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Permit (177)
INCITY OF TIGARD ELECTRICAL PERMIT ' COMMUNITY DEVELOPMENT Permit#: ELC2017-00470 13125 SW Hall Blvd.,Ti and OR 97223 503.718.2439 Date Issued: 07/12/2017 I � 9 Parcel: 2S 103AA00101 Jurisdiction: Tigard Site address: 10865 SW WALNUT ST Project: Fowler Middle School Subdivision: None Lot: None Project Description: Remodel/addition of existing school: (3)200 amp or less services,(121)branch circuits,(3)low voltage systems for audio/stereo,clock systems&data. Contractor: MARK ADAMS ELECTRIC INC Owner: TIGARD-TUALATIN SCHOOL DISTRICT PO BOX 2748 BY MAPLETHORPE, BONITA CLACKAMAS, OR 97015 6960 SW SANDBURG ST TIGARD, OR 97223 PHONE: 503-557-8543 PHONE: FAX: 503-557-8508 FEES Quantity Description Date Amount 3 ea Limited Energy 07/12/2017 $225.00 Specifics: 3 ea Services or Feeders-200 07/12/2017 $302.10 amps or less Type of Use: COM 121 crt Branch Circuits w/Purchase 07/12/2017 $897.82 Class of Work: ALT Service or Feeder 1 ea 12%State Surcharge- 07/12/2017 $170.99 Type of Const: Electrical Occupancy Grp: 1 ea Plan Review Electricial 07/12/2017 $356.23 Total $1,952.14 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 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 the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through O:' 952-001-0090. You may obtain opy of the r es or direct questions to OUNC by calling 503 232.198 L800.332.2344. Issued By: .. ,ted- .r Permittee Signature: / cam. - ' 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' Date: LICENSE NO. Call 503.639.4176 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. f j Electrical Permit Applica CFI 'F'I FOR OFFICE USE ONL1 Lo • Received - City of Tigard Date/By: 0447 "111 Permit#: g�a0/7 /)(17U IN r 13125 SW Hall Blvd.,Tigard,OR 91223 / Phone: 503.718.2439 Fax: 503.5 1 0 ) 1 Plan Review.... Related Permit#: 21 (��1/ Date/By: / > I hog�� T I V A R D Inspection Line: 503 639 4175 Ready Date:By: 'VW Juris: E1 See Page 2 for Internet www.tigard-or.gov i,i a v rit I Notified/Method: 7 /1 1 !. Supplemental Information ❑New construction L Additi' ibbireptaceme t 4 Please check all that apply(submit 2 sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition 0 Other: \ where the available fault current Marinas and boatyards. 7,7Pv &,, ,- "'c d � • exceeds 10,000 amps at 150 volts or ❑Floating buildings. 1-and 2-familydwellingCommercial/industrialless to ground,or exceeds 14,000 0 Commercial-use agricultural 0 0 0 Accessory building amps for all other installations. buildings. 0 Multi-family ❑Master builder 0 Other: 0 Fire pump._.._ p p El Installation of 150 KVA or , :r ; &a 1„ �t t '• f a ,` ❑Emergency system. larger separately derived /C g'g5 s l r 0 ❑Addition of new motor load of /stem. Job#: Job site address: � /1 t1 � IOOHP or more. ) /� ❑Six or more residential units. occupancy. City/State/ZIP: 1 /p 4r- O R. '�(? 0 Recreational vehicle parks. i l ❑Health-care facilities. Suite/bldg./apt.#: Project name: FOtAitr �.i 0 Hazardous locations. 0 Supply voltage for more than / 0 Service or feeder 600 amps or more 600 volts nominal. Cross street/directions to job site: r Description �� £ New residential single-or multi-family dwelling unit. Subdivision: 1 Lot#: Includes attached garage. Tax map/parcel 4: I i,000 sq ft.or less l 168.54 4 1 Ea.add'l 500 sq ft or portion 33.92 _I. 1 . Migit,'..11: et s"' !AI, 6 ,,,« � , o- Limited energy.residential < / iLiI ` (with above sq.it,) 5.00 2 - 1 fl n - i ,r ( Limited energy,multi-family residential(with above sq.ft.) 75,00 12 4 , r � � 1.. „ r�' ,a Renewable Energy See Page 2 1.-._„ _ r ' Z:4 �" _ '7,11, A- .