )G O/` / 7 /4 Investigation (1 hr min) 66.25/ hr
Phone: (50'3 ) a3L1 - /0O I Fax: (5123 ) .9314-1001 Industrial plant (I hr min) 78.18/ hr
Inspections for which no fee is
CCB Lic.: gO3 I Electrical Lie.: -- 6C 1up . Lie.: d specifically listed (V2 hr min) 90.00/ hr
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: q , ,�jl ---/ Subtotal j .1.
Print name: Meg vk e v beep der ` Date: 41/..)/i 3 Plan review (25% of permit fee): 7 _
State surcharge (12% of permit fee): f - 1 1
Authorized signature TOTAL PERMIT FEE: L f �1•
M a res We ' ^ f A j This permit application expires if a permit is not obtained within 180
Print name: . 1 t`^ / I Date: 1/ 7 /3
days after it has been accepted as complete.
• Number of inspections allowed per permit.
I:\ Building \Permits\ELC_PermitApp_040913 doc 440- 4615T(1 I /05/COM/WEB
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
8200 SW PFAFFLE ST, TIGARD, OR, 97223
Commercial - Electrical
199 Electrical final
2013-12-24 (null)
ELC2013-00243
PASS - No C of O
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
8200 SW PFAFFLE ST, TIGARD, OR, 97223
Commercial - Electrical
199 Electrical final
2013-12-20 00:00:00
ELC2013-00243
FAIL
Nobody on site no answer on phone
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
8200 SW PFAFFLE ST, TIGARD, OR, 97223
Commercial - Electrical
105 Underground/slab cover
05/28/2013 00:00
ELC2013-00243
PASS
Science rooms and library
Violation Summary:
Inspector Contractor