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Permit CITY OF TIGARD ELECTRICAL PERMIT 1 , COMMUNITY DEVELOPMENT Permit#: ELC2015-00005 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/03/2015 Parcel: 1 S134AB03300 Jurisdiction: Tigard Site address: 10330 SW SCHOLLS FERRY RD Project: Muslim Educational Trust Subdivision: ENGLEWOOD Lot: 88 Project Description: New service,distribution,branch wiring,fire alarm,CCTV,card access,and security system for new school. Contractor: HEIL ELECTRIC CO Owner: MUSLIM EDUCATIONAL TRUST INC 8425 SE STARK ST PO BOX 283 PORTLAND, OR 97216 PORTLAND,OR 97223 PHONE: 503-255-4074 PHONE: FAX: 503-255-4139 FEES Quantity Description Date Amount 7 ea Services or Feeders-200 01/26/2015 $704.90 Specifics: amps or less 2 ea Services or Feeders-201 to 01/26/2015 $267.12 Type of Use: COM 400 amps Class of Work: ALT 1 ea Services or Feeders-Over 01/26/2015 $552.26 1000 amps or volts Type of Const: 252 crt Branch Circuits w/Purchase 01/26/2015 $1,869.84 Occupancy Grp: Service or Feeder 5 ea Signal circuit or Limited 01/26/2015 $375.00 Energy Panel 1 ea Plan Review Electricial 01/26/2015 $942.28 1 ea 12%State Surcharge- 01/26/2015 $452.29 Electrical 0 Misc Administration Fee 01/26/2015 $0.01 Total $5,163.70 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accor.-. - with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATT- ' ION: Orego law r:• ires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-00 .010 thro gh OAR 952-e. -009' u may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Is ued By: / Perm ittee 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' 7t c Date: "?/7c LICENSE NO. 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. Elect,;ical Permit Application AELE+ IVEP FOR OFFTCF t SE ONLY City of Tigard Permit No.: " .cr 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review �•i.I ! Phone: 503.718.2439 Fax: 503.598.1960 J A N 6 2015 DateB : i i, / other Permit:a, ' • s _cm 7• T I G A R D Inspection Line: 503.639.4175 Date Ready/By ��!♦%>� ® See Page 2 for Internet: www.tigard-or.gov CITY OFTIGARD Notified/Method:/ 71W L� ,, Supplemental Information TYPE OF �� la DIVISION 1 .�l.�4 r�KEP- REVIEW ®New construction ❑Addition/alteratl0 replacement Please check all that apply(submit 2 sets of plans w/items checked below): El Service or feeder 400 amps or more ❑Building over three stones. ❑Demolition ❑Other where the available fault current ❑Marinas and boatyards. CATEGORY OE 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 150 KVA or ❑Emergency system. larger separately derived system. JOB SITE INFORMATION AND LOCATION ❑Addition of new motor load of Job no.:928 I Job site address: 10330 SW Scholls Ferry Rd. 100HP 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 Tigard, QHazardous locations. 600 volts nominal. Suite/bldg./apt.no.: I Project name:ME ®Service or feeder 600 amps or more FEE SCHEDULE Cross street/directions to job site:Conest : kill I Q . ( Fee. I Total I • - P�j Ur"` �j N residential single-or multi-family dwelling trait. a 1� ( V� 1 des attached garage. �/ ■ I f ,000 sq.ft.or less 168.54 4 Subdivision: ,' ( ., no.: r. Ea.add'I 500 sq.ft.or portion 33.92 1 Tax map/parcel no.: ,,/ ∎14 I Limited effigy,residential I ESCRIFTION OF WORK (with above sq.it.) 75.00 2 — Limited energy,multi-family New service,distribution,branc - , ' TV,card access, residential(with above sq.ft.) 75'00 2 Renewable Energy ❑ See Page 2 Security system for new school Services or feeders installation,alteration,and/or relocation ❑ PROPERTY OWNER I ❑ TENANT 200 amps or less 7 100.70 704.90 2 201 amps to 400 amps 2 133.56 267.12 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 1 552.26 552.26 2 City/State/ZIP: Temporary services or feeders installation,alteration,and/or Phone:( ) I Fax:( ) relocation 200 amps or less 59.36 1 Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 I 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 1 401 amps to 599 amps 168.54 2 Owner signature: Date: Branch circuits—new,alteration,or extension, r panel ❑ APPLICANT ' (3 CONTACT PERSON A-Fee for branch circuits with above service or feeder fee, 5)-- 7.42 1869.8q 2 Business name: each branch circuit B.Fee for branch circuits without Contact name: service or feeder fee,that branch circuit 56.18 2 Address: Each add'l branch circuit 7.42 2 City/StattILIP: M (service or feeder not included) Each manufactured or modular 67.84 2 Phone:( _ ) I Fax::( ) dwelling,service and/or feeder , Reconnect only 67.84 2 E-mail: Primp or irrigation circle 67.84 2 CONTRACTOR Sign or outline lighting 67.84 2 Business name:Heil Electric Co Signal circuits)or limited-energy Sec 375.00 panel,alteration,or extension. Page 2 2 Address:8425 SE Stark St. Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr City/State/ZIP:Portland,Or.97216 investigation(1 hr mm) 66.25/hr Phone:(503)255-4074 1 Fax:(503)255.4139 Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is �/ CCB Lic.: 000387 X61 Electrical Lic.: 26-6G(, Suprv.Lic.: 5525s specifically listed(v:hr min) hr �/I N 7 i7 (C//J(� ELECTRICAL PERMIT FEES Suprv.Electrician si titre,required: Subtotal: 3769.12, Print name: Darrell Gore Date: 1/5/15 Plan review(25%of permit fee): 942.28 State surcharge(12%of permit fee): l " .K q Authorized signature: ��G�„ / 4 ,�`��n„ TOTAL PERMIT FEE: 5163.70 r Print name: Darrell Gore wv �G�'Date: US/15 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. • Number of inspections allowed per permit. 1:\Building\Pennits\ELC_IkmritApp ELR_ERE.doc Rev 05/21/2013 440-4615T(I 1/05/COM/WE B Electr1cal Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Fee for all residential systems combined $75.00 Description I - I_ Fee I Total I • Renewable eiectricai energy systems: Check Type of Work Involved: 5 kva micas 100.70 2 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.fli to 25 kva 24034 2 ❑ Burglar Alarm Wind generation systems in excess of 25 kva: 25.01 to 50 kva 301.04 2 ❑ Garage Door Opener* 50.01 to 100 kva 552.26 2 >100 kva(fee in accordance with 552.26 2 ❑ Heating, Ventilation and Air Conditioning OAR 918-309-0040) System* Solar generation systems in excess of 25 kva: Each additional icva over 25 7.42 3 ❑ Vacuum Systems* >100 kva—no additional charge 0.0 3 Each additional inspection over allowable in any of the above: Other: Each additional inspection is charged at an hourly(1 hr min) 66.25/hr Inspections for which no fee is 90.00/hr specifically listed(Vs hr min) COMMERCIAL WORK ONLY: ELECTRICAL PERMIT FEES Fee for each commercial system $75.00 Subtotal: (SEE OAR 918-309-0000) Plan review,if required(25%of permit fee): State surcharge(12%of permit fee): Check Type of Work Involved: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 ® Audio and Stereo Systems days after it has been accepted as complete. Number of inspections allowed per permit. n Boiler Controls ® Clock Systems ® Data Telecommunication Installation ® Fire Alarm Installation n HVAC n Instrumentation • Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical n Nurse Calls ❑ Outdoor Landscape Lighting* n Protective Signaling n Other Total number of commercial systems: 6, *No licenses are required. Licenses are required for all other installations I:\Building\Pemnts\ELC_PennitApp_ELR_ERE.doc Rev 05/21/2013 Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 10330 SW SCHOLLS FERRY RD, TIGARD, OR, 97223 Commercial - Electrical 125 Wall cover PASS ELC2015-00005 Herb Stabenow Espresso bar Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 10330 SW SCHOLLS FERRY RD, TIGARD, OR, 97223 Commercial - Electrical 199 Electrical ﬁnal FAIL ELC2015-00005 Chip Barnett Previous corrections from Jeff Grove have been completed for classrooms only. Inspection performed for temp C/O approval only Not a complete inspection (kitchen, gymnasium and pool not completed at this time) Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 10330 SW SCHOLLS FERRY RD, TIGARD, OR, 97223 Commercial - Electrical 199 Electrical ﬁnal PASS - No C of O ELC2015-00005 Jeff Grove Violation Summary: Inspector Contractor