�' 1, ^`. Ser igen or feeders installation,alteration,and/or relocation Name: 200 amps or less - 3 100.70 3oa,�a 2 _ 201 amps to 400 ams 133.56 2 Address: p P --- 401 amps to 600 amps 200.34 2 City/State/ZIP: 601 amps to 1,000 amps 301.04 �2 __ Phone:( ) Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: relocation Owner installation:This installation is being made on property that I own which is not' 200 amps or less 59.36 { I intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701, 201 amps to 400 amps 125.08 2 Owner signature: Date: '401 amps to 599 amps 168.54 2 ,, •' .�:.. ..., .--, ;; .. , , Y M Branch circuits-new,alteration,or extension, er anel A.Fee for branch circuits with Business name: Mir .G L 4 s above service or feeder fee, a/ 7.42 g97.472( 2 each branch circuit Contact name: ,I,0,/-44, i/A B.Fee for branch circuits without / p service or feeder fee,first 56.18 Address: r .5 SE Q,,_ D/� branch circuit ' City/State/ZIP: a 4 M a -/�bj, Each add'1branch oircuit 7.42 2 Miscellaneous(service or feeder not included) I Phone:(3 r') 357-- Fax: :( 50s)557- 1-3©♦ Each manufactured or modular I Email: lie (f dwelling,service and/or feeder 67,84 2 , Via('icon o1Qnt ` 1 t c r/ 4 Reconnect only ,q�.� 67.84 2 .-4.� ,... E�_ �� . �... ,..�. �:,.� .,ft. Pump or irrigation circle 67.84 2 Business name: (K Aote,yr /a rt�C Sign or outline lighting ...i___172±____3_ Address: /`� S Q n � Signal circuit(s)or limitedenergy "See Page 2 5 2 City/State/ZIP: �1 Dr, panel,alteration,or extension. /' tach additional inspection over allowable in an of fire above y : L�. .a�_I e(S 0 4 7,c / Additional tnspeciion(1 hr min) 6x.25/hr Phone:( �) - 4' ti l Fax:(53)5,i 7- V5( Q Investigation(1 hr min) 90.00/hr Email: ( t.tQ /(• .' C�hf t' V Industrial plant(I hr min) 78.18/hr I inspections for which no fee is 90.00/hr CCB Lie,: "7f�`- Electrical L'c1 Suprv.Lic,: �gito5 s clficall listed(1/Z hr min SupPv.Electrician signature,required: a. lk /��� la I �r` _V Subtotal: Date: 0Required Print name: ,rye, J /=_ --fPlan Review g (25%• of permit fee): j,.,�3 ' / r� Cj I State surcharge(12%of permit fee): 06-,1 --1 Authorized Signature: TOTAL AL PERMIT FEE: /25...2./ / T This permit application expires if a permit is not obtained within 180 Print name: (lure, .406t ` days after it has been accepted as complete, ' Date: l I * Number of inspections allowed per permit. 1;1ReildingtPermitsELC PerrmitApp_ELR_ERE,doe Rev 06/17/2015 440,46151711/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: M Fee for all residential systems combined: $75.00 Ren eww°" ¢m Each Total Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100 70 2 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 C Garage Door Opener* >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 ❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 ❑ Vacuum Systems* >100 kva-no additional charge 0.0 3 Each additional inspection over allowable in an of the above: ❑ Other: Each additional inspection is 66.25/hr 1 charged at an hourly(1 hr min) Inspections for which�� no fee is 90.00/hr s.•cifically listed(s'2 hr min) .xi { $ +d 1 a M,. 3eSubtotal(Enter on Page 1): Fee for each commercial system: $75.00 * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: 7 Audio and Stereo Systems ❑ Boiler Controls gClock Systems [l Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical E Nurse Calls n O• utdoor Landscape Lighting* ❑ Protective Signaling ❑ O• ther: Total number of commercial systems: 3 *No licenses are required. Licenses are required for all other installations 1;1E3uilding`Permits'ELC_PerniitApp_ELR_I^,RE.d°c Rev 06/17/2015 Branden Taggart From: Juliet Jacobsen <jjacobsen@daycpm.com> Sent: Tuesday,July 11, 2017 2:52 PM To: Branden Taggart Cc: Michael DiPasquale; Debbie Pearson; Sarah Mehrabzadeh Subject: RE: Fowler Middle School Permits: MEC2017-00448, ELC2017-00460, ELC2017-00470 Hi Branden, Thank you for sending this over. Please see my comments below in red and let me know if you have any questions or concerns. Thank you, Juliet Jacobsen ( Project Coordinator Achiever. Responsibility. Input • Discipline . Deliberative CLAY CPM 503.984.6801 cell www.davcpm.com ilacobsen@daycpm.com CONFIDENTIALITY NOTICE:This email transmission may contain confidential and privileged information.The information contained herein is intended for the addressee only. If you are not the addressee, please do not review,disclose,copy or distribute this transmission. If you have received this transmission in error,please contact the sender immediately. From: Branden Taggart [mailto:brandent@tigard-or.gov] Sent:Tuesday,July 11, 2017 10:56 AM To:Juliet Jacobsen <jjacobsen@daycpm.com> Subject: FW: Fowler Middle School Permits: MEC2017-00448, ELC2017-00460, ELC2017-00470 Hi Juliet, Please see my emails below regarding the Fowler Middle School Permits. My initial email did not make it to you. Thanks, 1 IBrander'Taggart III ■ City of Tigard II • Permit Technician Community Development T[CARD 13125 SW Hall Blvd Tigard,OR 97223 (543)718-2449 brandent@tigard-or.gov From: Branden Taggart Sent:Tuesday,July 11, 2017 10:46 AM To: Michael DiPasquale<mdipasquale@daycpm.com>; 'jjacobsen@daypcm.com'<iiacobsen@daypcm.com> Cc: #Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Subject: FW: Fowler Middle School Permits: MEC2017-00448, ELC2017-00460, ELC2017-00470 Hello Mike and Juliet, I see that Sarah is currently on vacation. We have (3) Fowler Middle School permits that are ready to issue now. I have the fees listed below for you. Juliet, would you like to pay any of these with the trust account? Also,we will need contractor information prior to issuing mechanical permit MEC2017-00448 and electrical permit ELC2017-00460. If you have any questions, please let me know. Thank you, Branden Taggart ih,,, 4 City of Tigard a, Permit Technician Community Development TIGARD 13125 SW Hall Blvd Tigard,OR 97223 (503).718-2449 brandent@tigard-or.gov From: Branden Taggart Sent: Tuesday,July 11, 2017 10:25 AM To: 'Sarah Oaks'<sarah@davcpm.com> Cc:#Building Permit Technicians<TigardBuildingPermits@tgard-or.gov> Subject: Fowler Middle School Permits: MEC2017-00448, ELC2017-00460, ELC2017-00470 Hi Sarah, The following permits for Fowler Middle School are ready to issue: Mechanical permit MEC2017-00448 for main entry, science wing and woodshop: $16,980.27 • We are issuing check and will drop off hopefully tomorrow or Thursday—amount too much to charge to trust • Contractor:Apollo Mechanical Electrical permit ELC2017-00460 for main entry, science wing and woodshop: $620.12 • OK to charge to trust • Will confirm on contractor Electrical permit ELC2017-00470 for remodel/addition: $1,952.14 (notified Mark Adams Electric) 2 •, OK to charge to trust Would you like for me to pay any of these with the trust account? Thank you, Branders Taggart 1114 mg City of Tigard S - permit Technician Community Development TICAI 17 13125 SW Ball Blvd Tigard,OR 97223 (503)718-2449 brandent@tigard-ar,gov DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained by the City of Tigard in compliance with the Oregon Administrative Rules"City General Records Retention Schedule." 3 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 10865 SW WALNUT ST, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Electrical ELC2017-00470 Inspection Type: Inspector: 199 Electrical final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor